COLORADO WEST HEALTHCARE SYSTEM: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- COLORADO WEST HEALTHCARE SYSTEM (EIN 84-0469270)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201803189349308765
- Schema version
- 2017v2.3
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-14T12:34:23-07:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | 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 | 2018-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LUKE ZARECOR | PreparerPersonNm |
| PTIN | P02161725 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2018-11-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 63.131.236.90 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-14 | IPDt |
| IP Tm | 13:34:23 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 4E47AE817102BDCE7527071ECCD14AD9DFD4CEB5 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2474EFBFE268E1323248D70D812BABF32F861C74 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | 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 | $129,255,375 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | YOURCOMMUNITYHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1061 | TotalEmployeeCnt |
| Total Volunteers | 61 | TotalVolunteersCnt |
| Total Gross UBI | $343,267 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $326,445 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $146 | PYContributionsGrantsAmt |
| CY Contributions Grants | $120,033 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $84,918,541 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $127,113,964 | CYProgramServiceRevenueAmt |
| PY Investment Income | $442,513 | PYInvestmentIncomeAmt |
| CY Investment Income | $428,575 | CYInvestmentIncomeAmt |
| PY Other Revenue | $239,325 | PYOtherRevenueAmt |
| CY Other Revenue | $1,507,695 | CYOtherRevenueAmt |
| PY Total Revenue | $85,600,525 | PYTotalRevenueAmt |
| CY Total Revenue | $129,170,267 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $40,221 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $39,151,883 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $61,608,655 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $19,112 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $50,013,895 | PYOtherExpensesAmt |
| CY Other Expenses | $68,280,631 | CYOtherExpensesAmt |
| PY Total Expenses | $89,205,999 | PYTotalExpensesAmt |
| CY Total Expenses | $129,889,286 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,605,474 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$719,019 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $108,425,853 | TotalAssetsBOYAmt |
| Total Assets EOY | $110,194,423 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $83,460,304 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $85,947,893 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,965,549 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,246,530 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $111,280,548 | ExpenseAmt |
| Revenue | $127,113,964 | 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 2017, COMMUNITY HOSPITAL HAD 8,603 PATIENT DAYS, 16,140 EMERGENCY ROOM VISITS, 11,990 URGENT CARE VISITS, 42,566 PRIMARY CARE VISITS, 3,654 ONCOLOGY INFUSIONS AND PERFORMED 3,250 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. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 2,002,330 FOR CHARITY CARE, 111,746,645 FOR MEDICARE, 41,401,428 FOR MEDICAID, AND 59,615,616 FOR OTHER THIRD PARTY PAYORS. | Desc |
| Total Program Service Expenses | $111,280,548 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 160 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1061 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JON HOOKER | PersonNm |
| 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 (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| SAM STARRITT | |||||||||
| CHAIR | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JANET BRINK | |||||||||
| VICE CHAIR | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| TAREK ARJA | |||||||||
| SECRETARY | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| TODD YOUNG | |||||||||
| TREASURER | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JJ STROH | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| DALE ROOKS | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | 0.80 | |||
