COLORADO WEST HEALTHCARE SYSTEM: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
COLORADO WEST HEALTHCARE SYSTEM (EIN 84-0469270)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202323189349307652
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-14T11:24:35-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1STOCKMAN KAST RYAN & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1102 N CASCADE AVENUE SUITE 400AddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80903ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840469270EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Colorado West Healthcare SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JON HOOKERInCareOfNm
Business Name ControlCOLOBusinessNameControlTxt
Phone9702566321PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12351 G RoadAddressLine1Txt
CityGrand JunctionCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81505ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTIAN THOMASPersonNm
Person TitleCEOPersonTitleTxt
Phone9702566321PhoneNum
Signature2023-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHRISTIANPersonFirstNm
Person LastTHOMASPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOREEN B MERZPreparerPersonNm
PTINP00841439PTIN
Phone7196301186PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTIAN THOMASPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12351 G RoadAddressLine1Txt
CityGrand JunctionCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81505ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$240,542,917GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.yourcommunityhospital.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1956FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionImprove the health and quality of life of the individuals and communities we serve.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1572TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI-$321,786TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$3,311,327CYContributionsGrantsAmt
PY Program Service Revenue$226,489,876PYProgramServiceRevenueAmt
CY Program Service Revenue$237,214,889CYProgramServiceRevenueAmt
PY Investment Income$176,388PYInvestmentIncomeAmt
CY Investment Income$173,075CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue-$156,374CYOtherRevenueAmt
PY Total Revenue$226,666,264PYTotalRevenueAmt
CY Total Revenue$240,542,917CYTotalRevenueAmt
PY Grants And Similar Paid$1,709,820PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$100,485,438PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$113,929,788CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$110,663,667PYOtherExpensesAmt
CY Other Expenses$126,085,827CYOtherExpensesAmt
PY Total Expenses$212,858,925PYTotalExpensesAmt
CY Total Expenses$240,015,615CYTotalExpensesAmt
PY Revenues Less Expenses$13,807,339PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$527,302CYRevenuesLessExpensesAmt
Total Assets BOY$192,725,160TotalAssetsBOYAmt
Total Assets EOY$210,138,027TotalAssetsEOYAmt
Total Liabilities BOY$130,449,801TotalLiabilitiesBOYAmt
Total Liabilities EOY$149,251,208TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$62,275,359NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$60,886,819NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF COLORADO WEST HEALTHCARE SYSTEM AND COMMUNITY HOSPITAL IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$184,736,195ExpenseAmt
Revenue$237,380,301RevenueAmt
DescCommunity Hospital provides inpatient, outpatient, emergency, urgent, and primary health care services to communities in western Colorado which have been identified as a physician shortage area. During the tax year ended December 2022, Community Hospital had 13,121 patient days, 23,123 emergency room visits, 14,661 urgent care visits, 59,619 primary care visits, 8,124 oncology infusions and performed 4,352 surgeries. During the tax year, the Hopsital was able to provide charity care services to those who could not otherwise afford necessary medical care. The Hopsital provides care to persons covered by governmental programs at/or below cost and to individuals who are unable to pay. See also Sch O.Desc
Total Program Service Expenses$184,736,195TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document272IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1572EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCOStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJON HOOKERPersonNm
Phone9702576295PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12351 G ROADAddressLine1Txt
CityGRAND JUNCTIONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81505ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
James Rose
Physician40.00.0Yes (X)$730,270$0$33,634
Kirk Clifford
Physician40.00.0Yes (X)$718,617$0$35,189
Christian Thomas
President & CEO39.01.0$692,647$0$32,955Yes (X)
