2025-11-07T12:00:20-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 21700 OXNARD ST STE 300 WOODLAND HILLS CA 91367 990 2024-01-01 951683892 COMMUNITY MEMORIAL HEALTH SYSTEM COMM 8056525050 147 NORTH BRENT STREET VENTURA CA 93003 JIM CORWIN CFO 8056525050 2025-11-03 1 1 LAUREN A HAVERLOCK P00545829 8185771900 2024 2025-03-06 01:10:19Z MICK ZDEBLICK 147 NORTH BRENT STREET VENTURA CA 93003 688540681 0 X WWW.MYCMH.ORG X 1933 CA TO HEAL, COMFORT AND PROMOTE HEALTH FOR THE COMMUNITIES WE SERVE. SEE SCHEDULE O 18 15 3741 169 948778 0 9928373 19846841 601165464 641932638 1662061 7222508 7327200 8952020 620083098 677954007 1009798 1375731 0 0 315430500 338786732 0 0 0 303983398 308023823 620423696 648186286 -340598 29767721 901722476 935734276 517290532 522854134 384431944 412880142 X SEE SCHEDULE O 0 0 590369017 0 641932638 PATIENT SERVICES INCLUDE 87,943 PATIENT DAYS, 195,542 OUTPATIENT VISITS, AND 355,179 VISITS TO THE COMMUNITY MEMORIAL HEALTH CENTERS (THE HEALTHCARE SYSTEM'S OUTPATIENT CARE CLINICS). 1977056 1375731 0 STANDARD COMMUNITY OUTREACH PROGRAMS INCLUDE: CANCER RESOURCE CENTER AND SUPPORT GROUPS; HEALTH EDUCATION SESSIONS THAT PROVIDE FREE INFORMATION RELATED TO PREVENTATIVE CARE, HEALTHY LIFESTYLES, DISEASE PREVENTION AND MANAGEMENT; NEW PARENT RESOURCE CENTER AND SUPPORT GROUPS; WELLNESS AND FITNESS CENTER THAT PROVIDES FREE RISK EVALUATION, PREVENTATIVE INFORMATION AND RESOURCES AND PARTICIPATES IN HEALTH FAIRS THROUGHOUT THE COMMUNITY. SEE SCHEDULE O. 592346073 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 0 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 543 0 1 3741 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 18 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 CA X X KATHRYN YAMADA 8056525012 147 NORTH BRENT STREET VENTURA CA 93003 THOMAS GOLDEN MD BOARD MEMBER 1.00 0.00 X 301292 0 0 ALISON SHUMAN MD BOARD MEMBER 1.00 0.00 X 130150 0 0 CHRIS JOHNSON MD BOARD MEMBER 1.00 1.00 X 60000 0 0 NEIL CANBY MD BOARD MEMBER 1.00 0.00 X 6000 0 0 WILLIAM KEARNEY CHAIR 1.00 0.00 X X 0 0 0 DAVID FUKUTOMI VICE CHAIR 1.00 0.00 X X 0 0 0 F TED MUEGENBURG JR SECRETARY 1.00 0.00 X X 0 0 0 GARY WOLFE TREASURER 1.00 0.00 X X 0 0 0 DEBBIE GOLDEN BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN HAMMER BOARD MEMBER (THRU 01/30/24) 1.00 0.00 X 0 0 0 KIMBERLY HOFFMANS EDD BOARD MEMBER (THRU 03/26/24) 1.00 0.00 X 0 0 0 LYDIA HOPPS BOARD MEMBER 1.00 1.00 X 0 0 0 JEFFREY LOEBL BOARD MEMBER 1.00 0.00 X 0 0 0 JUDITH HALE NORRIS BOARD MEMBER 1.00 0.00 X 0 0 0 LIZ PAVLOV BOARD MEMBER 1.00 0.00 X 0 0 0 LINDA PETTIT BOARD MEMBER 1.00 1.00 X 0 0 0 MARTIN POPS MD BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD RUSH MD BOARD MEMBER 1.00 0.00 X 0 0 0 MONICA WHITE BOARD MEMBER 1.00 0.00 X 0 0 0 CELINA ZACARIAS BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL ZDEBLICK PRESIDENT & CEO 36.00 4.00 X 1430783 0 170158 JAMES CORWIN CFO 40.00 0.00 X 808100 0 30417 ADAM THUNELL COO 40.00 0.00 X 765852 0 93034 ANTHONY RUSSELL CAO AMBULATORY MEDICINE 40.00 0.00 X 626497 0 77734 KEITH MCWILLIAMS CIO 40.00 0.00 X 508603 0 65720 SAMUEL SMALL CHIEF OF MEDICAL EDUCATION 40.00 0.00 X 566033 0 23054 DIANE DREXLER CNO 40.00 0.00 X 488224 0 58977 KARI ANNE OSBORN VP HUMAN RESOURCES 40.00 0.00 X 453716 0 60185 HAADY LASHKARI CHIEF ADMIN OFFICER OJAI/VP CMH 40.00 0.00 X 422412 0 59697 JAMIE MAITES CMDO/CMF BOARD MEMBER 34.00 6.00 X 402376 0 46368 MAUREEN ARCHAMBAULT CHIEF QUALITY/RISK OFFICER 40.00 0.00 X 415623 0 10868 DEBORAH CARLSON CHIEF MEDICAL OFFICER INPATIENT SVCS 40.00 1.00 X 392637 0 0 KRISTINE SUPPLE ASSOCIATE VP OF CARE COORDINATION 40.00 0.00 X 310835 0 32765 DIANE CORNELL ASSOCIATE CNO 40.00 0.00 X 296975 0 34566 RICHARD REISMAN VP AMBULATORY MEDICINE 36.00 0.00 X 273387 0 8250 KELLIE ZAYLOR CHIEF MEDICAL OFFICER INPATIENT SVCS 40.00 0.00 X 211175 0 17664 JAMIE BRADY PHYSICIAN ASSISTANT 40.00 0.00 X 324711 0 24172 KATHRYN YAMADA FINANCIAL SERVICES DIRECTOR 40.00 0.00 X 312371 0 22928 PILAR PARKER RN IV 40.00 0.00 X 309017 0 13810 DANIELLE WILEY PHYSICIAN ASSISTANT 40.00 0.00 X 289682 0 20589 JACEK TRETKO PHARMACY DIRECTOR 40.00 0.00 X 275552 0 27129 10382003 0 898085 983 0 1 0 GUIDEHOUSE MANAGED SERVICES 1676 INTERNATIONAL DRIVE SUITE 800 MCLEAN VA 22102 REVENUE CYCLE MANAGEMENT 24021875 VENTURA ANESTHESIA MEDICAL GROUP 1081 MONTAUK LANE 8 VENTURA CA 93001 ANESTHESIA STAFFING 3716000 GOLD COAST AMBULANCE SERVICE PO BOX 55418 LOS ANGELES CA 900745418 AMBULANCE SERVICES 2133954 ALLIED BARTON SECURITY SERVICES EIGHT TOWER BRIDGE 161 WASHINGTON CONSHOHOCKEN PA 19428 SECURITY SERVICES 1760236 CALIFORNIA MANAGED IMAGING PO BOX 1326 SANTA BARBARA CA 93102 RADIOLOGY STAFFING 1318521 90 911274 13690571 5244996 142000 19846841 PATIENT SERVICE REVENU 621500 564165201 564165201 HOSPITAL MEDI-CAL PAYM 621500 66296826 66296826 AMBULATORY QUALITY QIP 900099 3980625 3980625 CAFETERIA REVENUE 722514 2633813 2633813 BREAST/PROSTATE CENTER 900099 2114588 2114588 2741585 2741585 641932638 6176244 51 6176193 299729 480996 -181267 -181267 -181267 11151942 10105678 1046264 1046264 1046264 REBATES/REFUNDS 900099 4533465 4533465 PHARMACY REVENUE 456110 3105008 783041 2321967 MEDSTAFF REVENUE 621610 259379 259379 1235435 165686 1069749 9133287 677954007 641932638 948778 15225750 1375731 1375731 9660128 3037472 6622656 230736585 222641354 8095231 7717611 7161066 556545 70731335 66494287 4237048 19941073 18837381 1103692 1459317 1407817 51500 1325028 1325028 247330 247330 64302871 53160509 11142362 460329 460329 119066623 118580361 486262 21429205 20816764 612441 1211218 245371 965847 11410362 11267292 143070 289379 289379 720933 581508 139425 10667870 10667870 27653725 27086569 567156 7288853 505309 6783544 HOSPITAL QA FEE 27939360 27939360 PURCHASED SERVICES 8120686 7240397 880289 DUES AND SUBSCRIPTIONS 2079817 1442593 637224 STATE USE AND SALES TAX 1262156 1253457 8699 1088761 521767 566994 648186286 592346073 55840213 0 33025809 61387953 75373066 80193607 0 321384 95939191 100297433 9626921 9610146 15682445 15883882 789454076 285892212 498400145 503561864 57124879 67311322 15004261 12490538 8171300 10007519 93374459 74668628 901722476 935734276 120639769 118693863 2412500 15659214 363120388 351459698 31117875 37041359 517290532 522854134 X 382313061 410296248 2118883 2583894 384431944 412880142 901722476 935734276 X 29767721 2444502 -3764025 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 90573 90573 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND THE CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SERVICES. IN 2024, $266,210 WAS INCLUDED IN EXPENSES FOR ANNUAL MEMBERSHIP DUES, A PORTION OF WHICH IS DIRECTED BY THESE ORGANIZATIONS TO CONDUCT LOBBYING ACTIVITIES. 142000 142000 X 0 49669883 49669883 503888134 148260609 355627525 211495991 137631603 73864388 24400068 24400068 503561864 OPERATING LEASE RIGHT-OF-USE ASSETS 27258566 MORTGAGE ESCROW FUNDS 17242823 ASSETS LIMITED TO USE 25439333 DEPOSITS WITH INSURANCE CO 3002378 DUE FROM THIRD PARTIES 866925 OTHER ASSETS 858603 74668628 SELF-INSURANCE LIABILITIES 24687683 WORKERS' COMP & PROF LIAB 12353676 37041359 X PART III, LINE 4: THE ARTWORK IS A COLLECTION OF EIGHT SCULPTURES THAT WILL BE ON DISPLAY AT THE CCC CAMPUS FOR BEAUTIFICATION OF THE FACILITY. PART X, LINE 2: FIN 48 (ASC 740) FOOTNOTE THE FOLLOWING FOOTNOTE IS FROM THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMUNITY MEMORIAL HEALTH SYSTEM: THE SYSTEM ACCOUNTS FOR INCOME TAXES UNDER THE PROVISIONS OF ASC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE CONSOLIDATED 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 THAT 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. THE SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITION, IN ACCORDANCE WITH ASC 740, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. NO SIGNIFICANT TAX LIABILITY FOR UNRECOGNIZED TAX BENEFITS, INTEREST, OR PENALTIES WAS ACCRUED AS OF DECEMBER 31, 2024 AND 2023. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE SYSTEM BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2020. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, INVESTMENTS 988659 0 0 0 0 0 0 988659 0 988659 0 0 0 0 1 0 1 1 X 1 X 1 X 700.000000000000 1 1 0 1 1 653831 0 653831 0.00100 151035000 131709209 19325791 0.02980 151688831 131709209 19979622 0.03080 3746350 394249 3352101 0.00520 24941802 4379652 20562150 0.03170 61750375 60864558 885817 0.00140 138823 109910 28913 0.00000 1275731 0 1275731 0.00200 91853081 65748369 26104712 0.04030 243541912 197457578 46084334 0.07110 59859 59859 0.00010 59859 59859 0.00010 0 123393551 132743936 -9350385 X 1 1 1 GROSSMAN IMAGING CENTER OF CMH LLC IMAGING CENTER 0.51000 0.49000 2 VENTURA CARDIOVASCULAR CO-MANAGEMENT COMPANY LLC MANAGEMENT SERVICES 0.50000 0.50000 3 VENTURA COUNTY IMAGING GROUP IMAGING CENTER 0.12500 0.87500 2 1 COMMUNITY MEMORIAL HOSPITAL 147 NORTH BRENT STREET VENTURA CA 93003 WWW.MYCMH.ORG 050000026 X X X X A 2 OJAI VALLEY COMMUNITY HOSPITAL 1306 MARICOPA HWY OJAI CA 93023 WWW.MYCMH.ORG 050000045 X X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, PAGE 8 X 1 22 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 700.000000000000 X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH THE CHNA. PART V, SECTION B, LINE 5: COMMUNITY MEMORIAL HEALTH SYSTEM (CMHS) CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THROUGH A COORDINATED EFFORT WITH ITS PARTNERS AT THE VENTURA COUNTY DEPARTMENT OF PUBLIC HEALTH, ADVENTIST HEALTH SIMI VALLEY, CAMARILLO HEALTH CARE DISTRICT, CLINICAS DEL CAMINO REAL, GOLD COAST HEALTH PLAN, ST. JOHN'S REGIONAL MEDICAL CENTER, AND THE VENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CENTER. THESE PARTNERS MAKE UP THE VENTURA COUNTY COMMUNITY HEALTH IMPROVEMENT COLLABORATIVE (VCCHIC), WHICH WAS ORGANIZED IN 2018, TO REVIEW OVERALL POPULATION HEALTH AND DEVELOP PRIORITIES THAT INFORM PLANNING FOR BUILDING HEALTHIER COMMUNITIES. TOGETHER, THESE AGENCIES SUPPORT HEALTH ADVOCACY, EDUCATION, PREVENTION, AND PARTNERSHIPS THAT EXTEND THE CARE CONTINUUM FOR MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS. THESE PARTNERSHIPS ARE NECESSARY TO ACCOMPLISH THE SHARED VISION OF WORKING COLLABORATIVELY TO DEVELOP STRATEGIES BASED ON THE IDENTIFIED HEALTH PRIORITIES FROM THE CHNA.THE 2022 COMMUNITY HEALTH ASSESSMENT SURVEY WAS DESIGNED AND DISSEMINATED BY VCCHIC. DEMOGRAPHICS OF THE SURVEY RESPONDENTS INCLUDED ALL AGE GROUPS, GENDER IDENTITY, HOUSEHOLD INCOME, RACE OR ETHNICITY, MARITAL STATUS, EDUCATION, INSURANCE AND INDUSTRY. ONE OF THE KEY OBJECTIVES OF THE ASSESSMENT WAS TO ENGAGE THE COMMUNITY, INCLUDING SOCIALLY MARGINALIZED POPULATIONS, PHYSICIANS, AND OTHER SERVICE PROVIDERS TO SHARE THEIR PERCEPTIONS ON THE HEALTH NEEDS OF THE VENTURA COUNTY RESIDENTS. THROUGHOUT FEBRUARY 2022, INFORMATION INTERVIEWS AND FOCUS GROUP DISCUSSIONS WERE HELD TO HELP DEVELOP A DEEPER UNDERSTANDING OF THE DATA COLLECTED AND GATHER KEY THEMES ABOUT THE ISSUES IMPACTING THE COMMUNITY. PART V, SECTION B, LINE 6A: CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIESADVENTIST HEALTH SIMI VALLEYST. JOHN'S REGIONAL MEDICAL CENTER, DIGNITY HEALTH PART V, SECTION B, LINE 6B: CHNA CONDUCTED WITH OTHER ORGANIZATIONSCAMARILLO HEALTH CARE DISTRICTCLINICAS DEL CAMINO REAL, INC.GOLD COAST HEALTH PLANVENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CENTERVENTURA COUNTY PUBLIC HEALTH PART V, SECTION B, LINE 7A: HTTPS://WWW.MYCMH.ORG/DOCUMENTS/CONTENT/HEALTH-NEEDS-ASSESSMENTS/VENTURA-CHNA-2022-V2.PDF PART V, SECTION B, LINE 10A: HTTPS://WWW.MYCMH.ORG/DOCUMENTS/CONTENT/IMPLEMENTATION-STRATEGY/VENTURA-CHIS-V1.PDF PART V, SECTION B, LINE 11: THE COMMUNITY MEMORIAL HEALTH SYSTEM BOARD OF TRUSTEES ESTABLISHED A COMMUNITY BENEFIT COMMITTEE TO PROMOTE, PROTECT, AND ENHANCE THE HEALTH AND WELLBEING OF THE COMMUNITY SERVED BY CMHS. THE COMMUNITY HEALTH COMMITTEE REVIEWS COMMUNITY NEEDS AND MAKES RECOMMENDATIONS TO THE BOARD OF TRUSTEES ON HOW TO BEST RESPOND TO THOSE NEEDS DIRECTLY AND THROUGH COLLABORATION WITH OTHERS. THE COMMITTEE SERVES AS AN ADVISORY BODY TO THE ORGANIZATION'S LEADERSHIP AND PROVIDES INPUT AND RECOMMENDATIONS ON MATTERS RELATED TO COMMUNITY HEALTH AND WELLBEING IN ORDER TO ADVANCE A VIBRANTLY HEALTHY COMMUNTIY.VCCHIC FOUNDING MEMBERS CONVENED SEVERAL MEETINGS TO DISCUSS AND ADDRESS THE SURVEY RESULTS. A FINAL WORKING GROUP SESSION WAS HELD TO AGGREGATE SURVEY RESULTS AND TO PRIORITIZE HEALTH TOPICS FOR SUBSEQUENT IMPLEMENTATION PLANNING BY VCCHIC PARTNERS. SIGNIFICANT HEALTH NEEDS WERE GROUPED INTO PRIORITIZED HEALTH NEEDS:1. IMPROVE ACCESS TO HEALTH SERVICES2. REDUCE THE IMPACT OF BEHAVIORAL HEALTH ISSUES3. IMPROVE HEALTH AND WELLNESS FOR OLDER ADULTS4. REDUCE THE BURDEN OF CHRONIC DISEASE5. ADDRESS SOCIAL NEEDSTHE SUB-TOPICS INCLUDED IN EACH OF THE ABOVE PRIORITIZED HEALTH NEEDS ARE AS FOLLOWS:1. ACCESS TO HEALTHCARE2. IMPROVE HEALTH AND WELLNESS OF ADOLESCENTS3. ALCOHOL AND DRUG USE4. CANCER5. COVID-196. DIABETES7. IMPROVE HEALTH EDUCATION8. HEART DISEASE AND STROKE9. AFFORDABLE HOUSING10. ADDRESSING MENTAL HEALTH AND SUBSTANCE ABUSE ACROSS THE LIFESPAN11. NUTRITION AND HEALTHY EATING12. IMPROVE HEALTH AND WELLNESS OF OLDER ADULTS13. PHYSICAL ACTIVITY14. WEIGHT STATUS15. PREVENTION OF CHRONIC CONDITIONS BY PROMOTING HEALTH LIFESTYLESMANY OF THE SELECTED HEALTH NEEDS ARE CONSISTENT WITH THE PRIORITY AREAS THAT EMERGED FROM THE PREVIOUS CHNA PROCESS. VCCHIC PLANS TO BUILD UPON EFFORTS THAT EMERGED FROM ITS PREVIOUS CHNA PROCESS, COLLABORATING WITH OTHER FACILITIES AND COMMUNITY PARTNERS, TO ADDRESS THE PRIORITY HEALTH NEEDS. THE COMMUNITY MEMORIAL HEALTHCARE HOSPITALS INTEND TO TAKE ACTIONS TO ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA AND DETAILED IN THE 2023-2025 IMPLEMENTATION STRATEGY: - ADVANCE EQUITABLE ACCESS TO HEALTHCARE - PREVENT CHRONIC CONDITIONS AND PROMOTE HEALTHY LIFESTYLES - ADDRESS MENTAL HEALTH AND SUBSTANCE USE ACROSS THE LIFESPANADVANCE EQUITABLE ACCESS TO HEALTH CAREGOAL: IMPLEMENT POLICIES AND PROGRAMS AIMED AT EXPANDING AND PROMOTING ACCESS TO CULTURALLY APPROPRIATE PREVENTIVE CARE SERVICES AMONG UNDERSERVED POPULATIONS IN VENTURA COUNTY.STRATEGIES1. DEVELOP A COLLABORATIVE POPULATION HEALTH MANAGEMENT STRATEGY IN VENTURA COUNTY.2. ENHANCE ACCESS TO CARE.3. EXPAND DIVERSITY AND INCLUSION TO INCREASE HEALTH EQUITY.PLANNED COLLABORATION: AS A VCCHIC MEMBER ORGANIZATION, COMMUNITY MEMORIAL HEALTHCARE WILL COMMIT STAFF TIME AND RESOURCES TO SUPPORT THESE ACTIVITIES. IN ADDITION, COLLABORATIVE PARTNERS INCLUDE FIRST 5 VENTURA COUNTY, GOLD COAST HEALTH PLAN, VENTURA COUNTY DEI PROGRAM, VENTURA COUNTY PUBLIC HEALTH, VENTURA COUNTY AREA AGENCY ON AGING, VENTURA COUNTY MEDICAL ASSOCIATION, AND VISITING NURSES ASSOCIATION.PREVENT CHRONIC CONDITIONS AND PROMOTE HEALTHY LIFESTYLESGOAL: PROMOTE HEALTHY BEHAVIORS AND INCREASE ACCESS TO PHYSICAL ACTIVITIES AND HEALTHY FOODS.STRATEGIES:1. INCREASE ACCESS TO HEALTHY FOODS BY CONNECTING COMMUNITY MEMBERS TO AVAILABLE RESOURCES.2. PROMOTE PHYSICAL ACTIVITY AS A KEY COMPONENT OF A HEALTHY LIFESTYLE.3. FACILITATE COORDINATION OF CANCER PREVENTION PROGRAMS.4. COORDINATE REFERRALS AND PROMOTE EVENTS FOCUSED ON HEALTHY LIFESTYLES.PLANNED COLLABORATION: AS A VCCHIC MEMBER ORGANIZATION, COMMUNITY MEMORIAL HEALTHCARE WILL COMMIT STAFF TIME AND RESOURCES TO SUPPORT THESE ACTIVITIES. IN