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Details
Hospital Details
Policy Effective Date (Date Posted):
Most Recent (6/14/2012)
General Information
Hospital:
COMMUNITY MEMORIAL HOSPITAL-SAN BUENAVENTURA
147 N. BRENT STREET
VENTURA
,
CA
93003
http://www.cmhhospital.org
License:
General Acute Care Hospital
Total Beds:
242
Emergency Room:
Yes
more...
Contact:
Terry Ellis
(805) 652-5036
OSHPD ID:
106560473
Fair Pricing Policy Information
Click for FPL Chart
Policy Effective Date:
6/28/2011
Download:
Policy File
Federal Poverty Level for Free Care:
200
%
Discount Payment Effective Date:
6/28/2011
Discount Payment
1
Federal Poverty Level Range:
201
%-
300
%
Payment Basis:
Other: lesser of 25% of charges or Medicare Inpatient DRG
Discount Payment
2
Federal Poverty Level Range:
301
%-
500
%
Payment Basis:
Other: lesser of 40% of charges of Medicare Inpatient DRG
Discount Payment
3
Federal Poverty Level Range:
0
%-
0
%
Payment Basis:
Other Charity Care Discount Payment Information:
Application Form Information
Application Form Eff Date:
6/28/2011
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Pension Received
Other: Property Income, Alimony,Unemployment
Language Information
Available Languages:
English
Spanish
Additional Information
Note: To view downloaded .pdf files you will need to install the free Adobe Acrobat Reader. To
download
the program, please click the image below.