Kennan Vance
Physician40.00.0Yes (X)$663,648$0$37,672
Enrique Orellana Jr
Physician40.00.0Yes (X)$616,182$0$30,885
Peter Shorten
Physician40.00.0Yes (X)$609,084$0$31,087
Thomas Tobin
CMO40.00.0$460,674$0$35,854Yes (X)
Grant Roper
Chief of Staff (to 1/2022)1.50.0$445,596$0$33,875Yes (X)Yes (X)
Joseph Gerardi
COO/CNO40.00.0$296,609$0$28,977Yes (X)
Ed Johlman
CFO40.00.0$271,612$0$31,593Yes (X)
John Skillicorn
Chief of Physician Practices40.00.0$266,627$0$32,943Yes (X)
Florian Seeberger
Board Member1.50.0$263,604$0$33,083Yes (X)
Pete Young
CCO40.00.0$162,906$0$31,639Yes (X)
Tawny Espinoza
Chief Development Officer40.00.0$165,082$0$26,610Yes (X)
Karen Martsolf
Chief Marketing Officer40.00.0$156,142$0$27,973Yes (X)
Amy Jordan
Chief Human Resources Officer40.00.0$152,013$0$28,832Yes (X)
Bart Butzine
CIO (to 9/2022)40.00.0$144,161$0$22,686Yes (X)
Janet Brink
Chair1.50.0$0$0$0Yes (X)Yes (X)
Deedra Shear
Vice Chairman1.50.0$0$0$0Yes (X)Yes (X)
Mark Harrington
Secretary1.50.0$0$0$0Yes (X)Yes (X)
Todd Young
Treasurer1.50.0$0$0$0Yes (X)Yes (X)
JJ Stroh
Board Member1.50.0$0$0$0Yes (X)
Dean Havlik
Board Member1.50.0$0$0$0Yes (X)
Jenna Noem
Board Member1.50.0$0$0$0Yes (X)
Dale Rooks
Board Member1.50.0$0$0$0Yes (X)
Todd Hegstrom
Board Member1.50.0$0$0$0Yes (X)
Dan Rubinstein
Board Member1.50.0$0$0$0Yes (X)
Justin Kaptuch
Chief of Staff (from 2/2022)1.50.0$0$0$0Yes (X)Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,815,474TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$535,487TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K171IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Community Anesthesia Consultants
2829 North Ave Suite 112GRAND JUNCTIONCO81501Anesthesia Services$1,805,933
University of Utah
50 North Medical Drive RMW1200SALT LAKE CITYUT84132Management Services$2,458,326
Aquity Solutions LLC
PO Box 536470PITTBURGHPA15253Cllnical Doc.Service$772,602
Nexus Spine LLC
2825 E Cottonwood Parkway Suit 33SALT LAKE CITYUT84121Spinal Implants$809,566
Renovo Solutions LLC
4 Executive Circle Suite 185IRVINECA92614Technology Mgt.$755,569
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K165CntrctRcvdGreaterThan100KCnt
Related Organizations$2,056,000RelatedOrganizationsAmt
Government Grants$1,255,327GovernmentGrantsAmt
Total Contributions$3,311,327TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$226,103,758$226,103,758
PHARMACY REVENUE621110$5,594,127$5,594,127
CANYON VIEW ASC LLC SERVICE REVENUE621110$3,649,186$3,649,186
CAFETERIA621110$863,536$863,536
CLINICAL TRIALS621110$99,229$99,229

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$905,053TotalRevenueColumnAmt
Related Or Exempt Func Income$905,053RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$237,214,889TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$173,075TotalRevenueColumnAmt
Exclusion$173,075ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPASS-THROUGH K-1/EQUITY PROG. INVEST SUBS.Desc
Business621110BusinessCd
Total Revenue Column-$156,374TotalRevenueColumnAmt
Related Or Exempt Func Income$165,412RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$321,786UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total-$156,374OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$240,542,917TotalRevenueColumnAmt
Related Or Exempt Func Income$237,380,301RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$321,786UnrelatedBusinessRevenueAmt
Exclusion$173,075ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,844,697TotalAmt
Program Services$3,114,535ProgramServicesAmt
Management And General$730,162ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$78,842TotalAmt
Program Services$63,869ProgramServicesAmt
Management And General$14,973ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$82,968,143TotalAmt
Program Services$67,211,326ProgramServicesAmt
Management And General$15,756,817ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,193,803TotalAmt
Program Services$1,777,169ProgramServicesAmt
Management And General$416,634ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,855,003TotalAmt
Program Services$4,650,581ProgramServicesAmt
Management And General$14,204,422ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,989,300TotalAmt
Program Services$4,851,848ProgramServicesAmt
Management And General$1,137,452ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,458,326TotalAmt
Program Services$1,439,806ProgramServicesAmt
Management And General$1,018,520ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$31,560,738TotalAmt
Program Services$23,547,893ProgramServicesAmt
Management And General$8,012,845ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$524,032TotalAmt
Management And General$524,032ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,865,006TotalAmt
Program Services$3,713,687ProgramServicesAmt
Management And General$151,319ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,927,200TotalAmt
