COLORADO WEST HEALTHCARE SYSTEM: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- COLORADO WEST HEALTHCARE SYSTEM (EIN 84-0469270)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-08
- IRS object ID
- 201943129349303309
- Schema version
- 2018v3.1
- 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 | 2019-11-08T15:33:09-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 | 2018-01-01 | 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 | 2019-11-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim C Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2019-11-01 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 216.147.181.45 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-01 | IPDt |
| IP Tm | 11:25:59 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 66CC91E6B7F11C4783FFFA5645E675327CB67316 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 66CC91E6B7F11C4783FFFA5645E675327CB67316 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | 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 | $150,965,554 | 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 | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1157 | TotalEmployeeCnt |
| Total Volunteers | 61 | TotalVolunteersCnt |
| Total Gross UBI | $429,607 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $408,799 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $120,033 | PYContributionsGrantsAmt |
| CY Contributions Grants | $19,500 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $127,113,964 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $148,907,044 | CYProgramServiceRevenueAmt |
| PY Investment Income | $428,575 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,222,050 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,507,695 | PYOtherRevenueAmt |
| CY Other Revenue | $636,277 | CYOtherRevenueAmt |
| PY Total Revenue | $129,170,267 | PYTotalRevenueAmt |
| CY Total Revenue | $150,784,871 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $68,735 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $61,608,655 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $68,264,529 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $68,280,631 | PYOtherExpensesAmt |
| CY Other Expenses | $82,106,554 | CYOtherExpensesAmt |
| PY Total Expenses | $129,889,286 | PYTotalExpensesAmt |
| CY Total Expenses | $150,439,818 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$719,019 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $345,053 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $110,194,423 | TotalAssetsBOYAmt |
| Total Assets EOY | $113,098,279 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $85,947,893 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $88,506,696 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,246,530 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,591,583 | 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 | $113,865,326 | ExpenseAmt |
| Grant | $68,735 | GrantAmt |
| Revenue | $149,113,714 | RevenueAmt |
| Desc | Community Hospital provides inpatient, outpatient, emergency, urgent, and primary health care services to communities in western Colorado which has been identified as a physician shortage area. During the tax year ended December 2018, Community Hospital had 7,723 patient days, 16,676 emergency room visits, 13,755 urgent care visits, 53,142 primary care visits, 3,878 oncology infusions and performed 3,473 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 | $113,865,326 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| 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 | 162 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1157 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Sam Starritt | |||||||||
| Chairman | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Janet Brink | |||||||||
| Vice Chairman | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Tarek Arja DO | |||||||||
| Secretary | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Todd Young | |||||||||
| Treasurer | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JJ Stroh DO | |||||||||
| Board Member | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Dale Rooks | |||||||||
| Board Member | 1.50 | 0.80 | Yes (X) | $0 | $0 | $0 | |||
| Dean Havlik MD | |||||||||
| Board Member | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Deedra Shear | |||||||||
| Board Member | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Mark Harrington | |||||||||
| Board Member | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Todd Hegstrom | |||||||||
| Board Member | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| David Kast MD | |||||||||
| Board Member | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Christian Thomas | |||||||||
| CEO | 40.00 | 0.80 | Yes (X) | $0 | $0 | $0 | |||
| Ed Johlman | |||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $207,178 | $0 | $24,048 | |||
| Scot Houska | |||||||||
| CCO | 40.00 | 0.00 | $201,012 | $0 | $30,230 | Yes (X) | |||
| Carolle Anne Banville | |||||||||
| CNO | 40.00 | 0.00 | $219,513 | $0 | $15,171 | Yes (X) | |||
| John Skillicorn | |||||||||
| Executive Director of Physicians | 40.00 | 0.00 | $181,367 | $0 | $27,049 | Yes (X) | |||
| Brent Woodson | |||||||||
| Physician | 40.00 | 0.00 | $506,749 | $0 | $36,815 | Yes (X) | |||
| Jo Anne Virgilio | |||||||||
| Physician | 40.00 | 0.00 | $500,911 | $0 | $39,301 | Yes (X) | |||
| Jack Bagley | |||||||||
| Physician | 40.00 | 0.00 | $454,046 | $0 | $36,062 | Yes (X) | |||
| Jonathan Frandsen | |||||||||
