COLORADO WEST HEALTHCARE SYSTEM: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- COLORADO WEST HEALTHCARE SYSTEM (EIN 84-0469270)
- Tax period
- 2014-05-01 to 2015-04-30
- Filed
- 2016-03-11
- IRS object ID
- 201640719349300814
- Schema version
- 2014v6.0
- 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 | 2016-03-11T10:54:12-06:00 | ReturnTs |
| Tax Period End | 2015-04-30 | 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 | 2014-05-01 | 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 | 9702566201 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2021 N 12th Street | AddressLine1Txt |
| City | Grand Junction | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 815012980 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Christian Thomas | PersonNm |
| Person Title | CEO/CFO | PersonTitleTxt |
| Phone | 9702566201 | PhoneNum |
| Signature | 2016-02-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KIM C HUNWARDSEN | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2016-02-29 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | 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 | 2021 N 12th Street | AddressLine1Txt |
| City | Grand Junction | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 815012980 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $96,921,523 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.yourcommunityhospital.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | Improve the health and quality of life of the individuals and communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 808 | TotalEmployeeCnt |
| Total Volunteers | 89 | TotalVolunteersCnt |
| Total Gross UBI | $197,417 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $187,725 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $48,613 | PYContributionsGrantsAmt |
| CY Contributions Grants | $667,481 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $80,658,828 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $94,920,568 | CYProgramServiceRevenueAmt |
| PY Investment Income | $455,794 | PYInvestmentIncomeAmt |
| CY Investment Income | -$60,882 | CYInvestmentIncomeAmt |
| PY Other Revenue | $334,561 | PYOtherRevenueAmt |
| CY Other Revenue | $219,046 | CYOtherRevenueAmt |
| PY Total Revenue | $81,497,796 | PYTotalRevenueAmt |
| CY Total Revenue | $95,746,213 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $45,195 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $49,653 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $37,510,368 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $45,133,689 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $39,477,590 | PYOtherExpensesAmt |
| CY Other Expenses | $47,333,829 | CYOtherExpensesAmt |
| PY Total Expenses | $77,033,153 | PYTotalExpensesAmt |
| CY Total Expenses | $92,517,171 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,464,643 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,229,042 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $46,848,904 | TotalAssetsBOYAmt |
| Total Assets EOY | $61,639,365 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $19,572,418 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,133,837 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $27,276,486 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $30,505,528 | 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 | $85,756,802 | ExpenseAmt |
| Grant | $49,653 | GrantAmt |
| Revenue | $94,942,197 | RevenueAmt |
| Desc | Community Hospital provides inpatient, outpatient, emergency, urgent, primary and home health care services to communities in western Colorado. During fiscal year 2015, Community Hospital had 6,388 patient days, 19,127 emergency room visits, 18,438 urgent care visits, 35,437 primary care visits, and performed 3,231 surgeries. | Desc |
| Total Program Service Expenses | $85,756,802 | 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 | 0 | 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 | Yes (1) | 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 | 808 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | 2021 N 12th Street | AddressLine1Txt |
| City | Grand Junction | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 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 |
|---|---|---|---|---|---|---|---|---|---|
| Larry Kent | |||||||||
| Chairman | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| R Curt Hatch | |||||||||
| Vice Chairman | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Michael Daniels | |||||||||
| Secretary | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| David F Vargo | |||||||||
| Treasurer | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Monty Langston MD | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sam Starritt | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Dean Havlik MD Chief of Staff | |||||||||
| Board Member | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Amir Beshai MD | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Tarek Arja DO | |||||||||
| Board Member | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jon Maraschin | |||||||||
| Board Member | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Danny Mistry MD | |||||||||
| Board Member | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Deedra Copeland Shear | |||||||||
| Board Member | 1.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Christian Thomas | |||||||||
| CEO/CFO | 40.00 | 0.80 | Yes (X) | $0 | $0 | $0 | |||
| David Murray | |||||||||
| CCO | 40.00 | 0.00 | $155,762 | $0 | $12,466 | Yes (X) | |||
| Donald Nicolay | |||||||||
| Chief Medical Officer | 40.00 | 0.00 | $197,366 | $0 | $5,749 | Yes (X) | |||
| Karston Carr | |||||||||
| Specialty Care | 36.00 | 0.00 | $366,604 | $0 | $18,414 | Yes (X) | |||
| Donald Maier | |||||||||
| Internal Medicine Physician | 36.00 | 0.00 | $310,765 | $0 | $13,779 | Yes (X) | |||
| Rohn McCune | |||||||||
| ER Physician | 36.00 | 0.00 | $303,294 | $0 | $17,064 | Yes (X) | |||