Program Services$5,702,287ProgramServicesAmt
Management And General$1,224,913ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$76,480TotalAmt
Management And General$76,480ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,578,864TotalAmt
Program Services$3,578,864ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,731,252TotalAmt
Program Services$8,731,252ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,732,117TotalAmt
Program Services$619,927ProgramServicesAmt
Management And General$1,112,190ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$48,400,171$46,464,164$1,936,007
BAD DEBT EXPENSE$7,035,385$7,035,385
REPAIRS & MAINTENANCE$6,513,682$1,920,290$4,593,392
OTHER EXPENSE$4,682,574$313,312$4,369,262

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$240,015,615TotalAmt
Program Services$184,736,195ProgramServicesAmt
Management And General$55,279,420ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$30,221,875BOYAmt
EOY$19,823,271EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,435,497BOYAmt
EOY$36,794,515EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,827,339BOYAmt
EOY$5,661,748EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,598,763BOYAmt
EOY$3,834,707EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$183,606,799LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$55,427,682LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$101,568,433BOYAmt
EOY$128,179,117EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$373,666BOYAmt
EOY$374,155EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$4,776,548BOYAmt
EOY$685,553EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,923,039BOYAmt
EOY$14,784,961EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$192,725,160BOYAmt
EOY$210,138,027EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,159,236BOYAmt
EOY$28,494,807EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$857,142BOYAmt
EOY$714,285EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$11,923,603BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$87,135,643BOYAmt
EOY$106,464,798EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,374,177BOYAmt
EOY$13,577,318EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$130,449,801BOYAmt
EOY$149,251,208EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$62,275,359BOYAmt
EOY$60,886,819EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$62,275,359BOYAmt
EOY$60,886,819EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$192,725,160BOYAmt
EOY$210,138,027EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$527,302ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,915,842OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$2,083OtherActivitiesAmt
Total Lobbying Expenditures$2,083TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1, Lobbying Activities:FormAndLineReferenceDesc
ExplanationThe Organization pays dues to the Colorado Hospital Association and a portion of the money is used for lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,041,532OtherCostOrOtherBasisAmt
Book Value$4,041,532BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$68,902,096OtherCostOrOtherBasisAmt
Depreciation$17,239,181DepreciationAmt
Book Value$51,662,915BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,974,947OtherCostOrOtherBasisAmt
Depreciation$1,108,921DepreciationAmt
Book Value$3,866,026BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,327,644OtherCostOrOtherBasisAmt
Depreciation$39,610,782DepreciationAmt
Book Value$29,716,862BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,891,782OtherCostOrOtherBasisAmt
Book Value$38,891,782BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$128,179,117TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLE$2,034,908
457 ASSETS$5,934,258
ROU OPERATING LEASES$6,815,795
FieldValueIRS element (for citing)
Total Book Value Other Assets$14,784,961TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO 3RD PARTY MCARE/MCAID$827,265
457 LIABILITY$5,934,258
ROU OPERATING LEASES$6,815,795
FieldValueIRS element (for citing)
Total Liability$13,577,318TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$233,507,532TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$233,507,532RevenueSubtotalAmt
Other Revenues Not Included$7,035,385OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$7,035,385RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$240,542,917TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$232,980,230TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$232,980,230ExpensesSubtotalAmt
Other Expenses Not Included$7,035,385OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$7,035,385ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$240,015,615TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
schedule d, part x, line 2The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.