| Physician | 40.00 | 0.00 | $457,507 | $0 | $35,331 | Yes (X) | |||
| Sudy Jahangiri | |||||||||
| Physician | 40.00 | 0.00 | $418,372 | $0 | $26,402 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,146,655 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $270,409 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 89 | 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 |
|---|---|---|---|---|---|
| Community Anesthesia Consultants | |||||
| 2754 Compass Drive Suite 300 | Grand Junction | CO | 81506 | Anesthesia services | $1,746,455 |
| Medical Solutions Inc | |||||
| 1010 N 102nd St Suite 300 | Omaha | NE | 68114 | Contract work | $1,247,360 |
| University of Utah | |||||
| 201 Presidents Cir | Salt Lake City | UT | 84112 | Management assistance | $1,161,164 |
| Quorum Health Resources LLC | |||||
| 105 Continental Place | Brentwood | TN | 37027 | Management assistance | $1,067,503 |
| Mayo Collaborative Services Inc | |||||
| 200 1st St SW | Rochester | MN | 55905 | Reference lab | $549,894 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $19,500 | RelatedOrganizationsAmt |
| Total Contributions | $19,500 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 621110 | $144,509,289 | $144,509,289 |
| Pharmancy Revenue | 621110 | $3,613,772 | $3,613,772 |
| Cafeteria Revenue | 621110 | $523,767 | $523,767 |
| Other Revenue | 621110 | $394,881 | $394,881 |
| Equity in Subsidiary Income | 900099 | -$134,665 | -$134,665 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $148,907,044 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $191,337 | TotalRevenueColumnAmt |
| Exclusion | $191,337 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,144,439 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $113,726 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,030,713 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,030,713 | TotalRevenueColumnAmt |
| Exclusion | $1,030,713 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $84,641 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $66,957 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,684 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,684 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investment in LLC's | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $618,593 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $188,986 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $429,607 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $618,593 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $150,784,871 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $149,113,714 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $429,607 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,222,050 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,735 | TotalAmt |
| Program Services | $68,735 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $908,393 | TotalAmt |
| Management And General | $908,393 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,083,585 | TotalAmt |
| Program Services | $47,595,867 | ProgramServicesAmt |
| Management And General | $10,487,718 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $986,214 | TotalAmt |
| Program Services | $630,297 | ProgramServicesAmt |
| Management And General | $355,917 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,566,024 | TotalAmt |
| Program Services | $3,036,592 | ProgramServicesAmt |
| Management And General | $1,529,432 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,720,313 | TotalAmt |
| Program Services | $2,964,018 | ProgramServicesAmt |
| Management And General | $756,295 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $983,731 | TotalAmt |
| Management And General | $983,731 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $307,127 | TotalAmt |
| Management And General | $307,127 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,335 | TotalAmt |
| Management And General | $117,335 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,307 | TotalAmt |
| Program Services | $2,307 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,585,914 | TotalAmt |
| Program Services | $9,387,372 | ProgramServicesAmt |
| Management And General | $5,198,542 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,501 | TotalAmt |
| Management And General | $374,501 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,440,507 | TotalAmt |
| Program Services | $2,796,010 | ProgramServicesAmt |
| Management And General | $1,644,497 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,450,871 | TotalAmt |
| Program Services | $1,539,122 | ProgramServicesAmt |
| Management And General | $911,749 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,558 | TotalAmt |
| Program Services | $606 | ProgramServicesAmt |
| Management And General | $63,952 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,245 | TotalAmt |
| Program Services | $153,253 | ProgramServicesAmt |
| Management And General | $142,992 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,249,844 | TotalAmt |
| Program Services | $5,307,111 | ProgramServicesAmt |
| Management And General | $942,733 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,044,048 | TotalAmt |
| Program Services | $4,283,198 | ProgramServicesAmt |
| Management And General | $760,850 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,362,329 | TotalAmt |
| Program Services | $62,765 | ProgramServicesAmt |
| Management And General | $1,299,564 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $27,127,823 | $27,127,823 | |
| Bad Debt | $4,985,636 | $4,985,636 | |