| Marc Breen | |||||||||
| ER Physician | 36.00 | 0.00 | $296,663 | $0 | $9,695 | Yes (X) | |||
| David Johansen | |||||||||
| Internal Medicine Physician | 36.00 | 0.00 | $294,965 | $0 | $13,081 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,925,419 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $90,248 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 54 | 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 |
|---|---|---|---|---|---|
| Shaw Construction | |||||
| 760 Horizon Dr Suite 201 | Grand Junction | CO | 81506 | Construction | $1,809,657 |
| Community Anesthesia Consultants | |||||
| 2754 Compass Dr | Grand Junction | CO | 81506 | Physician Services | $885,455 |
| Quorum Healthcare Resources LLC | |||||
| 105 Continental Pl | Brentwood | TN | 37027 | Management Agreement | $883,441 |
| HSS Inc | |||||
| 990 S Broadway St | Denver | CO | 80209 | Security Services | $541,925 |
| Mayo Collaborative Services Inc | |||||
| 200 1st St SW | Rochester | MN | 55905 | Lab Diagnostics | $519,013 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 41 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $642,421 | RelatedOrganizationsAmt |
| All Other Contributions | $25,060 | AllOtherContributionsAmt |
| Total Contributions | $667,481 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 621110 | $93,714,091 | $93,714,091 |
| Other Revenue | 621110 | $888,592 | $888,592 |
| EHR | 621110 | $713,348 | $713,348 |
| Cafeteria Revenue | 621110 | $282,166 | $282,166 |
| Equity in Subsidiary Income | 900099 | -$677,629 | -$677,629 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $94,920,568 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $100,917 | TotalRevenueColumnAmt |
| Exclusion | $100,917 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $977,553 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,139,352 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$161,799 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$161,799 | TotalRevenueColumnAmt |
| Exclusion | -$161,799 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $57,587 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $35,958 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,629 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,629 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investment in LLC's | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $197,417 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $197,417 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $197,417 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $95,746,213 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $94,942,197 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $197,417 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$60,882 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,653 | TotalAmt |
| Program Services | $49,653 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,225 | TotalAmt |
| Management And General | $385,225 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $461,464 | TotalAmt |
| Program Services | $461,464 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,697,689 | TotalAmt |
| Program Services | $35,549,883 | ProgramServicesAmt |
| Management And General | $1,147,806 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $855,373 | TotalAmt |
| Program Services | $827,580 | ProgramServicesAmt |
| Management And General | $27,793 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,212,566 | TotalAmt |
| Program Services | $4,057,676 | ProgramServicesAmt |
| Management And General | $154,890 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,521,372 | TotalAmt |
| Program Services | $2,418,409 | ProgramServicesAmt |
| Management And General | $102,963 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $637,957 | TotalAmt |
| Management And General | $637,957 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,623 | TotalAmt |
| Management And General | $232,623 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,000 | TotalAmt |
| Management And General | $94,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,729 | TotalAmt |
| Program Services | $3,729 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,930,344 | TotalAmt |
| Program Services | $7,902,715 | ProgramServicesAmt |
| Management And General | $1,027,629 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,324 | TotalAmt |
| Program Services | $478,324 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,304,403 | TotalAmt |
| Program Services | $3,192,548 | ProgramServicesAmt |
| Management And General | $111,855 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,906,302 | TotalAmt |
| Program Services | $3,186,536 | ProgramServicesAmt |
| Management And General | $719,766 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,975 | TotalAmt |
| Program Services | $115,408 | ProgramServicesAmt |
| Management And General | $161,567 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,538 | TotalAmt |
| Program Services | $107,073 | ProgramServicesAmt |
| Management And General | $465 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,915 | TotalAmt |
| Program Services | $345,915 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,203,571 | TotalAmt |
| Program Services | $2,203,571 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $952,222 | TotalAmt |
| Program Services | $5,897 | ProgramServicesAmt |
| Management And General | $946,325 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| UBI Tax | $72,000 | $72,000 | |
| Medical Supplies | $14,313,574 | $14,313,574 | |
| Bad Debt | $4,776,581 | $4,776,581 | |
| Provider Taxes | $3,134,582 | $3,134,582 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,563,189 | TotalAmt |
| Program Services | $2,625,684 | ProgramServicesAmt |
| Management And General | $937,505 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,517,171 | TotalAmt |
| Program Services | $85,756,802 | ProgramServicesAmt |