| DEAN HAVLIK | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| DEEDRA COPELAND SHEAR | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| MARK HARRINGTON | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| TODD HEGSTROM | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| LARRY KENT | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| MIKE DANIELS | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| DAVE VARGO | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| DANNY MISTRY | |||||||||
| BOARD MEMBER | 1.50 | Yes (X) | $0 | $0 | $0 | ||||
| ED JOHLMAN | |||||||||
| CFO | 40.00 | Yes (X) | $201,687 | $0 | $14,984 | ||||
| CHRISTIAN THOMAS | |||||||||
| CEO | 40.00 | Yes (X) | $0 | $0 | $0 | 0.80 | |||
| SCOT HOUSKA | |||||||||
| CCO | 40.00 | $182,146 | $0 | $9,154 | Yes (X) | ||||
| JOHN SKILLICORN | |||||||||
| EXEC DIR PHY | 40.00 | $166,637 | $0 | $17,082 | Yes (X) | ||||
| DAVID MURRAY | |||||||||
| CCO THRU JAN | 40.00 | $155,370 | $0 | $2,110 | Yes (X) | ||||
| BRENT WOODSON | |||||||||
| PHYSICIAN | 36.00 | $499,297 | $0 | $25,814 | Yes (X) | ||||
| JO ANNE VIRGILIO | |||||||||
| PHYSICIAN | 36.00 | $487,601 | $0 | $27,715 | Yes (X) | ||||
| JACK BAGLEY | |||||||||
| PHYSICIAN | 36.00 | $430,809 | $0 | $24,996 | Yes (X) | ||||
| WILLIAM MOELLER | |||||||||
| PHYSICIAN | 36.00 | $430,788 | $0 | $15,077 | Yes (X) | ||||
| JONATHAN KING | |||||||||
| PHYSICIAN | 40.00 | $420,461 | $0 | $23,988 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,974,796 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $160,920 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 78 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICAL SOLUTIONS INC | |||||
| 1010 N 102ND ST SUITE 300 | OMAHA | NE | 68114 | NURSING STAFF | $1,849,449 |
| COMMUNITY ANESTHESIA CONSULTANTS IN | |||||
| 2754 COMPASS DRIVE SUITE 300 | GRAND JUNCTION | CO | 81506 | PHYSICIAN SERVI | $1,846,746 |
| MEDTRONIC USA | |||||
| 4642 COLLECTION CENTER DR | CHICAGO | IL | 60693 | HEALTHCARE PROF | $816,206 |
| QUORUM HEALTH RESOURCES LLC | |||||
| 105 CONTINENTAL PLACE | BRENTWOOD | TN | 37027 | MANAGEMENT | $740,658 |
| MAYO COLLABORATIVE SERVICES INC | |||||
| 200 1ST STREET SW | ROCHESTER | MN | 55905 | LAB SERVICES | $530,359 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 39 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $43,120 | GovernmentGrantsAmt |
| All Other Contributions | $76,913 | AllOtherContributionsAmt |
| Total Contributions | $120,033 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $124,142,259 | $124,142,259 |
| PHARMACY REVENUE | 621110 | $2,971,705 | $2,971,705 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $127,113,964 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $445,210 | TotalRevenueColumnAmt |
| Exclusion | $445,210 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $34,556 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $51,191 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$16,635 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$16,635 | TotalRevenueColumnAmt |
| Exclusion | -$16,635 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $73,041 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $33,917 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,124 | TotalRevenueColumnAmt |
| Exclusion | $39,124 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 900099 | $493,029 | $493,029 | |
| HEALTHCARE MANAGEMENT, LLC | 900099 | $343,267 | $343,267 | |
| OTHER REVENUE | 900099 | $286,457 | $286,457 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $345,818 | TotalRevenueColumnAmt |
| Exclusion | $345,818 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,468,571 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,170,267 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $127,113,964 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $343,267 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,593,003 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $749,173 | TotalAmt |
| Management And General | $749,173 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,145,018 | TotalAmt |
| Program Services | $42,865,039 | ProgramServicesAmt |
| Management And General | $5,272,202 | ManagementAndGeneralAmt |
| Fundraising | $7,777 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $971,043 | TotalAmt |
| Program Services | $867,675 | ProgramServicesAmt |
| Management And General | $103,211 | ManagementAndGeneralAmt |
| Fundraising | $157 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,278,420 | TotalAmt |
| Program Services | $7,300,930 | ProgramServicesAmt |
| Management And General | $976,187 | ManagementAndGeneralAmt |