| Provider Fees | $4,805,819 | $4,805,819 | |
| UBI Tax | $170,246 | $170,246 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,737,713 | TotalAmt |
| Program Services | $3,924,614 | ProgramServicesAmt |
| Management And General | $4,813,099 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,439,818 | TotalAmt |
| Program Services | $113,865,326 | ProgramServicesAmt |
| Management And General | $36,574,492 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,377,337 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,613,640 | BOYAmt |
| EOY | $5,190,239 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,491,844 | BOYAmt |
| EOY | $22,163,550 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,519 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,737,393 | BOYAmt |
| EOY | $2,994,206 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,075,988 | BOYAmt |
| EOY | $1,000,506 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $111,276,786 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $33,831,109 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,715,572 | BOYAmt |
| EOY | $77,445,677 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $619,164 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$471,937 | BOYAmt |
| EOY | -$709,828 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,373,067 | BOYAmt |
| EOY | $4,394,765 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,194,423 | BOYAmt |
| EOY | $113,098,279 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,280,665 | BOYAmt |
| EOY | $16,470,281 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,399 | BOYAmt |
| EOY | $111,771 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,255,407 | BOYAmt |
| EOY | $69,000,436 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,295,422 | BOYAmt |
| EOY | $2,924,208 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,947,893 | BOYAmt |
| EOY | $88,506,696 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,246,530 | BOYAmt |
| EOY | $24,591,583 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,246,530 | BOYAmt |
| EOY | $24,591,583 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,194,423 | BOYAmt |
| EOY | $113,098,279 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $345,053 | 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
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 | $2,307 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,307 | 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 | $61,048,899 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,531,703 | DepreciationAmt |
| Book Value | $53,517,196 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,978,947 | OtherCostOrOtherBasisAmt |
| Depreciation | $483,034 | DepreciationAmt |
| Book Value | $4,495,913 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,027,259 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,816,372 | DepreciationAmt |
| Book Value | $15,210,887 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $180,149 | OtherCostOrOtherBasisAmt |
| Book Value | $180,149 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $77,445,677 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third-Party Payor Settlement | $1,383,450 |
| Deferred Compensation | $1,540,758 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,924,208 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Hospital is organized as a Colorado nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Interal Revenue Code Section 501(c)(3). The Hospital is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Hospital is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Hospital files an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS to report its unrelated business taxable income. Income tax expense, if any, is included in other expenses in the consolidated statements of operations. 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. | ExplanationTxt |
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 | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $807,534 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $807,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,315,718 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,998,216 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,317,502 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05720 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $774,114 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $566,739 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $207,375 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,897,366 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,564,955 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,332,411 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06420 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $315,640 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $315,640 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $315,640 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $315,640 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,213,006 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,564,955 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,648,051 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06640 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,985,636 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $28,785,041 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $36,066,773 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,281,732 | 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 | https://yourcommunityhospital.com/Billing.cfm | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://yourcommunityhospital.com/Billing.cfm | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://yourcommunityhospital.com/Billing.cfm | 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 |
