MONTROSE MEMORIAL HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: MONTROSE MEMORIAL HOSPITAL (EIN 84-6002707)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-12
IRS object ID: 202513169349308156
Schema version: 2024v5.1
Note: A later return for the same period supersedes this one.
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 J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-12T14:51:13+00:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 South Tejon Suite 800	AddressLine1Txt
City	Colorado Springs	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	809039848	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	846002707	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MONTROSE MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MONT	BusinessNameControlTxt
Phone	9702492211	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 SOUTH THIRD STREET	AddressLine1Txt
City	MONTROSE	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARY VADER	PersonNm
Person Title	BOARD CHAIRPERSON	PersonTitleTxt
Phone	9702492211	PhoneNum
Signature	2025-11-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	false	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brandon Schulze	PreparerPersonNm
PTIN	P02051564	PTIN
Phone	7194714290	PhoneNum
Preparation	2025-11-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MONTROSE REGIONAL HEALTH	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JEFF MENGENHAUSEN CEO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 SOUTH THIRD STREET	AddressLine1Txt
City	MONTROSE	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$203,654,417	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MONTROSEHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2010	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	IT IS THE MISSION OF MONTROSE MEMORIAL HOSPITAL TO PROVIDE HEALTHCARE SERVICES TO OUR COMMUNITIES WITH EXCELLENT SERVICE, COMPASSION AND FISCAL RESPONSIBILITY.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	867	TotalEmployeeCnt
Total Volunteers	55	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$522,414	PYContributionsGrantsAmt
CY Contributions Grants	$856,283	CYContributionsGrantsAmt
PY Program Service Revenue	$171,268,823	PYProgramServiceRevenueAmt
CY Program Service Revenue	$193,192,459	CYProgramServiceRevenueAmt
PY Investment Income	$1,849,851	PYInvestmentIncomeAmt
CY Investment Income	$2,398,777	CYInvestmentIncomeAmt
PY Other Revenue	$1,180,626	PYOtherRevenueAmt
CY Other Revenue	$980,987	CYOtherRevenueAmt
PY Total Revenue	$174,821,714	PYTotalRevenueAmt
CY Total Revenue	$197,428,506	CYTotalRevenueAmt
PY Grants And Similar Paid	$54,332	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$73,048	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$67,872,402	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$82,787,552	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$94,008,245	PYOtherExpensesAmt
CY Other Expenses	$115,939,884	CYOtherExpensesAmt
PY Total Expenses	$161,934,979	PYTotalExpensesAmt
CY Total Expenses	$198,800,484	CYTotalExpensesAmt
PY Revenues Less Expenses	$12,886,735	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,371,978	CYRevenuesLessExpensesAmt
Total Assets BOY	$185,527,723	TotalAssetsBOYAmt
Total Assets EOY	$212,571,376	TotalAssetsEOYAmt
Total Liabilities BOY	$55,464,477	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$82,863,698	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$130,063,246	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$129,707,678	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	IT IS THE MISSION OF MONTROSE MEMORIAL HOSPITAL TO PROVIDE HEALTHCARE SERVICES TO OUR COMMUNITIES WITH EXCELLENT SERVICE, COMPASSION AND FISCAL RESPONSIBILITY.	MissionDesc
Significant New Program Srvc	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$123,840,912	ExpenseAmt
Grant	$58,438	GrantAmt
Revenue	$154,553,967	RevenueAmt
Desc	MONTROSE MEMORIAL HOSPITAL PROVIDES A WIDE VARIETY OF OUTPATIENT SERVICES INCLUDING EMERGENCY ROOM, MEDICAL IMAGING, CARDIOLOGY, PULMONOLOGY, ONCOLOGY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, CARDIO-PULMONARY REHAB AND LABORATORY. MONTROSE MEMORIAL HAS A LEVEL III TRAUMA DESIGNATION AND WE HAVE HELICOPTER TRANSPORT SERVICES ON CAMPUS. OUR EMERGENCY ROOM IS STAFFED 24/7 WITH ER BOARD CERTIFIED PHYSICIANS. FOR THE YEAR ENDING DECEMBER 31, 2024, THE HOSPITAL HAD 143,028 OUTPATIENT VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$26,316,194	ExpenseAmt
Grant	$12,418	GrantAmt
Revenue	$30,910,793	RevenueAmt
Desc	MONTROSE MEMORIAL HOSPITAL IS LICENSED FOR 75 BEDS AND PROVIDES INPATIENT SERVICES INCLUDING ICU, MEDICAL SURGICAL, JOINT REPLACEMENT CENTER AND FAMILY CENTER. THE PRIMARY SERVICE AREA IS MONTROSE, OURAY AND SAN MIGUEL COUNTIES. MONTROSE MEMORIAL HAD 9,063 INPATIENT DAYS FOR THE YEAR ENDING DECEMBER 31, 2024. MONTROSE MEMORIAL PROVIDES A SIGNIFICANT AMOUNT OF CHARITY CARE AN WROTE OFF $1,468,000 IN CHARGES FOR THE YEAR ENDING DECEMBER 31, 2024.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$4,644,034	ExpenseAmt
Grant	$2,192	GrantAmt
Revenue	$7,727,699	RevenueAmt
Desc	MONTROSE MEMORIAL OPERATES AN ACUTE REHABILITATION UNIT THAT PROVIDES SERVICES AS A CONTINUUM OF CARE FOR PATIENTS THAT NEED ADDITIONAL TIME AND REHABILITATION AFTER A HOSPITAL STAY BEFORE THEY CAN GO TO A LOWER LEVEL OF CARE OR HOME. OUR GOAL, AT MONTROSE MEMORIAL HOSPITAL, IS TO HELP PATIENTS GET BACK TO LIFE, FAMILY AND FRIENDS AS QUICKLY AS POSSIBLE. WORKING WITH EACH PATIENT AND THEIR FAMILY, THE REHABILITATION TEAM DESIGNS A HIGHLY INDIVIDUALIZED TREATMENT PLAN THAT FOCUSES ON POTENTIAL, NOT ON LIMITATIONS. THIS PROGRESSIVE APPROACH STRIVES TO MEET THE NEEDS OF THE PATIENT AND THEIR FAMILY INVOLVED IN THE REHABILITATION PROCESS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$154,801,140	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	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
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	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	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	197	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	867	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
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
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	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	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
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	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9702492211	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 S 3RD STREET	AddressLine1Txt
City	MONTROSE	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81401	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BARB JUDD
SECRETARY END 10/24 V CHAIR BEG 10/24	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MARY VADER DO
CHAIRPERSON	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL BREZINSKY MD
DIRECTOR	3.0	0.0	Yes (X)	Yes (X)	$30,155	$0	$0
JACK JOHNSTON
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
KAYE HOTSENPILLER
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
KJERSTEN DAVIS MD
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
REID FISHERING
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
SELVIN SANDOVAL
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
ZANDER PARKER
DIRECTOR	3.0	0.0	Yes (X)		$0	$0	$0
JEFF MENGENHAUSEN
CEO (DEEMED OFFICER)	40.0	0.0		Yes (X)	$0	$0	$0
PAUL PERROTTI
CFO	40.0	0.0		Yes (X)	$359,920	$0	$23,309
ADDISON WOOD MD
PHYSICIAN	40.0	0.0			$958,115	$0	$72,528	Yes (X)
MOJGAN ARASHVAND MD
PHYSICIAN	40.0	0.0			$421,180	$0	$17,871	Yes (X)
RHONDA PARKER MD
CHIEF MEDICAL OFFICER	40.0	0.0			$455,171	$0	$60,053	Yes (X)
SAMUEL HOLMES MD
PHYSICIAN	40.0	0.0			$470,005	$0	$378	Yes (X)
STEVEN EMMONS MD
PHYSICIAN	40.0	0.0			$611,906	$0	$74,770	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,306,452	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$248,909	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	152	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
INTERMOUNTAIN HEALTH
36 SOUTH STATE ST	SALT LAKE CITY	UT	84111	RADIATION SERVICES	$6,580,122
HEALTHTRUST WORKFORCE SOLUTIONS
CHERRY CREEK PLAZA 1	DENVER	CO	80246	WORKFORCE SOLUTIONS	$3,386,183	600 S CHERRY ST STE 600
MEDEFIS
10826 OLD MILLRD	OMAHA	NE	681542660	WORKFORCE SYSTEM	$1,901,471	STE 101
COMMUNITY HOSPITAL CORPORATION
7950 LEGACY DR	PLANO	TX	75024	CONSULTING	$1,122,716	STE 1000
HOSPITAL SHARED SERVICES
990 SOUTH BROADWAY	DENVER	CO	80209	SECURITY	$868,213	STE 420