| Fundraising | $1,303 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,465,001 | TotalAmt |
| Program Services | $3,001,948 | ProgramServicesAmt |
| Management And General | $461,797 | ManagementAndGeneralAmt |
| Fundraising | $1,256 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $740,658 | TotalAmt |
| Management And General | $740,658 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,085 | TotalAmt |
| Management And General | $297,085 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,500 | TotalAmt |
| Management And General | $112,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,959,545 | TotalAmt |
| Program Services | $12,441,429 | ProgramServicesAmt |
| Management And General | $1,518,116 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,808 | TotalAmt |
| Program Services | $433 | ProgramServicesAmt |
| Management And General | $322,375 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,740,833 | TotalAmt |
| Program Services | $4,329,952 | ProgramServicesAmt |
| Management And General | $410,769 | ManagementAndGeneralAmt |
| Fundraising | $112 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,959,267 | TotalAmt |
| Management And General | $1,959,267 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $678,481 | TotalAmt |
| Program Services | $585,687 | ProgramServicesAmt |
| Management And General | $92,412 | ManagementAndGeneralAmt |
| Fundraising | $382 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,677 | TotalAmt |
| Program Services | $60,197 | ProgramServicesAmt |
| Management And General | $110,480 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,318,276 | TotalAmt |
| Program Services | $5,477,191 | ProgramServicesAmt |
| Management And General | $837,609 | ManagementAndGeneralAmt |
| Fundraising | $3,476 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,185,202 | TotalAmt |
| Program Services | $4,439,931 | ProgramServicesAmt |
| Management And General | $742,191 | ManagementAndGeneralAmt |
| Fundraising | $3,080 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,139,474 | TotalAmt |
| Program Services | $481,270 | ProgramServicesAmt |
| Management And General | $658,204 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $25,003,103 | $25,003,103 | ||
| OTHER EXPENSE | $5,123,080 | $283,398 | $4,839,406 | $276 |
| REPAIRS & MAINTENANCE | $1,947,916 | $1,884,789 | $63,127 | |
| LICENSES | $336,337 | $330,459 | $5,878 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,389 | TotalAmt |
| Program Services | $1,927,117 | ProgramServicesAmt |
| Management And General | -$1,683,021 | ManagementAndGeneralAmt |
| Fundraising | $1,293 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,889,286 | TotalAmt |
| Program Services | $111,280,548 | ProgramServicesAmt |
| Management And General | $18,589,626 | ManagementAndGeneralAmt |
| Fundraising | $19,112 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,377,337 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,131,487 | BOYAmt |
| EOY | $4,613,640 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,762,914 | BOYAmt |
| EOY | $19,491,844 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,253,906 | BOYAmt |
| EOY | $281,519 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,882,538 | BOYAmt |
| EOY | $2,737,393 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $682,846 | BOYAmt |
| EOY | $1,075,988 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $106,502,633 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $28,787,061 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,616,659 | BOYAmt |
| EOY | $77,715,572 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$187,266 | BOYAmt |
| EOY | -$471,937 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,282,769 | BOYAmt |
| EOY | $3,373,067 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,425,853 | BOYAmt |
| EOY | $110,194,423 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,807,224 | BOYAmt |
| EOY | $14,280,665 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $116,399 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,515,733 | BOYAmt |
| EOY | $62,255,407 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,137,347 | BOYAmt |
| EOY | $9,295,422 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,460,304 | BOYAmt |
| EOY | $85,947,893 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,965,549 | BOYAmt |
| EOY | $24,246,530 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,965,549 | BOYAmt |
| EOY | $24,246,530 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,425,853 | BOYAmt |
