2011-11-10T15:25:39-05:00 2010-12-31 ERNST & YOUNG US LLP 4370 LA JOLLA VILLAGE DR SUITE 500 SAN DIEGO CA 92122 990 2010-01-01 953847251 COMMUNITY MEMORIAL HEALTHCARE FOUNDATION COMM 8056525011 147 NORTH BRENT STREET VENTURA CA 93003 DAVID B GLYER 2011-11-10 8585357200 2010 2016-02-24 21:20:13Z GARY K WILDE 147 NORTH BRENT STREET VENTURA CA 93003 610930 false X N/A X 1983 CA SEE SCHEDULE O 35 29 0 31 0 0 432767 461641 0 0 34339 20297 -49225 -87312 417881 394626 377388 396170 0 0 0 0 0 0 52626 110396 90838 487784 487008 -69903 -92382 1449213 1361040 210030 192842 1239183 1168198 X SEE SCHEDULE O false false 386170 386170 0 FUNDS PROVIDED IN SUPPORT OF COMMUNITY MEMORIAL HEALTH SYSTEM. 10026 10000 0 SCHOLARSHIPS TO STUDENTS WHO HAVE BEEN ACCEPTED TO THE ASSOCIATE DEGREE IN NURSING PROGRAM AT VENTURA COLLEGE. 396196 true true 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 35 29 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 X Kathryn M Woodburn 1.0 X X 0 0 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 Gary K Wilde 8.0 X X 0 662248 333585 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 Shelby Bauer 1.0 X 0 0 0 Dan Boughey 1.0 X 0 0 0 Michael D Bradbury 1.0 X 0 0 0 Trudy Cook 1.0 X 0 0 0 Ray Diguilio 1.0 X 0 0 0 Michael Ellingson 8.0 X 0 229509 60101 Anthony P Fowkes 1.0 X 0 0 0 David B Glyer 8.0 X X 0 428129 94353 William L Hart MD 1.0 X 0 0 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 39917 9081 Harry L Maynard 1.0 X 0 0 0 Barbara Meister 1.0 X 0 0 0 Leonard B Ortiz 1.0 X 0 0 0 Dottie Pas 1.0 X 0 0 0 Ron Polito 1.0 X 0 159895 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 177850 0 Norm Weitzel 1.0 X 0 0 0 Stan Whisenhunt 1.0 X 0 0 0 Gary L Wolfe 1.0 X 0 0 0 James D Woodburn III MD 1.0 X 0 8581 0 0 1706129 497120 0 false true false 0 264507 197134 17732 461641 0 20297 20297 0 0 0 128992 264507 216304 -87312 -87312 0 0 0 394626 -67015 386170 386170 10000 10000 0 0 0 0 0 0 0 0 0 0 8500 8500 0 0 0 10727 10727 808 808 6400 539 5861 13090 13090 0 0 0 0 0 0 0 0 0 SPECIAL EVENT INDIRECT EXP. 45957 45957 FOOD & BEVERAGES 4059 4059 ALL OTHER EXPENSES 1297 26 1271 487008 396196 38186 52626 653312 566319 1600 3975 21250 0 556634 567297 216417 223449 1449213 1361040 210030 192842 210030 192842 X 420303 444186 818880 724012 1239183 1168198 1449213 1361040 X -92382 21397 X false true true X false X X X false false false COMMUNITY MEMORIAL HEALTH SYSTEM 951683892 03 true true true 396196 1 396196 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 TRUST ASSETS 223449 223449 0 CHARITABLE REMAINDER TRUST LIAB. 129570 DUE TO COMM. MEMORIAL HEALTH SYSTEM 63272 192842 ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, QUESTION 2 THE SYSTEM ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF FASB 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 FASB 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, 2010 OR 2009. BENEFACTOR BALL 184218 144540 39678 34564 36908 22845 3179 GOLD DUST GALA 139963 83548 56415 15032 13209 42500 16182 1 69318 36419 32899 2100 29257 528 393499 264507 128992 2100 78853 50117 65345 19889 216304 -87312 true Community Memorial Health System 147 N Brent Street Ventura CA 93003 951683892 501(c)(3) 386170 FOR THE PURCHASE OF MEDICAL EQUIPMENT AND NEW HOSPITAL CONSTRUCTION 1 0 Ventura College Nursing Scholarships 2 10000 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS FORM 990, SCHEDULE I, PART I, LINE 2 1. 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. RECIPIENTS ARE EMPLOYEES OF CMHS. false true false false false false false false false Gary K Wilde 0 560000 0 65000 0 37248 0 326085 0 7500 0 995833 0 0 Michael Ellingson 0 189152 0 25000 0 15357 0 52601 0 7500 0 289610 0 0 David B Glyer 0 302996 0 45000 0 80133 0 86853 0 7500 0 522482 0 58250 Ron Polito 0 159895 0 0 0 0 0 0 0 0 0 159895 0 0 Dominic J Tedesco MD 0 177850 0 0 0 0 0 0 0 0 0 177850 0 0 SUPPLEMENTAL INFORMATION 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 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 OF SERVICE, OR AT THE ATTAINMENT OF AGE 65. DAVID GLYER RECEIVED A KESOP DISTRIBUTION FROM COMMUNITY MEMORIAL HEALTH SYSTEM OF $58,250. 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 FAMILY RELATIONSHIPS FORM 990, PART VI, QUESTION 2 KATHRYN M. WOODBURN & JAMES D. WOODBURN III, M.D. - FAMILY RELATIONSHIP; 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. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. 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. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS = UNREALIZED GAINS OF $21,397. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Gary K. Wilde TITLE:President & CEO (CMHS) HOURS:32 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael Ellingson TITLE:VP Marketing & Develop (CMHS) HOURS:32 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David B. Glyer TITLE:VP Financial Svcs (CMHS) HOURS:32 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John Masterson TITLE:VP Community Relations (CMHS) HOURS:16 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Dominic J. Tedesco, M.D. TITLE:Board Member HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Gary L. Wolfe TITLE:Board Member HOURS:1 Community Memorial Health System 147 N Brent Street Ventura CA 93003 951683892 Healthcare CA 501(c)(3) 3 NA Grossman Imaging Center of CMH 2001 N SOLAR DR SUITE 135 OXNARD CA 93030 371512002 Imaging center CA 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 Management Svcs 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