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Government Grants	$175,867	GovernmentGrantsAmt
All Other Contributions	$680,416	AllOtherContributionsAmt
Total Contributions	$856,283	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$187,227,513	$187,227,513
INCOME ON EQUITY INVESTEES	900003	$2,700,106	$2,700,106
OTHER PROGRAM SERVICE REVENUE	900099	$3,264,840	$3,264,840

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$193,192,459	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,716,773	TotalRevenueColumnAmt
Exclusion	$1,716,773	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$132,759	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$132,759	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$132,759	TotalRevenueColumnAmt
Exclusion	$132,759	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,900,215	SecuritiesAmt
Other	$7,700	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$6,225,911	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$674,304	SecuritiesAmt
Other	$7,700	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$682,004	TotalRevenueColumnAmt
Exclusion	$682,004	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA & VENDING REVENUE	722514	$920,624	$920,624
OTHER INCOME	900099	-$72,396	-$72,396

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$848,228	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$197,428,506	TotalRevenueColumnAmt
Related Or Exempt Func Income	$193,192,459	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,379,764	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$73,048	TotalAmt
Program Services	$73,048	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$413,384	TotalAmt
Management And General	$413,384	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$69,109,916	TotalAmt
Program Services	$53,567,609	ProgramServicesAmt
Management And General	$15,542,307	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,491,257	TotalAmt
Program Services	$866,235	ProgramServicesAmt
Management And General	$625,022	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,607,172	TotalAmt
Program Services	$3,859,828	ProgramServicesAmt
Management And General	$2,747,344	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,165,823	TotalAmt
Program Services	$2,999,938	ProgramServicesAmt
Management And General	$2,165,885	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,930,107	TotalAmt
Management And General	$1,930,107	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$300,683	TotalAmt
Management And General	$300,683	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$97,723	TotalAmt
Management And General	$97,723	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,904	TotalAmt
Management And General	$3,904	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$44,011,866	TotalAmt
Program Services	$37,040,859	ProgramServicesAmt
Management And General	$6,971,007	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$341,811	TotalAmt
Program Services	$4,783	ProgramServicesAmt
Management And General	$337,028	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,667,891	TotalAmt
Program Services	$185,262	ProgramServicesAmt
Management And General	$2,482,629	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$21,621	TotalAmt
Program Services	$4,352	ProgramServicesAmt
Management And General	$17,269	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,072,015	TotalAmt
Program Services	$2,939,598	ProgramServicesAmt
Management And General	$1,132,417	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$98,297	TotalAmt
Program Services	$56,014	ProgramServicesAmt
Management And General	$42,283	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$24,740	TotalAmt
Program Services	$19,702	ProgramServicesAmt
Management And General	$5,038	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,076,256	TotalAmt
Program Services	$577,177	ProgramServicesAmt
Management And General	$499,079	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,946,591	TotalAmt
Program Services	$3,446,472	ProgramServicesAmt
Management And General	$2,500,119	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,391,189	TotalAmt
Program Services	$455,606	ProgramServicesAmt
Management And General	$935,583	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$34,141,823	$34,141,823
Repairs & Maintenance	$9,482,288	$5,216,751	$4,265,537
Provider Fee	$7,939,010	$7,939,010
Dues & Licenses	$1,845,492	$1,036,073	$809,419

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$546,577	TotalAmt
Program Services	$371,000	ProgramServicesAmt
Management And General	$175,577	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$198,800,484	TotalAmt
Program Services	$154,801,140	ProgramServicesAmt
Management And General	$43,999,344	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$28,952,619	BOYAmt
EOY	$12,708,340	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,196,120	BOYAmt
EOY	$14,722,184	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$29,947,717	BOYAmt
EOY	$32,676,381	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,183,434	BOYAmt
EOY	$2,096,356	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,489,194	BOYAmt
EOY	$5,721,345	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,974,078	BOYAmt
EOY	$2,841,069	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$165,196,032	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$90,025,407	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$52,485,812	BOYAmt
EOY	$75,170,625	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$39,953,364	BOYAmt
EOY	$42,560,692	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$5,961,399	BOYAmt
EOY	$5,542,960	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,383,986	BOYAmt
EOY	$18,531,424	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$185,527,723	BOYAmt
EOY	$212,571,376	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,972,856	BOYAmt
EOY	$26,430,009	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,117,641	BOYAmt
EOY	$36,939,019	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,373,980	BOYAmt
EOY	$19,494,670	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,464,477	BOYAmt
EOY	$82,863,698	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$129,642,783	BOYAmt
EOY	$128,795,874	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$420,463	BOYAmt
EOY	$911,804	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$130,063,246	BOYAmt
EOY	$129,707,678	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$185,527,723	BOYAmt
EOY	$212,571,376	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,371,978	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,148,843	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$132,433	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$0	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$0	TotalSupportAmt
Gross Receipts Rltd Activities	$0	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0	PublicSupportCY170Pct
Public Support PY170	0.0	PublicSupportPY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$0	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0	PublicSupportCY509Pct
Public Support PY509	0.0	PublicSupportPY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Investment Income PY	0.0	InvestmentIncomePYPct

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	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	$2,640	OtherActivitiesAmt
Total Lobbying Expenditures	$2,640	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 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE LOBBYING EXPENSE IS THE ALLOCABLE PORTION OF DUES PAID TO CHA DISCLOSED AS LOBBYING ACTIVITY. THE ORGANIZATIONS PROVIDE THE PERCENTAGE TO USE FOR ALLOCATION PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,384,169	OtherCostOrOtherBasisAmt
Book Value	$2,384,169	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$66,186,733	OtherCostOrOtherBasisAmt
Depreciation	$43,899,299	DepreciationAmt
Book Value	$22,287,434	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,492,902	OtherCostOrOtherBasisAmt
Depreciation	$224,874	DepreciationAmt
Book Value	$8,268,028	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$66,613,869	OtherCostOrOtherBasisAmt
Depreciation	$44,194,730	DepreciationAmt
Book Value	$22,419,139	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,518,359	OtherCostOrOtherBasisAmt
Depreciation	$1,706,504	DepreciationAmt
Book Value	$19,811,855	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$75,170,625	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
OPERATING LEASE	$12,957,183
BOND ISSUE	$3,472,772
DUE FROM RLSC	$2,101,469

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$18,531,424	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Federal Income Taxes
LEASE LIABILITY	$17,059,918
GLOBUS FINANCING LEASE	$2,434,752

Field	Value	IRS element (for citing)
Total Liability	$19,494,670	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$197,630,344	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,148,843	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$1,148,843	RevenueNotReportedAmt
Revenue Subtotal	$196,481,501	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$455,664	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$455,664	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$196,937,165	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$198,477,253	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$198,477,253	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$323,231	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$323,231	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$198,800,484	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	CHA TRUST INCOME - 233921 RESTRICTED CONTRIBUTIONS IN EXPENSES - 100504 OTHER REVENUE IN EXPENSES - 57448 HEALTHCARE EXPENSES IN REVENUE - 56091 GAIN FROM DISPOSAL OF PPE - 7700
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	CHA TRUST EXPENSES - 101488 RESTRICTED CONTRIBUTIONS IN EXPENSES - 100504 OTHER REVENUE IN EXPENSES - 57448 HEALTHCARE EXPENSES IN REVENUE - 56091 GAIN FROM DISPOSAL OF PPE - 7700

