STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COLORADO WEST HEALTHCARE SYSTEM: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
COLORADO WEST HEALTHCARE SYSTEM (EIN 84-0469270)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202143199349325184
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-15T16:39:47-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1STOCKMAN KAST RYAN & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1102 N CASCADE AVENUE SUITE 400AddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80903ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840469270EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Colorado West Healthcare SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JON HOOKERInCareOfNm
Business Name ControlCOLOBusinessNameControlTxt
Phone9702566321PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12351 G RoadAddressLine1Txt
CityGrand JunctionCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81505ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTIAN THOMASPersonNm
Person TitleCEOPersonTitleTxt
Phone9702566321PhoneNum
Signature2021-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHRISTIANPersonFirstNm
Person LastTHOMASPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOREEN B MERZPreparerPersonNm
PTINP00841439PTIN
Phone7196301186PhoneNum

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HOSPITAL GRAND JUNCTIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCHRISTIAN THOMASPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12351 G RoadAddressLine1Txt
CityGrand JunctionCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81505ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$198,159,526GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.yourcommunityhospital.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1956FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionImprove the health and quality of life of the individuals and communities we serve.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1383TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI-$195,937TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$240,424PYContributionsGrantsAmt
CY Contributions Grants$76,473CYContributionsGrantsAmt
PY Program Service Revenue$178,946,444PYProgramServiceRevenueAmt
CY Program Service Revenue$198,243,304CYProgramServiceRevenueAmt
PY Investment Income$173,293PYInvestmentIncomeAmt
CY Investment Income$330,551CYInvestmentIncomeAmt
PY Other Revenue$1,132,343PYOtherRevenueAmt
CY Other Revenue-$501,962CYOtherRevenueAmt
PY Total Revenue$180,492,504PYTotalRevenueAmt
CY Total Revenue$198,148,366CYTotalRevenueAmt
PY Grants And Similar Paid$336,596PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$306,081CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$85,949,857PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$86,238,232CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$81,660,301PYOtherExpensesAmt
CY Other Expenses$100,273,366CYOtherExpensesAmt
PY Total Expenses$167,946,754PYTotalExpensesAmt
CY Total Expenses$186,817,679CYTotalExpensesAmt
PY Revenues Less Expenses$12,545,750PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$11,330,687CYRevenuesLessExpensesAmt
Total Assets BOY$125,735,865TotalAssetsBOYAmt
Total Assets EOY$179,455,325TotalAssetsEOYAmt
Total Liabilities BOY$88,598,532TotalLiabilitiesBOYAmt
Total Liabilities EOY$130,987,305TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$37,137,333NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$48,468,020NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Colorado West Healthcare System and Community Hospital is to improve the health and quality of life of the individuals and communities we serve.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$147,363,215ExpenseAmt
Grant$306,081GrantAmt
Revenue$197,741,342RevenueAmt
DescCommunity Hospital provides inpatient, outpatient, emergency, urgent, and primary health care services to communities in western Colorado which have been identified as a physician shortage area. During the tax year ended December 2020, Community Hospital had 8,275 patient days, 15,522 emergency room visits, 11,061 urgent care visits, 49,928 primary care visits, 5,407 oncology infusions and performed 3,836 surgeries. Continuted on Sch O.Desc
Total Program Service Expenses$147,363,215TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document220IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1383EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCOStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJON HOOKERPersonNm
Phone9702576295PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12351 G ROADAddressLine1Txt
CityGRAND JUNCTIONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81505ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Kirk Clifford
Physician40.00.0Yes (X)$770,743$0$44,060
Andrew Morse
Physician40.00.0Yes (X)$694,784$0$41,569
James Gebhard
Physician40.00.0Yes (X)$693,789$0$31,813
Robert Brooks
Physician40.00.0Yes (X)$575,723$0$38,048
Jack Bagley