| EOY | $110,194,423 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$719,019 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $2,402 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,402 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO COLORADO HOSPITAL ASSOCIATION. THE ASSOCIATION USES A PORTION OF SUCH DUES TO CARRY OUT 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 | $60,908,926 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,245,788 | DepreciationAmt |
| Book Value | $55,663,138 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,978,947 | OtherCostOrOtherBasisAmt |
| Depreciation | $323,374 | DepreciationAmt |
| Book Value | $4,655,573 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,479,796 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,217,899 | DepreciationAmt |
| Book Value | $13,261,897 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $93,432 | OtherCostOrOtherBasisAmt |
| Book Value | $93,432 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $77,715,572 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $7,684,678 |
| DEFERRED COMPENSATION | $1,344,608 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEME | $266,136 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,295,422 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL AND FOUNDATION ARE ORGANIZED AS COLORADO NONPROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE HOSPITAL AND FOUNDATION ARE ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THEY ARE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. SIMILARLY, THE HOSPITAL AND FOUNDATION ARE EXEMPT FROM STATE INCOME TAXES UNDER SIMILAR PROVISIONS OF STATE LAWS. THE HOSPITAL FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. INCOME TAX EXPENSE, IF ANY, IS INCLUDED IN OTHER EXPENSES IN THE CONSOLIDATED STATEMENT OF OPERATIONS. THE HOSPITAL AND FOUNDATION BELIEVE THAT THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING THEIR ANNUAL FILING REQUIREMENTS, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 1.500000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $744,245 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $744,245 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,732,969 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,471,586 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,261,383 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10980 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $962,468 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $581,256 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $381,212 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,439,682 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,052,842 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,386,840 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11850 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $278,468 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $278,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $278,468 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $278,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,718,150 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,052,842 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,665,308 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,483,879 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $24,228,960 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $32,438,918 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,209,958 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| GRAND JUNCTION MEDIC | ||
| PROPERTY RENTAL | 0.10000 | 0.40000 |
| CANYON VIEW ASC LLC | ||
| AMBULATORY SURGERY CENTER | 0.51000 | 0.49000 |
| PHYSICIANS CHOICE RE | ||
| PROPERTY RENTAL | 0.63000 | 0.37000 |
| COMMUNITY HEALTH PRO | ||
| INSURANCE LIAISON | 0.50000 | 0.50000 |