ADDITION, COLLABORATIVE PARTNERS INCLUDE VENTURA COUNTY PUBLIC HEALTH, GOLD COAST HEALTH PLAN, FARMERS MARKETS, HEALTH CARE DISTRICTS, THE CANCER SUPPORT COMMUNITY, BREASTFEEDING COALITION OF VENTURA, VENTURA YMCA, AND CALFRESH.ADDRESS MENTAL HEALTH AND SUBSTANCE USE ACROSS THE LIFESPANGOAL: IMPROVE ACCESS THROUGH EDUCATION, LEVERAGING EXISTING BEHAVIORAL HEALTH RESOURCES, AND BUILDING ORGANIZATION-BASED NETWORKS.STRATEGIES:1. EXPAND ACCESS TO SUBSTANCE USE NAVIGATORS.2. EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES.3. CONNECT PATIENTS WITH COMMUNITY BEHAVIORAL HEALTH SUPPORT PROGRAMS AND SERVICES.PLANNED COLLABORATION: AS A VCCHIC MEMBER ORGANIZATION, COMMUNITY MEMORIAL HEALTHCARE WILL COMMIT STAFF TIME AND RESOURCES TO SUPPORT THESE ACTIVITIES. IN ADDITION, COLLABORATIVE PARTNERS INCLUDE VENTURA COUNTY PUBLIC HEALTH, GOLD COAST HEALTH PLAN, VENTURA COUNTY SHERIFF'S OFFICE, VENTURA DEPARTMENT OF EDUCATION, SOBERING CENTERS, AND SUBSTANCE USE TREATMENT CENTERS.EVALUATION OF IMPACTCOMMUNITY MEMORIAL HEALTHCARE IS COMMITTED TO MONITORING AND EVALUATING KEY INITIATIVES TO ASSESS THE PROGRAMS AND ACTIVITIES OUTLINED IN THIS COMMUNITY BENEFIT PLAN. WE COLLECT, DOCUMENT AND TRACK MEASURES, SUCH AS THE NUMBER OF PEOPLE REACHED OR SERVED AND COLLABORATIVE EFFORTS TO ADDRESS HEALTH NEEDS. AN EVALUATION OF THE IMPACT OF THE ACTIONS TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS WILL BE REPORTED IN THE NEXT SCHEDULED CHNA.PRIORITY HEALTH NEEDS THAT WILL NOT BE ADDRESSEDTAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, COMMUNITY MEMORIAL HEALTHCARE WILL NOT DIRECTLY ADDRESS HOUSING. THIS PRIORITIZED HEALTH NEED WAS NOT SELECTED BECAUSE COMMUNITY MEMORIAL HEALTHCARE HAS IDENTIFIED OTHER COMMUNITY STAKEHOLDERS THAT ARE CURRENTLY LEADING INTERVENTIONS TO ADDRESS THIS HEALTH NEED IN THE COUNTY, INCLUDING THE VENTURA COUNTY HOUSING AUTHORITY. COMMUNITY MEMORIAL HEALTHCARE CHOSE TO CONCENTRATE ON THE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE.ACCESS TO HEALTHCAREFINANCIAL AID: CMHS PROVIDED FINANCIAL ASSISTANCE FOR UNINSURED AND UNDERINSURED RESIDENTS. FOLLOWING OUR FINANCIAL ASSISTANCE POLICY, THE HEALTH SYSTEM PROVIDED DISCOUNTED AND FREE HEALTH CARE TO QUALIFIED INDIVIDUALS. PART V, SECTION B, LINE 15E: CMHS PUBLICIZES A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY ON THE FACILITY'S WEBSITE. INCLUDED ON THE BACK OF EACH BILLING STATEMENT IS A DISCLAIMER REGARDING FINANCIAL ASSISTANCE BEING AVAILABLE AND A CONTACT NUMBER TO CALL IF INTERESTED. MOREOVER, CMHS HAS SIGNAGE POSTED IN THE ADMITTING AND EMERGENCY ROOM AREAS. A WRITTEN COPY OF THIS POLICY IS AVAILABLE UPON REQUEST, AS INDICATED ON THIS SIGNAGE DISPLAYED. PART V, SECTION B, LINE 16A: FINANCIAL ASSISTANCE POLICY WEBSITE HTTPS://WWW.MYCMH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ PART V, SECTION B, LINE 16B: FINANCIAL ASSISTANCE POLICY APPLICATION WEBSITE HTTPS://WWW.MYCMH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ PART V, SECTION B, LINE 16C: PLAIN LANGUAGE SUMMARY WEBSITEHTTPS://WWW.MYCMH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ PART V, SECTION B, LINE 16H: CMHS CREATED A BILINGUAL FINANCIAL ASSISTANCE FLYER THAT IS DISTRIBUTED TO THE COMMUNITY AT HEALTH FAIRS, FREE CLINICS, COMMUNITY EVENTS AND SUPPORT GROUPS. THIS FLYER PROVIDES DETAILS ON THE CMHS FINANCIAL ASSISTANCE PROGRAM AS WELL AS DIRECTION ON HOW TO SOLICIT SUPPORT WITH ENROLLMENT. 27 1 - SAVIERS CENTER FOR FAMILY HEALTH 2921 S SAVIERS ROAD OXNARD CA 93033 OP CLINIC 2 - VINEYARD CENTER FOR FAMILY HEALTH 2361 VINEYARD AVE OXNARD CA 93036 OP CLINIC 3 - CAMARILLO CENTER FOR FAMILY HEALTH 422 B ARNEILL ROAD CAMARILLO CA 93010 OP CLINIC 4 - ASHWOOD CENTER FOR FAMILY HEALTH 120 N ASHWOOD AVE VENTURA CA 93003 OP CLINIC 5 - MIDTOWN MEDICAL GROUP CLINIC 2721 E MAIN STREET VENTURA CA 93003 OP CLINIC 6 - SAN BUENAVENTURA UROLOGY CENTER 2705 LOMA VISTA RD STE 206 VENTURA CA 93003 OP CLINIC 7 - SANTA PAULA CENTER FOR FAMILY HEALTH 242 E HARVARD BLVD SANTA PAULA CA 93060 OP CLINIC 8 - MAIN STREET CENTER FOR FAMILY HEALTH 138 W MAIN STREET VENTURA CA 93001 OP CLINIC 9 - AIRPORT MARINA CENTER FOR FAMILY HEALTH 3641 W FIFTH STREET OXNARD CA 93035 OP CLINIC 10 - PACIFIC INPATIENT PHYSICIANS 147 N BRENT STREET VENTURA CA 93003 OP CLINIC 11 - SANTA ROSA CENTER FOR FAMILY HEALTH 5800 SANTA ROSA ROAD CAMARILLO CA 93010 OP CLINIC 12 - GROSSMAN IMAGING CENTER OF CMH LLC 2001 N SOLAR DR STE 135 OXNARD CA 93030 FOR PROFIT 13 - MIDTOWN MEDICAL GROUP CLINIC - SPECIALTY 168 N BRENT STREET STE 302 VENTURA CA 93003 OP CLINIC 14 - SAN BUENAVENTURA UROGYNECOLOGY 2705 LOMA VISTA RD STE 201 VENTURA CA 93003 OP CLINIC 15 - PREMIERE DERMATOLOGY & MOHS SURGERY 168 N BRENT STREET STE 403 VENTURA CA 93003 OP CLINIC 16 - PREMIERE HEALTH SANTA PAULA 258 262 E HARVARD BLVD SANTA PAULA CA 93060 OP CLINIC 17 - FILLMORE CENTER FOR FAMILY HEALTH 852 VENTURA STREET FILLMORE CA 93015 OP CLINIC 18 - MIDTOWN MEDICAL GROUP - OJAI PRIMARY 1320 MARICOPA HWY STE D OJAI CA 93023 OP CLINIC 19 - PORT HUENEME CENTER FOR FAMILY HEALTH 321 E PORT HUENEME RD PORT HUENEME CA 93041 OP CLINIC 20 - MIDTOWN MEDICAL GROUP CLINIC - PEDIATRIC 3655 3659 W FIFTH STREET OXNARD CA 93035 OP CLINIC 21 - VENTURA COAST FAMILY CARE 124 N BRENT STREET VENTURA CA 93003 OP CLINIC 22 - OAK VIEW CENTER FOR FAMILY HEALTH 655 N VENTURA AVE OAK VIEW CA 93022 OP CLINIC 23 - MIDTOWN MEDICAL GROUP CLINIC - OJAI 1202 MARICOPA HWY STE A OJAI CA 93023 OP CLINIC 24 - CENTRAL COAST CENTER FOR GYNECOLOGIC ONC 2900 LOMA VISTA RD STE 205 VENTURA CA 93003 OP CLINIC 25 - VENTURA PLASTIC SURGERY 1280 S VICTORIA STE 201 VENTURA CA 93003 OP CLINIC 26 - MIDTOWN MEDICAL GROUP CLINIC - OJAI SURG 117 PIRIE ROAD STE E OJAI CA 93023 OP CLINIC 27 - MIDTOWN MEDICAL GROUP - BEHAVIORAL 4080 LOMA VISTA RD STE F VENTURA CA 93003 OP CLINIC PART I, LINE 3C: IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE ORGANIZATION ALSO USED AN ALGORITHM TO DETERMINE THE QUALIFICATION OF CHARITY CARE FROM INFORMATION PROVIDED BY PATIENTS AT INTAKE AS WELL AS INFORMATION FROM CREDIT REPORTS. PART I, LINE 7: COSTING METHOD USED IS COST-TO-CHARGE USING WORKSHEET 2. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICESCLINICAL SERVICES PROVIDED DESPITE A FINANCIAL LOSS TO THE ORGANIZATION. THE FINANCIAL LOSS IS MEASURED AFTER REMOVING LOSSES ASSOCIATED WITH BAD DEBT, FINANCIAL ASSISTANCE, MEDICAID, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS.NO AMOUNT ATTRIBUTABLE TO A PHYSICIAN CLINIC WAS INCLUDED AS SUBSIDIZED HEALTH SERVICES ON PART I, LINE 7G.CMHS OFFERED OUTPATIENT PALLIATIVE CARE TO SUPPORT PATIENTS AND CAREGIVERS. PALLIATIVE CARE MITIGATES THE EFFECTS OF A SERIOUS ILLNESS OR INJURY BY HELPING PATIENTS MANAGE PAIN, SYMPTOMS, STRESS, AND TREATMENT SIDE EFFECTS. THE GOAL IS TO ENHANCE A PERSON'S QUALITY OF LIFE. PALLIATIVE CARE IS APPROPRIATE AT ANY AGE AND AT ANY STAGE IN A SERIOUS ILLNESS AND CAN BE PROVIDED ALONGSIDE CURATIVE TREATMENT. PART I, LN 7 COL(F): THE ORGANIZATION INCLUDED $263 OF BAD DEBT EXPENSE IN PART IX. THE AMOUNT HAS BEEN SUBTRACTED FROM THE CALCULATION OF COLUMN F.COVID-19IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED THE NOVEL CORONAVIRUS DISEASE (COVID-19) A PANDEMIC. THE CENTERS FOR DISEASE CONTROL AND PREVENTION CONFIRMED IT'S SPREAD TO THE UNITED STATES AND IT WAS DECLARED A NATIONAL PUBLIC HEALTH EMERGENCY. CALIFORNIA FOLLOWED BY DECLARING A STATE OF EMERGENCY ACROSS ALL COUNTIES AND HAD SOME LEVEL OF STAY-AT-HOME ORDERS THROUGHOUT 2020 TO PREVENT THE SPREAD OF COVID-19. IN MAY 2023, THE WORLD HEALTH ORGANIZATION DECLARED AN END TO THE PANDEMIC PHASE OF COVID-19. THE UNITED STATES DECLARED THE END OF THE NATIONAL