Physician40.00.0Yes (X)$549,791$0$38,190
Thomas Tobin
CMO40.00.0$461,094$0$21,424Yes (X)
Grant Roper
Chief of Staff1.50.0$436,653$0$36,000Yes (X)
Florian Seeberger
Board Member1.50.0$253,687$0$33,693Yes (X)
Ed Johlman
CFO40.00.0$245,319$0$28,412Yes (X)
John Skillicorn
Executive Director of Physicia40.00.0$240,238$0$33,344Yes (X)
Joseph Gerardi
COO/CNO40.00.0$223,552$0$12,556Yes (X)
Scot Houska
CCO (retired 11/1/2020)40.00.0$211,564$0$23,611Yes (X)
Bart Butzine
CIO40.00.0$170,372$0$31,116Yes (X)
Tawny Espinoza
VP of Business Development40.00.0$160,765$0$30,754Yes (X)
Landon Brown
CCO40.00.0$38,465$0$2,875Yes (X)
Sam Starritt
Chairman1.50.0$0$0$0Yes (X)Yes (X)
Janet Brink
Foundation Liaison1.50.0$0$0$0Yes (X)Yes (X)
Tarek Arja
Secretary -thru 2/26/20201.50.0$0$0$0Yes (X)Yes (X)
Todd Young
Treasurer1.50.0$0$0$0Yes (X)Yes (X)
David Kast
Chief of Staff -thru 2/26/20201.50.0$0$0$0Yes (X)
JJ Stroh
Board Member1.50.0$0$0$0Yes (X)
Dean Havlik
Board Member1.50.0$0$0$0Yes (X)
Jenna Noem
Board Member1.50.0$0$0$0Yes (X)
Dale Rooks
Board Member1.50.8$0$0$0Yes (X)
Todd Hegstrom
Board Member1.50.0$0$0$0Yes (X)
Deedra Shear
Vice Chairman1.50.0$0$0$0Yes (X)
Mark Harrington
Secretary (starting 4/30/2020)1.50.0$0$0$0Yes (X)
Christian Thomas
CEO40.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,726,539TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$447,465TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K147IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Community Anesthesia Consultants
2754 Compass DriveGRAND JUNCTIONCO81506Anesthesia Services$1,721,155
University of Utah
50 North Medical Drive RMW1200SALT LAKE CITYUT84132Management Services$1,469,375
Copic Insurance Company
7351 Lowry Blvd STE 400DENVERCO80230Insurance$1,254,374
CGB LLC
5734 S Prince St STE 400LITTLETONCO80120Spine Surgical Suppl$1,174,880
Mayo Collaborative Services Inc
200 1st St SWROCHESTERMN55905Lab Services$894,502
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K121CntrctRcvdGreaterThan100KCnt
Related Organizations$49,843RelatedOrganizationsAmt
All Other Contributions$26,630AllOtherContributionsAmt
Total Contributions$76,473TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$190,489,741$190,489,741
PHARMACY REVENUE621110$4,353,552$4,353,552
PROVIDER RELIEF FUNDS621110$1,694,287$1,694,287
CAFETERIA621110$599,168$599,168
CLINICAL TRIALS621110$81,184$81,184

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,025,372TotalRevenueColumnAmt
Related Or Exempt Func Income$1,025,372RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$198,243,304TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$341,711TotalRevenueColumnAmt
Exclusion$341,711ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$11,160OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$11,160OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,160TotalRevenueColumnAmt
Exclusion-$11,160ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLOSS FROM INVESTMENT IN SUBSIDIARIESDesc
Total Revenue Column-$501,962TotalRevenueColumnAmt
Related Or Exempt Func Income-$306,025RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$195,937UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total-$501,962OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$198,148,366TotalRevenueColumnAmt
Related Or Exempt Func Income$197,937,279RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$195,937UnrelatedBusinessRevenueAmt
Exclusion$330,551ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$244,806TotalAmt
Program Services$244,806ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$61,275TotalAmt
Program Services$61,275ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,695,498TotalAmt
Program Services$2,210,309ProgramServicesAmt
Management And General$485,189ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$69,657,121TotalAmt
Program Services$57,118,839ProgramServicesAmt
Management And General$12,538,282ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,885,613TotalAmt
Program Services$4,026,828ProgramServicesAmt
Management And General$9,858,785ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$289,603TotalAmt
Management And General$289,603ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$95,200TotalAmt
Management And General$95,200ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$2,060TotalAmt
Management And General$2,060ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,022,420TotalAmt
Program Services$15,942,981ProgramServicesAmt
Management And General$5,079,439ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$371,584TotalAmt
Management And General$371,584ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,266,680TotalAmt
Program Services$3,136,013ProgramServicesAmt
Management And General$130,667ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,297,425TotalAmt
Program Services$5,410,722ProgramServicesAmt
Management And General$886,703ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$18,065TotalAmt
Program Services$18,065ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,658,870TotalAmt