| Management And General | $6,760,369 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,212,189 | BOYAmt |
| EOY | $1,983,518 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,358,335 | BOYAmt |
| EOY | $15,381,582 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,444,047 | BOYAmt |
| EOY | $932,118 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,643,281 | BOYAmt |
| EOY | $2,904,171 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $382,893 | BOYAmt |
| EOY | $2,839,742 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $65,523,643 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $28,820,414 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,101,126 | BOYAmt |
| EOY | $36,703,229 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $537,375 | BOYAmt |
| EOY | $537,375 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,997,567 | BOYAmt |
| EOY | -$19,030 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,091 | BOYAmt |
| EOY | $376,660 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,848,904 | BOYAmt |
| EOY | $61,639,365 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,117,703 | BOYAmt |
| EOY | $11,598,644 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,241,459 | BOYAmt |
| EOY | $19,535,193 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,213,256 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,572,418 | BOYAmt |
| EOY | $31,133,837 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,276,486 | BOYAmt |
| EOY | $30,505,528 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,276,486 | BOYAmt |
| EOY | $30,505,528 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,848,904 | BOYAmt |
| EOY | $61,639,365 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,229,042 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,729 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,729 | 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 that money is used for lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,446,302 | OtherCostOrOtherBasisAmt |
| Book Value | $4,446,302 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,507,233 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,570,419 | DepreciationAmt |
| Book Value | $5,936,814 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,632,257 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,936,257 | DepreciationAmt |
| Book Value | $5,696,000 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,937,851 | OtherCostOrOtherBasisAmt |
| Depreciation | $313,738 | DepreciationAmt |
| Book Value | $20,624,113 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $36,703,229 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $91,005,590 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$4,776,581 | OtherRevenueAmt |
| Revenue Not Reported | -$4,776,581 | RevenueNotReportedAmt |
| Revenue Subtotal | $95,782,171 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$35,958 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$35,958 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $95,746,213 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $87,776,548 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $35,958 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $35,958 | ExpensesNotReportedAmt |
| Expenses Subtotal | $87,740,590 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $4,776,581 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $4,776,581 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $92,517,171 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | 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. The Hospital's federal Form 990-T filings are no longer subject to federal tax examinations by tax authorities for years before 2011. |
| Part XI, Line 2d - Other Adjustments: | Provision for Uncollectible Accounts -4,776,581. |
| Part XI, Line 4b - Other Adjustments: | Gift Shop Merchandise for Sale recorded as Expenses for Financial Statements -35,958. |
| Part XII, Line 2d - Other Adjustments: | Gift Shop Merchandise for Sale recorded as Expenses for Financial Statements 35,958. |
| Part XII, Line 4b - Other Adjustments: | Provision for Uncollectible Accounts 4,776,581. |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| 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 | $285,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $285,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,419,248 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,396,720 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,022,528 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02310 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $334,517 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $248,549 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $85,968 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,038,765 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,645,269 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,393,496 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02730 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $770 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $770 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,362 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $270,813 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $270,813 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $282,945 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $282,945 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,321,710 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,645,269 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,676,441 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,776,581 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $14,555,056 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $19,897,012 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,341,956 | 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 | 0.09800 | 0.00000 | 0.40200 |