| 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 | 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 | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | 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 |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | YOURCOMMUNITYHOSPITAL.COM | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V LINE 7D | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V LINE 7D | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | 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 (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | YOURCOMMUNITYHOSPITAL.COM/BILLING.CFM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | YOURCOMMUNITYHOSPITAL.COM/BILLING.CFM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | 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 (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | Yes (true) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 5 | COMMUNITY HOSPITAL WAS AN ACTIVE PARTICIPANT IN THE CHNA IN COLLABORATION WITH THE MESA COUNTY HEALTH DEPARTMENT AND A NUMBER OF OTHER LOCAL HOSPITALS AND ORGANIZATIONS IN MESA COUNTY. PRIMARY DATA WAS COLLECTED FROM SUBJECT MATTER EXPERTS AND COMMUNITY MEMBERS THROUGH FOCUS GROUPS, INFORMAL INTERVIEWS, AND ELECTRONIC SURVEYS. |
| FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 6A | THE CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: FAMILY HEALTH WEST HOSPITAL, ST. MARYS HOSPITAL & REGIONAL MEDICAL CENTER, AND MIND SPRINGS HOSPITAL, INC. |
| FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 6B | THE CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER ORGANIZATIONS: MESA COUNTY HEALTH DEPARTMENT, HILLTOP, AND MARILLAC CLINIC. |
| FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 7D | CHNA AND IMPLEMENTATION STRATEGY ON HOSPITAL WEBSITE AS FOLLOWS: HTTPS://YOURCOMMUNITYHOSPITAL.COM/COMMUNITY_HEALTH_NEEDS_ASSESSMENT.CFM CHNA ON OTHER WEBSITE AS FOLLOWS: HTTP://HEALTH.MESACOUNTY.US/SERVICES/COMMUNITY/DATA-REPORTS/ |
| FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 11 | COMMUNITY HOSPITAL WAS AN ACTIVE PARTICIPANT IN PREVIOUS CHNA IN COLLABORATION WITH THE MESA COUNTY HEALTH DEPARTMENT 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. ACCESS TO HEALTH CARE - COMMUNITY HOSPITAL HAS BEEN VERY SUCCESSFUL IN ITS MISSION TO RECRUIT NEW PRIMARY CARE PROVIDERS IN THIS SERVICE AREA. WE HAVE GROWN THE NUMBER OF PROVIDERS IN OUR EMPLOYMENT MODEL AND WE HAVE ASSISTED OUR COMMUNITY PARTNER PRACTICES BY RECRUITING PROVIDERS INTO THEIR BUSINESSES. IN ADDITION, WE HAVE PROVIDED PRACTICE MANAGEMENT SERVICES AND AN ELECTRONIC MEDICAL RECORDS SYSTEM TO ENHANCE THE OPERATIONS OF OUR LOCAL HEALTH DEPARTMENTS SAFETY NET CLINIC TO IMPROVE ACCESS TO UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. WE HAVE ALSO EXPANDED OUR DIRECT CONTRACT RELATIONSHIPS WITH EMPLOYER GROUPS IN THE COMMUNITY TO PROVIDE 24/7 PRIMARY CARE SERVICES AT A MINIMAL COST TO THE EMPLOYEES AND HEALTH PLAN MEMBERS WITHIN THEIR POPULATIONS. COMMUNITY HOSPITAL CONTINUES TO ADD MORE EMPLOYED PROVIDERS IN THE FORM OF PRIMARY CARE, URGENT CARE, OBSTETRICS, GYNECOLOGY AND MIDWIFERY. FOR IMPROVED CUSTOMER SERVICE, WEVE LAUNCHED A PRIMARY CARE CALL CENTER TO ASSIST PATIENTS WITH HEALTHCARE NEEDS AND TO STREAMLINE THE COMMUNICATION PROCESS BETWEEN PATIENT AND PROVIDER. OVER THE PAST YEAR, WEVE EXPANDED OUR COMMUNITY HEALTH PARTNERSHIP EMPLOYER INITIATIVE TO INCLUDE A NARROW FACILITY NETWORK ALONG WITH THE PRIMARY CARE MEDICAL CLINIC DIRECT ARRANGEMENTS. THIS ENHANCEMENT INCREASES ACCESS AND LOWERS THE COST OF HEALTHCARE FOR EMPLOYERS WITH WHICH WE PARTNER. IN ADDITION, WEVE EXPANDED THE PRIMARY CARE ACCESS FOR OUR DIRECT CONTRACT EMPLOYER GROUPS TO INCLUDE OTHER PRIVATE PRACTICES IN THE SERVICE AREA. TO THIS END, WEVE 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. THE CHP PARTNERS HOTLINE, CREATED TO ASSIST EMPLOYER HEALTH PLAN MEMBERS WITH QUESTIONS AND HELP THEM NAVIGATE THE HEALTH CARE SYSTEM, CONTINUES TO GROW WITH THE VOLUME OF PHONE CALLS. THE PRIMARY CARE PRACTICES ARE ENGAGED IN THE PROCESS TO BECOME PATIENT CENTERED MEDICAL HOMES. ADDITIONALLY, COMMUNITY HOSPITAL HAS PARTNERED WITH BOTH THE UNIVERSITY OF UTAH HEALTH PLANS AND ANTHEM BLUE CROSS BLUE SHIELD TO OFFER AN INSURANCE PRODUCT SPECIFICALLY FOR SMALL EMPLOYER GROUPS (2+ EMPLOYEES). THESE GROUPS PREVIOUSLY DID NOT HAVE ACCESS TO HEALTH CARE, OR IT WAS COST PROHIBITIVE. THE ADDITION OF THESE PRODUCTS IN OUR MARKETS IMPROVES ACCESS TO AFFORDABLE HEALTHCARE. TOBACCO USE - COMMUNITY HOSPITAL CONTINUES TO PARTNER WITH LOCAL AGENCIES TO PROVIDE SERVICES WHERE THERE ARE GAPS WITH TOBACCO CESSATION RESOURCES. WEVE OFFERED CLASSES TO THE COMMUNITY AND TO OUR EMPLOYER GROUP PARTNERS. WE CONTINUE TO OFFER CLASSES, WHEN REQUESTED, TO THE EMPLOYER GROUPS AND HAVE INCREASED ATTENTION TO INDIVIDUALS THROUGH ONE-ON-ONE INTERACTIONS WITH OUR HEALTH CARE TEAM, ESPECIALLY OUR HEALTH COACH/HEALTH PROMOTION TEAM. ALTHOUGH WE HAVE INDIVIDUALS CERTIFIED TO TEACH THESE CLASSES, THEY ARE NOT WELL UTILIZED AT THIS TIME. WE WILL CONTINUE TO PROMOTE THIS SERVICE OFFERING TO OUR COMMUNITY HEALTH PARTNERSHIP