Program Services$5,658,870ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,571,090TotalAmt
Program Services$5,571,090ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,395,297TotalAmt
Program Services$530,213ProgramServicesAmt
Management And General$865,084ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$37,844,990$36,351,412$1,493,578
BAD DEBT EXPENSE$7,850,726$7,850,726$0
CONTRACT LABOR$2,782,650$1,669,590$1,113,060
REPAIRS & MAINTENANCE$4,931,258$1,331,440$3,599,818

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,875,448TotalAmt
Program Services$230,036ProgramServicesAmt
Management And General$2,645,412ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$186,817,679TotalAmt
Program Services$147,363,215ProgramServicesAmt
Management And General$39,454,464ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,697,228BOYAmt
EOY$40,060,485EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$26,474,052BOYAmt
EOY$27,540,296EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,016,439BOYAmt
EOY$3,885,922EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,107,078BOYAmt
EOY$3,105,314EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$125,187,643LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$40,297,012LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$76,963,816BOYAmt
EOY$84,890,631EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,168,946BOYAmt
EOY$9,470,884EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY-$827,367BOYAmt
EOY-$1,314,066EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,135,673BOYAmt
EOY$11,815,859EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$125,735,865BOYAmt
EOY$179,455,325EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,913,682BOYAmt
EOY$17,866,171EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$226,023BOYAmt
EOY$8,180,409EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$67,474,470BOYAmt
EOY$100,190,987EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,984,357BOYAmt
EOY$4,749,738EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$88,598,532BOYAmt
EOY$130,987,305EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$37,137,333BOYAmt
EOY$48,468,020EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$37,137,333BOYAmt
EOY$48,468,020EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$125,735,865BOYAmt
EOY$179,455,325EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$11,330,687ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$2,060OtherActivitiesAmt
Total Lobbying Expenditures$2,060TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1, Lobbying Activities:FormAndLineReferenceDesc
ExplanationThe Organization pays dues to the Colorado Hospital Association and a portion of the money is used for lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,041,532OtherCostOrOtherBasisAmt
Book Value$4,041,532BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,707,646OtherCostOrOtherBasisAmt
Depreciation$12,128,703DepreciationAmt
Book Value$50,578,943BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,974,947OtherCostOrOtherBasisAmt
Depreciation$795,390DepreciationAmt
Book Value$4,179,557BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,317,142OtherCostOrOtherBasisAmt
Depreciation$27,372,919DepreciationAmt
Book Value$14,944,223BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,146,376OtherCostOrOtherBasisAmt
Book Value$11,146,376BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$84,890,631TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLE$7,984,418
457 ASSETS$3,831,441
FieldValueIRS element (for citing)
Total Book Value Other Assets$11,815,859TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO 3RD PARTY MCARE/MCAID$916,439
INTERCOMPANY PAYABLE$1,859
457 LIABILITY$3,831,440
FieldValueIRS element (for citing)
Total Liability$4,749,738TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$190,297,640TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$190,297,640RevenueSubtotalAmt
Other Revenues Not Included$7,850,726OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$7,850,726RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$198,148,366TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$178,966,953TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$178,966,953ExpensesSubtotalAmt
Other Expenses Not Included$7,850,726OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$7,850,726ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$186,817,679TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 4b:Other revenue recorded on return, but not in books: RECLASS: Provision for Bad Debts $7,850,726
Part XII, Line 4b:Other expenses recorded on return, but not in books: RECLASS: Provision for Bad Debts $7,850,726

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other150.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$892,101TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$892,101NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,129,974TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,246,422DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,883,552NetCommunityBenefitExpnsAmt