| 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 (10 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."We do not have adequate resources to solve all problems identified. Some issues identified are beyond the mission of the health system and action is best suited for a response by others. Some improvements will require personal actions by individuals rather than the response of an organization. We view this plan as providing guidance around how we, along with other area organizations and agencies, can collaborate to make the best medical care available to the citizens of our community.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 InequitiesObjectives: continue to recruit additional primary care providers to the service area; continue to grow Community Hospital's service line offerings; maintain a generous payer mix to allow for improved access to healthcare services for publicly insured or underinsured patients.Community Hospital continues to add more employed providers in the form of primary care, obstetrics and gynecology, oncology, and other ancillary services. In 2018 alone, Community Hospital has recruited 43 additional providers, across all service lines. Community Hospital also owns and operates six primary and pediatric care clinics in the Grand Valley. We recognize there is still a shortage of primary care providers in the area despite improved statistics, and we opened an additional practice in August 2018 as a result. Furthermore, we will continue to recruit additional providers until Mesa County's needs are met. For improved customer service, we continue to operate a primary care call center to assist patients with healthcare needs and continue to streamline the communication process between patient and provider.We also continue to expand and improve our Community Health Partnership (CHP) employer initiative. Our robust medical clinic contracts allow local employer groups to improve their covered lives' access to all healthcare services, specifically primary care, through narrow network facility agreements; this approach has also proven to substantially lower healthcare costs for our partners. One of the foundational goals of the CHP program is to foster the primary care provider-patient relationship as an appropriate entry point to the healthcare system. Our CHP agreements also include comprehensive disease management and wellness services. Currently, members are free to utilize nearly every primary care practice in the Grand Valley, including private practices. Since the last CHNA in 2015, we have again extended our current employer group partnerships for additional plan years and added a new employer partner who has also agreed to a multi-year agreement. We continue to offer the CHP Hotline, which is a resource designed to assist employer health plan members with questions and helps them navigate the healthcare system in an efficient and cost-effective way. The volume of calls to the CHP Hotline continues to grow year over year. Community Hospital has discovered from our own data that there is a high percentage of newborns with mothers insured by Medicaid in Mesa County. Through our participation in the 340B program, we are able to provide these Medicaid mothers with a safe, patient-centered environment to receive pre-natal, delivery, and post-natal care.2. Living ConditionsObjective: through facilitating improved provider-patient relationships, Mesa County residents will become better educated as to when and how to utilize appropriate healthcare services.The CHNA presented staggering statistics about the lack of preventive care utilization in Mesa County. At Community Hospital, we recognize that preventive care is designed to help decrease the severity of chronic health conditions through early detection and treatment. Thus, the more Mesa County residents utilize preventive care measures, the healthier the community will be.Community Hospital has continued to work with our CHP employer group partners to remove the financial barriers for preventive care. Many preventive resources - such as annual physical examinations, labs, and cancer screenings -are covered either through our direct contracts or through the member's health plan at a low or no cost copay. By eliminating the stressor of how care is afforded, this has a direct impact on the utilization of preventive care. Additionally, the CHP program offers onsite health screenings for our employer groups on an annual basis. These screenings provide a convenient opportunity for employees and spouses to find out their current health status through both biometric measurements and lab tests at no cost to them. A health screening such as this may help community members to identify health conditions they were previously unaware of. At the CHP health screenings in fall 2018, Community Hospital promoted an initiative to get all participants connected with a primary care provider. Not only did this initiative allow those with potentially abnormal results to follow up with a provider in a timely manner, but it also aided participants in establishing a regular source of health care moving forward. Additionally, as all of the CHP employer groups are privately insured, this initiative helped to increase the number of privately insured