schedule d, Part XI, Line 4bother change: pROVISION FOR BAD DEBTS reclassified from revenue to expense for tax return: $ 7,035,385.
schedule d, Part XII, Line 4bother change: pROVISION FOR BAD DEBTS reclassified from revenue to expense for tax return: $ 7,035,385.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other150.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$810,971TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$810,971NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,920,075TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,505,801DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,414,274NetCommunityBenefitExpnsAmt
Total Expense0.00600TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,731,046TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,505,801DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,225,245NetCommunityBenefitExpnsAmt
Total Expense0.00940TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$391,779TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$391,779NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$391,779TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$391,779NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,122,825TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,505,801DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,617,024NetCommunityBenefitExpnsAmt
Total Expense0.01110TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$866,341BadDebtExpenseAmt
Reimbursed By Medicare$31,034,648ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$37,035,457CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$6,000,809MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Canyon View ASC LLC
Ambulatory Surgery Center1.00.00.0
Physicians Choice
Property Rental0.640.00.36
Real Estate LLC
Healthcare Mgt LLC
Collections0.195560.00.19556
community health
insurance liaison0.50.00.5
providers Org
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Community HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12351 G RoadAddressLine1Txt
CityGrand JunctionCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81505ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.yourcommunityhospital.com/WebsiteAddressTxt
State License011119StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Community HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Line 7dOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Line 7dOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Line 7dStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care150.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, line 16jFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, line 16jFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, line 16jFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Sch H, Part iV, line 1:Canyon View ASC, LLC (Canyon View) is a Colorado limited liability company and was a joint venture owned by the Hospital (51%) and a group of physicians (49%) until January 2021, when Community Hospital acquired the 49% interest of the physician group for $420,000. Canyon View operates an outpatient surgery center located in Grand Junction, Colorado.
Sch H, Part V, Section B, Line 5:Community Hospital was an active participant in the CHNA collaboration with the Mesa County Community Health Department and a number of other local hospitals and organizations in Mesa County. A Community Hospital representative worked with the CHNA planning committee and the Mesa County Community Transformation Group to determine what data needed to be gathered. Community Hospital provided aggregate health screening reports for its contracted employer groups to Mesa County Health Department. The healthcare partners of our community met regularly to put together a timeline and action plan to implement the Strategy Report and ensure no duplication of efforts. Community Hospital utilized previous assessments to guide interventions and collaborations. Primary data was collected from subject matter experts and community members through focus groups, informal interviews, and electronic surveys.
Sch H, Part V, Section B, Line 6a:The CHNA was conducted with the following other hospital facilities: Colorado Canyons Hospital and Medical Center, St. Mary's Medical Center, West Springs Hospital, and The VA Western Colorado Health Care System Center.
sch H, Part V, Section B, Line 6b:Mesa County Public Health.
sch h, Part V, Section B, Line 7d:Hospital Website: https://yourcommunityhospital.com/Community_Health_Needs_Assessment.cfm Other Website: health.mesacounty.us Implementation Strategy: https://yourcommunityhospital.com/Community_Health_Needs_Assessment.cfm
sch h, Part V, Section B, Line 11:Community Hospital was an active participant in the CHNA in collaboration with the Mesa County Public Health and a number of other local hospitals and organizations in Mesa County. This collaborative approach enabled the group to identify areas where the various organizations might work together to achieve needed improvements. Community Hospital has been utilizing this assessment as a guide for providing programs to address identified community health needs in support of the collaborators and with the mission of our organization "to improve the health and quality of life of the individuals and communities we serve." While Community Hospital actively supports many of the health needs that have been identified by the CHNA, we have made the decision not to address social inequities at this time. We believe that our current resources are best used to impact health needs in the other areas of inequity. Additionally, other community entities are better suited to wholeheartedly address social inequities in Mesa County.