Total Expense0.05290TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$652,124TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$502,967DirectOffsettingRevenueAmt
Net Community Benefit Expns$149,157NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,674,199TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,749,389DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,924,810NetCommunityBenefitExpnsAmt
Total Expense0.05850TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,674,199TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,749,389DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,924,810NetCommunityBenefitExpnsAmt
Total Expense0.05850TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served35PersonsServedCnt
Total Community Benefit Expns$61,275TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$61,275NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served35PersonsServedCnt
Total Community Benefit Expns$61,275TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$61,275NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,792,728BadDebtExpenseAmt
Reimbursed By Medicare$30,209,371ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$35,133,233CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,923,862MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (8 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Grand Junction
Property Rental0.10.00.4
Medical Center
Canyon View ASC
Ambulatory Surgery Center0.510.00.51
LLC
Physicians Choice
Property Rental0.630.00.37
Real Estate LLC
Healthcare
Collections0.195560.19556
Management
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Community HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12351 G RoadAddressLine1Txt
CityGrand JunctionCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81505ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.yourcommunityhospital.com/WebsiteAddressTxt
State License011119StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Community HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Line 7dOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Line 7dOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Line 7dStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care150.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, line 16jFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, line 16jFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, line 16jFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section B, Line 5:Community Hospital was an active participant in the CHNA collaboration with the Mesa County Community Health Department and a number of other local hospitals and organizations in Mesa County. A Community Hospital representative worked with the CHNA planning committee and the Mesa County Community Transformation Group to determine what data needed to be gathered. Community Hospital provided aggregate health screening reports for its contracted employer groups to Mesa County Health Department. The healthcare partners of our community met regularly to put together a timeline and action plan to implement the Strategy Report and ensure no duplication of efforts. Community Hospital utilized previous assessments to guide interventions and collaborations. Primary data was collected from subject matter experts and community members through focus groups, informal interviews, and electronic surveys.
Part V, Section B, Line 6a:The CHNA was conducted with the following other hospital facilities: Family Health West Hospital, St. Mary's Hospital & Regional Medical Center, Mind Springs Hospital, Inc.
Part V, Section B, Line 6b:Mesa County Public Health, Hilltop, Marillac Clinic
Part V, Section B, Line 7d:Hospital Website: https://yourcommunityhospital.com/Community_Health_Needs_Assessment.cfm Other Website: http://health.mesacounty.us/services/community/data-reports/ Implementation Strategy: https://yourcommunityhospital.com/Community_Health_Needs_Assessment.cfm
Part V, Section B, Line 11:Community Hospital was an active participant in the CHNA in collaboration with the Mesa County Public Health and a number of other local hospitals and organizations in Mesa County. This collaborative approach enabled the group to identify areas where the various organizations might work together to achieve needed improvements. Community Hospital has been utilizing this assessment as a guide for providing programs to address identified community health needs in support of the collaborators and with the mission of our organization "to improve the health and quality of life of the individuals and communities we serve." While Community Hospital actively supports many of the health needs that have been identified by the CHNA, we have made the decision not to address social inequities at this time. We believe that our current resources are best used to impact health needs in the other areas of inequity. Additionally, other community entities are better suited to wholeheartedly address social inequities in Mesa County.