EMPLOYER GROUPS. OBESITY - WE HAVE FORMED A COMMUNITY HOSPITAL INTERDISCIPLINARY POPULATION HEALTH MANAGEMENT TEAM THAT IS FOCUSING ON DIABETES. WERE DEVELOPING AUTOMATED COMMUNICATION PLATFORMS IN THE AREAS OF OUR EMERGENCY DEPARTMENT, URGENT CARE FACILITIES, PRIMARY CARE FACILITIES AND IN THE TRANSITION PHASES WHEN A PATIENT IS ADMITTED AND WHEN THE PATIENT IS DISCHARGED; TRANSITIONING THE CARE AND APPROPRIATE CLINICAL INFORMATION TO THE APPROPRIATE OUTPATIENT PROVIDER/SERVICE. OUR TARGET POPULATION PILOT GROUPS ARE OUR EMPLOYER GROUPS WHO HAVE CONTRACTED WITH US FOR PRIMARY CARE SERVICES AS WELL AS PATIENTS WHO UTILIZE OUR SYSTEM. WE HAVE HIRED RN CARE COORDINATORS WHO QUARTERBACK THE TEAM OF PROVIDERS; WHICH NOW INCLUDES OUR HEALTH COACH/CARE COORDINATORS AS EXTENDERS. WE HAVE SUPPORTED THE LOCAL DIABETES COUNTS PROGRAM FOR YOUNG DIABETICS AND HAVE COORDINATED EFFORTS WITH OTHER LOCAL INITIATIVES. CREATED AND SUPPORTED BY AN INTERDISCIPLINARY TEAM, WEVE ALSO LAUNCHED A NEW WEIGHT MANAGEMENT PROGRAM, PROJECT U, FOR COMMUNITY MEMBERS. WE WILL CONTINUE TO WORK WITH OTHER COMMUNITY AGENCIES. COMMUNITY HOSPITAL IS PROGRESSING TOWARD A DIABETES CENTER OF EXCELLENCE AND A BARIATRIC CENTER OF EXCELLENCE. THE TWO DEPARTMENTS ARE NOW CO-LOCATED WITH THE HEALTH COACHING TEAM, WHICH PROVIDES STRENGTH IN PROMOTION OF DEPARTMENT SPECIFIC PROGRAMS TO TARGET AUDIENCES, PREVENTION OF DUPLICATION OF PROGRAMS AND OPPORTUNITIES TO COLLABORATE ON MORE EFFECTIVE PROGRAM DEVELOPMENT. COMMUNITY PROVIDES OUTREACH TO EMPLOYER GROUPS FOR WELLNESS AND LIFESTYLE PROGRAMS, PERFORMS AND HOSTS COMMUNITY WIDE COOKING CLASSES, SELF-MANAGEMENT PROGRAMS, HEALTH EDUCATION PROGRAMS AS WELL AS DIABETES SPECIFIC SUPPORT GROUPS AND EDUCATION, SKILL-BUILDING SESSIONS. WELLNESS CHALLENGES ARE ALSO PROVIDED THROUGH EMPLOYER GROUP WELLNESS COMMITTEES AND INCLUDE A VARIETY OF WELLNESS TOPICS AND INCENTIVES FOR PARTICIPANTS THROUGHOUT THE YEAR. WE CONTINUED TO WORK WITH OUR CHP EMPLOYER GROUP PARTNERS TO REMOVE THE FINANCIAL BARRIERS FOR UTILIZING OUTPATIENT NUTRITION AND DIABETES SERVICES. THESE RESOURCES ARE NOW COVERED THROUGH THE MEMBERS HEALTH PLAN AT EITHER A ZERO COPAY OR LOW COPAY, ALLOWING INCREASED ACCESS FOR NUTRITION AND DIABETES EDUCATION. COMMUNITY HAS ALSO PARTNERED WITH OTHER AGENCIES ON A GRANT FUNDED DIABETES PREVENTION PROGRAM AIMED TO PROVIDE EDUCATION TO COMMUNITY MEMBERS IDENTIFIED AS PRE-DIABETIC. WE REFER MEMBERS TO THIS NO-COST PROGRAM AND PROVIDE SPACE FOR PROGRAM CLASSES TO TAKE PLACE. OUR LIFESTYLE MEDICINE PROGRAM WAS INTRODUCED AS A PILOT IN 2016, AND RESULTS HAVE PROVED SIGNIFICANT FOR TWO PARTICIPATING CHP EMPLOYER PARTNERS. OUTCOMES INCLUDE WEIGHT LOSS, INCREASED MEDICATION COMPLIANCE, DECREASED MEDICATION DOSAGE/DEPENDENCE, DECREASED A1C, AS WELL AS INCREASED CONFIDENCE/BELIEF THAT HEALTH IS A SKILL. WE WILL CONTINUE TO OFFER THIS PROGRAM AT A REDUCED COST, WHICH IS PAID FOR BY THE EMPLOYER. AS AN INITIATIVE THROUGH OUR PRACTICES, STEPS ARE BEING TAKEN TO PERFORM POPULATION HEALTH MANAGEMENT FOR PATIENTS AND EMPLOYER GROUPS IN OUR SYSTEM. EFFORTS TO ALIGN REPORTS FROM OUR MEDICAL RECORD SYSTEM AND OTHER DATA RESOURCES CONTINUE TO EVOLVE, BUT CONTINUE TO PRESENT CHALLENGES FOR OUTCOMES MEASUREMENT. WE HAVE CREATED A PILOT PROGRAM WITH MESA COUNTY VALLEY SCHOOL DISTRICT 51 TO EFFECTIVELY MANAGE THEIR DIABETIC POPULATION. FOLLOWING HEDIS MEASURES, IF DIABETICS SEE THEIR PRIMARY CARE PROVIDER AND DIABETIC EDUCATOR ON A QUARTERLY BASIS, THE DISTRICT WILL PAY FOR ALL DIABETIC MEDICATIONS. ADDITIONALLY, THEY WILL EARN A 150 QUARTERLY STIPEND TO HELP OFFSET THE EXPENSE OF DIABETIC SUPPLIES. THIS PROGRAM HAS PROVEN SUCCESSFUL WITH 58 PARTICIPANTS SUCCESSFULLY MANAGING THEIR DIABETES. OUTCOMES INCLUDE WEIGHT LOSS, DECREASED A1C, DECREASED MEDICATION DOSAGE/DEPENDENCE, AND INCREASED MEDICATION COMPLIANCE. SCREENING AND EARLY DETECTION - WITH OUR COMMUNITY HEALTH PARTNERSHIP WORKSITE WELLNESS PROGRAM, WE HAVE CONTINUED TO IMPROVE THE NUMBER OF PARTICIPANTS IN OUR ONSITE HEALTH SCREENINGS. WE HAVE ALSO REMOVED FINANCIAL BARRIERS FOR ANNUAL SCREENING AND EARLY DETECTION OPPORTUNITIES THROUGH OUR PLAN DESIGN FOR OUR OWN HEALTH PLAN MEMBERS. OUR ENHANCEMENT WITH THE HEALTH DEPARTMENT CLINIC HAS ALSO INCREASED THIS CAPACITY IN OUR COMMUNITY AS WELL. THROUGH THE CHP EMPLOYER GROUPS SUITE OF SERVICES, COMMUNITY HOSPITAL OFFERS AND CONDUCTS LOW COST COMPREHENSIVE ONSITE HEALTH SCREENINGS AND WORKSITE WELLNESS SERVICES TO ASSIST EMPLOYERS IN REDUCING THEIR HEALTHCARE COSTS, PROMOTE EDUCATION AND KNOWLEDGE ON NAVIGATING THE HEALTH CARE SYSTEM AND PROVIDE BASELINE HEALTH INFORMATION SO MEMBERS HAVE THE RESOURCES TO TAKE APPROPRIATE STEPS TO IMPROVE THEIR HEALTH. THE EMPLOYERS ALSO PAY FOR COMMUNITYS HEALTH COACH SERVICE WHICH ALLOWS ANY EMPLOYER PARTNERS HEALTH PLAN MEMBER VISITS UP TO TWELVE TIMES PER YEAR |