Community Hospital's Implementation Strategies:This Implementation Strategy is intended to satisfy each of the applicable requirements set forth in proposed regulations released 2021 and serves as Community Hospital's planned response to the needs identified through 2023 Community Health Needs Assessment (CHNA) process. For a full copy of the CHNA report, please visit: https://health.mesacounty.us/2021chna/ Community Health Needs Identified in the CHNA Report The findings from the 2021 CHNA detail five themes based on Social Determinants of Health (SDH). These Social Determinants of Health: economic stability, education, healthcare and access, neighborhood and built environment, and social and community context. Key Determinants of Health Needs The CHNA broke down the SDH into areas of action and areas of strength. The areas of action include focus areas in each SDH. Household stability including identifying areas in the county that are impacted by stacked disadvantage; and identifying training and educational opportunities for workers transitioning from waning industries, and incentivizing economic growth (Economic Stability). Increasing access to and supporting existing childcare access, focusing elementary proficiency on teacher training and curriculum, support four-year high school completion, and work with those who do not finish graduation. Support higher education students who are the first in their families to seek higher education. Expand concurrent enrollment. Support work of local higher education entities who are creating programs to meet current employer and student demand. Work with employers to provide internships and practical experiences for students (Education). Increase health care access and utilization by investigating root causes for health care use barriers. Research medical debt burden on residents and explore opportunities to increase public insurance plan and subsidy enrollment. Understand current gaps in specialty care. Continue to address the mental health crisis by improving mental health experiences for first-time patients. Reduce barriers to seeking mental health services, and giving consideration to community resources to best keep people in non-emergency substance use intoxication or mental health crises safe while reducing community and health care system disruption (Health Care and Access). Use data to determine the effectiveness of efforts and resources used to affect tobacco, substance use, and obesity interventions. Increase immunization rates in schools. Investigate geography in teen birth rate, and identify services or educational resources that may be lacking in areas with high rates (Health Implications). Access the rates of crime infractions that impact public safety but are not included in violent crime and property crime databases. Develop a clear enforcement process for health and safety violations for Code Compliance and to engage in community clean-up efforts. Explore opportunities to increase food access and determine current gaps in housing assistance and explore housing assistance opportunities (Neighborhood and Built Environment). Survey and focus groups of Mesa County residents to better understand their personal relationships and social networks. Identify strategies to boost social resources in unincorporated areas. Work to address bullying and improve voter participation in low-turnout precincts (Social and Community Context). Health Needs Community Hospital Plans to Address Building on the criteria used in the CHNA process, Community Hospital has evaluated the knowledge, skills, and expertise of our existing assets, and the knowledge of community efforts and entities that are currently, or may be, addressing the identified needs. Further, Community Hospital is leveraging collaborate initiatives that are addressing and impacting the identified needs. Based on this evaluation, Community Hospital has selected a number of needs from the outlined key determinates of health needs and from the broader areas of concern to address. This will allow us to maximize our ability to focus resources and have a meaningful impact on community health needs. Key CHNA data points for each inequity that Community Hospital plans to address are summarized below. 1. Economic Stability Self-sufficiency standard. Data gathered for the CHNA estimates local household expenses based on household makeup-number of adults, as well as the number and age of children. The estimated expenses include housing, child care, food, transportation, health care, taxes, and miscellaneous costs, and accounts for the earned income, child, and child care tax credits. Common household types in Mesa County, which account for 85% of households in the county include Single Female Households with Children, Married Couple Households, and Adults Living Alone. Single female households with children are 6% of the population in Mesa County. The income needed for self-sufficiency for single female with one preschooler is $40,468 and single female with one school-ager and one teenager is $35,619. The Mesa County median income for these households are $19,805 and $19, 805 respectively. The median household income for a single female household with children is approximately half their self-sufficiency income. 