| 2 Canyon View ASC LLC | |||
| Ambulatory Surgery Center | 0.51000 | 0.00000 | 0.49000 |
| 4 Physicians Choice Real Estate LLC | |||
| Property Rental | 0.62900 | 0.37100 | |
| 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 | 2021 N 12th St | AddressLine1Txt |
| City | Grand Junction | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 815012980 | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://secure.yourcommunityhospital.com/Community_Health_Needs_Assessment. | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://secure.yourcommunityhospital.com/PDFs/CHNA%20Implementation%20Strat | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.yourcommunityhospital.com/Billing.cfm | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Community Hospital | Part V, Section B, Line 5: Community Hospital worked 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. Throughout the process members of the community were included in discussions to ensure views of the entire community were heard. |
| 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 11: Community Hospital was an active participant in this 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 department's 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.Tobacco Use - Community Hospital continues to partner with local agencies to provide services where there are gaps with tobacco cessation resources. We've offered classes to the community and to our employer group partners.Obesity - We have formed a Community Hospital interdisciplinary population health management team that is focusing on diabetes. We're 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, we've also launched a new weight management program, Project U, for community members. We will continue to work with other community agencies.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.Built Environment - We have participated in the planning efforts of our goals to promote health through advocacy for a well-constructed and inclusive built environment. And we have plans to implement these plans when we build our new hospital facility. The Built Environment includes safe trails and walkways to increase and encourage physical activity of our residents, sidewalks to provide contiguous, safe pathways for our students, a walking path around the entire new hospital campus, plus exercise equipment for path walkers, joggers, and employees along the way. As a hospital organization, it is as critical for us to demonstrate our commitment to our employee's health and wellbeing as it is for us to promote health in our community. We're doing our part to support a built environment.Building a Sense of Community - Community Hospital feels very strongly about being involved in our community. We encourage active participation and service on community committees and boards as volunteers and organizational support for collaborative initiatives that benefit the overall health of our community. We are and continue to be strong players and often times are the leaders in this effort.Parenting - Community Hospital certainly supports efforts in the community and while we do this by engaging with our patients and our patients' families on a daily basis, we utilize the expertise of our community partners and resources that are available to address this community need.Emotional and Social Well-Being - Community Hospital is an active participant in the community-wide effort to address specific mental health issues that continue to plague us. We have several teams of clinicians that work with other clinicians from other agencies and institutions; identifying processes to fill the gaps.In addition to the above, we have expanded our service lines with adding an Internal Medicine group of physicians and staff as employees; increasing our access and capacity for serving a broader clientele.Community Hospital actively engages in community task forces and committees for suicide prevention, crisis teams and other mental/behavioral health related initiatives. We have employed behavioral health specialists who provide services to patients in our Emergency Department in crisis situations; to patients of our primary care practices in crisis situations; to employees/families through EAP services offered by local employers; to patients through our Outpatient Behavioral Health service; to members of our CHP employer group medical clinic; and to participants in our Lifestyle Medicine program. |
| Community Hospital | Part V, Section B, Line 16i: Summary on website, posted in ER and waiting rooms, posted in admissions offices, and provided on admission. |
| Part V, Section B, Line 16 | Financial Assistance Policy Website Availability |
| Community Hospital Part V, Section B, line 16a website: | http://www.yourcommunityhospital.com/Billing.cfm |
| 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 |
|---|---|---|---|---|
| First Choice Same Day Surgical Center | ||||
| 2596 F Road | Grand Junction | CO | 81505 | Outpatient Surgical Services |
| Grand Valley Primary Care | ||||
| 603 28 1/4 Road | Grand Junction | CO | 81506 | Primary Physician Care |
| Therapy Works at Community Hospital | ||||
| 2004 N 12th St | Grand Junction | CO | 81501 | Rehabilitation Programs |
| Occupational Health | ||||
| 2004 N 12th St | 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 Behavioral Health Services | ||||
| 2021 N 12th St | Grand Junction | CO | 81501 | Counseling Services |
| Home Health | ||||
| 2021 N 12th St | Grand Junction | CO | 81501 | Home Care Services |
| Orchard Pharmacy | ||||
| 1060 Orchard Ave Suite N | Grand Junction | CO | 81501 | Pharmacy |
| Colorado Mesa University Student Health | ||||
| 1060 Orchard Ave Suite N | Grand Junction | CO | 81501 | Student Medical Services |
| Canyon View Urgent Care | ||||
| 2373 G Road Suite 160 | Grand Junction | CO | 81505 | Urgent Medical Services |
| Colorado West Woman Care of the Grand Va | ||||