Community Hospital's Implementation Strategies:Community Hospital is committed to enhancing its understanding about how best to develop and implement effective strategies to address community health needs. Community Hospital also recognizes that good health outcomes cannot be achieved without joint planning and partnerships with community stakeholders and leaders. As such, Community Hospital will continue to work in partnership with other local entities to refine its goals and strategies over time. With this approach, Community Hospital will most effectively address the needs identified. Community Hospital's implementation strategies address five of the six areas identified in the CHNA. For each area, the plan outlines the following: the goals and objectives designed to guide improvement efforts, Community Hospital's role or action in addressing the areas of concern, expected outcomes, and measures which may be used to determine the action(s)' effectiveness. 1. Institutional Inequities Community Hospital has recruited and employed over 15 new primary care providers to the Grand Valley since 2018. One additional primary care provider location was opened in 2019, one new location with be opened in 2020, and at least one more is in the planning phase for 2021. Community Hospital has also expedited the new patient process (paperwork) to improve accessibility and patient experience. Community Hospital's Diversity Council utilizes the Equity in Care Toolkit, developed by the American Hospital Association, as a framework to determine how patient demographic data collected upon admissions can be used to reduce inequity in health care delivery. 2. Living Conditions Community Hospital continues to work with local employer groups to reduce barriers to care, utilizing the near-site clinic model. This model provides all employees,/dependents access to care in a cost-effective setting 24/7. Additionally, these employees and their dependents have access to free Virtual Urgent Care through the University of Utah. These resources encourage primary care utilization and decrease emergency room utilization (for primary care needs). 3. Risk Behaviors Community Hospital supports the efforts of the Mesa County Health Department to address issues such as suicide and tobacco/vaping utilization. Community Hospital offers a 16-week Lifestyle Medicine program to address risk-factors such as overweight and obesity and encourage healthy behaviors. Lastly, Community Hospital provides no-cost flu vaccines through the Community Health Partnership annual health screenings for employer groups. Flu vaccines are offered at all primary care locations and Canyon View Pharmacy. 4. Disease and Injury See above efforts to address suicide and overweight/obesity. With regards to lung cancer, in 2018 Community Hospital created a comprehensive lung cancer care team, which is made up of pulmonologists, radiation oncologists, a thoracic and vascular surgeon, medical oncologists, and a diagnostic radiologist. IN addition to state-of-the-art technology, this care team serves to threat the whole patient through comprehensive and coordinated efforts; Community Hospital believes that this approach is likely to lead to both better outcomes and improved care quality for lung cancer patients in Mesa County. This model was duplicated in 2019 when a breast cancer care team and head/neck cancer care team were also created. 5. Mortality By providing service for the entire health spectrum-from outpatient clinics to the intensive care unit - Community Hospital is aiding in reducing mortality from all causes in Mesa County.
Part V, Section B, Line 13h:Community Hospital may make a presumption of eligibility on the basis of individual life circumstances that may include homelessness, patient deceased with no known estate, and other circumstances. The facility may use outside agencies in determining estimated income amounts for presumptive charity care eligibility.
Part V, Section B, Line 16j:
Part V, Line 16a FAP:https://yourcommunityhospital.com/Billing.cfm
Part V, Line 16b: FAP Application:https://yourcommunityhospital.com/PDFs/Financial%20Application%20Website.p df
Part V, Line 16c FAP Plain Language Summary:https://yourcommunityhospital.com/Billing.cfm
Part V, Section B, Line 24:The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy.
FieldValueIRS element (for citing)
Facility24FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Grand Valley Oncology
2596 Patterson RoadGrand JunctionCO81505Cancer Care
Grand Valley Primary Care
603 28 1/4 RoadGrand JunctionCO81506Primary Physician Care
Therapy Works at Community Hospital
2004 N 12th StGrand JunctionCO81501Rehabilitation Programs
Grand Valley Occupational Medicine
2004 N 12th StGrand JunctionCO81501Employee-related Exam Services
Community Care of the Grand Valley
1060 Orchard Ave Suite NGrand JunctionCO81501Urgent Medical Services
Grand Valley Wellness
605 AB 28 1/4 RoadGrand JunctionCO81501Counseling Services