20% of households in Mesa County are married couples with children. And additional 33% of households in Mesa County are married couples without children. The self-sufficiency income needed for married couple without children is $32,508. Married couple with one preschooler is $48,268. Married couple with one school-ager and on teenager is $43,038. Mesa County median income for married couple without children is $60,000-75,000. Mesa County median income for married couple with one preschooler is $81,290. Mesa County median income for married couple with one school-ager and one teenager is $81,290. The median household income for married couple households is approximately double their self-sufficiency income. 26% of Mesa County households are adults living alone. The self-sufficiency income for female living alone is $20,470, and the same for males living alone. The Mesa County median income for female living alone is $25,618-26,987 and $27,428-37,250 for male living alone. The median household income for adults living alone is higher than their self-sufficiency income. $50,000 per year is a desirable wage for Mesa County, and $36,400 is the essential income. Of the top ten occupations by number of jobs in Mesa County, Health Care Practitioners and Technical Occupations have an entry-level wage of $43,534 and $70,381 as the median wage. Health Care Support has an entry-level wage of $23,347 and median wage of $27,310. During the COVID-19 pandemic, Community Hospital did not lay off any workers. Recently, robust wages were given to a high percentage of employees, and not a single employee at Community Hospital makes less than $15/hour. 2. Education Focus efforts to improve early childhood outcomes (on children who live in the boundaries of schools with low kindergarten readiness). In 2018, a group of community and business leaders determined that a lack of access to affordable, quality childcare was one of the largest issues facing the community. Mesa County Public Health published Childcare 8000, which attested to the fact that Mesa County is short 4,000 childcare slots. Through internal surveys, Community Hospital found that this need was mirrored in their own employees. The COVID-19 pandemic exacerbated the need for childcare for Community Hospital employees. Over 80% of Community Hospital employees are female, and as essential employees they were required to be at work during the pandemic, when daycare centers and schools were closed. To help serve Community Hospital employees and the greater community, Community Hospital is building a 100 slot childcare center on our main hospital campus. Through multiple RFP processes, Community Hospital has entered into contracts with an architect, operator, and general contractor. The estimated opening date is Fall 2023. Community Hospital continues to work with local and regional universities, and tech schools, to train/educate students seeking careers in healthcare. Further, Community Hospital has been a partner with Mesa County Valley School District 51 to support the district and the community. Community Hospital believes it is important to continue supporting our workforce through educational opportunities. In 2022, Community Hospital received the Pathway to Excellence designation for nursing. We continue to offer programs to the community including bariatric classes, and lifestyle medicine. Many of these offerings were moved online or discontinued during the COVID-19 pandemic, but have been offered once again to help educate our community on the importance of healthcare. 3. Health Care and Access Utilization and barriers to care. Understanding that many Mesa County residents have not visited a health care provider in the last 12 mont
sch h, Part V, Section B, Line 13h:Community Hospital may make a presumption of eligibility on the basis of individual life circumstances that may include homelessness, patient deceased with no known estate, and other circumstances. The facility may use outside agencies in determining estimated income amounts for presumptive charity care eligibility.
sch h, Part V, Section B, Line 16j:
sch h, Part V, Line 16a FAP:https://yourcommunityhospital.com/Billing.cfm
sch H, Part V, Line 16b: FAP Application:https://yourcommunityhospital.com/PDFs/Financial%20Application%20Website.p df
sch h, Part V, Line 16c FAP Plain Language Summary:https://yourcommunityhospital.com/Billing.cfm
sch h, Part V, Section B, Line 24:The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy.
