COLORADO WEST HEALTHCARE SYSTEM: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- COLORADO WEST HEALTHCARE SYSTEM (EIN 84-0469270)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-09
- IRS object ID
- 202033149349303418
- Schema version
- 2019v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-09T14:34:20-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840469270 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Colorado West Healthcare System | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COLO | BusinessNameControlTxt |
| Phone | 9702566321 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2351 G Road | AddressLine1Txt |
| City | Grand Junction | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81505 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Christian Thomas | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9702566321 | PhoneNum |
| Signature | 2020-10-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2020-10-30 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.83.233.163 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-10-30 | IPDt |
| IP Tm | 08:38:34 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 818E7D27379BF4EE6921138ED2990C81DED2D31F | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Hospital Grand Junction | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Christian Thomas | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2351 G Road | AddressLine1Txt |
| City | Grand Junction | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81505 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $180,569,085 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.yourcommunityhospital.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | Improve the health and quality of life of the individuals and communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1306 | TotalEmployeeCnt |
| Total Volunteers | 61 | TotalVolunteersCnt |
| Total Gross UBI | $647,120 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $557,873 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $19,500 | PYContributionsGrantsAmt |
| CY Contributions Grants | $240,424 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $148,907,044 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $178,946,444 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,222,050 | PYInvestmentIncomeAmt |
| CY Investment Income | $173,293 | CYInvestmentIncomeAmt |
| PY Other Revenue | $636,277 | PYOtherRevenueAmt |
| CY Other Revenue | $1,132,343 | CYOtherRevenueAmt |
| PY Total Revenue | $150,784,871 | PYTotalRevenueAmt |
| CY Total Revenue | $180,492,504 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $68,735 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $336,596 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $68,264,529 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $85,949,857 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $82,106,554 | PYOtherExpensesAmt |
| CY Other Expenses | $81,660,301 | CYOtherExpensesAmt |
| PY Total Expenses | $150,439,818 | PYTotalExpensesAmt |
| CY Total Expenses | $167,946,754 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $345,053 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,545,750 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $113,098,279 | TotalAssetsBOYAmt |
| Total Assets EOY | $125,735,865 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $88,506,696 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $88,598,532 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,591,583 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,137,333 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $129,967,754 | ExpenseAmt |
| Grant | $336,596 | GrantAmt |
| Revenue | $179,431,667 | RevenueAmt |
| Desc | Community 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 2019, Community Hospital had 9,149 patient days, 18,468 emergency room visits, 13,888 urgent care visits, 54,623 primary care visits, 5,538 oncology infusions and performed 3,961 surgeries.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. | Desc |
| Total Program Service Expenses | $129,967,754 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 214 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1306 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jon Hooker | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9702576295 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2351 G Road | AddressLine1Txt |
| City | Grand Junction | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81505 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| Kirk Clifford | |||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $744,430 | $0 | $47,957 | |||
| James Gebhard | |||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $686,252 | $0 | $29,802 | |||
| Loius Stryker | |||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $650,400 | $0 | $42,356 | |||
| James Rose | |||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $639,588 | $0 | $44,863 | |||