Colorado Mesa University Health Center
1060 Orchard Ave Suite OGrand JunctionCO81501Student Medical Services
Grand Valley Women's Health Specialist
603 28 1/4 RoadGrand JunctionCO81506Obstetrics and Gynecology
Internal Medicine Assoc of the Grand
607 28 1/4 RoadGrand JunctionCO81506Internal Medicine
Fruita Family Medicine-Grand Valley
551 Kokopelli Dr Suite FGrand JunctionCO81501Outpatient Physician Practice
Grand Valley ENT & Facial
2373 G Road Suite 270Grand JunctionCO81505ENT & Facial
Grand Valley Pediatrics
601 B 28 1/4 RoadGrand JunctionCO81506Pediatrics
Western Orthopedics & Sports Medicine
2373 G Road Suite 100Grand JunctionCO81505Sports Medicine & General Orthopedics
Western Colorado Spine
2373 G Road Suite 100Grand JunctionCO81505Sports Medicine & General Orthopedics
Advanced Pulmonary and Critical Care
2373 G Road Suite 160Grand JunctionCO81505Pulmonary
Grand Valley Primary Care II
2020 N 12thGrand JunctionCO81505Primary Physician Care
Grand Valley Primary Care III
2373 G Road Suite 160Grand JunctionCO81505Primary Physician Care
Surgical Associates of the Grand Valley
2373 G Road Suite 280Grand JunctionCO81505Surgical and Minimally Invasive Treatments
Grand Valley Primary Care V
2373 G Road Suite 160Grand JunctionCO81505Primary Physician Care
Grand Valley ThoracicVascular
2373 G Road Suite 260Grand JunctionCO81505Vascular and Thoracic Surgery
Grand Valley Rheumatology
603 28 1/4 RoadGrand JunctionCO81505Diagnosis and Management of Autoimmune Disease
Grand Valley Infectious Disease
2020 N 12thGrand JunctionCO81501Infectious Disease
Canyon View Pharmacy
2373 G Road Suite 120Grand JunctionCO81505Retail Pharmacy
Canyon View Women's Health
2373 G Road Suite 240Grand JunctionCO81505Obstetrics, Gynecology, Nurse- Midwives

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:In addition to FPL, the organization used an asset test in determining eligibility for financial assistance. The organization also took insurance status and medical indigency into consideration. Community Hospital may make a presumption of eligibility on the basis of individual life circumstances that may include homelessness, patient deceased with no known estate, and other circumstances. The facility may use outside agencies in determining estimated income amounts for presumptive charity care eligibility.
Part I, Line 7:Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Line 7b and 7c were determined using the overall cost to charge ratio. Line 7i is actual expenses from the general ledger.
Part III, Line 2:Allowance for bad debts is determined monthly by review of contractuals by payor using historical activity and expected collection rates. The amount is reviewed by the CFO and Board. Part III, Line 4: Footnote from Financial Statement: Please see Note 2, Financial Statement, Patient Service Revenue on page 17.
Part III, Line 8:The Medicare cost report was used to determine the amount of the Medicare shortfall. IRS Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. This implies that treating Medicare patients is a community benefit. The organization estimates 100% should be considered a community benefit. If these individuals did not qualify for Medicare, they would qualify for financial assistance, based on the demographics of the community in which we operate.
Part III, Line 9b:For patients who qualify for charity and who are cooperating in good faith to resolve their discounted hospital bills, Community Hospital may offer extended payment plans, will not send unpaid bills to outside collection agencies, and will cease all collection efforts. Community Hospital will not impose extraordinary collections actions such as wage garnishments, liens on primary residences, or other legal actions for any patient without first making reasonable efforts to determine whether that patient is eligible for charity care under this financial assistance policy.
Part VI, Line 2:Community Hospital develops its strategic plan both internally and supported by Quorum Health Resources to assess the healthcare needs of the community it serves. This plan includes market assessment of the service area and local demographic characteristics, clinical service line utilization and projections for inpatient, ambulatory, and provider practices. Clinical foci resulting form the same diabetes, obesity, and primary care access.
Part VI, Line 3:Part of the Hospital's written financial assistance and charity care policy provides for financial counselors to meet with all uninsured patients prior to discharge. The Hospital's billing team may also inform patients of the Hospital's financial assistance and charity care program.
Part IV, Line 4:The Hospital's primary service area is Western Colorado and the residents of Mesa County. Mesa County's population is approximately 150,000 with 15% of the population being over the age of 65. Community Hospital captures 15.9% of the area's healthcare market for those patients requiring inpatient stays.