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	40	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,978,753	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,978,753	NetCommunityBenefitExpnsAmt
Total Expense	0.00958	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$34,854,001	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,559,175	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,294,826	NetCommunityBenefitExpnsAmt
Total Expense	0.11283	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$36,832,754	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,559,175	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,273,579	NetCommunityBenefitExpnsAmt
Total Expense	0.12241	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,842,837	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,885,839	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$956,998	NetCommunityBenefitExpnsAmt
Total Expense	0.00464	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,842,837	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,885,839	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$956,998	NetCommunityBenefitExpnsAmt
Total Expense	0.00464	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$41,675,591	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,445,014	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,230,577	NetCommunityBenefitExpnsAmt
Total Expense	0.12704	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,863,455	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$57,612,926	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$45,735,139	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$11,877,787	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	false	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
SAN JUAN CANCER CENTER
CANCER CENTER	0.33	0	0.33
BLACK CANYON SURGICAL
AMBULATORY SURGERY	0.51	0	0.49

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	MONTROSE MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 S 3RD STREET	AddressLine1Txt
City	MONTROSE	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81401	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MONTROSEHEALTH.COM	WebsiteAddressTxt
State License	011165	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	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
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://montrosehealth.com/news-community/community-health-needs-assessment/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://montrosehealth.com/news-community/community-health-needs-assessment/	StrategyWebsiteURLTxt
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	40.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
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	https://montrosehealth.com/patients-visitors/patient-financial-billing/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://montrosehealth.com/patients-visitors/patient-financial-billing/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://montrosehealth.com/patients-visitors/patient-financial-billing/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
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
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - MONTROSE MEMORIAL HOSPITAL, INC.. MRH AND DELTA HEALTH (DH) WORKED WITH CHC CONSULTING IN THE DEVELOPMENT OF THEIR CHNA. MRH PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITAL'S STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. BACKGROUND INFORMATION ABOUT MRH, INCLUDING THE MISSION, VISION, VALUES AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INFORMATION WAS COLLECTED BY CHC CONSULTING USING SOURCES WHICH INCLUDED STRATASAN, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE ROBERT WOOD JOHNSON FOUNDATION, TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, SPARKMAP, THE UNITED STATES CENSUS BUREAU AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER TOOL. MRH AND DELTA HEALTH (DH) PROVIDED CHC CONSULTING WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN MONTROSE AND DELTA COUNTIES, INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, 39 IN DEPTH PHONE INTERVIEWS WERE CONDUCTED USING A STRUCTURED INTERVIEW GUIDE WITH THE TWO GROUPS OUTLINED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 24, 2014. DISCUSSED WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 66.7% OF THOSE PROVIDING INPUT ARE MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATION IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. 17.9% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INTERVIEWEES INCLUDED: JOSIE ANDERS-MIZE: DIRECTOR OF REGIONAL SERVICES, HILLTOP FAMILY RESOURCE CENTER JIM AUSTIN: PUBLIC HEALTH DIRECTOR, MONTROSE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES LYNN BORUP: EXECUTIVE DIRECTOR, TRI COUNTY HEALTH NETWORK MIKE BREZINSKY, MD: INTERNAL MEDICINE, MONTROSE REGIONAL HEALTH; BOARD MEMBER, MONTROSE REGIONAL HEALTH BARBARA BYNUM: CITY COUNCILOR, CITY OF MONTROSE JEAN CERIANI: BOARD MEMBER, DELTA HEALTH KURT CLAY: ASSISTANT SUPERINTENDENT OF SCHOOL, DELTA COUNTY SCHOOL DISTRICT 50J KJERSTEN DAVIS: BOARD CHAIR, MONTROSE REGIONAL HEALTH HOLLY DUENSING: CLINICAL MANAGER, HOPEWEST HOSPICE REBECCA ELA, LCSW: BEHAVIORAL HEALTH DIRECTOR, DELTA HEALTH CARYN GIBSON: SUPERINTENDENT, DELTA COUNTY SCHOOL DISTRICT 50J SUE HANSEN: COUNTY COMMISSIONER, MONTROSE COUNTY MICHELLE HAYNES: EXECUTIVE DIRECTOR, COLORADO REGION 10 CARA HELMICK: DELTA COUNTY DIRECTOR, VOANS SENIOR COMMUNITY CARE MATT HEYN: CHIEF EXECUTIVE OFFICER, DELTA HEALTH KAYE HOTSENPILLER: CHIEF EXECUTIVE OFFICER, RIVER VALLEY HEALTH CENTER WENDELL KOONTZ: COUNTY COMMISSIONER, DELTA COUNTY LAURA LENIHAN: REGISTERED NURSE, MONTROSE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES ROBBIE LEVALLEY: COUNTY ADMINISTRATOR, DELTA COUNTY GARY MARTINEZ: PRESIDENT, THE SHEPHERD'S HAND ANGEL MENDEZ: REPRESENTATIVE, WESTERN COLORADO MIGRANT AND RURAL COALITION JEFF MENGENHAUSEN: CHIEF EXECUTIVE OFFICER, MONTROSE REGIONAL HEALTH KAREN O'BRIEN: DIRECTOR, DELTA COUNTY HEALTH DEPARTMENT SALLY O'CONNOR: CASE MANAGEMENT DIRECTOR, MONTROSE REGIONAL HEALTH CHERYL OELTJENBRUNS: EXECUTIVE DIRECTOR, THE ABRAHAM CONNECTION DOROTHY PEW: DELTA PROGRAM DIRECTOR, HOPEWEST HOSPICE COREY PHILLIPS: CHIEF EXECUTIVE OFFICER, CEDAR POINT HEALTH GREG RAJNOWSKI: DIRECTOR OF ENVIRONMENTAL HEALTH, DELTA COUNTY HEALTH DEPARTMENT PAT RIDDELL: INDIVIDUAL PRACTICE ASSOCIATION/PHYSICIAN HOSPITAL ORGANIZATION DIRECTOR, WESTERN COLORADO INDIVIDUAL PRACTICE ASSOCIATION TAD ROWAN: CHIEF, MONTROSE FIRE DEPARTMENT KATHERINE SMITH: READINESS & RESPONSE COORDINATOR, WEST REGION HEALTHCARE COALITION CARRIE STEPHENSON, PHD: SUPERINTENDENT, MONTROSE COUNTY SCHOOL DISTRICT JENNIFER SUCHON: NURSE PRACTITIONER, NORTHSIDE CHILD HEALTH CENTER GREG SUCHON, MD: PEDIATRICIAN, THE PEDIATRIC ASSOCIATES MARK TAYLOR: SHERIFF, DELTA COUNTY KELLY THOMPSON: DIRECTOR, HOPEWEST HOSPICE MARY VADER, MD: PEDIATRICIAN, MONTROSE REGIONAL HEALTH, BOARD MEMBER, MONTROSE REGIONAL HEALTH EVA VEITCH: AREA AGENCY ON AGING DIRECTOR, COLORADO REGION 10 SANDY WALKER: OMBUDSMAN, COLORADO REGION 10 POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: ELDERLY, PEDIATRIC, TEENAGER/ADOLESCENT, HOMELESS, LOW INCOME/WORKING POOR, RACIAL/ETHNIC AND VETERANS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: ELDERLY: STAFFING OF SENIOR CARE FACILITIES (NURSING HOMES/ASSISTED LIVING FACILITIES) FOOD INSECURITY TRANSPORTATION (LIMITED OPTIONS, LIMITED HOURS) EDUCATION ON TELEHEALTH SERVICES AND BENEFITS ACCESS TO INTERNET SERVICES AFFORDABLE DENTAL CARE COMPREHENSIVE HOME HEALTH AFFORDABLE HOUSING OPTIONS MEDICAL/INSURANCE EDUCATION MENTAL AND BEHAVIORAL HEALTH SERVICES AFFORDABILITY OF CARE EQUIPMENT/RESOURCE NEEDS, PARTICULARLY OXYGEN TANK REFILLS (DELTA COUNTY) PEDIATRIC: LIMITED AVAILABILITY OF CHILD DAY CARE LANGUAGE BARRIERS BETWEEN PARENTS AND PROVIDERS (DELTA COUNTY) TEENAGER/ADOLESCENT: LIMITED TRANSPORTATION OPTIONS HESITANCY TO GO TO THE DOCTOR (I.E. WHAT'S BOTHERING THEM PHYSICALLY, MENTALLY, ETC.) NEED FOR MENTAL HEALTH SERVICES, PARTICULARLY PSYCHOLOGIST NEED FOR LOCAL PROVIDERS WITH ABILITY TO PRESCRIBE APPROPRIATE MENTAL AND BEHAVIORAL HEALTH MEDICATIONS SUBSTANCE AND DRUG MISUSE/ABUSE VAPING, E-CIGARETTE USE SUICIDE RATE NEED FOR YOUNGER PARENT FAMILY PLANNING/EDUCATION/PLANNED PARENTHOOD LIMITED LOCAL OB/GYN SERVICES HOMELESS: LIMITED OPERATIONAL HOURS FOR LOCAL SHELTERS GROWING POPULATION MENTAL AND BEHAVIORAL HEALTH CONCERNS SUBSTANCE MISUSE/ABUSE NEED FOR SAFE/AFFORDABLE HOUSING (DELTA COUNTY) LOW INCOME/WORKING POOR: COST BARRIERS TO CARE TRANSPORTATION BARRIERS LIMITED INTERNET ACCESS HEALTHY LIFESTYLE EDUCATION AFFORDABLE HOUSING RACIAL/ETHNIC: LANGUAGE BARRIERS INSURANCE/AFFORDABILITY ISSUES HESITANCY TO SEEK CARE (DOCUMENTATION CONCERNS (MONTROSE COUNTY), CULTURAL MISTRUST (DELTA COUNTY)) VETERAN: LIMITED LOCAL VA SERVICES LIMITED ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES ACCESS TO DENTAL CARE (MONTROSE COUNTY) AFFORDABLE HOUSING
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - MONTROSE MEMORIAL HOSPITAL, INC.. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED SIX SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY MONTROSE REGIONAL HEALTH AND DELTA HEALTH. THE NEEDS WERE IDENTIFIED BY ASSESSING THE PREVALENCE OF THE ISSUES FOUND WITHIN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. HOSPITAL LEADERSHIP MET WITH CHC CONSULTING TO REVIEW THE RESEARCH FINDINGS AND PRIORITIZE THE COMMUNITY HEALTH NEEDS. THE FINAL LIST OF PRIORITIZED NEEDS IS AS FOLLOWS: 1. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 2. ACCESS TO PRIMARY & SPECIALTY CARE SERVICES AND PROVIDERS 3. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 4. CONTINUED FOCUS ON THE AGING POPULATION & SERVICES 5. PREVENTION, EDUCATION & SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES THE CHNA TEAM PARTICIPATED IN A PRIORITIZATION PROCESS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THEIR CAPACITY TO ADDRESS THE NEED. BASED ON THE UNIQUE CAPABILITIES OF THE FACILITIES, MRH PRIORITIZED SEPARATELY FROM DH IN ORDER TO TAILOR THEIR LIST OF IDENTIFIED NEEDS TO THEIR SPECIFIC PATIENT POPULATION AND RESOURCES. ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, MRH LEADERSHIP VOTED ON WHAT NEEDS TO ADDRESS AND DECIDED TO ADDRESS FIVE OF THE SIX PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE A POINT OF ACCESS FOR MENTAL HEALTH SERVICES IN THE COMMUNITY 1.A. MRH WILL CONTINUE TO EDUCATE THE COMMUNITY ON OPIOID PREVENTION, TREATMENT AND RECOVERY. MRH PROVIDES TRAINING FOR EMERGENCY DEPARTMENT PERSONNEL AND OTHER PARTNERS ON SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT). 1.B. MRH WILL CONTINUE TO UTILIZE THE ALTO PROJECT THROUGH THE COLORADO HOSPITAL ASSOCIATION TO REDUCE OPIOID USE IN THE EMERGENCY DEPARTMENT. 1.C. MRH'S MEDICAL STAFF RECEIVES CONTINUING EDUCATION ON OPIOIDS AND SAFE DOSING OF OPIOIDS AND BENZODIAZEPINES. 1.D. THROUGH COLLABORATION WITH THE CENTER FOR MENTAL HEALTH, MRH WILL REFER PATIENTS WHO ENTER INTO THE EMERGENCY DEPARTMENT PRESENTING WITH SEVERE BEHAVIORAL HEALTH SYMPTOMS TO THE CENTER FOR MENTAL HEALTH'S CRISIS WALK-IN CENTER. 1.E. MRH WILL CONTINUE TO HIRE CERTIFIED NURSING ASSISTANTS TO BECOME MENTAL HEALTH PATIENT SITTERS AS APPROPRIATE. 1.F. MRH WILL CONTINUE TO EMPLOY CASE MANAGERS AND SOCIAL WORKERS TO ASSIST PATIENTS IN OBTAINING THE SERVICES THEY NEED FOR RECOVERY. ADDITIONALLY, MRH SENDS A DATA FEED TO THE REGIONAL ACCOUNTABLE ENTITY (RAE) TO ENSURE CONTINUITY OF CARE. 1.G. MRH WILL CONTINUE TO ASSESS AND RECRUIT MENTAL HEALTH CARE WORKFORCE TO MEET THE NEEDS OF THE COMMUNITY. 1.H. MRH PARTNERS WITH THE COLORADO PERINATAL CARE QUALITY COLLABORATIVE(CPCQC) ON A QUALITY IMPROVEMENT INITIATIVE CALLED THE COLORADO HOSPITAL SUBSTANCE EXPOSED NEWBORNS (CHOSEN) COLLABORATIVE IN AN EFFORT TO INCREASE CONSISTENCY IN IMPLEMENTATION OF BEST PRACTICE APPROACHES IN THE IDENTIFICATION OF AND RESPONSE TO NEWBORNS PRENATALLY EXPOSED TO SUBSTANCES AT THE TIME OF BIRTH ACROSS COLORADO. 1.I. MRH PARTNERS WITH THE FQHC RIVER VALLEY HEALTH ON THE MOM GRANT WHICH IS A PROGRAM THAT WORKS IN COMBINATION WITH THE COAIM:SUD PROGRAM. PATIENTS ARE SCREENED ON THE INITIAL VISIT OR ON ADMIT TO THE FAMILY CENTER AT MRH AND THEN REFERRED FOR MEDICATION ASSISTED TREATMENT (MAT). 1.J. MRH PARTICIPATES IN THE COLORADO AIM PROGRAM: SUBSTANCE USE DISORDER (CO AIM:SUD) FOR OBSTETRICAL PATIENTS. THIS PROGRAM FOCUSES ON ESTABLISHING HOSPITAL GUIDELINES AND PROTOCOLS FOR SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRD) FOR SUBSTANCE USE DISORDER (SUD) AND PERINATAL MOOD AND ANXIETY DISORDERS IN THE PERINATAL HEALTHCARE SETTING. 1.K. MRH WILL CONTINUE TO EMPLOY PHYSICAL THERAPISTS TO WORK IN EMERGENCY DEPARTMENT TO ASSIST WITH ALTERNATIVE PAIN TREATMENTS. 1.L. MRH IS COLLABORATING WITH THE DELTA COUNTY AMBULANCE DISTRICT (DCAD) TO GUARANTEE TRANSPORTS OF BEHAVIORAL HEALTH PATIENTS TO HIGHER LEVELS OF CARE. 1.M. MRH WILL CONTINUE TO STAFF SANE (SEXUAL ASSAULT NURSE EXAMINER) WHO ARE TRAINED SPECIFICALLY TO EXAMINE AND TREAT SURVIVORS OF SEXUAL ASSAULT. 