| Mitchell Copeland | |||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $627,787 | $0 | $41,515 | |||
| Thomas Tobin | |||||||||
| CMO | 40.00 | 0.00 | $430,587 | $0 | $22,107 | Yes (X) | |||
| Scot Houska | |||||||||
| CCO | 40.00 | 0.00 | $234,722 | $0 | $32,645 | Yes (X) | |||
| John Skillicorn | |||||||||
| Executive Director of Physicians | 40.00 | 0.00 | $231,795 | $0 | $29,827 | Yes (X) | |||
| Ed Johlman | |||||||||
| CFO | 40.00 | 0.00 | $232,750 | $0 | $25,348 | Yes (X) | |||
| Carolle Banville-Massone | |||||||||
| COO/CNO (until Aug 2019) | 40.00 | 0.00 | $206,049 | $0 | $13,194 | Yes (X) | |||
| Bart Butzine | |||||||||
| CIO | 40.00 | 0.00 | $162,642 | $0 | $30,431 | Yes (X) | |||
| Tawny Espinoza | |||||||||
| VP of Business Development | 40.00 | 0.00 | $153,248 | $0 | $29,198 | Yes (X) | |||
| Sam Starritt | |||||||||
| Chair | 1.50 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Janet Brink | |||||||||
| Vice Chair | 1.50 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Tarek Arja DO | |||||||||
| Secretary | 1.50 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Todd Young | |||||||||
| Treasurer | 1.50 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JJ Stroh DO | |||||||||
| Board Member | 1.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Dale Rooks | |||||||||
| Board Member | 1.50 | 0.80 | $0 | $0 | $0 | Yes (X) | |||
| Dean Havlik MD | |||||||||
| Board Member | 1.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Deedra Copeland Shear | |||||||||
| Board Member | 1.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Mark Harrington | |||||||||
| Board Member | 1.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Todd Hegstrom | |||||||||
| Board Member | 1.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Jenna Noem | |||||||||
| Board Member (beg July 2019) | 1.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Christian Thomas | |||||||||
| CEO | 40.00 | 0.80 | $0 | $0 | $0 | Yes (X) | |||
| David Kast | |||||||||
| Board Member | 1.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,000,250 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $389,243 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 116 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| University of Utah | |||||
| 50 NORTH MEDICAL DRIVE RM W1200 | Salt Lake City | UT | 84132 | Management assistance | $1,843,004 |
| Community Anesthesia Consultants | |||||
| 2754 Compass Drive Suite 300 | Grand Junction | CO | 81506 | Anesthesia services | $1,600,655 |
| Quorum Health Resources LLC | |||||
| 105 Continental Place | Brentwood | TN | 37027 | Management assistance | $948,144 |
| Lewan & Associates | |||||
| 1400 S Colorado Blvd | Denver | CO | 80222 | IT services | $903,386 |
| Mayo Collaborative Services Inc | |||||
| 200 1st St SW | Rochester | MN | 55905 | Reference lab | $599,812 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 84 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $240,424 | AllOtherContributionsAmt |
| Total Contributions | $240,424 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 621110 | $174,724,253 | $174,724,253 |
| Pharmacy Revenue | 621110 | $3,846,376 | $3,846,376 |
| Cafeteria Revenue | 621110 | $624,118 | $624,118 |
| Equity in Subsidiary Income | 621110 | -$120,789 | -$120,789 |
| Other Revenue | 621110 | -$127,514 | -$127,514 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $178,946,444 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $201,453 | TotalRevenueColumnAmt |
| Exclusion | $201,453 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $28,160 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$28,160 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$28,160 | TotalRevenueColumnAmt |
| Exclusion | -$28,160 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $86,147 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $48,421 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,726 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,726 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investment in LLC's | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,094,617 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $447,497 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $647,120 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,094,617 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $180,492,504 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $179,431,667 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $647,120 | UnrelatedBusinessRevenueAmt |
| Exclusion | $173,293 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,596 | TotalAmt |
| Program Services | $336,596 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,837,874 | TotalAmt |
| Management And General | $1,837,874 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,628 | TotalAmt |
| Program Services | $49,628 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,312,195 | TotalAmt |
| Program Services | $57,808,168 | ProgramServicesAmt |