COVID-19 PUBLIC HEALTH EMERGENCY IN THE SAME MONTH.DURING THE NATIONAL PUBLIC HEALTH EMERGENCY, THE SYSTEM SHOULDERED THE COSTLY AND DIFFICULT ENDEAVOR TO RESPOND TO COVID-19. TO TREAT COVID-19 PATIENTS AND PROTECT THE LIFE, HEALTH, AND SAFETLY OF THE COMMUNITY AND HEALTHCARE PROVIDERS, THAT RESPONSE INCLUDED PROVIDING PPE (PERSONAL PROTECTIVE EQUIPMENT) TO EMPLOYEES AND PATIENTS; CONVERTING 209 PATIENT ROOMS TO NEGATIVE PRESSURE ROOMS TO PREVENT INFECTIOUS PARTICLES FROM ESCAPING THE ROOM; EXPANDING PATIENT ROOM CAPACITY DURING SURGE CONDITIONS; INCREASING THE PROCUREMENT OF HAND SANITIZERS AND OTHER CLEANING PRODUCTS INCLUDING ULTRAVIOLET DISINFECTION ROBOTS; INCURRING EXTRAORDINARY COSTS FOR PPE SUCH AS MASKS, GLOVES, EYE WEAR, AND GOWNS; PURCHASING VARIOUS PATIENT CARE ITEMS SUCH AS OXISENSOR TRANSDUCERS AND VENTILATORS; HIRING ADDITIONAL PERSONNEL TO PROVIDE SCREENING AND SANTIZING AT ALL FACILITIES; AND PROVIDING TESTING AND VACCINES TO PATIENTS, EMPLOYEES, AND THE PUBLIC.CMHS REQUESTED $27.9 MILLION IN REIMBURSEMENT FOR THE ABOVE COVID-19 RELATED EXPENSES INCURRED BETWEEN 2020 AND 2023 FROM THE FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA). CMHS RECEIVED $21.6 MILLION FROM FEMA AS OF DECEMBER 31, 2024 AND EXPECTS TO RECEIVE THE REMAINING REIMBURSEMENT IN FUTURE PERIODS. THE SYSTEM RECEIVED $13.5 MILLION OF THE $21.6 MILLION FROM FEMA IN 2024, WHICH WAS RECORDED AS OFFSETTING REVENUE IN SUBSIDIZED HEALTH SERVICES. PART I, LINE 7B: UNREIMBURSED MEDICAIDTHE CALIFORNIA HOSPITAL FEE PROGRAM (THE PROGRAM) AND AMENDING-LEGISLATION WAS SIGNED INTO LAW BY THE GOVERNOR OF CALIFORNIA ON JANUARY 1, 2010 AND SEPTEMBER 8, 2010, RESPECTIVELY. THE PRIMARY LEGISLATION (AB 1383) AND AMENDING LEGISLATION (AB 1653) CONTAINS TWO COMPONENTS: THE QUALITY ASSURANCE FEE ACT, WHICH GOVERNS THE "HOSPITAL FEE OR "QUALITY ASSURANCE FEE" (QA FEE) PAID BY PARTICIPATING HOSPITALS, AND THE MEDI-CAL HOSPITAL PROVIDER STABILIZATION ACT, WHICH GOVERNS SUPPLEMENTAL MEDI-CAL PAYMENTS (SUPPLEMENTAL PAYMENTS) MADE TO PROVIDERS FROM THE FUND. HOSPITAL PARTICIPATION IS MANDATORY, WITH LIMITED EXCEPTIONS. IN JUNE 2012, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AMENDED LEGISLATION TO ALLOW FOR THE FEE-FOR-SERVICE PORTION OF THE PROGRAM TO BE ADMINISTERED SEPARATELY FROM THE MANAGED CARE COMPONENT.THE SYSTEM MADE PAYMENTS TO THE DHCS FOR THE QA FEE IN THE AMOUNT OF $27,939,360 IN 2024. THE SYSTEM MADE CALIFORNIA HEALTH FOUNDATION AND TRUST PAYMENTS IN THE AMOUNT OF $776,439 IN 2024, AND THE PLEDGE PAYMENTS WERE RECORDED WITHIN THE QA FEE IN OPERATING EXPENSES WITHIN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. THE SYSTEM RECEIVED SUPPLEMENTAL PAYMENTS OF $66,296,826 OVER THE COURSE OF THE PROGRAM IN 2024. THE SYSTEM RECORDED THE SUPPLEMENTAL PAYMENTS AS OPERATING REVENUE WITHIN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. PART I, LINE 7H: RESEARCHRESEARCH IS THE STUDY OR INVESTIGATION TO GENERATE GENERALIZABLE KNOWLEDGE MADE AVAILABLE TO THE PUBLIC. RESEARCH INCLUDES THE COMMUNICATION OF FINDINGS AND OBSERVATIONS, INCLUDING PUBLICATION IN A JOURNAL. INTERNALLY FUNDED RESEARCH AND RESEARCH FUNDED BY TAX-EXEMPT, OR GOVERNMENT ENTITIES ARE ELIGIBLE FOR REPORTING. RESEARCH ACTIVITIES INCLUDED: - DIALOGUES AROUND DIVERSITY FOCUS GROUP SESSIONS - SEPSIS HOSPITAL OR COMMUNITY ACQUIRED (SHOCA) - TXA: EFFECTS OF THE TIMING OF TXA ADMINISTRATION ON BLOOD LOSS IN HIP FRACTURES - ARTHROSCOPIC ANKLE ARTHRODESIS - DEEP DELTOID LIGAMENT RECONSTRUCTION - SEVERITY OF HOSPITAL COURSE IN COVID-19 DISEASE IN PATIENTS WHO PRESENT WITH GI SYMPTOMS - "DARE" DENTAL DELAYS IN AORTIC VALVE REPLACEMENT - AMPLATZER POST-INFARCT MUSCULAR VENTRICULAR SEPTAL DEFECT (VSD) OCCLUDER HUD - DISTAL BICEPS RECONSTRUCTION - CCN CARE OF PACU PATIENTS IN CCU - ICU PATIENT SAFETY REVIEW OF TRIGGER CRITERIA FOR PALLIATIVE CARE CONSULTS PART I, LINE 7F: HEALTH PROFESSIONS EDUCATIONEDUCATION PROGRAMS FOR PHYSICIANS, NURSES, AND OTHER HEALTH PROFESSIONALS. GRADUATE MEDICAL EDUCATION- COMMUNITY MEMORIAL HEALTH SYSTEM BEGAN RESIDENCY TRAINING IN 2013 WITH ACCREDITED PROGRAMS IN INTERNAL MEDICINE, FAMILY MEDICINE, AND ORTHOPEDIC SURGERY. SINCE THEN, THE SYSTEM HAS EXPANDED ITS ACADEMIC MEDICINE PROGRAM TO INCLUDE GENERAL SURGERY AND PSYCHIATRY. THE GOAL OF THE GRADUATE MEDICAL EDUCATION PROGRAM IS TO TRAIN OUTSTANDING PHYSICIANS WHO WORK IN A COLLABORATIVE ENVIRONMENT AND GIVE BACK TO THE COMMUNITIES WITH WHICH THEY ARE INVOLVED. ALL FIVE OF THE SYSTEM'S RESIDENCY PROGRAMS ARE ACGME ACCREDITED. THE SYSTEM ALSO OFFERS AN INTEGRATED BEHAVIORAL HEALTH PSYCHOLOGY FELLOWSHIP. THE JW MOORE LECTURE SERIES PROVIDED CONTINUING MEDICAL EDUCATION, WHICH WAS MADE AVAILABLE TO HEALTH PROFESSIONALS IN THE COMMUNITY. PHYSICIANS AND CONTENT EXPERTS PROVIDED EDUCATION ON A VARIETY OF TOPICS. IN 2024, 125 HEALTH PROFESSIONALS PARTICIPATED IN THE JW MOORE LECTURE SERIES. NURSING- COMMUNITY MEMORIAL HOSPITAL OJAI PRECEPTED 6 NURSING STUDENTS. COMMUNITY MEMORIAL HOSPITAL VENTURA PRECEPTED 123 NURSING STUDENTS FROM CALIFORNIA STATE UNIVERSITY CHANNEL ISLANDS AND VENTURA COMMUNITY COLLEGE. OTHER HEALTH PROFESSIONALS- COMMUNITY MEMORIAL HOSPITAL OJAI STAFF PRECEPTED 5 OTHER HEALTH PROFESSIONAL AND COMMUNITY MEMORIAL HOSPITAL VENTURA HOSPITAL STAFF PRECEPTED 192 OTHER HEALTH PROFESSIONALS, INCLUDING:- ANESTHESIA TECHNICIANS- CLINICAL LAB SCIENTISTS- DIETETIC INTERNSHIPS- EMERGENCY MEDICAL TECHNICIANS- MEDICAL LABORATORY TECHNICIANS- PARAMEDICS- PHARMACY STUDENTS - PHLEBOTOMY TECHNICIANS- PHYSICAL THERAPY- RADIOLOGY TECHNICIANS- SOCIAL WORKERS- ULTRASOUND TECHNICIANS PART I, LINE 7I: CASH AND IN-KIND DONATIONS TO COMMUNITY GROUPSFUNDS AND IN-KIND SERVICES DONATED TO COMMUNITY GROUPS AND NONPROFIT ORGANIZATIONS.FUNDS AND STAFF TIME WERE DONATED TO NONPROFIT COMMUNITY GROUPS AND LOCAL ORGANIZATIONS. THE SUPPORT OF THESE ORGANIZATIONS FURTHERED THE HEALTH SYSTEM'S MISSION, ADDRESSED THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, AND FOCUSED ON COMMUNITY HEALTH, WELLNESS, AND SAFETY. MEDICATIONS WERE DONATED TO A CLINIC IN ROATAN, HONDURAS SERVING PATIENTS WHO COULD NOT AFFORD MEDICAL TREATMENT. A SECOND DONATION WAS MADE TO A CLINIC IN THE PHILIPPINES AS A PART OF A MEDICAL MISSION TRIP. MEDICAL MISSIONS SERVED PATIENTS IN COUNTRIES MOST IN NEED OF MEDICAL TREATMENT WHO COULD NOT AFFORD HEALTH CARE SERVICES OR WHO DID NOT HAVE ACCESS TO HEALTH CARE IN THEIR VILLAGES.SAFE HARBOR VENTURA COUNTY IS A COALITION OF PUBLIC AND PRIVATE AGENCIES THAT ASSIST INVESTIGATIONS AND PROVIDE SERVICES TO VICTIMS OF CHILD PHYSICAL AND SEXUAL ABUSE AND TO ADULT VICTIMS OF SEXUAL ASSAULT. COMMUNITY MEMORIAL HEALTHCARE DONATED OFFICE SPACE TO PROJECT SAFE HARBOR.OUR COMMUNITY PARTNERS INCLUDED (PARTIAL LISTING): - AMERICAN CANCER SOCIETY - BOYS & GIRLS CLUB CAMARILLO - BRAIN INJURY CENTER - BREASTFEEDING COALITION OF VENTURA - CASA PACIFICA - COMMUNITY HEALTH ALLIANCE - COMMUNITY NURSING LEADERSHIP - CQI RURAL HEALTH COMMUNITIES - FOOD SHARE VENTURA COUNTY - HELP OF OJAI - KIDS & FAMILIES TOGETHER - LIVINGSTON MEMORIAL VISITING NURSES ASSOCIATION - MEDICAL MISSION DRUG SUPPLY - VENTURA COUNTY MEDICAL ASSOCIATION - VENTURA COUNTY MEDICAL RESOURCE FOUNDATION - VENTURA EDUCATION PARTNERSHIP - VENTURA FAMILY YMCA PART I, LINE 7E: COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE:TRANSPORTATION SERVICES: TRANSPORTATION WAS MADE AVAILABLE TO PATIENTS AND FAMILIES HAVING DIFFICULTY ACCESSING CARE. ADDITIONALLY, TAXI VOUCHERS AND UBER HEALTH WERE UTILIZED TO TRANSPORT RECUPERATIVE CARE PATIENTS TO AND FROM MEDICAL APPOINTMENTS.HOMELESS SUPPORT: PERSONS EXPERIENCING HOMELESSNESS WERE PROVIDED WITH