1.N. MRH CONTRACTS WITH FIRSTSTOP HEALTH TELE-COUNSELING AS PART OF OUR EMPLOYEE HEALTH BENEFIT PLAN. 1.O. MRH CONTINUES TO WORK WITH TRIAD EMPLOYEE ASSISTANCE PROGRAM TO ASSIST EMPLOYEES AND PROVIDERS. PRIORITY #2: ACCESS TO PRIMARY & SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY 2.A. FOLLOWING THE MRH PHYSICIAN RECRUITMENT PLAN, WE WILL CONTINUE TO ASSESS & RECRUIT PHYSICIANS BASED ON COMMUNITY NEED. 2.B. MRH WILL CONTINUE TO INCREASE ACCESS TO CARDIOLOGY & GYNECOLOGICAL SERVICES THROUGH THE OUTREACH CLINIC IN DELTA. 2.C. MRH HOSTS A MOBILE PET SCANNER 1X/WEEK. THIS SERVICE WILL MOVE TO THE ACC IN 2023. 2.D. MRH PROVIDES A PROVIDER REFERRAL PHONE LINE. 2.E. MRH STRIVES TO MEET THE GOAL OF 2 WEEKS (OR LESS) FOR THE 3RD NEXT AVAILABLE APPOINTMENT. 2.F. MRH MEDICAL STAFF PROVIDES CLINICAL ROTATIONS. 2.G. MRH COLLABORATES WITH COLORADO MESA UNIVERSITY - MONTROSE AND GRAND JUNCTION CAMPUSES TO HIGHLIGHT NEEDS AND TO PROVIDE CLINICAL SITES FOR HEALTH PROFESSIONAL STUDENTS (I.E. NURSING, RADIOLOGY, THERAPIES, ETC.). 2.H. MRH OFFERS AN ANNUAL HEALTH FAIR WITH LOW COST BLOOD DRAWS & HEALTH SCREENINGS. 2.I. MRH COLLABORATES WITH MONTROSE COUNTY TO OFFER A NO COST FLU VACCINATION CLINIC. 2.J. MRH SHARES PHYSICIAN PODCASTS AND OTHER HEALTH RELATED INFORMATION ON SOCIAL MEDIA. 2.K. MRH HOSTS AN EXTENSIVE WEBSITE WITH HEALTH RESOURCES. 2.L. INCREASED CARDIOLOGY ACCESS IN GUNNISON THROUGH AN OUTREACH CLINIC STAFFED BY A CARDIOLOGIST 3 DAYS PER WEEK. 2.M. MRH WORKS WITH LOCAL HIGH SCHOOL STUDENTS TO OFFER CAREER OPTION SEMINARS. PRIORITY #3: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE HEALTH DISPARITIES BY TARGETING SPECIFIC POPULATIONS 3.A. THROUGH GRANT DOLLARS, MRH OFFERS NAVIGATION SERVICES FOR WOMEN TO ACCESS BREAST CANCER AND CERVICAL SCREENING FOR PATIENTS WITH LIMITED OR NO HEALTH INSURANCE. 3.B. MRH WILL WORK WITH BOSOM BUDDIES TO PROVIDE FINANCIAL ASSISTANCE FOR MAMMOGRAMS AND OTHER BREAST CANCER RELATED MEDICAL EXPENSES TO UNDERSERVED WOMEN AND MEN IN SOUTHWESTERN COLORADO. 3.C. MRH OFFERS A SLIDING FEE SCALE PROGRAMS TO PATIENTS AS APPROPRIATE. 3.D. MRH CONDUCTS DAILY EVALUATIONS OF SELF-PAY PATIENTS AND WILL OFFER ASSISTANCE TO GET THE PATIENT SET UP WITH CONNECT FOR COLORADO OR FINANCIAL ASSISTANCE BEFORE LEAVING THE HOSPITAL. 3.E. MRH EMPLOYS A FINANCIAL ASSISTANCE COORDINATOR WHO IS CERTIFIED TO ASSIST PATIENTS WITH FINANCIAL AID ENROLLMENT. 3.F. MRH OFFERS A LOAN PROGRAM THROUGH THE BANK OF COLORADO. 3.G. MRH WILL CONTINUE TO NEGOTIATE WITH INSURANCE PLANS THAT AREN'T CONTRACTED WITH MRH AS OPPORTUNITIES ARISE. 3.H. MRH CONTINUES TO OFFER NO-INTEREST PAYMENT PLANS TO OUR PATIENTS. ADDITIONALLY, MRH WILL CONTINUE TO OFFER A 25% CASH DISCOUNT TO PATIENTS WHO ARE SELF-PAY. 3.I. MRH OFFERS THE COLORADO INDIGENT CARE PROGRAM (CICP), WHICH PROVIDES DISCOUNTED HEALTH CARE SERVICES TO LOW- INCOME PEOPLE AND FAMILIES. 3.J. MRH CONTINUES TO OFFER CASH PAYMENT OPTIONS FOR SEVERAL SERVICES. 3.K. MRH PROVIDES CASH PRICE LIST ON WEBSITE FOR MOST COMMON PROCEDURES THROUGH THEIR WEBSITE: WWW.MONTROSEHOSPITAL.COM. MRH PROVIDES INFORMATION AND BILLING STATEMENTS ABOUT MRH'S FINANCIAL ASSISTANCE POLICY ONLINE AND WORKS WITH MARKETING TO ENSURE THE MRH OFFERINGS/SERVICES ARE TRANSPARENT ON THE WEBSITE/SOCIAL MEDIA. 3.L. MRH PROVIDES CLINICAL TRIALS AT THE CANCER CENTER WHICH WILL BE FREE FOR PATIENTS WHO PARTICIPATE AS APPROPRIATE. 3.M. AMBULATORY CARE CENTER (OPENING 2023) WILL DECREASE COST OF AND IMPROVE PATIENT EXPERIENCE AND EASE OF NAVIGATING THE BUILDING TO RECEIVE CARE. 3.N. MRH REHABILITATION SERVICES FINANCIALLY SUPPORTS ALL POINTS TRANSIT WHICH PROVIDES FREE TRANSPORTATION TO REHAB PATIENTS UTILIZING MRH SERVICES.
Schedule H, Part V, Section B, Line 11 Facility A, 2	Facility A, 2 - MONTROSE MEMORIAL HOSPITAL, CONTINUED. PRIORITY #4: CONTINUED FOCUS ON THE AGING POPULATION & SERVICES OBJECTIVE: PLACE INCREASED FOCUS AND EMPHASIS ON THE NEEDS OF THE AGING POPULATION WITHIN THE COMMUNITY 4.A. MRH PROVIDES EXERCISE CLASSES FOR THE ELDERLY AND AGING POPULATION. 4.B. MRH PROVIDES EDUCATION ON THE IMPORTANCE OF BREAST AND CERVICAL SCREENINGS. 4.C. MRH COLLABORATES WITH REGION 10, HILLTOP, MONTROSE LIBRARY AND OTHER COMMUNITY GROUPS TO SET UP AND PARTICIPATE IN A COMMUNITY LECTURE SERIES FOCUSING ON EDUCATIONAL SEMINARS FOR THE AGING POPULATION. 4.D. CASE MANAGEMENT TEAM COLLABORATES DAILY WITH LOCAL LONG TERM CARE FACILITIES. 4.F. MRH PARTICIPATES IN THE WEST REGION HEALTH CARE COALITION THAT MEETS WITH LOCAL NURSING HOMES, ASSISTED LIVING FACILITIES, HOME HEALTH AND OTHER HEALTHCARE PARTNERS TO DISCUSS EMERGENCY ISSUES FOR DISASTER RESPONSE FOR THE AGING AND FUNCTIONAL NEEDS WITH SPECIAL POPULATIONS. PRIORITY #5: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: IMPLEMENT PROGRAMS AND PROVIDE EDUCATIONAL OPPORTUNITIES THAT SEEK TO ADDRESS UNHEALTHY LIFESTYLES AND BEHAVIORS IN THE COMMUNITY 5.A. MRH WILL CONTINUE TO CONNECT PATIENTS TO EXISTING COMMUNITY RESOURCES IN ORDER TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY. 5.B. MRH VOLUNTEERS AT LOCAL COMMUNITY EVENTS TO HELP THE COMMUNITY FOCUS ON HEALTH AND WELLNESS AS OPPORTUNITIES ARISE. 5.C. MRH WILL CONTINUE TO HOST AND/OR PARTICIPATE IN COMMUNITY EVENTS AND HEALTH FAIRS THROUGHOUT THE YEAR AS APPROPRIATE. 5.D. MRH WILL CONTINUE TO EDUCATE THE COMMUNITY ON HEALTH-RELATED TOPICS THROUGH VARIOUS MEDIA OUTLETS. 5.E. MRH WILL CONTINUE TO OFFER A VARIETY OF HEALTH SAFETY AND EDUCATIONAL CLASSES TO THE COMMUNITY. 5.F. MRH STAFF IS AVAILABLE FOR COMMUNITY LECTURES, CLASSROOM EDUCATION AND OTHER GUEST SPEAKING OPPORTUNITIES. 5.G. MRH PROVIDES DIABETES PREVENTION, EXERCISE AND OTHER HEALTH RELATED CLASSES. 5.H. MRH PARTICIPATES IN AN ANNUAL FOOD DRIVE FOR THE SHARING MINISTRIES FOOD BANK. 5.I. MRH COLLABORATES WITH AND SUPPORTS THE LOCAL CAREGIVER SUPPORT GROUP. 5.J. MRH COLLABORATES WITH MONTROSE COUNTY TO OFFER A NO COST FLU VACCINATION CLINIC. PRIORITIES NOT ADDRESSED: MRH DECIDED NOT TO SPECIFICALLY ADDRESS "NEED FOR INCREASED EMPHASIS ON HOUSING & TRANSPORTATION" LARGELY DUE TO THE HOSPITAL'S CAPACITY TO ADDRESS THIS NEED. WHILE MRH ACKNOWLEDGES THAT THIS IS A SIGNIFICANT NEED IN THE COMMUNITY "NEED FOR INCREASED EMPHASIS ON HOUSING & TRANSPORTATION" IS NOT ADDRESSED LARGELY DUE TO THE FACT THAT IT IS NOT A CORE BUSINESS FUNCTION OF THE FACILITY AND THE LIMITED CAPACITY OF THE HOSPITAL TO ADDRESS THIS NEED. MRH WILL CONTINUE TO SUPPORT LOCAL ORGANIZATIONS AND EFFORTS TO ADDRESS THIS NEED IN THE COMMUNITY.