Part VI, Line 5:The Hospital is governed by a 12-member Board of Trustees composed of seven Mesa County, Colorado, community members and five community medical staff members who are all committed to fulfilling the following mission statement: Community Hospital will improve the health and quality of life of the individuals and communities we serve. The community members use their unique experience and abilities to lead the Hospital in directions that support the needs of the community.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Quality Health Network
744 Horizon CourtSuite 210Grand JunctionCO81506201632384501(c)(3)$171,606Community Support
CMU Foundation
1100 North AvenueGrand JunctionCO81501846037667501(c)(3)$20,700GENERAL SUPPORT
Grand Junction Soccer Club
2791 Printers CourtGrand JunctionCO81506840743815501(c)(3)$15,000GENERAL SUPPORT
Redlands Middle School
2200 BroadwayGrand JunctionCO81507846002839501(c)(3)$10,000GYM FLOOR
Strive
950 Grand AvenueGrand JunctionCO81501846044855501(c)(3)$10,000CAPITAL CAMPAIGN
Western Slope Center for Children
PO Box 3978Grand JunctionCO81501841128554501(c)(3)$7,500GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeEmployee Tuition AssistanceGrantTypeTxt
Recipient35RecipientCnt
Cash Grant$61,275CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart 1, Line 2:FormAndLineReferenceDesc
ExplanationThe Organization provides assistance to nonprofit organizations for general support. As such, the hospital does not feel there is a need to monitor how the assistance is used.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Grant Roper
Chief of Staff$259,824$162,205$14,624$9,755$26,245$472,653
Florian Seeberger
Board Member$217,287$25,953$10,447$7,620$26,073$287,380
Ed Johlman
CFO$206,962$24,903$13,454$7,326$21,086$273,731
Scot Houska
CCO (retired 11/1/2020)$179,264$22,980$9,320$6,405$17,206$235,175
Landon Brown
CCO$27,666$10,000$799$0$2,875$41,340
Bart Butzine
CIO$144,628$15,969$9,775$5,151$25,965$201,488
Joseph Gerardi
COO/CNO$207,266$8,334$7,952$1,757$10,799$236,108
Thomas Tobin
CMO$416,242$37,791$7,061$10,921$10,503$482,518
John Skillicorn
Executive Director of Physicia$212,985$15,423$11,830$7,217$26,127$273,582
Tawny Espinoza
VP of Business Development$136,292$15,044$9,429$4,823$25,931$191,519
Kirk Clifford
Physician$750,661$4,856$15,226$18,203$25,857$814,803
James Gebhard
Physician$606,943$68,669$18,177$5,568$26,245$725,602
Andrew Morse
Physician$524,643$155,329$14,812$15,324$26,245$736,353
Robert Brooks
Physician$400,499$154,888$20,336$12,854$25,194$613,771
Jack Bagley
Physician$505,696$30,000$14,095$12,996$25,194$587,981

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3:The CEO is an employee of Quorum Health Resources. The Board of directors of Colorado West Healthcare System utilizes the methods described on Line 3 in negotiating the contract for CEO services with Quorum.
Part I, Line 7:Quorum Health Resources, a management company, compensates the CEO. His compensation includes a set amount plus a bonus if certain criteria are met. The bonus eligibility is based on a scorecard of thirteen metrics, focused around the Pillars of Excellence-quality, service, financial, growth, and people. Physician bonuses are based on Relative value units (RVU) and longevity. RVU is a measure used in Medicare reimbursement formulas for physician services.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Rachel Aiken
Daughter to John Skillicorn (key employee)$30,503Payrollfalse
Amber Skillicorn
Daughter to John Skillicorn (key employee)$24,831Payrollfalse
The Pathology Group
Board owned --Dean Havlik$145,568Pathology contractfalse
Diagnostic Radiology Associates
Board owned --Todd Hegstrom$248,444Radiology contractfalse
Community Anesthesia
Board owned --David Kast$1,721,155Anesthesia contractfalse
Kiaja Thomas
Daughter to Chris Thomas, CEO$27,000Marketing contractfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Doing Business As:Community Hospital Grand Junction Form 990, Part III, Line 4a: During the tax year, the Hospital was able to provide charity care services to those who could not otherwise afford necessary medical care. The Hospital provides care to persons covered by governmental programs at/or below cost and to individuals who are unable to pay.
Form 990, Part VI, Section A, Line 1:The Executive Committee shall be composed of the Chairperson, Vice Chairperson, Treasurer, Secretary, Chief of Staff, and the President/CEO. The Executive Committee shall meet upon the call of the Chairperson to: A. Review upcoming Board of Trustee meetings. B. Act on behalf of the Board of Trustees between regular or special meetings of the Board and then report actions to the Board of Trustees. C. Communicate to keep the Board of Trustees, medical staff and administration of the Hospital aware of pertinent actions taken or contemplated by one or the other, and to make recommendations to the Board of Trustees on major expenditures. D. Consider issues affecting medical care that arise in the operation and affairs of the Hospital. E. Perform the annual evaluation of the President/CEO. F. Perform any other actions the Board of Trustees deems necessary, as instructed by the Board of Trustees.
