2012-10-17T18:19:08-05:00 2011-12-31 ERNST & YOUNG US LLP 4370 LA JOLLA VILLAGE DR SUITE 500 SAN DIEGO CA 92122 990 2011-01-01 953847251 COMMUNITY MEMORIAL HEALTHCARE FOUNDATION % KATHRYN YAMADA COMM 8056525011 147 NORTH BRENT STREET VENTURA CA 93003 DAVID B GLYER 2012-10-11 8585357200 2011 2016-02-24 21:20:13Z GARY K WILDE 147 NORTH BRENT STREET VENTURA CA 93003 481969 false X N/A X 1983 CA SEE SCHEDULE O 30 25 0 26 0 461641 350301 0 0 20297 16167 -87312 -36457 394626 330011 396170 368761 0 0 0 21000 0 0 43014 90838 77755 487008 467516 -92382 -137505 1361040 1228957 192842 211023 1168198 1017934 X SEE SCHEDULE O false false 358761 0 0 Funds provided in support of Community Memorial Health System. 10000 0 0 SCHOLARSHIPS TO STUDENTS WHO HAVE BEEN ACCEPTED TO THE ASSOCIATE DEGREE IN NURSING PROGRAM AT VENTURA COLLEGE. 24 0 0 368785 true true false false false false false false false false false false false true true true false true false false false false false false true false false true true true false false false false false false false false false false false false false true true false false false true 0 0 0 false false false false false true true false false false false X 30 25 true false false false true true true true true false false true true true true true true true true false CA X KATHRYN YAMADA 8056525012 147 NORTH BRENT STREET VENTURA CA 93003 Kathryn M Woodburn 1.0 X X 0 903 0 Barbara C Rose 1.0 X X 0 0 0 Mel Sheeler 1.0 X X 0 0 0 Lydia Hopps 1.0 X X 0 0 0 Joanie Abou-Samra 1.0 X 0 0 0 Trudy Bale 1.0 X 0 0 0 Loye Barton 1.0 X 0 0 0 Dan Boughey 1.0 X 0 0 0 Trudy Cook 1.0 X 0 0 0 Michael Ellingson 8.0 X 0 228828 66547 Anthony P Fowkes 1.0 X 0 0 0 David B Glyer 8.0 X X 0 366419 115132 William L Hart MD 1.0 X 0 903 0 Lynn Jacobs 1.0 X 0 0 0 Dorothy Jue Lee 1.0 X 0 0 0 William J Kearney 1.0 X 0 0 0 Sandra R Masiel 1.0 X 0 0 0 John Masterson 8.0 X 0 31230 3154 Harry L Maynard 1.0 X 0 903 0 Barbara Meister 1.0 X 0 0 0 Judy Miller 1.0 X 0 0 0 Dottie Pas 1.0 X 0 0 0 THOMAS SLATER 1.0 X 0 0 0 Margie Stites 1.0 X 0 0 0 Carolyn Tedesco 1.0 X 0 0 0 Dominic J Tedesco MD 1.0 X 0 121500 0 Norm Weitzel 1.0 X 0 0 0 Stan Whisenhunt 1.0 X 0 0 0 Gary L Wolfe 1.0 X 0 903 0 Gary K Wilde 8.0 X X 0 653990 429693 0 1405579 614526 0 false true false 0 232757 117544 9453 350301 0 16167 16167 0 0 0 115501 232757 151958 -36457 -36457 0 0 0 330011 -20290 358761 358761 10000 10000 0 0 0 0 21000 21000 0 0 0 0 0 8900 8900 0 0 0 16821 16821 1683 1683 2645 2645 1943 1943 0 0 0 0 0 0 0 0 0 SPECIAL EVENT INDIRECT EXPS 43014 43014 All other expenses 2749 24 2725 467516 368785 55717 43014 0 0 566319 452960 3975 2800 0 0 0 0 0 0 0 0 0 0 0 0 0 567297 560276 0 0 0 0 0 0 223449 212921 1361040 1228957 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192842 211023 192842 211023 X 444186 453990 724012 563944 0 0 1168198 1017934 1361040 1228957 X -137505 -12759 X false true true X false X X X false false false COMMUNITY MEMORIAL HEALTH SYSTEM 951683892 03 true 368785 1 368785 AS A SUPPORTING ORGANIZATION TO COMMUNITY MEMORIAL HEALTH SYSTEM (THE "SYSTEM"), ALL PROGRAM SERVICE EXPENSES ARE IN FURTHERANCE OF THE SYSTEM'S EXEMPT PURPOSE, AND AS SUCH, ARE DEEMED SUPPORT PAID TO AND FOR THE BENEFIT OF THE SYSTEM. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED CHARITABLE REM TRUST ASSETS 212921 212921 0 CHARITABLE REMAINDER TRUST LIAB. 124780 DUE TO COMM. MEMORIAL HEALTH SYSTEM 86243 211023 ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, QUESTION 2 THE SYSTEM ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF ASC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. UNDER ASC 740, THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS MAY BE RECOGNIZED ONLY IF IT IS MORE-LIKELY-THAN-NOT THE TAX POSITION WILL BE SUSTAINED, BASED SOLELY ON ITS TECHNICAL MERITS, WITH THE TAXING AUTHORITY HAVING FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. THE SYSTEM RECORDS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS FROM UNCERTAIN TAX POSITIONS AS DISCRETE TAX ADJUSTMENTS IN THE FIRST INTERIM PERIOD THAT THE MORE-LIKELY-THAN-NOT THRESHOLD IS NOT MET. THE SYSTEM RECOGNIZES DEFERRED TAX ASSETS AND LIABILITIES FOR TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL REPORTING BASIS AND THE TAX BASIS OF ITS ASSETS AND LIABILITIES ALONG WITH NET OPERATING LOSS AND TAX CREDIT CARRYOVERS FOR TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION CRITERIA. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED AT DECEMBER 31, 2011 OR 2010. Gold Dust Gala 126151 81820 44331 9224 8717 24804 21779 NICU Golf TRMT 58826 27006 31820 1900 19169 5913 1 163281 123931 39350 48191 1888 3500 6873 348258 232757 115501 1900 76584 10605 28304 34565 151958 -36457 true Community Memorial Health System 147 N Brent Street Ventura CA 93003 951683892 501(c)(3) 358761 for the purchase of medical equipment and new hosp HOSPITAL CONSTRUCTION 1 0 Ventura College Nursing Scholarships 2 10000 Description of Organization's Procedures for Monitoring the Use of Grants SCHEDULE I, PART I, LINE 2 1. COMMUNITY MEMORIAL HEALTH SYSTEM (CMHS) receives restricted grants from the organization to purchase specific medical equipment and cover costs of specific program expenses. Reporting of grant usage is disclosed at the organization's board meetings. 2. Scholarship recipients receive grants for nursing education and nursing degree. false true false false false false false false false Michael Ellingson 0 192516 0 25000 0 11312 0 64348 0 2199 0 295375 0 0 David B Glyer 0 297797 0 50000 0 18622 0 109933 0 5199 0 481551 0 0 Gary K Wilde 0 553645 0 65000 0 35345 0 423338 0 6355 0 1083683 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 3 THE HEALTH SYSTEM PAYS EXECUTIVE COMPENSATION AND ISSUES W-2'S. THE HEALTH SYSTEM USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION OF THE CEO OF THE HEALTH SYSTEM: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B EFFECTIVE JULY 1, 2001, A NONQUALIFIED DEFERRED COMPENSATION PLAN CALLED THE KEYSOP WAS ESTABLISHED. THE KEYSOP ALLOWED PARTICIPANTS TO DEFER A PORTION OF THEIR COMPENSATION WITH OPTIONS TO PURCHASE SHARES OF SELECTED MUTUAL FUNDS. THE KEYSOP PLAN BECAME INACTIVE AS OF APRIL 1, 2002 WHEN THE 2002 SERP BECAME EFFECTIVE. EFFECTIVE JANUARY 1, 1990, A SERP WAS ESTABLISHED (THE 1990 SERP) TO COVER SENIOR STAFF MEMBERS. THE 1990 SERP WAS FROZEN EFFECTIVE DECEMBER 1, 1999. ON APRIL 1, 2002, A SECOND SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE 2002 SERP) BECAME EFFECTIVE. THE 2002 SERP HAS A MONTHLY BENEFIT AT NORMAL RETIREMENT AGE (AGE 65) EQUAL TO THE AVERAGE MONTHLY COMPENSATION FOR THE 3-YEAR PERIOD DURING WHICH COMPENSATION WAS HIGHEST, AT VARIOUS RATES DEFINED BY THE PLAN. PARTICIPANTS VEST AFTER 10 YEARS OR AT THE ATTAINMENT OF AGE 65. BRIEFLY DESCRIBE THE ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 AND PART III, LINE 1 COMMUNITY MEMORIAL HEALTHCARE FOUNDATION IS A NONPROFIT PUBLIC BENEFIT CORPORATION WHOSE ACTIVITIES ARE TO BE OPERATED AND CONDUCTED IN THE PROMOTION OF ITS CHARITABLE OBJECTIVES AND PURPOSES TO RAISE FUNDS AND ENGAGE IN OTHER ACTIVITIES RELATED TO THE SUPPORT OF THE MISSION AND GOALS OF COMMUNITY MEMORIAL