FOOD, CLOTHING, TRANSPORTATION AND TEMPORARY HOUSING SUPPORT UPON DISCHARGE.BACKPACK MEDICINE: OFFERED CONSISTENT AID TO INDIVIDUALS EXPERIENCING HOMELESSNESS RESIDING IN THE RIVER BOTTOM. EVERY TUESDAY MORNING, A COMMITTED GROUP ASSEMBLED WITH NUTRITION, CLOTHING, MEDICAL SUPPLIES, AND OTHER ESSENTIAL SERVICES. THE EFFORT WAS A COLLABORATION AMONG SEVERAL ORGANIZATIONS, INCLUDING COMMUNITY MEMORIAL HEALTHCARE:- CONEJO HEALTH- DOWNTOWN VENTURA PARTNERS' PARK AMBASSADOR PROGRAM- PROJECT UNDERSTANDING- VENTURA COUNTY PUBLIC HEALTH- VENTURA COUNTY PUBLIC HEALTH HIV/AIDS CENTER- COMMUNITY VOLUNTEERS, FAMILY AND FRIENDSTHE COMMUNITY MEMORIAL HEALTHCARE TEAM PROVIDED VACCINES, WOUND CARE ASSISTANCE, TRIAGE AND PHYSICAL EXAMS, ADDICTION MEDICINE, CARE COORDINATION, SUBSTANCE USE NAVIGATION, REFERRALS AND ASSESSMENTS FOR TREATMENT, ECM REFERRALS, INSURANCE ENROLLMENT AND HEALTH NAVIGATION.HOMELESS CLINIC: ON-SITE VISITS ARE PROVIDED TO PEOPLE HOUSED AT A RECUPERATIVE CARE FACILITY IN VENTURA. THIS IS TEMPORARY HOUSING FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. THIS RECUPERATIVE CARE CENTER IS THE ONLY FACILITY SERVING VENTURA COUNTY. CMHS HOLDS 1.5 BEDS FOR PATIENTS BEING DISCHARGED FROM THE HOSPITAL WITHOUT A HOME. STAFF MEMBERS AND MEDICAL RESIDENTS VISIT THE FACILITY REGULARLY TO CONDUCT WELL VISITS TO PREVENT READMISSIONS. THEY ATTEND TO ANYONE WHO NEEDS OR WANTS TO BE SEEN, NOT LIMITED TO CMHS PATIENTS.CAREGIVER NAVIGATOR PROGRAM: NAVIGATORS ADDRESSED CAREGIVER NEEDS BY CONNECTING CLIENTS TO HOME HEALTH, RESPITE CARE, MENTAL HEALTH, AND OTHER COMMUNITY RESOURCES. THEY ASSISTED WITH COMMUNICATION AND COORDINATION WITH HEALTHCARE PROVIDERS AND CREATED OPPORTUNITIES FOR CAREGIVER EDUCATION. THROUGH THIS PROGRAM, 320 PEOPLE WERE ASSISTED.MATERNAL CHILD HEALTH: THE HOSPITALS PROVIDED EDUCATION CLASSES AND SUPPORT THAT REACHED OVER 800 WOMEN AND FAMILIES. BIRTH AT COMMUNITY MEMORIAL HEALTHCARE IS NOT REQUIRED TO PARTICIPATE IN THESE COMMUNITY PROGRAMS.- BREAST PUMPING ASSESSMENT & EDUCATION- BREASTFEEDING SUPPORT GROUP- HYPNO BIRTHING- INFANT CARE- LACTATION CONSULTANTS- OUR BABIES OURSELVES- PRENATAL AND POSTNATAL YOGA- WELL MAMA EMOTIONAL SUPPORT GROUPCOMMUNITY SUPPORT: COMMUNITY MEMORIAL HOSPITALS PARTICIPATED IN COMMUNITY COLLABORATIVE GROUPS THAT ADDRESSED ACCESS TO HEALTHCARE AND SOCIAL NEEDS IN THE COMMUNITY. IN ADDITION, THE HOSPITALS SUPPORTED COMMUNITY ORGANIZATIONS THROUGH CASH AND IN-KIND CONTRIBUTIONS.PREVENTION OF CHRONIC DISEASES BY PROMOTING HEALTHLY LIFESTYLES CANCER RESOURCE CENTER: THE CANCER RESOURCE CENTER OFFERED SERVICES, SUPPORT, AND EDUCATIONAL OPPORTUNITIES FOR CANCER PATIENTS, THEIR FAMILIES AND CAREGIVERS, AND THE COMMUNITY AT LARGE. SERVICES WERE OFFERED AT NO COST, IN A WELCOMING, NON-HOSPITAL ENVIRONMENT. THE CANCER RESOURCE CENTER PROVIDED AN ONCOLOGY NURSE NAVIGATOR, NUTRITION CONSULTATIONS, SOCIAL SERVICES SUPPORT, WIG AND HAT BANK, CLASSES, AND SUPPORT GROUPS. CLASSES AND SUPPORT GROUPS WERE AVAILABLE VIRTUALLY AND IN-PERSON AND INCLUDED:- BREAST CANCER SUPPORT GROUP - CALM ART (ART THERAPY CLASS)- CANCER NUTRITION CLASS- GENERAL CANCER SUPPORT GROUP- GYNECOLOGICAL CANCER SUPPORT GROUP- HEAD & NECK SUPPORT GROUP- LYMPHEDEMA THERAPY- NUTRITIONAL COUNSELING (ONE-ON-ONE COUNSELING WITH DIETITIAN) - OSTOMY SUPPORT GROUP- REIKI - YOGA (IN-PERSON AND VIRTUAL)HEALTH EDUCATION AND OUTREACH: HEALTH EDUCATION SESSIONS WERE OFFERED FREE OF CHARGE AND COVERED A WIDE RANGE OF TOPICS RELATED TO PREVENTIVE CARE, HEALTHY LIFESTYLES, DISEASE PREVENTION AND MANAGEMENT. OVER 580 PEOPLE PARTICIPATED IN THE FOLLOWING CLASSES:- COMMUNITY TAI CHI- COMMUNITY YOGA - STROKE EDUCATION- THE AGING SPINE- HEALTH AND WELLNESS COACHING- COLORECTAL CANCER AWARENESS AND OSTOMY EDUCATIONHEALTH AND WELLNESS INFORMATION AND RESOURCES WERE SHARED WITH OVER 4,000 PEOPLE AT THE VENTURA COUNTY RELAY FOR LIFE, GOLD COAST FAMILY DAY AND HEALTH FAIR, LEISURE VILLAGE HEALTH FAIR, VENTURA MARATHON AND OTHER VENTURA COUNTY COMMUNITY EVENTS. WISE & WELL: A FREE ONLINE PROGRAM THAT PROVIDES SOCIAL MEDIA MESSAGES, AN E-NEWSLETTER AND PODCASTS WITH HEALTH INFORMATION, HEALTHY RECIPES AND COMMUNITY RESOURCES.WELLNESS & FITNESS CENTER: THE WELLNESS & FITNESS CENTER IS A SPACIOUS AND SECURE FACILITY THAT OFFERS COMMUNITY MEMBERS GYM SERVICES AT REDUCED RATES, FREE HEALTH EDUCATION AND SCREENING SESSIONS, AND EXERCISE CLASSES. ADDITIONALLY, THE WELLNESS & FITNESS CENTER COORDINATES COMMUNITY EDUCATION, PREVENTIVE CARE CLINICS, SCREENINGS AND VACCINATIONS.- A FREE OSTOMY CLINIC ASSISTED 27 PEOPLE WITH OSTOMY CARE.- YMCA SUMMER CAMP SCREENINGS WERE PROVIDED TO 130 YOUTH FREE OF CHARGE.- CHOLESTEROL AND BLOOD SUGAR SCREENINGS WERE PROVIDED TO 891 PEOPLE. - OVER 800 PEOPLE WERE ENGAGED AT THE OJAI VALLEY WELLNESS FAIR, LEISURE VILLAGE HEALTH FAIR, AND OTHER OJAI VALLEY COMMUNITY HEALTH FAIRS.COMMUNITY CPR: COMMUNITY CPR AND FIRST AID CLASSES PROVIDED 144 COMMUNITY RESIDENTS WITH LIFE-SAVING EDUCATION AND TRAINING. FIRST AID SUPPORT WAS PROVIDED BY STAFF RNS AT THE RELAY FOR LIFE AND THE ST. PATRICK'S DAY PARADE. SPANISH LANGUAGE CPR AND FIRST AID TRAINING TRAINED FOUR COMMUNITY MEMBERS.LIVESTRONG: THE LIVESTRONG PROGRAM WAS DEVELOPED TO PROMOTE THE IMPORTANCE OF PHYSICAL ACTIVITY AFTER A CANCER DIAGNOSIS. THE 12-WEEK PHYSICAL ACTIVITY PROGRAM WAS DESIGNED BY LIVESTRONG FOUNDATION AND IS HOSTED BY YMCA OF THE USA. CMHS FUNDED THE LIVESTRONG PROGRAM AT THE LOCAL VENTURA YMCA. THERE WERE 26 GRADUATES IN 2024.SUPPORT GROUPS: THE FOLLOWING SUPPORT GROUPS WERE OFFERED TO COMMUNITY MEMBERS AND THEIR CAREGIVERS. OVER 356 ENCOUNTERS WERE PROVIDED:- BREAST CANCER SUPPORT GROUP- BREASTFEEDING SUPPORT GROUP- CAREGIVER SUPPORT GROUP- GENERAL CANCER SUPPORT GROUP- GYNECOLOGICAL CANCER SUPPORT GROUP- HEAD & NECK SUPPORT GROUP- OSTOMY SUPPORT GROUP- STROKE SUPPORT GROUP- WELL MAMA POSTPARTUM EMOTIONAL SUPPORT GROUPCOMMUNITY SUPPORT: COMMUNITY MEMORIAL HOSPITALS PARTICIPATED IN COMMUNITY COLLABORATIVE GROUPS THAT ADDRESSED CHRONIC DISEASES AND HEALTHY LIFESTYLES. IN ADDITION, THE HOSPITALS SUPPORTED COMMUNITY ORGANIZATIONS THROUGH CASH AND IN-KIND CONTRIBUTIONS.ADDRESSING MENTAL HEALTH AND SUBSTANCE ABUSE ACROSS THE LIFESPANOUTPATIENT ADDICTION MEDICINE: COMMUNITY MEMORIAL PROVIDED OUTPATIENT SERVICES FOR SUBSTANCE USE TREATMENT. ADDICTION MEDICINE SPECIALISTS HAVE ADVANCED TRAINING IN THE GENETIC, BIOLOGICAL, PSYCHOSOCIAL, AND SPIRITUAL ASPECTS OF ADDICTION. SERVICES INCLUDED COGNITIVE BEHAVIORAL THERAPY, PHARMACOTHERAPY, COUNSELING, AND GROUP THERAPY.SUBSTANCE USE NAVIGATION: CMHS OFFERED A PROGRAM TO HELP PATIENTS WITH A SUBSTANCE USE DISORDER (SUD) GET TREATMENT FOR THEIR ADDICTION. A SUBSTANCE USE NAVIGATOR HELPED PEOPLE WITH SUD BY INITIATING TREATMENT IN THE HOSPITAL, CONNECTING PATIENTS TO FOLLOW-UP CARE, AND ADVOCATING FOR CULTURE CHANGE TO REDUCE STIGMA AND DISCRIMINATION.OUTPATIENT MENTAL HEALTH: OUTPATIENT BEHAVIORAL AND MENTAL HEALTH SERVICES INCLUDED THE EVALUATION, DIAGNOSIS, AND MANAGEMENT OF ANXIETY- ATTENTION-DEFICIT AND HYPERACTIVITY DISORDER (ADHD)- BIPOLAR ILLNESS- DEPRESSION- MOOD AND THOUGHT DISORDERS- SUBSTANCE USE DISORDER- TRAUMA- POST-TRAUMATIC STRESS DISORDER (PTSD)- DUAL-DIAGNOSISJUSTICE INVOLVED PROGRAM: CMHS WORKED WITH THE VENTURA COUNTY SHERRIFF'S OFFICE AND PROVIDED ADDICTION SERVICES TO THOSE WHO NEEDED MEDICATED ASSISTED TREATMENT (MAT). THE PROGRAM PROVIDED SUBSTANCE USE DISORDER SCREENING INTAKES FOR ANY JUSTICE INVOLVED PATIENT ON MAT BY A COMMUNITY MEMORIAL PATIENT NAVIGATOR (LICENSED CLINICAL SOCIAL WORKER). REFERRALS WERE GIVEN TO COMMUNITY MEMORIAL PRE-RELEASE AND SCREENINGS WERE PROVIDED IN CUSTODY. UPON RELEASE, INDIVIDUALS