patients who have a regular primary care provider in Mesa County. By continuing to add additional employer groups to this partnership in the coming years, Community Hospital will help facilitate growth of private health insurance coverage in Mesa County.In 2018, Community Hospital also partnered with Anthem Blue Cross Blue Shield and Heritage Group to create a clinically integrated network for Anthem patients in Mesa County - The Mountain West Integrated Health Network. Mountain West is a closed network healthcare delivery system working to improve the quality of care and lower the costs of Mesa County-area patients. The clinically integrated network is an attempt to get providers and insurers to work together in a collaborative partnership that better allows them to more efficiently provide care for patients. This improved efficiency in turn lowers the costs and improves the quality of the care. Heritage Group uses population health strategies, utilization review, and case management tools to support its patients and providers. Heritage is able to early identify patients most at risk of a medical event and is able to provide support services that prevent expensive disease events. Maintenance of health in turn lowers the cost of care by reducing unnecessary and expensive ER visits and hospitalizations. The clinically integrated network also leads to a more informed and supportive and patient-centered care experience. Besides improved access to primary care services, home care services are an integral part of the successful management of patients in the network. Identification of patients most at risk and bolstering home care support and services to high-risk patients helps avoid expensive acute care events. In the end, using the collaboration, integration, and coordination of care the clinically integrated network brings enables Community Hospital to support, maintain and even improve the health of our patients while lowering the costs of the care delivered. continued... |
| 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. |
| 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. |
| Part V, Section B, Line 11 Continued: | 3. Risk BehaviorsObjectives: support initiatives to improve the health of teens and young adults in Mesa County; continue to encourage usage of effective tobacco cessation programs; continue to integrate and promote lifestyle-modification initiatives through the CHP program, continue to provide no cost flu vaccinations at the CHP annual health screenings, in our primary care clinics, and through Canyon View Pharmacy.Community Hospital participates in a committee, along with other local health-related organizations and the school system, to develop and implement a school-based health center. A facility such as this would allow teenagers to receive access to essential healthcare services, such as primary care and behavioral health services, in a location that is most convenient for them. By providing onsite services, students can receive care that helps to reduce risk behaviors like physical inactivity, smoking, and early drug and alcohol use. It is our hope that, by supporting this initiative through both participatory efforts and financial investment, Community Hospital can help contribute to a much-needed opportunity that will improve the health of students in Mesa County.Community Hospital also offers a weight management program for children, teens, and their families, called Project U. Project U is designed to involve the participant and their whole family. This 10-week program includes: pre assessment, post assessment, nutrition, physical activity, and mental health education, along with exercise classes. Additionally, Community Hospital providers and health coaches promote tobacco cessation during their visits. Health coaches help facilitate healthy behaviors and act as a resource to help their patients in evaluating their progress in reaching their goals. In addition to tobacco cessation, health coaches also help patients mitigate risk behaviors such as poor nutrition and limited physical activity; the CHP employer groups receive 12 health coaching visits per year at no cost to the employee. Grand Valley Oncology is also currently working towards creating a tobacco cessation program to benefit their patients.Community Hospital also offers a comprehensive behavior modification program to all CHP employer groups and Hospital employees. The Lifestyle Medicine Program is an 18-week program, designed to educate and incorporate lifestyle modifications. This class takes participants with chronic conditions, and offers them pre and post assessments, weekly nutrition education, mental health education, and exercise classes. We have partnered with Western Colorado Community College to offer hands-on cooking classes during this program. Community Hospital also acts as an advocate for flu prevention through offering no cost flu vaccines to all clinic patients, at annual CHP health screenings, and through our outpatient pharmacy.Through the Community Hospital and School District 51 health screenings, we are able to identify health risk areas for employees in the respective employer groups. Once these health risk areas have been identified, we are able to implement wellness initiatives, such as specific wellness classes, programs, and challenges. These types of programs help to better the overall health of the employee and ultimately help to decrease the identified health risk area.4. Disease & InjuryObjectives: Focus on initiatives to decrease rates and severity of lung cancer and suicide.