Form 990, Part VI, Section A, Line 3:The Hospital has a management agreement with Quorum Health Resources. Christian Thomas, CEO, is compensated by Quorum Health Resources. His compensation for calendar year 2020 was $396,722.12 base salary, $108,687 Bonus, $13, 548 other compensation. Benefits totaled $104,619 .
Form 990, Part VI, Section B, Line 11b:The 990 is prepared by the Hospital's independent CPA firm and reviewed by the Hospital's accounting staff and Administration, including the CEO, Controller, and the Compliance Officer. A preliminary draft is presented to the Board of Directors for detailed review and approval. A final copy of the 990 is provided to all board members prior to the final filing with the IRS.
Form 990, Part VI, Section B, Line 12c:The Hospital's conflict of interest policy is maintained and managed by the Chief Compliance Officer on an annual basis. All board members, officers, and key employees are required to complete a conflict of interest disclosure form and submit it to the compliance department. That documentation is reviewed by and retained by the compliance officer. Any conflicts of interest that arise are addressed by the compliance department and the Board of Trustees. All board members, officers, and key employees are required to notify the facility of any changes during the year.
Form 990, Part VI, Section B, Line 15:Community Hospital is a Quorum Health Resources managed hospital whereby the CEO is an employee of the management company. Quorum conducts national wage surveys to suggest market rates for CEO and CFO salaries based on Hospital revenue. The final salary is determined by the Board based on this information and local market conditions.
Form 990, Part VI, Section C, Line 19:Governing documents, policies and procedures, and audited financial statements are made available to the public upon request on a case by base basis.
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:13941478
FORM 990 PART IX LINE 11GDESCRIPTION:PROVIDER FEES TOTAL FEES:7080942

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Community Hospital FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12351 G RoadAddressLine1Txt
CityGrand JunctionCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81505ZIPCd
FieldValueIRS element (for citing)
EIN742576856EIN
Primary ActivitiesFundraisingPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Exempt Code Section501(c)3ExemptCodeSectionTxt
Public Charity Status12(c)PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Community HoBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Physicians Choice Real Estate
2012 N 12th StreetGrand JunctionCO81501841601063Real EstateCOCommunity HospiRelated$115,432$1,695,096false$0Yes (true)0.62940
Canyon View ASC LLC
2373 G Road Suite 180Grand JunctionCO81505455352976Ambulatory SurgerCOCommunity HospiRelated-$542,090$6,327,562false$0Yes (true)0.51000
Healthcare Management LLC
PO Box 1929Grand JunctionCO81502841238904CollectionsCOCommunity HospiRelated-$162,320$2,224,509false$0Yes (true)0.24820
Grand Junction Medical Center
1623 Blake Street Suite 300DenverCO80202454152123Real EstateCOCommunity HospiRelated$0$1,472false$0Yes (true)0.09804

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Doctor's Clinic BuildingBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12351 G RDAddressLine1Txt
CityGrand JunctionCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81505ZIPCd
FieldValueIRS element (for citing)
EIN840507943EIN
Primary ActivitiesReal EstatePrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Community HospiBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorpEntityTypeTxt
Share Of Total Income$201,156ShareOfTotalIncomeAmt
Share Of EOY Assets$672,640ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Physicians Choice Real Estate LLC
K$201,156Cash
Community Hospital
M,N,O$49,843Cash

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R Part IIFormAndLineReferenceDesc
ExplanationDuring 2020, the Community Hospital Foundation submitted Form 8940, Request for Miscellaneous Determination, to the IRS requesting a change from Type III Functionally integrated supporting organization status under IRC 509(a)(3) to publicly supported under IRC 509(a)(1) and 170(b)(1)(A)(vi). The IRS determined the Foundation meets the requirements for classifications as a public charity described in IRC Sections 509(a)(1) and 170(b)(1)(A)(vi). With this change, the Foundation is no longer a related organization for 990 purposes.ExplanationTxt