Field	Value	IRS element (for citing)
Facility	15	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SAN JUAN CANCER CENTER
600 S 5TH STREET	MONTROSE	CO	81401	CANCER CENTER
ALPINE WOMEN'S CENTER
3330 S RIO GRAND AVE	Montrose	CO	81401	OBSTETRICS AND GYNECOLOGY
MONTROSE LUNG & SLEEP CENTER
715 S 3RD STREET	MONTROSE	CO	81401	LUNG CARE
MOUNTAIN VIEW THERAPY
801 S 4TH ST	MONTROSE	CO	81401	PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY
CENTER FOR WELLNESS
820 S 4TH ST	MONTROSE	CO	81401	WOUND CARE, LYMPHEDEMA, OSTOMY CARE, CARDIOPULMONARY REHABILITAITON, PELVIC CLINIC
PEDIATRIC CLINIC
645 S 5TH ST	MONTROSE	CO	81401	SPEECH THERAPY, OCCUPATIONAL THERAPY, PHYSCIAL THERAPY FOR INFANTS TO TEENS
RIDGWAY CLINIC
185 SHERMAN ST UNIT 103	MONTROSE	CO	81401	PHYSICAL THERAPY FOR ORTHOPEDIC AND NEUROLOGICAL, DRY NEEDLING, PELVIC HEALTH
MONTROSE RECREATIONAL CENTER CLINIC
16350 WOODGATE ROAD 100	MONTROSE	CO	81401	PHYSCIAL AND AQUATIC THERAPY, SPORTS MEDICINE, INJURY RECOVERY
PELVIC HEALTH CENTER
421 S NEVADA AVE	MONTROSE	CO	81401	HELP DECREASE PELVIC PAIN AND ALSO REDUCE SYMPTOMS OF OTHER CONDITIONS
Alpine Women's Center Delta
311 Palmer St	Delta	CO	81416	OBGYN
Spine and Pain Clinic
3330 S RIO GRAND AVE	Montrose	CO	81401	Spine and Pain Clinic
Cardiology Clinic
300 S NEVADA	montrose	CO	81401	Cardiology
CARDIOLOGY CLINIC DELTA
311 PALMER	DELTA	CO	81416	CARDIOLOGY
MOUNTAIN VIEW THERAPY PEAK PERFORMANCE
300 W COLORADO AVE 2B	TELLURIDE	CO	81435	REHABILITATION
MRH CARDIOLOGY CLINIC AT GUNNISON VALLEY HOSPITAL
711 N TAYLOR STREET	GUNNISON	CO	81230	CARDIOLOGY SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c DESCRIPTION OF OTHER FACTORS USED TO DETERMINE FINANCIAL ASSISTANCE	MONTROSE MEMORIAL HOPSITAL ALSO USES A PATIENT'S ASSET LEVEL, INSURANCE, AND RESIDENCY TO DETERMINE THE ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
Schedule H, Part V, Section B, Line 17 FINANCIAL ASSISTANCE POLICY (FAP)	PLEASE FIND ACCESS TO THE FINANCIAL ASSISTANCE POLICY AT: https://montrosehealth.com/patients-visitors/patient-financial-billing/
Schedule H, Part V INADVERTENT AND MINOR ERRORS RELATED TO 501(R) COMPLIANCE	DURING THE PREPARATION OF THE 2024 FORM 990, THE ORGANIZATION WAS ALERTED TO AN INADVERTENT AND MINOR ERROR OF NOT HAVING UPDATED THE PROVIDER LISTING ON A QUARTERLY BASIS. PRIOR TO FILING THE 2024 FORM 990, THE ORGANIZATION HAS RESOLVED THE DEFICIENCIES THROUGH THE FOLLOWING ACTION ITEMS: - PROVIDER LIST, INCLUDING THOSE COVERED AND NOT COVERED BY THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY HAS BEEN COMPLETED AND IS AVAILABLE ON THEIR WEBSITE AT THE FOLLOWING LOCATION: HTTPS://MONTROSEHEALTH.COM/PATIENTS-VISITORS/PATIENT-FINANCIAL-BILLING/ - A PAPER COPY OF THE LISTING IS ALSO AVAILABLE AT THE HOSPITAL'S REGISTRATION DESK. THE PROVIDER LIST IS REVIEWED AND UPDATED ON A QUARTERLY BASIS. IN ORDER TO ENSURE COMPLIANCE IN THE FUTURE, THE ORGANIZATION HAS IMPLEMENTED THE FOLLOWING PROCEDURES: - DURING QUARTER FINANCIAL CLOSE, STAFF WILL REVIEW WEBSITE LOCATIONS AND MATERIALS AT THE REGISTRATION DESK TO ENSURE ALL REQUIRED DOCUMENTS, APPLICATIONS, AND POLICIES ARE AVAILABLE ELECTRONICALLY AND IN PAPER FORMAT. - DURING QUARTER FINANCIAL CLOSE, THE PROVIDER LISTING WILL BE REVIEW AND UPDATED, INCLUDING AN UPDATED TIME AND DATE STAMP. - THE ORGANIZATION WILL CONTINUE TO IMPROVE LINES OF COMMUNICATIONS WITH THOSE RESPONSIBLE FOR WEBSITE MAINTENANCE AND PATIENT ACCOUNTS TO ENSURE THAT STAFF UNDERSTAND THE REQUIREMENTS OUTLINED IN THE 501(R) REGULATIONS
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. MONTROSE MEMORIAL HOSPITAL USED THE SAME COST-TO-CHARGE RATIO THROUGHOUT THE ENTIRE SCHEDULE TO DETERMINE THE COST OF THOSE ACTIVITIES.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2024. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE AMOUNT OF BAD DEBT EXPENSE ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED BASED ON EXPERIENCE AND COMMUNITY/INDUSTRY KNOWLEDGE APPLIED TO VARIOUS FINANCIAL CLASSES. THE LARGEST FINANCIAL CLASS WAS SELF-PAY, WHICH WAS ESTIMATED AT 32% THAT MAY HAVE BEEN ELIGIBLE IF PAPERWORK WOULD HAVE BEEN COMPLETED AND SUBMITTED.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	ACCOUNTING STANDARD CODIFICATION TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS HAS CHANGED HOW MONTROSE MEMORIAL HOSPITAL RECOGNIZES REVENUE. THE NEW STANDARD REMOVES THE BAD DEBT EXPENSE FROM BEING REPORTED ON THE AUDITED FINANCIAL STATEMENTS. DUE TO THE CHANGE IN REVENUE RECOGNITION MONTROSE MEMORIAL HOSPITAL DOES NOT HAVE A BAD DEBT EXPENSE LISTED IN THE AUDITED FINANCIAL STATEMENTS.
Schedule H, Part V, Section B, Line 16a FAP website	A - MONTROSE MEMORIAL HOSPITAL: Line 16a URL: https://montrosehealth.com/patients-visitors/patient-financial-billing/;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - MONTROSE MEMORIAL HOSPITAL: Line 16b URL: https://montrosehealth.com/patients-visitors/patient-financial-billing/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - MONTROSE MEMORIAL HOSPITAL: Line 16c URL: https://montrosehealth.com/patients-visitors/patient-financial-billing/;
Schedule H, Part VI, Line 2 Needs assessment	MONTROSE REGIONAL HEALTH HAS ONGOING MEETINGS WITH KEY STAKEHOLDERS IN OUR COMMUNITY REGARDING CARE FOR OUR PATIENT POPULATION. STAKEHOLDERS INCLUDE REPRESENTATIVES FROM LAW ENFORCEMENT, EMS, BEHAVIORAL HEALTH, SCHOOL DISTRICT, OPIOID EXPERTS, EXTENDED CARE FACILITIES, COUNTY AND CITY REPRESENTATIVES AND OTHERS. OUR COMMUNITY IS SMALL AND WE COOPERATE AND COORDINATE WITH LOCAL AND REGIONAL ENTITIES AS APPROPRIATE.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE HOSPITAL FINANCIAL ASSISTANCE POLICIES CAN BE FOUND ON THE HOSPITAL WEB SITE. THE HOSPITAL ALSO HAS SIGNS IN WAITING AREAS THAT INFORM PATIENTS OF FINANCIAL ASSISTANCE AND REFER THEM TO VISIT OUR FINANCIAL COUNSELORS.
Schedule H, Part VI, Line 4 Community information	OUR PRIMARY SERVICE AREA IS MONTROSE COUNTY, COLORADO AS WELL AS SAN MIGUEL AND OURAY COUNTIES. MRH DETERMINED THE COMMUNITY WOULD BE DEFINED BY PRIMARY SERVICES AREA IN ZIP CODES 81401, 81403, 81411, 81422, 81424, 81425 AND 81431 (ZIP CODES INCLUDED ONLY RESIDENCES AND EXCLUDES ZIP CODES WITH ONLY POST OFFICE BOXES AS THOSE PATIENTS ARE INCLUDED IN THE ZIP CODES REFLECTING RESIDENCES.) THE TEAM ALSO DECIDED SECONDARILY, WE WOULD LIKE TO IMPACT OUR SECONDARY SERVICE AREA AS WE TOOK A REGIONAL APPROACH TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS BY ENGAGING DELTA AND GUNNISON IN OUR COMMUNITY EFFORTS. THE SECONDARY SERVICE AREA WAS DEFINED AS ZIP CODES 81210, 81224, 81230, 81231, 81239, 81241, 81243, 81410, 81415, 81416, 81419, 81428, 81434, 81225, 81414, 81418, 81420, AND 81433. AS OF JULY 1, 2021, PER WWW.CENSUS.GOV/ RACE/ETHNICITY: 75.4% OF THE POPULATION IS WHITE NON-HISPANIC, 21.1% OF THE POPULATION IS HISPANIC, BLACK NON-HISPANIC IS 0.8%, ASIAN IS 0.9, ALL OTHERS MAKE UP APPROXIMATELY 1.8%. (SOURCE: WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/MONTROSECOUNTYCOLORADO/PST045 221) AGE: MRH PRIMARY SERVICE AREA IS SEEING AN EXPANSION IN OUR MEDICARE POPULATION AND THIS EXPANSION IS PROJECTED TO INCREASE. THE MEDIAN AGE IS 45.2. IN 2022 MRH EXPECTS TO SEE IN OUR PRIMARY SERVICES AREA AN AGE DISTRIBUTION BY PERCENTAGE OF THE POPULATION: 0-14=17.6%; 15-19=5.8%; 20-24=4.9%; 25-34=10.1%; 35-54=23.0%; 55-64=14.8%; 65+=23.8%. (SOURCE: WWW.MONTROSEEDC.ORG/DOCUMENTCENTER/VIEW/267/AGE-PERCENTAGE?BIDID=)
Schedule H, Part VI, Line 5 Promotion of community health	N ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, MMH CONDUCTED SEVERAL COMMUNITY MEETINGS TO RECEIVE FEEDBACK ON PRIORITY AREAS. MMH FELT IT IMPORTANT TO ENGAGE STAKEHOLDER AND COMMUNITY LEADERS TO DETERMINE WHAT INITIATIVES MMH SHOULD LEAD AND WHICH INITIATIVES MMH SHOULD PLAY A SUPPORTING ROLE.
Schedule H, Part VI, Line 7 State filing of community benefit report	CO