MET IN PERSON WITH A COMMUNITY MEMORIAL ADDICTION MEDICINE MEDICAL STAFF MEMBER FOR MAT SERVICES. APPOINTMENTS WERE SCHEDULED WITHIN THREE DAYS OF RELEASE FROM COUNTY CORRECTIONS, AND GROUP AND INDIVIDUAL APPOINTMENTS WERE PROVIDED. THE PROGRAM PROVIDED WRAP-AROUND CARE AND FOLLOW UP VISITS AND PROVIDED ONGOING SUPPORT FOR MAT TREATMENT AND SOCIAL WORK SERVICES BEYOND 90 DAYS, IF NEEDED. TO DATE, COMMUNITY MEMORIAL HAS PROVIDED MORE THAN 291 INTAKES IN JAIL AND ENROLLED 200 INDIVIDUALS IN THE PROGRAM. PART I, LINE 7E (CONTINUED): HEALTH EDUCATION AND OUTREACH: HEALTH EDUCATION SESSIONS WERE OFFERED FREE OF CHARGE AND COVERED A WIDE RANGE OF TOPICS RELATED TO MENTAL HEALTH AND SUBSTANCE USE.COMMUNITY SUPPORT: COMMUNITY MEMORIAL HOSPITALS PARTICIPATED IN COMMUNITY COLLABORATIVE GROUPS THAT ADDRESSED MENTAL HEALTH AND SUBSTANCE USE ACROSS THE LIFE SPAN. IN ADDITION, THE HOSPITALS SUPPORTED COMMUNITY ORGANIZATIONS THROUGH CASH AND IN-KIND CONTRIBUTIONS.COMMUNITY BENEFIT OPERATIONS INCLUDE:DIRECT AND INDIRECT COSTS ASSOCIATED WITH ASSIGNED STAFF, COMMUNITY HEALTH NEEDS ASSESSMENTS, COMMUNITY BENEFIT PLANNING, TRACKING, REPORTING, EVALUATING AND OPERATIONS.IN 2024, COMMUNITY BENEFIT OPERATIONS INCLUDED:- COMMUNITY BENEFIT EXPENSES- ADMINISTRATIVE SUPPORT FOR COMMUNITY BENEFIT- CBISA SOFTWARE SUBSCRIPTION- COMMUNITY BENEFIT CONSULTANTS- COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY COLLABORATIVE MEETINGS PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIESCMHS ENGAGES IN ACTIVITIES THAT SUPPORT COMMUNITY ASSETS BY OFFERING THE EXPERTISE AND RESOURCES OF THE HOSPITAL ORGANIZATION. THESE ACTIVITIES MAY ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS OR THE DETERMINANTS OF HEALTH, SUCH AS EDUCATION, HOMELESSNESS, POVERTY, AND THE ENVIRONMENT.ECONOMIC DEVELOPMENT: COMMUNITY MEMORIAL HOSPITAL VENTURA AND COMMUNITY MEMORIAL HOSPITAL OJAI PARTICIPATED IN CHAMBER OF COMMERCE AND LOCAL ECONOMIC DEVELOPMENT ACTIVITIES THROUGH A COMMITMENT OF LEADERSHIP TIME AND DONATED FUNDS TO SUPPORT COMMUNITY INITIATIVES THAT WERE FOCUSED ON COMMUNITY IMPROVEMENT, HEALTH, AND SAFETY. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS AND SAFETY: COMMUNITY MEMORIAL HOSPITAL VENTURA AND COMMUNITY MEMORIAL HOSPITAL OJAI PARTICIPATED IN GROUPS THAT ADVOCATED FOR IMPROVED HEALTH AND SAFETY IN THE COMMUNITY. PART III, LINE 8: THE ENTIRE SHORTFALL OF MEDICARE EXPENSES OVER MEDICARE REIMBURSEMENTS SHOULD BE CONSIDERED A COMMUNITY BENEFIT EXPENSE. THE MEDICARE COST REPORT WAS USED TO DETERMINE THE COSTS ATTRIBUTABLE TO SERVICE MEDICARE PATIENTS. THE SYSTEM IS REIMBURSED FOR SERVICES PROVIDED TO PATIENTS UNDER CERTAIN PROGRAMS ADMINISTERED BY GOVERNMENTAL AGENCIES, WHICH INCLUDES THE MEDICARE PROGRAM. THE MEDICARE PROGRAM CONSISTS OF 23.6% OF THE SYSTEMS NET REVENUE FOR 2024. HOSPITALS DO NOT DETERMINE THE LEVEL OF PAYMENT FROM THE MEDICARE PROGRAM, AND THE MEDICARE PROGRAM DOES NOT COVER THE COSTS OF TREATING THE SYSTEM'S MEDICARE PATIENTS, ALTHOUGH THE QUALITY OF CARE AND ACCESS TO CARE IS THE SAME FOR ALL PATIENTS, REGARDLESS OF PAYER SOURCE. UNREIMBURSED COST UNDER THE MEDICARE PROGRAM IS A TRUE LOSS TO THE SYSTEM AND THE LOSS IS REFLECTED IN THE SYSTEM'S FINANCIAL STATEMENTS. AS SUCH, MEDICARE LOSSES SHOULD BE CONSIDERED A COMMUNITY BENEFIT PROVIDED BY THE SYSTEM. PART III, LINE 9B: THE PATIENT'S ABILITY TO PAY IS EVALUATED UPON ADMISSION. A PATIENT FINANCIAL SERVICES STAFF ASSISTS PATIENTS WITH APPLYING FOR LOCAL, STATE AND FEDERAL PROGRAMS WHEN THERE IS NO OTHER SOURCE OF PAYMENT. IN THE EVENT THAT NO THIRD PARTY PAYMENT SOURCE IS AVAILABLE, PATIENTS ARE PROVIDED WITH INFORMATION ON THE SYSTEM'S FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE AND CHARITY CARE IS BASED ON A SLIDING SCALE FEE SCHEDULE UTILIZING THE CURRENT UNITED STATES FEDERAL POVERTY GUIDELINES. INFORMATION FROM THE APPLICANT'S FINANCIAL APPLICATION AND SUPPORTING DOCUMENTATION IS USED TO DETERMINE THE AMOUNT OF THE QUALIFIED FINANCIAL ASSISTANCE TO BE GRANTED.THE SYSTEM HAS A WRITTEN COLLECTION POLICY TO PROVIDE FOR AN EQUITABLE PROCESS BY WHICH A PATIENT AND/OR RESPONSIBLE PARTY CAN MAKE A PAYMENT OR PAYMENT ARRANGEMENT PRIOR TO OR AT THE TIME OF SERVICE. THE SYSTEM WILL PROACTIVELY DETERMINE THE PATIENT'S ABILITY TO PAY. A DEPOSIT, BASED UPON SELF-PAY LIABILITY IS COLLECTED PRIOR TO ADMISSION OR AT THE TIME OF SERVICE. FOR PATIENTS WHO ARE UNABLE TO PAY THEIR ESTIMATED LIABILITY AT THE TIME OF SERVICE, THE SYSTEM WILL OFFER A FINANCING OPTION. PATIENTS WHO MEET CHARITY OR INDIGENT GUIDELINES WILL BE REFERRED TO A FINANCIAL ADVOCATE FOR FINANCIAL AID. PART IV, LINE 1: MANAGEMENT COMPANIES AND JOINT VENTURESGROSSMAN IMAGING CENTER OF CMH, LLCBUENAVISTA MEDICAL PROPERTIES, LTDVENTURA CARDIOVASCULAR CO-MANAGEMENT COMPANY, LLCVENTURA COUNTY IMAGING GROUP PART VI, LINE 2: NEEDS ASSESSMENTIN 2022, CMHS WORKED CLOSELY WITH THE VENTURA COUNTY DEPARTMENT OF PUBLIC HEALTH, ADVENTIST HEALTH SIMI VALLEY, CAMARILLO HEALTH CARE DISTRICT, CLINICAS DEL CAMINO REAL, GOLD COAST HEALTH PLAN, ST. JOHN'S REGIONAL MEDICAL CENTER, AND THE VENTURA COUNTY HEALTH CARE AGENCY COMMUNITY HEALTH CENTER TO UPDATE ITS COMMUNITY NEEDS ASSESSMENT. THE AREA-WIDE SURVEY AND STUDY CONSISTED OF AN ANALYSIS OF THE SOCIO-ECONOMIC PROFILE OF VENTURA COUNTY, A COMPREHENSIVE EXAMINATION OF THE HEALTH CARE STATUS AND NEEDS OF COMMUNITIES ACROSS VENTURA COUNTY, THE STATE OF HEALTHCARE DELIVERY AND ITS ASSOCIATED SERVICES, COMMUNITY REPORTED HEALTH NEEDS, AND COMMUNITY PRIORITIZATION AND IMPLEMENTATION STRATEGIES. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFINANCIAL ASSISTANCE PROGRAM BROCHURES EXPLAINING THE SYSTEM'S POLICY IS POSTED AND MADE AVAILABLE TO PATIENTS AT THE TIME OF ADMITTANCE. SIGNS ALERTING PATIENTS TO THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE PROMINENTLY DISPLAYED. AN INSERT REGARDING FINANCIAL ASSISTANCE ACCOMPANIES EACH INVOICE OF HOSPITAL SERVICES SENT TO EACH PATIENT. PART VI, LINE 4: COMMUNITY INFORMATIONTHE HEALTH SYSTEM'S TWO HOSPITALS ARE LOCATED IN THE CITY OF VENTURA AND THE CITY OF OJAI. THE HEALTH SYSTEM PROVIDES SERVICES THROUGH ITS HOSPITALS AND OUTPATIENT CLINICS TO ALL WESTERN VENTURA COUNTY, WHICH INCLUDES THE CITIES AND UNINCORPORATED AREAS SURROUNDING VENTURA, OJAI, SANTA PAULA, FILLMORE, OXNARD, PORT HUENEME AND CAMARILLO. VENTURA COUNTY HAS A LAND AREA OF 1,843.1 SQUARE MILES WHICH ENCOMPASSES 10 CITIES, 23 CENSUS-DESIGNATED PLACES, AND 15 UNINCORPORATED COMMUNITIES. IN 2022, VENTURA COUNTY HAD A POPULATION OF 842,465 WITH A MEDIAN AGE OF 39.3 AND A MEDIAN HOUSEHOLD INCOME OF $101,407. IN THE COUNTY, 5.7% OF THE POPULATION ARE BELOW FIVE YEARS OF AGE, 22.1% ARE BELOW 18 YEARS OLD AND 17.3% ARE 65 YEARS AND OLDER. IN VENTURA COUNTY, 44.7% OF RESIDENTS IDENTIFY AS HISPANIC OR LATINO (OF ANY RACE) AND 55.3% IDENTIFY AS NON-HISPANIC OR LATINO. 38.6% OF THE PEOPLE IN VENTURA COUNTY SPEAK A NON-ENGLISH LANGUAGE AT HOME. VENTURA COUNTY HAS A POVERTY RATE OF 8.9%. THE COUNTY OF VENTURA PROVIDES COMMUNITY DATA THROUGH ITS WEBSITE "HEALTH MATTERS IN VC AND CAN BE ACCESSED AT HTTP://WWW.HEALTHMATTERSINVC.ORG/ FOR FURTHER INFORMATION.IT HAS LONG BEEN ESTABLISHED THAT THERE ARE SIGNIFICANT VARIANCES IN PHYSICAL AND BEHAVIORAL HEALTH CONCERNS BETWEEN GROUPS BASED ON ETHNICITY, INCOME AND RESIDENCE. AS A RESULT, CMHS CAREFULLY CONSIDERS MEANINGFUL DEMOGRAPHIC VARIABLES SUCH AS AGE, RACE AND ETHNICITY WHEN PLANNING FOR BOTH INPATIENT AND OUTPATIENT CARE TO ENSURE THAT THE PATIENT CARE SERVICES IT PROVIDES ARE SENSITIVE AND RELEVANT TO THE PROGRAM PLANNING NEEDS OF THE COMMUNITIES IT SERVES. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHCMHS IS GOVERNED BY A DIVERSE BOARD OF DIRECTORS WHOSE MEMBERS ARE REPRESENTATIVE OF THE COMMUNITY, HOSPITAL AND MEDICAL STAFF LEADERSHIP. CONSISTENT WITH THE IRS "COMMUNITY BENEFIT STANDARD," A MAJORITY OF THE BOARD OF DIRECTORS ARE NEITHER EMPLOYEES, CONTRACTORS, NOR FAMILY MEMBERS OF THE ORGANIZATION. CMHS HAS AN OPEN MEDICAL STAFF, EXTENDING STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FOR ALL AREAS AND DEPARTMENTS OF ITS FACILITY. THE EMERGENCY DEPARTMENTS AT BOTH COMMUNITY MEMORIAL HOSPITAL VENTURA AND COMMUNITY MEMORIAL HOSPITAL - OJAI TREAT ALL PATIENTS, REGARDLESS OF THEIR SOCIO-ECONOMIC STATUS OR ABILITY TO PAY. THE HEALTH SYSTEM PROVIDES EMERGENCY SERVICES TO ALL PATIENTS, WITH OR WITHOUT INSURANCE, AND CONTRACTS WITH PHYSICIANS TO PROVIDE SPECIALTY EMERGENCY COVERAGE. THIS EMERGENCY TEAM INCLUDES BOARD-CERTIFIED EMERGENCY PHYSICIANS, PHYSICIAN ASSISTANTS; BOARD CERTIFIED NURSES, EMERGENCY MEDICAL TECHNICIANS, RESPIRATORY THERAPISTS AND OTHER HIGHLY TRAINED EMERGENCY CARE PROFESSIONALS. ALL ARE DEDICATED TO PROVIDING TECHNOLOGICALLY ADVANCED AND LIFESAVING MEDICAL SERVICES.CMHS OFFERS FREE, EDUCATIONAL SEMINARS ON A MONTHLY BASIS TO COMMUNITIES ACROSS VENTURA COUNTY. THESE EVENTS COVER A WIDE VARIETY OF HEALTH-RELATED TOPICS SUCH AS DIABETES, CANCER, HEART DISEASE AND VASCULAR HEALTH. CMHS ALSO OFFERS NUMEROUS CLASSES AND SUPPORT GROUPS THROUGH ITS CANCER RESOURCE CENTER, NEW PARENT RESOURCE CENTER, WELLNESS AND FITNESS CENTER, AND HEART AND VASCULAR HEALTH DEPARTMENT. THESE RESOURCES ARE DESIGNED TO PROVIDE A COMMUNITY OF SUPPORT TO THOSE NAVIGATING A SERIOUS ILLNESS, WORKING TO PREVENT OR ADDRESS A CHRONIC DISEASE, OR BUILDING A HEALTHY FUTURE FOR THEIR NEW FAMILY. PART VI, LINE 7, REPORTS FILED WITH STATES CA 0 CALIFORNIA HEALTH FOUNDATION & TRUST 1215 K STREET SUITE 800 SACRAMENTO CA 95814 941498697 501(C)(3) 776439 0 CA HOSPITAL FEE PROGRAM NATIONAL HEALTH FOUNDATION 515 S FIGUEROA ST SUITE 1300 LOS ANGELES CA 90071 237314808 501(C)(3) 148596 0 GENERAL SUPPORT COMMUNITY MEMORIAL FOUNDATION 147 N BRENT STREET VENTURA CA 93003 953847251 501(C)(3) 100000 0 GENERAL SUPPORT VENTURA FAMILY YMCA 3760 TELEGRAPH ROAD VENTURA CA 93003 951643379 501(C)(3) 10000 0 GENERAL SUPPORT VENTURA COUNTY MEDICAL RESOURCE FDN 199 FIGUEROA ST 2ND FLOOR VENTURA CA 93001 956096141 501(C)(3) 5900 0 GENERAL SUPPORT 5 0 PART I, LINE 2: DESCRIPTION OF PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THE GRANTS MADE BY COMMUNITY MEMORIAL HEALTH SYSTEM (CMHS) ARE ONLY GIVEN TO 501(C)(3) AND GOVERNMENT ORGANIZATIONS. ONCE THE GRANT IS GIVEN, IT IS NOT MONITORED BY CMHS AND IS LEFT UP TO THE DISCRETION OF THE GRANTEE. X 1 0 X X X X 0 1 0 0 0 0 0 1 1 1 MICHAEL ZDEBLICK PRESIDENT & CEO 968938 0 360751 0 101094 0 156553 0 13605 0 1600941 0 0 0 ADAM THUNELL COO 541349 0 220952 0 3551 0 76174 0 16860 0 858886 0 0 0 JAMES CORWIN CFO 522617 0 215101 0 70382 0 13557 0 16860 0 838517 0 0 0 ANTHONY RUSSELL CAO AMBULATORY MEDICINE 496617 0 125321 0 4559 0 60874 0 16860 0 704231 0 0 0 SAMUEL SMALL CHIEF OF MEDICAL EDUCATION 394686 0 101140 0 70207 0 10425 0 12629 0 589087 0 0 0 KEITH MCWILLIAMS CIO 405655 0 99581 0 3367 0 48860 0 16860 0 574323 0 0 0 DIANE DREXLER CNO 354230 0 114440 0 19554 0 44153 0 14824 0 547201 0 0 0 KARI ANNE OSBORN VP HUMAN RESOURCES 348502 0 88141 0 17073 0 43325 0 16860 0 513901 0 0 0 HAADY LASHKARI CHIEF ADMIN OFFICER OJAI/VP CMH 324502 0 81901 0 16009 0 42837 0 16860 0 482109 0 0 0 JAMIE MAITES CMDO/CMF BOARD MEMBER 318770 0 80601 0 3005 0 39232 0 7136 0 448744 0 0 0 MAUREEN ARCHAMBAULT CHIEF QUALITY/RISK OFFICER 301888 0 76729 0 37006 0 3732 0 7136 0 426491 0 0 0 DEBORAH CARLSON CHIEF MEDICAL OFFICER INPATIENT SVCS 365837 0 22094 0 4706 0 0 0 0 0 392637 0 0 0 JAMIE BRADY PHYSICIAN ASSISTANT 301373 0 500 0 22838 0 7312 0 16860 0 348883 0 0 0 KRISTINE SUPPLE ASSOCIATE VP OF CARE COORDINATION 263827 0 33475 0 13533 0 22662 0 10103 0 343600 0 0 0 KATHRYN YAMADA FINANCIAL SERVICES DIRECTOR 275451 0 34598 0 2322 0 8104 0 14824 0 335299 0 0 0 DIANE CORNELL ASSOCIATE CNO 261458 0 31099 0 4418 0 17706 0 16860 0 331541 0 0 0 PILAR PARKER RN IV 292072 0 16433 0 512 0 6674 0 7136 0 322827 0 0 0 DANIELLE WILEY PHYSICIAN ASSISTANT 283187 0 5500 0 995 0 7960 0 12629 0 310271 0 0 0 JACEK TRETKO PHARMACY DIRECTOR 244252 0 30778 0 522 0 7542 0 19587 0 302681 0 0 0 THOMAS GOLDEN MD BOARD MEMBER 301292 0 0 0 0 0 0 0 0 0 301292 0 0 0 RICHARD REISMAN VP AMBULATORY MEDICINE 195399 0 49141 0 28847 0 8250 0 0 0 281637 0 0 0 KELLIE ZAYLOR CHIEF MEDICAL OFFICER INPATIENT SVCS 154644 0 36824 0 19707 0 6364 0 11300 0 228839 0 0 0 PART I, LINE 1A CERTAIN EXECUTIVES ON FORM 990, PART VII AND SCHEDULE J, PART II RECEIVE AN AUTOMOBILE ALLOWANCE. THE ALLOWANCE IS INCLUDED IN TAXABLE WAGES AND REPORTED ON THEIR W-2. PART I, LINE 4B THE ORGANIZATION MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN UNDER WHICH CERTAIN EXECUTIVES RECEIVE A SPECIFIED PERCENTAGE OF THEIR BASE SALARY IN SUPPLEMENTAL RETIREMENT BENEFITS. THE AMOUNTS VEST ON THE EARLIER OF THE PARTICIPANT'S 62ND BIRTHDAY OR JANUARY 1 OF THE FIFTH PLAN YEAR AFTER THE PLAN YEAR FOR WHICH THE ACCOUNT WAS CREATED. DURING THE 2024 CALENDAR YEAR, THE ORGANIZATION MADE THE FOLLOWING CONTRIBUTIONS TO THE PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS. CONTRIBUTIONS THAT ARE SUBJECT TO A FUTURE VESTING CONDITION OR EVENT ARE REPORTED AS "RETIREMENT AND DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C). CONTRIBUTIONS THAT ARE IMMEDIATELY VESTED ARE REPORTED AS "BONUS & INCENTIVE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(II). MAUREEN ARCHAMBAULT: $30,189 DIANE CORNELL: $12,182 JAMES CORWIN: $62,714 DIANE DREXLER: $35,423 HAADY LASHKARI: $32,450 JAMIE MAITES: $31,877 KEITH MCWILLIAMS: $40,566 KARI OSBORN: $34,850 RICHARD REISMAN: $19,540 ANTHONY RUSSELL: $49,662 SAMUEL SMALL: $39,469 KRISTINE SUPPLE: $13,644 ADAM THUNELL: $64,962 MICHAEL ZDEBLICK: $145,341 PART I, LINE 7 BONUSES ARE AWARDED TO EXECUTIVES BASED ON THEIR CONTRIBUTION TO THE OVERALL GOALS OF THE SYSTEM, THEIR ACHIEVEMENT OF INDIVIDUAL GOALS AND WITH REGARD TO REASONABLE COMPENSATION PRACTICES FOR COMPARABLE POSITIONS IN LIKE ORGANIZATIONS. THE COMPENSATION COMMITTEE REVIEWS AND RECOMMENDS THE BONUSES AND MOVES FOR APPROVAL BY THE BOARD OF TRUSTEES. PART I, LINE 8 COMPENSATION TO THE CEO WAS PAID UNDER A CONTRACT PURSUANT TO THE INITIAL CONTRACT EXCEPTION PRESCRIBED IN REGULATIONS SECTION 53.4958-4(A)(3). MICHAEL ZDEBLICK CEO RECRUITMENT/RELOCATION X 400000 321384 0 1 1 321384 X 8 142000 APPRAISAL 1 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART I, LINE 1: WE ARE HERE FOR OUR PATIENTS AND EACH OTHER. FORM 990, PART III, LINE 1: TO ESTABLISH, EQUIP AND MAINTAIN ONE OR MORE NONPROFIT HOSPITALS, MEDICAL CENTERS, INSTITUTIONS, CLINICS OR OTHER PLACES FOR THE RECEPTION AND CARE OF THE SICK, INJURED AND DISABLED, WITH PERMANENT FACILITIES THAT INCLUDE INPATIENT BED AND MEDICAL SERVICES; TO PROVIDE DIAGNOSIS AND TREATMENT FOR PATIENTS; AND TO PROVIDE ASSOCIATED SERVICES, OUTPATIENT CARE AND HOME CARE IN FURTHERANCE OF THIS CORPORATION'S CHARITABLE PURPOSES; TO PROMOTE AND CARRY ON EDUCATION ACTIVITIES RELATED TO THE CARE OF SICK, INJURED AND DISABLED, TO THE PROMOTION OF HEALTH; TO PROMOTE AND CARRY OUT SCIENTIFIC AND MEDICAL RESEARCH RELATED TO THE CARE OF THE SICK, INJURED AND DISABLED; AND TO PROMOTE OR CARRY OUT OTHER SUCH ACTIVITIES AS MAY BE DEEMED ADVISABLE FOR THE BETTERMENT OF THE GENERAL HEALTH OF THE COMMUNITIES SERVED. FORM 990, PART III, LINES 4A-4B: COMMUNITY BENEFIT PLAN CMHS IS DEDICATED TO ENHANCING THE HEALTH OF THE COMMUNITIES IT SERVES. WE DEMONSTRATE THIS COMMITMENT THROUGH A CONTINUED FOCUS ON THE FOLLOWING FOUR AREAS: COMMUNITY EDUCATION OUTREACH 1. PROVIDE FINANCIAL SUPPORT/SPONSORSHIPS AND PARTICIPATE IN HEALTH FAIRS, PUBLIC EXPOS, EVENTS AND OTHER COMMUNITY OUTREACH OPPORTUNITIES TO PROMOTE HEALTH SERVICES, HEALTH EDUCATION, AND PREVENTION RESOURCES THROUGHOUT THE COMMUNITY. HEALTH RELATED EDUCATION AND PREVENTION RESOURCES ARE FOCUSED AROUND DIABETES, OBESITY, PRENATAL CARE, HEART HEALTH, AND HEALTHY LIVING AND NUTRITION. 