FieldValueIRS element (for citing)
Facility24FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Grand Valley Oncology
2596 Patterson RoadGrand JunctionCO81505Cancer Care
Grand Valley Primary Care
603 28 1/4 RoadGrand JunctionCO81506Primary Physician Care
Therapy Works at Community Hospital
2004 N 12th StGrand JunctionCO81501Rehabilitation Programs
Grand Valley Occupational Medicine
2004 N 12th StGrand JunctionCO81501Employee-related Exam Services
Community Care of the Grand Valley
1060 Orchard Ave Suite NGrand JunctionCO81501Urgent Medical Services
Grand Valley Wellness
605 AB 28 1/4 RoadGrand JunctionCO81501Counseling Services
Colorado Mesa University Health Center
1060 Orchard Ave Suite OGrand JunctionCO81501Student Medical Services
Grand Valley Women's Health Specialist
603 28 1/4 RoadGrand JunctionCO81506Obstetrics and Gynecology
Internal Medicine Assoc of the Grand
607 28 1/4 RoadGrand JunctionCO81506Internal Medicine
Fruita Family Medicine-Grand Valley
551 Kokopelli Dr Suite FGrand JunctionCO81501Outpatient Physician Practice
Grand Valley ENT & Facial
2373 G Road Suite 270Grand JunctionCO81505ENT & Facial
Grand Valley Pediatrics
601 B 28 1/4 RoadGrand JunctionCO81506Pediatrics
Western Orthopedics & Sports Medicine
2373 G Road Suite 100Grand JunctionCO81505Sports Medicine & General Orthopedics
Western Colorado Spine
2373 G Road Suite 100Grand JunctionCO81505Sports Medicine & General Orthopedics
Advanced Pulmonary and Critical Care
2373 G Road Suite 160Grand JunctionCO81505Pulmonary
Grand Valley Primary Care II
2020 N 12thGrand JunctionCO81505Primary Physician Care
Grand Valley Primary Care III
2373 G Road Suite 160Grand JunctionCO81505Primary Physician Care
Surgical Associates of the Grand Valley
2373 G Road Suite 280Grand JunctionCO81505Surgical and Minimally Invasive Treatments
Grand Valley Primary Care V
2373 G Road Suite 160Grand JunctionCO81505Primary Physician Care
Grand Valley ThoracicVascular
2373 G Road Suite 260Grand JunctionCO81505Vascular and Thoracic Surgery
Grand Valley Rheumatology
603 28 1/4 RoadGrand JunctionCO81505Diagnosis and Management of Autoimmune Disease
Grand Valley Infectious Disease
2020 N 12thGrand JunctionCO81501Infectious Disease
Canyon View Pharmacy
2373 G Road Suite 120Grand JunctionCO81505Retail Pharmacy
Canyon View Women's Health
2373 G Road Suite 240Grand JunctionCO81505Obstetrics, Gynecology, Nurse- Midwives

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
sch H, Part I, Line 3c:In addition to FPL, the organization used an asset test in determining eligibility for financial assistance. The organization also took insurance status and medical indigency into consideration. Community Hospital may make a presumption of eligibility on the basis of individual life circumstances that may include homelessness, patient deceased with no known estate, and other circumstances. The facility may use outside agencies in determining estimated income amounts for presumptive charity care eligibility.
sch h, Part I, Line 7:Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Line 7b and 7c were determined using the overall cost to charge ratio. Line 7i is actual expenses from the general ledger.
sch, Part III, Line 2:Allowance for bad debts is determined monthly by review of contractuals by payor using historical activity and expected collection rates. The amount is reviewed by the CFO and Board. Part III, Line 4: Footnote from Financial Statement: Please see Note 2, Financial Statement, Patient Service Revenue on page 17.
sch h, Part III, Line 8:The Medicare cost report was used to determine the amount of the Medicare shortfall. IRS Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. This implies that treating Medicare patients is a community benefit. The organization estimates 100% should be considered a community benefit. If these individuals did not qualify for Medicare, they would qualify for financial assistance, based on the demographics of the community in which we operate.
sch h, Part III, Line 9b:For patients who qualify for charity and who are cooperating in good faith to resolve their discounted hospital bills, Community Hospital may offer extended payment plans, will not send unpaid bills to outside collection agencies, and will cease all collection efforts. Community Hospital will not impose extraordinary collections actions such as wage garnishments, liens on primary residences, or other legal actions for any patient without first making reasonable efforts to determine whether that patient is eligible for charity care under this financial assistance policy.