HEALTH SYSTEM. DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICE EXPENSES TO SUPPORT COMMUNITY MEMORIAL HEALTH SYSTEM. DESCRIPTION OF FAMILY RELATIONSHIPS FORM 990, PART VI, QUESTION 2 CAROLYN TEDESCO & DOMINIC J TEDESCO, M.D. - FAMILY RELATIONSHIP MEMBERS OF THE ORGANIZATION AND THEIR RIGHTS FORM 990, PART VI, LINES 6, 7A AND 7B COMMUNITY MEMORIAL HEALTH SYSTEM (CMHS) IS THE SOLE MEMBER OF COMMUNITY MEMORIAL HEALTHCARE FOUNDATION (CMHF). CMHS APPOINTS CMHF BOARD MEMBERS, AND CMHS HAS TO APPROVE ANY CHANGES TO CMHF BYLAWS OR ARTICLES. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B A DRAFT OF THE FORM 990 IS PREPARED AND THEN REVIEWED BY MANAGEMENT. PRIOR TO THE FILING OF THE RETURNS, A DRAFT OF THE FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS FOR COMMENT AND REVIEW. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY AND COLLECTED FROM BOARD OF DIRECTORS ON AN ANNUAL BASIS. SUCH STATEMENTS ENSURE FULL DISCLOSURE OF FINANCIAL INTERESTS AND TRANSACTIONS WHERE CONFLICT OF INTEREST IS A POSSIBILITY, AND SHALL ENSURE THE AVOIDANCE OF POTENTIAL CONFLICT OF INTEREST IN CHOOSING NEW DIRECTORS. IT IS THE POLICY OF CMHS THAT REQUIRES DIRECTORS TO DISQUALIFY HIMSELF/HERSELF FROM MAKING A DECISION WHERE HE/SHE HAS A CONFLICT OF INTEREST. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A AND 15B THE ORGANIZATION USES AN INDEPENDENT CONSULTANT TO SURVEY EXECUTIVE COMPENSATION ON AN ANNUAL BASIS. TWO NATIONWIDE SURVEYS WERE USED TO COMPARE THE COMPENSATION OF THE HEALTH SYSTEM'S EXECUTIVE STAFF TO THE 50TH PERCENTILE OF THOSE SURVEYED AND BY ORGANIZATIONAL SIZE AND SCOPE. THE BOARD COMPENSATION COMMITTEE IS RESPONSIBLE FOR ENGAGING THE INDEPENDENT COMPENSATION CONSULTANT AND FOR DETERMINING THE COMPENSATION OF THE CEO. THE COMPENSATION FOR ALL OTHER EXECUTIVES IS DETERMINED BY THE CEO AND SUBJECT TO THE APPROVAL BY THE BOARD COMPENSATION COMMITTEE. THE RECOMMENDATION OF THE BOARD COMPENSATION COMMITTEE IS THEN APPROVED BY THE BOARD OF DIRECTORS. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE AUDITED FINANCIAL STATEMENTS, FORM 990 TAX RETURNS, GOVERNING AND ORGANIZATIONAL DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE THROUGH THE ADMINISTRATIVE OFFICES AND ARE PROVIDED UPON REQUEST. AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, COLUMN B THE FOLLOWING INDIVIDUALS DEVOTED AN AVERAGE OF 40 HOURS PER WEEK TO COMMUNITY MEMORIAL HEALTH SYSTEM (CMHS): GARY K. WILDE - PRESIDENT & CEO, CMHS DAVID B. GLYER - VICE PRESIDENT OF FINANCE, CMHS MICHAEL ELLINGSON - VICE PRESIDENT OF DEVELOPMENT, CMHS THE FOLLOWING INDIVIDUALS DEVOTED 1 HOUR PER WEEK TO CMHS AS BOARD MEMBERS: KATHRYN M. WOODBURN WILLIAM L. HART, MD HARRY L. MAYNARD JUDY MILLER GARY L. WOLFE RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED LOSSES $(12,759) --------- TOTAL $(12,759) Community Memorial Health System 147 N Brent Street Ventura CA 93003 951683892 Healthcare CA 501(c)(3) 3 NA false Grossman Imaging CNTR of CMH LLC 2001 N SOLAR DR STE 135 Oxnard CA 93030 371512002 Imaging Center CA NA 0 0 0 0.00000 Buenavista Medical Properties Inc 147 N Brent Street Ventura CA 93003 770298516 REAL ESTATE INVST CA NA C corp California Heart Institute 147 N Brent Street Ventura CA 93003 770276145 BILLING SERVICES CA NA C corp false true false false false false false false false false true false true true true false false false GROSSMAN IMAGING CENTER OF CMH, LLC FORM 990, SCHEDULE R, PART III ORGANIZATION NAME: GROSSMAN IMAGING CENTER OF CMH, LLC ORGANIZATION EIN: 37-1512002 U.S. ADDRESS: 2001 N. SOLAR DR., SUITE 135, OXNARD, CA 93030