| Management And General | $11,504,027 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,484,294 | TotalAmt |
| Program Services | $1,244,216 | ProgramServicesAmt |
| Management And General | $240,078 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,839,131 | TotalAmt |
| Program Services | $7,289,541 | ProgramServicesAmt |
| Management And General | $1,549,590 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,426,735 | TotalAmt |
| Program Services | $3,573,234 | ProgramServicesAmt |
| Management And General | $853,501 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $726,245 | TotalAmt |
| Management And General | $726,245 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,331 | TotalAmt |
| Management And General | $320,331 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,795 | TotalAmt |
| Management And General | $112,795 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,917 | TotalAmt |
| Management And General | $1,917 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,190,496 | TotalAmt |
| Program Services | $8,999,199 | ProgramServicesAmt |
| Management And General | $5,191,297 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,592 | TotalAmt |
| Management And General | $372,592 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,915,209 | TotalAmt |
| Program Services | $2,615,592 | ProgramServicesAmt |
| Management And General | $1,299,617 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,407,362 | TotalAmt |
| Program Services | $6,792,351 | ProgramServicesAmt |
| Management And General | $3,615,011 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,869 | TotalAmt |
| Program Services | $7,137 | ProgramServicesAmt |
| Management And General | $75,732 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382,228 | TotalAmt |
| Program Services | $265,211 | ProgramServicesAmt |
| Management And General | $117,017 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,214,230 | TotalAmt |
| Program Services | $5,253,633 | ProgramServicesAmt |
| Management And General | $960,597 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,372,710 | TotalAmt |
| Program Services | $4,542,196 | ProgramServicesAmt |
| Management And General | $830,514 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,251,302 | TotalAmt |
| Program Services | $295,322 | ProgramServicesAmt |
| Management And General | $955,980 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $30,448,273 | $30,447,951 | $322 |
| Provider Taxes | $4,318,988 | $4,318,988 | |
| UBI Tax | $74,007 | $74,007 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,468,747 | TotalAmt |
| Program Services | $447,779 | ProgramServicesAmt |
| Management And General | $3,020,968 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,946,754 | TotalAmt |
| Program Services | $129,967,754 | ProgramServicesAmt |
| Management And General | $37,979,000 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,190,239 | BOYAmt |
| EOY | $11,697,228 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,163,550 | BOYAmt |
| EOY | $26,474,052 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,994,206 | BOYAmt |
| EOY | $3,016,439 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,506 | BOYAmt |
| EOY | $1,107,078 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $114,138,162 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $37,174,346 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,445,677 | BOYAmt |
| EOY | $76,963,816 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $619,164 | BOYAmt |
| EOY | $1,168,946 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$709,828 | BOYAmt |
| EOY | -$827,367 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,394,765 | BOYAmt |
| EOY | $6,135,673 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,098,279 | BOYAmt |
| EOY | $125,735,865 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,470,281 | BOYAmt |
| EOY | $16,913,682 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,771 | BOYAmt |
| EOY | $226,023 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,000,436 | BOYAmt |
| EOY | $67,474,470 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,924,208 | BOYAmt |
| EOY | $3,984,357 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,506,696 | BOYAmt |
| EOY | $88,598,532 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,591,583 | BOYAmt |
| EOY | $37,137,333 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,591,583 | BOYAmt |
| EOY | $37,137,333 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,098,279 | BOYAmt |
| EOY | $125,735,865 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $12,545,750 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,917 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,917 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The Organization pays dues to the Colorado Hospital Association and a portion of the money is used for lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,041,532 | OtherCostOrOtherBasisAmt |