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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 (6 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
PAUL PERROTTI
CFO	$250,000	$0	$109,920	$0	$0	$0	$0	$0	$23,309	$0	$383,229	$0	$0	$0
STEVEN EMMONS MD
PHYSICIAN	$588,075	$0	$10,739	$0	$13,092	$0	$13,770	$0	$61,000	$0	$686,676	$0	$0	$0
SAMUEL HOLMES MD
PHYSICIAN	$460,380	$0	$9,000	$0	$625	$0	$0	$0	$378	$0	$470,383	$0	$0	$0
RHONDA PARKER MD
CHIEF MEDICAL OFFICER	$352,741	$0	$101,870	$0	$560	$0	$6,553	$0	$53,500	$0	$515,224	$0	$0	$0
ADDISON WOOD MD
PHYSICIAN	$873,571	$0	$70,556	$0	$13,988	$0	$7,338	$0	$65,190	$0	$1,030,643	$0	$0	$0
MOJGAN ARASHVAND MD
PHYSICIAN	$408,680	$0	$12,500	$0	$0	$0	$0	$0	$17,871	$0	$439,051	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	MONTROSE MEMORIAL HOSPITAL Utilized compensation surveys, including Gallagher and Willis Towers Watson, to determine executive compensation. CHC is the CEO employer and they determine the pay.
Schedule J, Part I, Line 7 Non-fixed payments	THE CEO IS ELIGIBLE FOR A BONUS FOR UP TO 30% OF HIS BASE SALARY. THE BOARD ESTABLISHES ACCOUNTABILITY GOALS FOR THE CEO. THE INCENTIVE COMPENSATION IS AT THE SOLE DISCRETION OF THE BOARD.
Schedule J, Part I, Line 3 CEO Compensation Determination	Written employment contract Compensation survey or study Approval by the board or compensation committee
Schedule J, Part I, Line 7 Any Non-Fixed Payments	THE CEO IS ELIGIBLE FOR A BONUS FOR UP TO 30% OF HIS BASE SALARY. THE BOARD ESTABLISHES ACCOUNTABILITY GOALS FOR THE CEO. THE INCENTIVE COMPENSATION IS AT THE SOLE DISCRETION OF THE BOARD.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COLORADO HEALTH FACILITIES AUTHORITY
A	840752932	2020-11-12	$19,110,000	REFUND 2017 BOND ISS.	false	false	false
Colorado Health Facilities Authority
B	840752932	2023-09-12	$15,000,000	Series 2023 Revenue Bond	false	false	false
Colorado Health Facilities Authority
C	840752932	2024-09-01	$10,000,000	SERIES 2024 REVENUE BOND	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$5,394,487	$19,110,000	$19,110,000	2020	Yes (true)	false	Yes (true)	Yes (true)
B	$965,000	$15,000,000		2023	false	false	false	Yes (true)	$404,790	$11,035,676	$3,559,534
C	$0	$10,000,000		2024	false	false	false	Yes (true)	$155,737	$6,362,869	$3,481,394