2. HEALTH EDUCATION SESSIONS ARE OFFERED FREE OF CHARGE AND COVER A WIDE RANGE OF TOPICS RELATED TO PREVENTIVE CARE, HEALTHY LIFESTYLES, DISEASE PREVENTION AND MANAGEMENT. OVER 580 PEOPLE PARTICIPATED IN THE FOLLOWING CLASSES: A. COMMUNITY TAI CHI B. COMMUNITY YOGA C. STROKE EDUCATION D. THE AGING SPINE E. HEALTH AND WELLNESS COACHING F. COLORECTAL CANCER AWARENESS AND OSTOMY EDUCATION 3. WISE & WELL IS A FREE ONLINE PROGRAM THAT PROVIDES SOCIAL MEDIA MESSAGES, AN E-NEWSLETTER AND PODCASTS WITH HEALTH INFORMATION, HEALTHY RECIPES AND COMMUNITY RESOURCES. 4. COMMUNITY CPR AND FIRST AID CLASSES PROVIDED 144 COMMUNITY RESIDENTS WITH LIFE-SAVING EDUCATION AND TRAINING. FIRST AID SUPPORT WAS PROVIDED BY STAFF RNS AT THE RELAY FOR LIFE AND THE ST. PATRICK'S DAY PARADE. SPANISH LANGUAGE CPR AND FIRST AID TRAINING TRAINED FOUR COMMUNITY MEMBERS. 5. HEALTH EDUCATION SESSIONS WERE OFFERED FREE OF CHARGE AND COVERED A WIDE RANGE OF TOPICS RELATED TO MENTAL HEALTH AND SUBSTANCE USE. ACCESS TO CARE CMHS IS COMMITTED TO INCREASING ACCESS OF THE UNDERSERVED AND VULNERABLE POPULATIONS TO PRIMARY AND SECONDARY MEDICAL CARE IN VARIOUS GEOGRAPHIC LOCATIONS THROUGHOUT ITS SERVICE AREA. 1. CONTINUE EXPANSION OF EXISTING COMMUNITY MEMORIAL HEALTH CENTERS AND MIDTOWN MEDICAL GROUP CLINICS AS INDICATED BY AN INCREASE IN PATIENT VISITS. 2. CONTINUE TO PROVIDE ACCESS THROUGH THE COMMUNITY MEMORIAL HEALTH CENTERS AND MIDTOWN MEDICAL GROUP CLINICS TO SIGNIFICANT NUMBERS OF MEDI-CAL PATIENTS AND UNINSURED INDIVIDUALS THROUGHOUT WESTERN VENTURA COUNTY. 3. CONTINUE TO PROVIDE GENERAL MEDICAL, SURGICAL, AND SPECIALTY PROFESSIONAL COVERAGE OF ER PATIENTS THROUGH THE "ER FUND". PROVIDE STIPENDS TO PHYSICIANS, AS NECESSARY, TO INSURE COVERAGE, ESPECIALLY FOR MEDI-CAL AND UNINSURED PATIENTS, FOR ALL MEDI-CAL SPECIALTIES. 4. THROUGH THE COMMUNITY MEMORIAL HEALTH CENTER CLINICS, CONTINUE TO PROVIDE AN EXTENSIVE CHILDHOOD IMMUNIZATION PROGRAM. 5. ENGAGE THE SENIOR AND AGING POPULATION IN DIALOGUE SURROUNDING HEALTH CARE OBJECTIVES AND ASSIST WITH CARE COORDINATION. 6. ENHANCE OUT-OF-AREA TRANSPORTATION SERVICES TO IMPROVE ACCESS TO CARE. 7. CONTINUE TO TRAIN RESIDENT PHYSICIANS THROUGH THE SYSTEM'S GRADUATE MEDICAL EDUCATION PROGRAM WITH AN EMPHASIS ON FAMILY AND INTERNAL MEDICINE. RESIDENTS PHYSICIANS IN THE GME PROGRAM PROVIDE FREE HEALTHCARE SERVICES AND HEALTH EDUCATION OUTREACH IN MEDICALLY UNDERSERVED AREAS OF VENTURA COUNTY. 8. CONTINUE TO MAKE TRANSPORTATION SERVICES AVAILABLE TO PATIENTS AND FAMILIES HAVING DIFFICULTY ACCESSING CARE. 9. CONTINUE TO PROVIDE PERSONS EXPERIENCING HOMELESSNESS WITH FOOD, CLOTHING, TRANSPORTATION, AND TEMPORARY HOUSING SUPPORT UPON DISCHARGE. ON-SITE VISITS ARE PROVIDED TO PEOPLE HOUSED AT A RECUPERATIVE CARE FACILITY IN VENTURA. THIS IS TEMPORARY HOUSING FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. THIS RECUPERATIVE CARE CENTER IS THE ONLY FACILITY SERVING VENTURA COUNTY. COMMUNITY MEMORIAL HOSPITAL - VENTURA HOLDS 1.5 BEDS FOR PATIENTS BEING DISCHARGED FROM THE HOSPITAL WITHOUT A HOME. UNCOMPENSATED AND UNDERFUNDED CARE 1. CONTINUE TO PROVIDE ACCESS TO A SIGNIFICANT NUMBER OF MEDI-CAL BENEFICIARIES ACROSS A BROAD RANGE OF MEDICAL SERVICES (MEASURED AS A PERCENTAGE OF GROSS REVENUE AND TOTALING AT LEAST 19%). 2. CONTINUE TO PROVIDE A SIGNIFICANT LEVEL OF SUBSIDIZED CARE THROUGH THE COMMUNITY MEMORIAL HEALTH CENTERS. SPONSORSHIP OF COMMUNITY RESOURCES 1. CONTINUE TO ASSIST THE VENTURA COUNTY DISTRICT ATTORNEY'S OFFICE IN SUPPORTING VICTIMS OF DOMESTIC ABUSE THROUGH THE "PROJECT SAFE HARBOR" PROGRAM. 2. PROVIDE A ROTATION FOR TRAINING OB/GYN, ORTHOPEDIC SURGERY, INTERNAL MEDICINE, FAMILY, AND PSYCHIATRY MEDICINE PHYSICIAN RESIDENTS. 3. CONTINUE TO PROVIDE TOURS OF THE HOSPITALS TO THE YOUTH IN THE COMMUNITY. 4. CONTINUE TO PROVIDE A CANCER RESOURCE CENTER THAT OFFERS NO-COST SUPPORT GROUPS AND OTHER RESOURCES TO HELP PATIENTS AND THEIR FAMILIES NAVIGATE THEIR CANCER DIAGNOSIS, TREATMENT, AND RECOVERY. 5. PROVIDE SUPPORT TO MEDICALLY FRAGILE 65+ YEAR ADULTS AND THEIR CAREGIVERS AFTER AN ACUTE CARE HOSPITALIZATION TO REDUCE HOSPITAL RE-ADMISSIONS AND IMPROVE THE PROVISION OF VALUE-BASED SERVICES THROUGH THE CAREGIVER NAVIGATOR PROGRAM. THIS PROGRAM OFFERS A MONTHLY HEALTH AND WELLNESS SEMINAR, WHICH ARE FREE TO CAREGIVERS AND ADDRESS TOPICS WITH EXPERTS INCLUDING LEGAL SERVICES, IN-HOME CARE, CAREGIVER RESOURCES, LONG TERM CARE OMBUDSMAN, ALZHEIMER'S DISEASES, NEUROLOGICAL SERVICES AND MORE. 6. CONTINUE TO PROVIDE A MATERNAL CHILD HEALTH PROGRAM WHICH PROVIDES EDUCATION CLASSES AND SUPPORT THAT REACHED OVER 800 WOMEN AND FAMILIES IN 2024. BIRTH AT COMMUNITY MEMORIAL HEALTHCARE IS NOT REQUIRED TO PARTICIPATE IN THESE COMMUNITY PROGRAMS. 7. CONTINUE TO PROVIDE THE WELLNESS AND FITNESS CENTER WHICH IS A SPACIOUS AND SECURE FACILITY THAT OFFERS COMMUNITY MEMBERS GYM SERVICES AT REDUCED RATES, FREE HEALTH EDUCATION AND SCREENING SESSIONS, AND EXERCISE CLASSES. ADDITIONALLY, THE WELLNESS AND FITNESS CENTER COORDINATES COMMUNITY EDUCATION, PREVENTIVE CARE CLINICS, SCREENINGS AND VACCINATIONS. 8. CONTINUE TO DONATE FUNDS AND STAFF TIME TO NONPROFIT COMMUNITY GROUPS AND LOCAL ORGANIZATIONS. THE SUPPORT OF THESE ORGANIZATIONS FURTHERED THE HEALTH SYSTEM'S MISSION, ADDRESSED THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, AND FOCUSED ON COMMUNITY HEALTH, WELLNESS, AND SAFETY. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW 990 FORM 990 WAS PREPARED BY BAKER TILLY AND COMMUNITY MEMORIAL HEALTH SYSTEM (CMHS) FINANCE DEPARTMENT. FORM 990 WAS REVIEWED BY THE CEO, CFO, CORPORATE COMPLIANCE OFFICER AND AUDIT COMMITTEE. IN ADDITION, A FULL COPY OF THE 990 WAS PROVIDED TO THE BOARD OF TRUSTEES VIA EMAIL IN ADVANCE OF FILING THE FORM 990 WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICT OF INTEREST CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY AND COLLECTED FROM DIRECTORS, OFFICERS AND KEY EMPLOYEES 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, AND OTHER MATTERS INVOLVING OFFICERS, DIRECTORS, AND KEY EMPLOYEES. 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. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION REVIEW THE ORGANIZATION USED AN INDEPENDENT CONSULTANT TO SURVEY EXECUTIVE COMPENSATION. 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. THE PROCESS WAS LAST COMPLETED IN OCTOBER 2024. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DISCLOSURE OF CERTAIN DOCUMENTS 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. FORM 990, PART VI, LINES 16A AND 16B: JOINT VENTURES CMHS HAS MAINTAINED A LONG-STANDING PRACTICE OF REVIEWING ALL POTENTIAL JOINT VENTURE OR SIMILAR ARRANGEMENTS TO ENSURE THAT CONTRACT TERMS ARE CONSISTENT WITH THE PROTECTION OF ITS TAX-EXEMPT STATUS. FORM 990, PART XI, LINE 9: LOSS ON SALE OF ASSETS -3,764,025. 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SOLAR DR., SUITE 135, OXNARD, CA 93030 ORGANIZATION NAME: VENTURA CARDIOVASCULAR CO-MANAGEMENT CO. LLC ORGANIZATION EIN: 27-3227049 U.S. ADDRESS: 147 NORTH BRENT STREET, VENTURA, CA 93003 ORGANIZATION NAME: BUENAVISTA MEDICAL PROPERTIES, LTD. ORGANIZATION EIN: 77-2753640 U.S. ADDRESS: 168 NORTH BRENT STREET, VENTURA, CA 93003