| FACILITY 1, COMMUNITY HOSPITAL - PART V, 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. |
| FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 16J | SUMMARY ON WEBSITE, POSTED IN ER AND WAITING ROOMS, POSTED IN ADMISSIONS OFFICES, AND PROVIDED ON ADMISSION. FAP APPLICATION WEBSITE: HTTPS://YOURCOMMUNITYHOSPITAL.COM/BILLING.CFM |
| FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 24 | ALL INDIVIDUALS ELIGIBLE UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY ARE PROVIDED A DISCOUNT FOR MEDICALLY NECESSARY CARE. THE FINANCIAL ASSISTANCE POLICY DOES NOT APPLY TO CERTAIN ELECTIVE PROCEDURES. THEREFORE, FAP- ELIGIBLE PATIENTS WITHOUT INSURANCE MAY BE CHARGED GROSS CHARGES ON ELECTIVE PROCEDURES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| GRAND VALLEY MEDICAL ONCOLOGY | ||||
| 2596 F ROAD | GRAND JUNCTION | CO | 81505 | OUTPATIENT MEDICAL INFUSION |
| GRAND VALLEY PRIMARY CARE | ||||
| 603 28 1/4 ROAD | GRAND JUNCTION | CO | 81506 | PRIMARY PHYSICIAN CARE |
| THERAPY WORKS AT COMMUNITY HOSPITAL | ||||
| 2004 N 12TH STREET | GRAND JUNCTION | CO | 81501 | REHABILITATION PROGRAMS |
| OCCUPANTIONAL HEALTH | ||||
| 2004 N 12TH STREET | GRAND JUNCTION | CO | 81501 | EMPLOYMENT RELATED EXAM SERVICES |
| GRAND VALLEY URGENT CARE | ||||
| 1060 ORCHARD AVE SUITE N | GRAND JUNCTION | CO | 81501 | URGENT MEDICAL SERVICES |
| EAP BEHAVORIAL HEALTH SERVICES | ||||
| 605 AB 28 1/4 ROAD | GRAND JUNCTION | CO | 81501 | COUNSELING SERVICES |
| COLORADO MESA UNIVERSITY STUDENT HE | ||||
| 1060 ORCHARD AVE SUITE N | GRAND JUNCTION | CO | 81501 | STUDENT MEDICAL SERVICES |
| COLORADO WEST WOMAN CARE OF THE GRA | ||||
| 603 28 1/4 ROAD | GRAND JUNCTION | CO | 81506 | OBSTETRICS & GYNECOLOGY |
| INTERNAL MEDICINE ASSOC OF THE GRAN | ||||
| 607 28 1/4 ROAD | GRAND JUNCTION | CO | 81506 | INTERNAL MEDICINE |
| FRUITA FAMILY MEDICINE GRAND VALLEY | ||||
| 551 KOKOPELLI DR SUITE F | GRAND JUNCTION | CO | 81501 | OUTPATIENT PHYSICIAN PRACTICE |
| GRAND VALLEY ENT & FACIAL | ||||
| 2373 G ROAD SUITE 270 | GRAND JUNCTION | CO | 81505 | ENT & FACIAL |
| GRAND VALLEY PEDIATRICS | ||||
| 601 B 28 1/4 ROAD | GRAND JUNCTION | CO | 81506 | PEDIATRICS |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE | 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 7 - COSTING METHODOLOGY EXPLANATION | CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. LINE 7B WAS DETERMINED USING THE OVERALL COST TO CHARGE RATIO. LINES 7F AND 7I ARE ACTUAL EXPENSES FROM THE GENERAL LEDGER. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES, LESS NON-PATIENT CARE ACTIVITIES AND TOTAL COMMUNITY BENEFIT EXPENSES) FOR LINES 7A AND 7B. THE COSTS ON LINE 7E, 7F AND 7I INCLUDE THE DIRECT AND INDIRECT COSTS AS ALLOWED FOR IN WORKSHEETS 4, 5 AND 8. LINE 7G UTILIZED A COST-TO-CHARGE RATIO USING THE MEDICARE COST REPORT AS FILED. |
| PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE | BAD DEBT DOES NOT INCLUDE AMOUNTS THAT WOULD BE ATTRIBUTABLE TO CHARITY CARE. BAD DEBT ON LINE 2 IS REPORTED AT CHARGES. |
| BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS | THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS AND ALSO INCLUDES THE PROVISION FOR BAD DEBTS. |
| PART III, LINE 8 - MEDICARE EXPLANATION | THE MEDICARE COST REPORT FOR THE YEAR WAS USED TO DETERMINE THE AMOUNT OF THE MEDICARE SHORTFALL. THE HOSPITAL 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 - COLLECTION PRACTICES EXPLANATION | PART OF THE HOSPITALS 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 VI, LINE 2 - NEEDS ASSESSMENT | 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. A LINK TO THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL: HTTPS://YOURCOMMUNITYHOSPITAL.COM/COMMUNITY_HEALTH_NEEDS_ASSESSMENT.CFM |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART OF THE HOSPITALS WRITTEN FINANCIAL ASSISTANCE AND CHARITY CARE POLICY PROVIDES FOR FINANCIAL COUNSELORS TO MEET WITH ALL UNINSURED PATIENTS PRIOR TO DISCHARGE. THE HOSPITALS BILLING TEAM MAY ALSO INFORM PATIENTS OF THE HOSPITALS FINANCIAL ASSISTANCE AND CHARITY CARE PROGRAM. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | THE HOSPITALS PRIMARY SERVICE AREA IS WESTERN COLORADO AND THE RESIDENTS OF MESA COUNTY. MESA COUNTYS POPULATION IS APPROXIMATELY 150,000 WITH 15% OF THE POPULATION BEING OVER THE AGE OF 65. COMMUNITY HOSPITAL CAPTURES 15.9% OF THE AREAS HEALTHCARE MARKET FOR THOSE PATIENTS REQUIRING INPATIENT STAYS. MESA COUNTY AND THE SURROUNDING LOCAL AREA HAS BEEN IDENTIFIED AS A PHYSICIAN SHORTAGE AREA. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | THE HOSPITAL IS GOVERNED BY A 12-MEMBER BOARD OF TRUSTEES COMPOSED OF SEVEN MESA COUNTY, COLORADO, COMMUNITY MEMBERS AND FIVE MEMBERS OF THE HOSPITAL STAFF 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| ED JOHLMAN | ||||