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	0	0	false	false	false	Yes (true)
B	false	false	false	false	false	false	0.0	0.0	false	false	false	Yes (true)
C	false	false	false	false	false	false	0	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	false	false	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 2 New program services	In 2024, the hospital opened a new general surgery clinic. The San Juan Cancer Center moved to a newly remodeled clinic location. Started a new Pulmonary Clinic in Gunnison. The Cardiology Cliniic in Montrose moved to a larger space. The Pulmonary Clinic in Montrose moved to a larger space. AWC Spine and Pain Clinic moved to the Ambulatory Care Clinic.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH CEO COMPENSATION	CHC PROVIDES THE BOARD OF DIRECTORS WITH CEO COMPENSATION DATA AND CHC GUIDES THEM ON HOW TO SET THE CEO'S COMPENSATION, PAY INCREASES, AND BONUS POTENTIAL.
Form 990, Part VI, Line 3 Delegation of management duties	MONTROSE MEMORIAL HOSPITAL (MMH) ENGAGED COMMUNITY HOSPITAL CONSULTING (CHC) TO PROVIDE EXECUTIVE FINANCIALS MANAGEMENT SERVICES WITH THE ROLE OF CEO. MONTROSE MEMORIAL HOSPITAL PAID CHC $370,800 FOR THE SERVICES PROVIDED IN 2024. CHC PAID THE FOLLOWING PEOPLE IN 2024 FOR SERVICES PROVIDED TO MMH. - JEFFEREY MENGENHAUSEN - CEO - $624,482.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	HE FORM 990 WAS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS VIA E-MAIL FOR THEIR REVIEW. A REGULARLY SCHEDULED FINANCE COMMITTEE MEETING WAS HELD AT WHICH TIME THE CPA FIRM WHICH PREPARED THE FORM 990 EXPLAINED THE DOCUMENT AND ANSWERED QUESTIONS FROM THE BOARD.
Form 990, Part VI, Line 12c Conflict of interest policy	COMPLIANCE IS MONITORED ON AN ANNUAL BASIS THROUGH INDIVIDUAL ACKNOWLEDGEMENT OF THE CONFLICT OF INTEREST POLICY AND WRITTEN SELF-DISCLOSURE, AND THROUGH A 24/7 HOTLINE COMPLAINT REPORT. MONTROSE MEMORIAL HOSPITAL, INC.'S CONFLICT OF INTEREST POLICY APPLIES TO ANY DIRECTOR, OR OFFICER AND PROVIDES ANY POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED PRIOR TO DISCUSSION AND/OR ACTION. THE BOARD WILL DETERMINE HOW TO ADDRESS THE POTENTIAL CONFLICT. TYPICALLY, AN INDIVIDUAL WITH A CONFLICT WILL NOT PARTICIPATE IN THE DECISION REGARDING THE CONFLICT OF INTEREST, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. ANNUALLY, EACH OFFICER AND DIRECTOR SIGNS AN AFFIRMATION THAT THEY HAVE REVIEWED THE BOARD APPROVED CONFLICT OF INTEREST POLICY AND DISCLOSED ANY KNOWN RELATIONSHIPS THAT HAVE BUSINESS WITH MONTROSE MEMORIAL HOSPITAL, INC. OR OTHER POTENTIAL CONFLICTS.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	CHC PROVIDES THE BOARD OF DIRECTORS WITH CEO COMPENSATION DATA AND CHC GUIDES THEM ON HOW TO SET THE CEO'S COMPENSATION, PAY INCREASES, AND BONUS POTENTIAL. MONTROSE MEMORIAL HOSPITAL HUMAN RESOURCES DEPARTMENT CONDUCTS COMPENSATION DATA REVIEW FOR OTHER EMPLOYEES OF THE HOSPITAL. THE INDEPENDENT GOVERNING BODY REVIEWED AND APPROVED THIS COMPENSATION. APPROPRIATE DOCUMENTATION IS MAINTAINED IN THE PERSONNEL FILE.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATIONS FINANCIAL STATEMENTS ARE POSTED ON THE WEBSITE. OTHER GOVERNING DOCUMENTS AND THE ORGANIZATIONS CONFLICT OF INTEREST POLICY ARE AVAILABLE BY REQUEST FROM THE ADMINISTRATION.
Form 990, Part IX, Line 11g Other Fees	PHYSICIAN FEES - Total Expense: 20166779, Program Service Expense: 19889911, Management and General Expenses: 276868, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 9310716, Program Service Expense: 7822873, Management and General Expenses: 1487843, Fundraising Expenses: ; SAN JUAN CANCER CENTER - Total Expense: 3619955, Program Service Expense: 3619955, Management and General Expenses: , Fundraising Expenses: ; WESTERN SLOPE ORTHOPAEDICS - Total Expense: 2177996, Program Service Expense: 2177996, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 2103341, Program Service Expense: 1108610, Management and General Expenses: 994731, Fundraising Expenses: ; RECRUITMENT - Total Expense: 1783906, Program Service Expense: 4832, Management and General Expenses: 1779074, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 1696208, Program Service Expense: , Management and General Expenses: 1696208, Fundraising Expenses: ; LAB SERVICES - Total Expense: 1174713, Program Service Expense: 1174713, Management and General Expenses: , Fundraising Expenses: ; SERVICE FEES - Total Expense: 1008156, Program Service Expense: 723276, Management and General Expenses: 284880, Fundraising Expenses: ; BILLING SERVICES - Total Expense: 501741, Program Service Expense: 501741, Management and General Expenses: , Fundraising Expenses: ; CLEANING SERVICES - Total Expense: 468355, Program Service Expense: 16952, Management and General Expenses: 451403, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	NET INCOME RECOGNIZED FROM GRANTOR TRUST - -132433; Total - -132433;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RIVER LANDING SURGERY CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3330 S RIO GRAND AVE	AddressLine1Txt
City	MONTROSE	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81401	ZIPCd

Field	Value	IRS element (for citing)
EIN	990454871	EIN
Primary Activities	AMBULATORY SURGERY CENTER	PrimaryActivitiesTxt
Legal Domicile State	CO	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MONTROSE MEMORIAL HOSPITAL	BusinessNameLine1Txt

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	BLACK CANYON SURGICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	611 E STAR COURT	AddressLine1Txt
City	MONTROSE	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81401	ZIPCd

Field	Value	IRS element (for citing)
EIN	510514274	EIN
Primary Activities	SURGERY CENTER	PrimaryActivitiesTxt
Legal Domicile State	CO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MONTROSE MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	N/A	PredominantIncomeTypeTxt
Share Of Total Income	$3,741,305	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,667,462	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.5100	OwnershipPct

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	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	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	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	BLACK CANYON SURGICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionTypeTxt
Involved	$328,950	InvolvedAmt
Method Of Amount Determination	BOOK VALUE	MethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part III, Column (d) Controlling entity	FormAndLineReferenceDesc
Explanation	BLACK CANYON SURGICAL CENTER IS DIRECTLY CONTROLLED BY MONTROSE MEMORIAL HOSPITAL, INC.	ExplanationTxt