| Book Value | $4,041,532 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,972,971 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,811,446 | DepreciationAmt |
| Book Value | $51,161,525 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,978,947 | OtherCostOrOtherBasisAmt |
| Depreciation | $641,481 | DepreciationAmt |
| Book Value | $4,337,466 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,890,457 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,721,419 | DepreciationAmt |
| Book Value | $14,169,038 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,254,255 | OtherCostOrOtherBasisAmt |
| Book Value | $3,254,255 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $76,963,816 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third-Party Payor Settlement | $1,482,503 |
| Deferred Compensation | $2,501,854 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,984,357 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $180,540,925 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $180,540,925 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$48,421 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$48,421 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $180,492,504 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $167,995,175 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $48,421 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $48,421 | ExpensesNotReportedAmt |
| Expenses Subtotal | $167,946,754 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $167,946,754 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 4b - Other Adjustments: | Costs of Goods Sold -48,421. |
| Part XII, Line 2d - Other Adjustments: | Costs of Goods Sold 48,421. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 150.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $721,821 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $721,821 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,267,353 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,191,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,076,335 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04210 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $645,270 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $620,314 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,634,444 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,811,332 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,823,112 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04650 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $294,540 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $294,540 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $294,540 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $294,540 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,928,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,811,332 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,117,652 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04830 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $33,437,816 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $37,179,593 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,741,777 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 Grand Junction Medical Center | |||
| Property Rental | 0.10000 | 0.00000 | 0.40000 |
| 2 Canyon View ASC LLC | |||
| Ambulatory Surgery Center | 0.51000 | 0.00000 | 0.49000 |
| 3 Physicians Choice Real Estate LLC | |||
| Property Rental | 0.63000 | 0.00000 | 0.37000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2351 G Road | AddressLine1Txt |
| City | Grand Junction | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81505 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.yourcommunityhospital.com/ | WebsiteAddressTxt |
| State License | 011119 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Line 7d | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Line 7d | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Line 7d | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 150.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, line 16j | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, line 16j | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, line 16j | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Community Hospital | Part V, Section B, Line 5: Community Hospital was an active participant in the CHNA collaboration with the Mesa County 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. |
| Community Hospital | 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. |
| Community Hospital | Part V, Section B, Line 6b: Mesa County Public Health, Hilltop, Marillac Clinic |
| Community Hospital | Part V, Section B, Line 7d: Hospital Website:https://yourcommunityhospital.com/Community_Health_Needs_Assessment.cfmOther Website:http://health.mesacounty.us/services/community/data-reports/Implementation Strategy:https://yourcommunityhospital.com/Community_Health_Needs_Assessment.cfm |