| CFO | $201,687 | $6,155 | $8,829 | $216,671 |
| SCOT HOUSKA | ||||
| CCO | $182,146 | $5,197 | $3,957 | $191,300 |
| JOHN SKILLICORN | ||||
| EXEC DIR PHYS SRVS | $166,637 | $5,271 | $11,811 | $183,719 |
| DAVID MURRAY | ||||
| CCO THRU JAN 2017 | $155,370 | $1,172 | $938 | $157,480 |
| BRENT WOODSON | ||||
| PHYSICIAN | $499,297 | $13,286 | $12,528 | $525,111 |
| JO ANNE VIRGILIO | ||||
| PHYSICIAN | $487,601 | $14,934 | $12,781 | $515,316 |
| JACK BAGLEY | ||||
| PHYSICIAN | $430,809 | $12,438 | $12,558 | $455,805 |
| WILLIAM MOELLER | ||||
| PHYSICIAN | $430,788 | $9,491 | $5,586 | $445,865 |
| JONATHAN KING | ||||
| PHYSICIAN | $420,461 | $11,430 | $12,558 | $444,449 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, 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. |
| SCHEDULE J, PAGE 1, 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. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| KELLY MISTRY MD | |||
| BOARD FAMILY | $228,581 | EMPLOYMENT | false |
| THE PATHOLOGY GROUP PC | |||
| BOARD OWNED | $136,329 | PATHOLOGY CONTRACT | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | OF PROVIDING CARE TO THESE PATIENTS WAS 2,002,330 FOR CHARITY CARE, 111,746,645 FOR MEDICARE, 41,401,428 FOR MEDICAID, AND 59,615,616 FOR OTHER THIRD PARTY PAYORS. |
| FORM 990, PAGE 6, PART VI, LINE 1A | 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, PAGE 6, PART VI, LINE 3 | THE HOSPITAL HAS A MANAGEMENT AGREEMENT WITH QUORUM HEALTH RESOURCES. CHRISTIAN THOMAS, CEO, IS COMPENSATED BY QUORUM HEALTH RESOURCES. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE HOSPITALS ACCOUNTING STAFF AND ADMINISTRATION, INCLUDING THE CEO, CONTROLLER, AND COMPLIANCE OFFICER WHO REVIEW THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A REVISED DRAFT IS THEN REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS OFF ON THE FORM 8879-EO BEFORE THE RETURN IS E-FILED BY THE PREPARER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE HOSPITALS 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, PAGE 6, PART VI, LINE 15A | 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, PAGE 6, PART VI, LINE 15B | SEE FORM 990, PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, 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. |
| FORM 990, PART IX, LINE 11G | OTHER FEES 12,441,429 1,518,116 0 |
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 | FUNDRAISE | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 12C | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLORADO | BusinessNameLine1Txt |
| Business Name Line2 | WEST HEALTHCARE SYSTEM | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | 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 | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt | 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 ESTAT | CO | COLORADO | WEST HEALTHCARE SYSTEM | RELATED | $102,175 | $1,546,945 | false | Yes (true) | 0.62940 |
| CANYON VIEW ASC | ||||||||||||||
| 2373 G ROAD SUITE 180 | GRAND JUNCTION | CO | 81505 | 455352976 | AMBULATORY | CO | COLORADO | WEST HEALTHCARE SYSTEM | RELATED | -$248,054 | $1,535,118 | false | Yes (true) | 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 ROAD | AddressLine1Txt |
| City | GRAND JUNCTION | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81505 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840507943 | EIN |
| Primary Activities | REAL ESTAT | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLORADO | BusinessNameLine1Txt |
| Business Name Line2 | WEST HEALTHCARE SYSTEM | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Share Of Total Income | $201,159 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $419,263 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CANYON VIEW ASC LLC | ||
| D | $1,997,057 | FMV |
| PHYSICIANS CHOICE REAL ESTATE LLC | ||
| K | $391,617 | CASH |
| DOCTOR'S CLINIC BUILDING INC | ||
| K | $201,159 | CASH |