| 2020 N 12th St | Grand Junction | CO | 81501 | Obstetrics and Gynecology |
| Internal Medicine Assoc of the Grand Va | ||||
| 744 Horizon Dr Suite 310 | Grand Junction | CO | 81506 | Internal Medicine |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | The community benefit report is available upon request. |
| Part I, Line 7: | Line 7a was calculated by multiplying the ratio of cost to gross charges for the Hospital by the gross uncompensated charges associated with providing charity care to patients.Lines 7b-7c were determined using the overall cost to charge ratio. Lines 7e, 7f, and 7i are 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 $4,776,581. |
| Part III, Line 3: | 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 4: | The footnote that describes bad debt expense is found on page 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 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 12% of the area's healthcare market for those patients requiring inpatient stays. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Hospital Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2021 N 12th Street | AddressLine1Txt |
| City | Grand Junction | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 815012980 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 742576856 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $49,653 | CashGrantAmt |
| Purpose Of Grant | Executive Director salary contribution | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | 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 | Colorado West Healthcare System provides assistance to Community Hospital Foundation, a related organization. The Foundation Director's compensation is paid by Colorado West Healthcare System. The Foundation reimburses the Hospital for a portion of his salary and the remaining amount is considered a donation to the Foundation. The CEO of the Hospital also serves on the board of the Foundation and monitors the appropriate use of the funds. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| David Murray | ||||||||||||||
| CCO | $155,762 | $0 | $0 | $0 | $0 | $0 | $6,807 | $0 | $7,820 | $0 | $170,389 | $0 | $0 | $0 |
| Donald Nicolay | ||||||||||||||
| Chief Medical Officer | $197,366 | $0 | $0 | $0 | $0 | $0 | $1,957 | $0 | $7,145 | $0 | $206,468 | $0 | $0 | $0 |
| Karston Carr | ||||||||||||||
| Specialty Care | $366,604 | $0 | $0 | $0 | $0 | $0 | $10,353 | $0 | $11,052 | $0 | $388,009 | $0 | $0 | $0 |
| Donald Maier | ||||||||||||||
| Internal Medicine Physician | $310,765 | $0 | $0 | $0 | $0 | $0 | $8,112 | $0 | $8,876 | $0 | $327,753 | $0 | $0 | $0 |
| Rohn McCune | ||||||||||||||
| ER Physician | $303,294 | $0 | $0 | $0 | $0 | $0 | $8,172 | $0 | $11,882 | $0 | $323,348 | $0 | $0 | $0 |
| Marc Breen | ||||||||||||||
| ER Physician | $296,663 | $0 | $0 | $0 | $0 | $0 | $7,364 | $0 | $5,315 | $0 | $309,342 | $0 | $0 | $0 |
| David Johansen | ||||||||||||||
| Internal Medicine Physician | $294,965 | $0 | $0 | $0 | $0 | $0 | $7,414 | $0 | $8,127 | $0 | $310,506 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (10 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Community Anesthesia Consultants | |||
| Board Member Monty Langston is a partner | $955,403 | Payments for Physician Services | 0 |
| Western Orthopedics & Sports Medicine | |||
| Board Member Danny Mistry is a partner | $398,960 | Payments for Physician Services | 0 |
| Kathleen Maraschin | |||
| Wife of Board Member Jon Maraschin | $87,393 | Compensation | 0 |
| Jana Thomas | |||
| Wife of CEO Christian Thomas | $12,948 | Compensation | 0 |
| Mary Thibault | |||
| Sister of CCO David Murray | $88,028 | Compensation | 0 |
| Lynn Nicolay RN | |||
| Wife of Chief Medical Officer Donald Nicolay | $39,481 | Compensation | 0 |
| Kelly Mistry MD | |||
| Wife of Board Member Danny Mistry, MD | $233,614 | Compensation | 0 |
| The Pathology Group PC | |||
| Board Member Dean Havlik is a partner | $137,385 | Payments for pathology contract | 0 |
| Urology Associates | |||
| Amir Beshai, MD is a partner | $351,600 | payments for urology services | 0 |
| Marc Thiboult | |||
| Brother-in-law of CCO David MurrayX | $29,239 | Compensation | 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 2014 was $436,144. |
| Form 990, Part VI, Section B, line 11 | 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. Salary and benefits for the CEO are based on the management company's salary survey data for hospitals of comparable size and is approved by the Executive Committee of the Board of Trustees. Salaries and benefits for other members of senior management are based on salary survey data compiled by the Hospital's HR department and are approved by the Board of Directors through the annual budget process. |
| 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 | 2021 N 12th St | AddressLine1Txt |
| City | Grand Junction | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 815042980 | 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 11c, 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 Commercial Rental | CO | Colorado West Healthcare System | Related | $171,798 | $1,819,072 | 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 | -$841,630 | $2,234,194 | 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 | 1060 Orchard Ave | AddressLine1Txt |
| City | Grand Junction | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81501 | 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 | -$201,283 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $409,050 | 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 | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | 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 | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Physicians Choice Real Estate LLC | ||
| F | $176,235 | Cash |
| Physicians Choice Real Estate LLC | ||
| K | $518,607 | Cash |
| Doctor's Clinic Building Inc | ||
| K | $201,159 | Cash |
| Community Hospital Foundation | ||
| C | $642,421 | Cash |