| Community Hospital | 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 StrategiesCommunity 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 InequitiesCommunity 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 will 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 admission can be used to reduce inequity in health care delivery. 2. Living ConditionsCommunity 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 Virutal Urgent Care through the University of Utah. These resources encourage primary care utilization and decrease emergency room utilization (for primary care needs).3. Risk BehaviorsCommunity 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 InjurySee 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 treat 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. MortalityBy 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. |
| Community Hospital | 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. |
| Community Hospital | Part V, Section B, Line 16j: Summary on website, posted in ER and waiting rooms, posted in admissions offices, and provided on admission.Part V, line 16aFAP:https://yourcommunityhospital.com/Billing.cfmPart V, line 16bFAP Application:https://yourcommunityhospital.com/PDFs/Financial%20Application%20Website. pdfPart V, line 16cFAP Plain Language Summary:https://yourcommunityhospital.com/Billing.cfm |
| Community Hospital | 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 24 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Grand Valley Oncology | ||||
| 2596 Patterson Road | Grand Junction | CO | 81505 | Cancer Care |
| 2 - Grand Valley Primary Care | ||||
| 603 28 1/4 Road | Grand Junction | CO | 81506 | Primary Physician Care |
| 3 - Therapy Works at Community Hospital | ||||
| 2004 N 12th St | Grand Junction | CO | 81501 | Rehabilitation Programs |
| 4 - Grand Valley Occupational Medicine | ||||
| 2004 N 12th St | Grand Junction | CO | 81501 | Employment-related Exam Services |
| 5 - Community Care of the Grand Valley | ||||
| 1060 Orchard Ave Suite N | Grand Junction | CO | 81501 | Urgent Medical Services |
| 6 - Grand Valley Wellness | ||||
| 605 A B 28 1/4 Road | Grand Junction | CO | 81501 | Counseling Services |
| 7 - Colorado Mesa University Health Center | ||||
| 1060 Orchard Ave Suite O | Grand Junction | CO | 81501 | Student Medical Services |
| 8 - Grand Valley Women's Health Specialists | ||||
| 603 28 1/4 Road | Grand Junction | CO | 81506 | Obstetrics and Gynecology |
| 9 - Internal Medicine Assoc of the Grand Va | ||||
| 607 28 1/4 Road | Grand Junction | CO | 81506 | Internal Medicine |
| 10 - Fruita Family Medicine - Grand Valley | ||||
| 551 Kokopelli Dr Suite F | Grand Junction | CO | 81501 | Outpatient Physician Practice |
| 11 - Grand Valley ENT & Facial | ||||
| 2373 G Road Suite 270 | Grand Junction | CO | 81505 | ENT & Facial |
| 12 - Grand Valley Pediatrics | ||||
| 601 B 28 1/4 Road | Grand Junction | CO | 81506 | Pediatrics |
| 13 - Western Orthopedics & Sports Medicine | ||||
| 2373 G Road Suite 100 | Grand Junction | CO | 81505 | Sports Medicine & General Orthopedics |
| 14 - Western Colorado Spine | ||||
| 2373 G Road Suite 100 | Grand Junction | CO | 81505 | Sports Medicine & General Orthopedics |
| 15 - Advanced Pulmonary and Critical Care of | ||||
| 2373 G Road Suite 160 | Grand Junction | CO | 81505 | Pulmonary |
| 16 - Grand Valley Primary Care II | ||||
| 2020 N 12th | Grand Junction | CO | 81501 | Primary Physician Care |
| 17 - Grand Valley Primary Care III | ||||
| 2373 G Road Suite 160 | Grand Junction | CO | 81505 | Primary Physician Care |
| 18 - Surgical Associates of the Grand Valley | ||||
| 2373 G Road Suite 280 | Grand Junction | CO | 81505 | Surgical and Minimally Invasive Treatments |
| 19 - Grand Valley Primary Care V | ||||
| 2373 G Road Suite 160 | Grand Junction | CO | 81505 | Primary Physician Care |
| 20 - Grand Valley ThoracicVascular | ||||
| 2373 G Road Suite 260 | Grand Junction | CO | 81505 | Vascular and Thoracic Surgery |
| 21 - Grand Valley Rheumatology | ||||
| 603 28 1/4 Road | Grand Junction | CO | 81505 | Diagnosis and Management of Autoimmune Disease |
| 22 - Grand Valley Infectious Disease | ||||
| 2020 N 12th | Grand Junction | CO | 81501 | Infectious Disease |
| 23 - Canyon View Pharmacy | ||||
| 2373 G Road Suite 120 | Grand Junction | CO | 81505 | Retail Pharmacy |
| 24 - Canyon View Women's Health | ||||
| 2373 G Road Suite 240 | Grand Junction | CO | 81505 | Obstetrics, Gynecology, Nurse-Midwives |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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.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 from the same are 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 VI, 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Western Slope Center for Children | |||||||
| PO Box 3978 | Grand Junction | CO | 81502 | 841128554 | 501(c)(3) | $7,500 | General Support |
| Community Hospital Foundation | |||||||
| 2351 G Road | Grand Junction | CO | 81505 | 742576856 | 501(c)(3) | $10,000 | Gala Support |
| CMU Foundation | |||||||