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.Suicide:Community Hospital is committed to providing mental health stability for all patients. Any patient that goes to the Community Hospital Emergency Department is screened for suicide risk. If a patient is a suicide risk, they are placed in a safe environment and consulted by a Community Hospital Behavioral Health Specialist. This specialist does an assessment on the patient and determines if the patient is safe to go home or needs placement within the hospital. The specialist works with West Springs Hospital, as well as other facilities in Colorado, to find placement so the patient can receive treatment. Community Hospital keeps the patient in a safe environment until their treatment placement can be found. Community Hospital also provides aggregate suicide data to Mesa County Public Health and is part of a local suicide prevention coalition. Grand Valley Primary Care is also working towards integrating behavioral health to offer coordinated outpatient counseling and medication management. In 2018, we brought on Community Hospital's first psychiatric nurse practitioner. Through promoting improved behavioral health care in the outpatient setting, Community Hospital's counselors help patients establish coping mechanisms and support systems that may decrease suicidal tendencies. In combination, our inpatient and outpatient efforts support our ultimate goal to decrease the suicide rate in Mesa County.5. Obesity:Objective: Focus on initiatives to reduce obesity in Mesa County.Severe obesity increases the risk of death because of a comorbidity, such as diabetes, high blood pressure, and cardiovascular disease. According to the National Institutes of Health, 15.5 million people in the United States suffer from severe obesity, and the numbers continue to increase. In addition to the aforementioned lifestyle improvement programs, Community Hospital believes that bariatric surgery can be an effective means of weight loss for the appropriate patie |
| Schedule H, Part V, Section B, Line 16a-c: | FAP:https://yourcommunityhospital.com/PDFs/Financial%20Assistance%20Policy.pdfFAP Application:https://yourcommunityhospital.com/PDFs/Financial%20Application%20Website.pdfPlain Language Summary:https://yourcommunityhospital.com/PDFs/Financial%20Assistance%20in%20Plain20%Language.pdf |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Grand Valley Medical Oncology | ||||
| 2596 F Road | Grand Junction | CO | 81505 | Outpatient medical infusion |
| 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 - Occupational Health | ||||
| 2004 N 12th St | Grand Junction | CO | 81501 | Employment-related Exam Services |
| 5 - Grand Valley Urgent Care | ||||
| 1060 Orchard Ave Suite N | Grand Junction | CO | 81501 | Urgent Medical Services |
| 6 - EAP Behavioral Health Services | ||||
| 605 A B 28 1/4 Road | Grand Junction | CO | 81501 | Counseling Services |
| 8 - Colorado Mesa University Student Health | ||||
| 1060 Orchard Ave Suite N | Grand Junction | CO | 81501 | Student Medical Services |
| 9 - Colorado West Woman Care of the Grand Va | ||||
| 603 28 1/4 Road | Grand Junction | CO | 81501 | Obstetrics and Gynecology |
| 10 - Internal Medicine Assoc of the Grand Va | ||||
| 607 28 1/4 Road | Grand Junction | CO | 81506 | Internal Medicine |
| 11 - Fruita Family Medicine - Grand Valley | ||||
| 551 Kokopelli Dr Suite F | Grand Junction | CO | 81501 | Outpatient Physician Practice |
| 12 - Grand Valley ENT & Facial | ||||
| 2373 G Road Suite 270 | Grand Junction | CO | 81505 | ENT & Facial |
| 13 - Grand Valley Pediatrics | ||||
| 601 B 28 1/4 Road | Grand Junction | CO | 81506 | Pediatrics |
| 14 - Western Orthopedics & Sports Medicine | ||||
| 2373 G Road Suite 100 | Grand Junction | CO | 81505 | Sports Medicine & General Orthopedics |
| 15 - Western Colorado Spine | ||||
| 2373 G Road Suite 100 | Grand Junction | CO | 81505 | Sports Medicine & General Orthopedics |
| 16 - Advanced Pulmonary and Critical Care of | ||||
| 2373 G Road Suite 160 | Grand Junction | CO | 81505 | Pulmonary |
Supplemental Information Detail SupplementalInformationDetail (14 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. |
| Part I, Line 6a: | The community benefit report is available upon request. |
| 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 I, Ln 7 Col(f): | The Bad Debt expense included in Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $4,985,636. |
| Part III, Line 2: | Community Hospital follows Healthcare Financial Management Association Statement No. 15, and therefore bad debt does not include amounts that would be attributable to charity care. Bad debt on line 2 is reported at charges. |
| Part III, Line 3: | Charity care is calculated as a percentage of total revenues. |
| Part III, Line 4: | The footnote that describes bad debt expense is found on pages 9-10 of the attached audit report. |
| 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: | Part of the Hospital's financial assistance and charity care policy provides for a financial counselor to meet with all uninsured patients prior to discharge from the Hospital. Every effort is made to work with self-pay patients to determine financial assistance eligibility. Collections actions are not taken until eligibility is determined. |