| 1100 North Avenue | Grand Junction | CO | 81501 | 846037667 | 501(c)(3) | $44,325 | General Support |
| Citizens for School District 51 | |||||||
| PO Box 1933 | Grand Junction | CO | 81502 | 834596336 | $10,000 | Bond Measure Donation | |
| Grand Junction Soccer Club | |||||||
| 2791 Printers Court | Grand Junction | CO | 81506 | 840743815 | 501(c)(3) | $20,000 | General Support |
| Hilltop Community Resources | |||||||
| 1331 Hermosa Ave | Grand Junction | CO | 81506 | 742321009 | 501(c)(3) | $10,250 | General Support |
| Quality Health Network | |||||||
| 744 Horizon Court Suite 210 | Grand Junction | CO | 81506 | 201632384 | 501(c)(3) | $120,000 | Community Support |
| Redlands Middle School | |||||||
| 2200 Broadway | Grand Junction | CO | 81507 | 846002839 | $10,000 | Gym Floor | |
| Strive | |||||||
| 950 Grand Ave | Grand Junction | CO | 81501 | 846044855 | 501(c)(3) | $10,000 | Capital Campaign |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kirk Clifford | ||||||||||||||
| Physician | $735,360 | $0 | $4,580 | $0 | $4,490 | $0 | $22,421 | $0 | $26,197 | $0 | $793,048 | $0 | $0 | $0 |
| James Gebhard | ||||||||||||||
| Physician | $617,181 | $0 | $61,522 | $0 | $7,549 | $0 | $6,866 | $0 | $23,597 | $0 | $716,715 | $0 | $0 | $0 |
| Loius Stryker | ||||||||||||||
| Physician | $605,231 | $0 | $21,090 | $0 | $24,079 | $0 | $19,519 | $0 | $23,497 | $0 | $693,416 | $0 | $0 | $0 |
| James Rose | ||||||||||||||
| Physician | $437,255 | $0 | $183,918 | $0 | $18,415 | $0 | $19,277 | $0 | $26,246 | $0 | $685,111 | $0 | $0 | $0 |
| Mitchell Copeland | ||||||||||||||
| Physician | $519,046 | $0 | $103,040 | $0 | $5,701 | $0 | $17,601 | $0 | $24,574 | $0 | $669,962 | $0 | $0 | $0 |
| Thomas Tobin | ||||||||||||||
| CMO | $409,137 | $0 | $17,179 | $0 | $4,271 | $0 | $12,921 | $0 | $9,846 | $0 | $453,354 | $0 | $0 | $0 |
| Scot Houska | ||||||||||||||
| CCO | $205,697 | $0 | $22,780 | $0 | $6,245 | $0 | $7,131 | $0 | $26,047 | $0 | $267,900 | $0 | $0 | $0 |
| John Skillicorn | ||||||||||||||
| Executive Director of Physicians | $204,948 | $0 | $22,737 | $0 | $4,110 | $0 | $6,963 | $0 | $23,359 | $0 | $262,117 | $0 | $0 | $0 |
| Ed Johlman | ||||||||||||||
| CFO | $209,323 | $0 | $17,602 | $0 | $5,825 | $0 | $6,919 | $0 | $18,965 | $0 | $258,634 | $0 | $0 | $0 |
| Carolle Banville-Massone | ||||||||||||||
| COO/CNO (until Aug 2019) | $178,594 | $0 | $24,621 | $0 | $2,834 | $0 | $1,828 | $0 | $11,765 | $0 | $219,642 | $0 | $0 | $0 |
| Bart Butzine | ||||||||||||||
| CIO | $143,515 | $0 | $16,169 | $0 | $2,958 | $0 | $4,967 | $0 | $25,834 | $0 | $193,443 | $0 | $0 | $0 |
| Tawny Espinoza | ||||||||||||||
| VP of Business Development | $134,240 | $0 | $15,244 | $0 | $3,764 | $0 | $4,657 | $0 | $24,878 | $0 | $182,783 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| The Pathology Group PC | |||
| Board Member Dean Havlik is the sole owner | $141,741 | Payments for pathology contract | 0 |
| Diagnostic Radiology | |||
| Board Member Todd Hegstrom is the owner | $264,199 | Payments for radiology contract | 0 |
| Rachel Skillicorn | |||
| Daughter of key employee John Skillicorn | $23,912 | Payroll and benefits | 0 |
| Greg Houska | |||
| Son of key employee Scot Houska | $25,716 | Payroll and benefits | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 Commitee 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 2019 was $490,316 plus $98,253 of benefits. |
| 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 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 case basis. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Physicians Choice Real Estate LLC | |||||||||||||
| 2012 N 12th St | Grand Junction | CO | 815012980 | 841601063 | Real Estate | CO | Colorado West Healthcare System | Related | $68,011 | $1,411,589 | 0 | 0 | 0.62940 |
| Canyon View ASC | |||||||||||||
| 2373 G Road Ste 180 | Grand Junction | CO | 81505 | 455352976 | Ambulatory Surgery Center | CO | Colorado West Healthcare System | Related | $2,571 | $3,951,748 | 0 | 0 | 0.51000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Doctor's Clinic Building Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2351 G Rd | AddressLine1Txt |
| City | Grand Junction | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 815059641 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840507943 | EIN |
| Primary Activities | Real Estate Rental | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Colorado West Healthcare System | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $201,158 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $569,310 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Physicians Choice Real Estate LLC | ||
| K | $348,024 | Cash |
| Doctor's Clinic Building Inc | ||
| K | $201,159 | Cash |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R Part II | FormAndLineReferenceDesc |
| Explanation | During 2019, 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 classification 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 |