| Part V, Line 16i Financial Assistance Policy | Description of failureType of failure: 501(r)(4) - The hospital is required to translate the financial assistance policy, plain language summary and financial assistance policy application into Spanish as more than the lesser of 1,000 individuals or 5% of the community served by the hospital speaks Spanish as a primary language. The hospital did not translate the financial assistance policy or plain language summary into Spanish. Cause of the failure: The hospital facility did not realize the FAP and plain language summary were required to be translated in addition to the application. The facility does have staff that are able to provide translation services in Spanish. The hospital did translate the financial assistance application into Spanish and made that available upon request.Facility or facilities where the failure occurred: The failure occurred in all facilities operated under Colorado West Healthcare System. The date(s) of the failure: UnknownThe date of the discovery of the failure: October 28, 2019The number of occurrences: UnknownDescription of the correction of the failureMethod of correction: The financial assistance policy and plain language summary are being translated into Spanish. The documents will be made available at each facility and on the website.Date of correction: Prior to November 30, 2019Description of the practices or procedures put into placeThe financial assistance policy and plain language summary will be translated into Spanish and posted on the website at https://yourcommunityhospital.com/. The translated documents will also be available at each facility. In addition, Colorado West Healthcare System continues to provide translation services to assist LEP patients with questions they may have regarding financial assistance. |
| 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 |
|---|---|---|---|---|---|---|---|
| Grand Junction Soccer Club | |||||||
| 552 25 Road Suite B | Grand Junction | CO | 81505 | 840743815 | 501(c)(3) | $10,000 | General Support |
| St Baldrick's Foundation | |||||||
| 1333 South Mayflower Suite 400 | Monrovia | CA | 91016 | 201173824 | 501(c)(3) | $5,000 | General Support |
| Colorado Mesa University Foundation | |||||||
| 1041 Mesa Avenue | Grand Junction | CO | 81502 | 846037667 | 501(c)(3) | $5,000 | General Support |
| Grand Junction Economic Partnership | |||||||
| 122 North 6th Street | Grand Junction | CO | 81501 | 840972492 | 501(c)(3) | $10,000 | General Support |
| John McConnell Math & Science | |||||||
| 2660 Unaweep Avenue | Grand Junction | CO | 81503 | 201641549 | 501(c)(3) | $10,000 | General Support |
| B4 BabiesHilltop | |||||||
| 1129 Colorado Avenue Suite 117 | Grand Junction | CO | 81504 | 742321009 | 501(c)(3) | $5,000 | General Support |
| District 51 Foundation | |||||||
| 2115 Grand Avenue | Grand Junction | CO | 81501 | 273662704 | 501(c)(3) | $5,000 | General Support |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
| Total Other Org | 0 | 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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ed Johlman | ||||||||||||||
| CFO | $201,477 | $0 | $0 | $0 | $5,701 | $0 | $6,271 | $0 | $18,491 | $0 | $231,940 | $0 | $0 | $0 |
| Scot Houska | ||||||||||||||
| CCO | $195,003 | $0 | $0 | $0 | $6,009 | $0 | $6,206 | $0 | $24,732 | $0 | $231,950 | $0 | $0 | $0 |
| Carolle Anne Banville | ||||||||||||||
| CNO | $215,854 | $0 | $0 | $0 | $3,659 | $0 | $1,707 | $0 | $14,229 | $0 | $235,449 | $0 | $0 | $0 |
| John Skillicorn | ||||||||||||||
| Executive Director of Physicians | $178,281 | $0 | $0 | $0 | $3,086 | $0 | $5,674 | $0 | $22,011 | $0 | $209,052 | $0 | $0 | $0 |
| Brent Woodson | ||||||||||||||
| Physician | $478,259 | $0 | $0 | $0 | $28,490 | $0 | $15,441 | $0 | $22,194 | $0 | $544,384 | $0 | $0 | $0 |
| Jo Anne Virgilio | ||||||||||||||
| Physician | $483,597 | $0 | $10,625 | $0 | $6,689 | $0 | $15,277 | $0 | $24,844 | $0 | $541,032 | $0 | $0 | $0 |
| Jack Bagley | ||||||||||||||
| Physician | $450,554 | $0 | $0 | $0 | $3,492 | $0 | $11,125 | $0 | $25,757 | $0 | $490,928 | $0 | $0 | $0 |
| Jonathan Frandsen | ||||||||||||||
| Physician | $454,094 | $0 | $0 | $0 | $3,413 | $0 | $13,956 | $0 | $22,194 | $0 | $493,657 | $0 | $0 | $0 |
| Sudy Jahangiri | ||||||||||||||
| Physician | $403,130 | $0 | $11,875 | $0 | $3,367 | $0 | $12,618 | $0 | $14,604 | $0 | $445,594 | $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 (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| The Pathology Group PC | |||
| Board Member Dean Havlik is the sole owner | $136,956 | Payments for pathology contract | 0 |
| Diagnostic Radiology | |||
| Board Member Todd Hegstrom is the owner | $150,124 | Medical Director | 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 2018 was $424,700 plus $86,183 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 Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Hospital Foundation | 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) |
|---|---|---|
| EIN | 742576856 | EIN |
| Primary Activities | Fundraising | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 12c, III-FI | PublicCharityStatusTxt |
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) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
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 | $63,093 | $1,446,798 | 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 | -$93,747 | -$916,112 | 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 | $201,159 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $439,533 | 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 | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | 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 | $174,012 | Cash |
| Doctor's Clinic Building Inc | ||
| K | $201,159 | Cash |