sch h, Part VI, Line 2:Community Hospital develops its strategic plan both internally and supported by Quorum Health Resources to assess the healthcare needs of the community it serves. This plan includes market assessment of the service area and local demographic characteristics, clinical service line utilization and projections for inpatient, ambulatory, and provider practices. Clinical foci resulting form the same diabetes, obesity, and primary care access.
sch h, Part VI, Line 3:Part of the Hospital's written financial assistance and charity care policy provides for financial counselors to meet with all uninsured patients prior to discharge. The Hospital's billing team may also inform patients of the Hospital's financial assistance and charity care program.
sch h, Part IV, Line 4:The Hospital's primary service area is Western Colorado and the residents of Mesa County. Mesa County's population is approximately 150,000 with 15% of the population being over the age of 65. Community Hospital captures 15.9% of the area's healthcare market for those patients requiring inpatient stays.
sch h, Part VI, Line 5:The Hospital is governed by a 12-member Board of Trustees composed of seven Mesa County, Colorado, community members and five community medical staff members who are all committed to fulfilling the following mission statement: Community Hospital will improve the health and quality of life of the individuals and communities we serve. The community members use their unique experience and abilities to lead the Hospital in directions that support the needs of the community.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Grant Roper
Chief of Staff (to 1/2022)$264,403$178,351$2,842$11,256$22,619$479,471
Florian Seeberger
Board Member$177,854$82,987$2,763$10,719$22,364$296,687
Christian Thomas
President & CEO$493,898$194,225$4,524$8,721$24,234$725,602
Ed Johlman
CFO$232,798$32,636$6,178$10,868$20,725$303,205
Bart Butzine
CIO (to 9/2022)$109,438$33,168$1,555$5,940$16,746$166,847
Joseph Gerardi
COO/CNO$249,266$41,762$5,581$11,440$17,537$325,586
Thomas Tobin
CMO$394,686$61,464$4,524$11,040$24,814$496,528
John Skillicorn
Chief of Physician Practices$228,846$33,417$4,364$10,070$22,873$299,570
Tawny Espinoza
Chief Development Officer$132,759$30,717$1,606$6,271$20,339$191,692
Kirk Clifford
Physician$672,650$42,523$3,444$9,224$25,965$753,806
James Rose
Physician$387,951$339,577$2,742$9,219$24,415$763,904
Kennan Vance
Physician$294,010$366,194$3,444$10,081$27,591$701,320
Enrique Orellana Jr
Physician$546,349$23,362$46,471$12,430$18,455$647,067
Peter Shorten
Physician$551,255$55,141$2,688$7,893$23,194$640,171
Pete Young
CCO$139,974$20,191$2,741$6,819$24,820$194,545
Karen Martsolf
Chief Marketing Officer$123,413$31,091$1,638$6,334$21,639$184,115
Amy Jordan
Chief Human Resources Officer$122,217$28,314$1,482$6,284$22,548$180,845

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
schedule j, part i, line 4bNonqualified retirement plan: The Hospital has a 457(b) plan for senior executives and physicians. The Hospital did not make contributions to the plan for the years ending December 31, 2022. The Hospital has a 457(f) plan for senior executives. The contributions to this plan for the year ended December 31, 2022 was $54,081.
schedule j, part I, line 7non-fixed payments: QUORUM HEALTH RESOURCES, A MANAGEMENT COMPANY, COMPENSATES THE CEO. HIS COMPENSATION INCLUDES A SET AMOUNT PLUS A BONUS IF CERTAIN CRITERIA ARE MET. THE BONUS ELIGIBILITY IS BASED ON A SCORECARD OF THIRTEEN METRICS, FOCUSED AROUND THE PILLARS OF EXCELLENCE-QUALITY, SERVICE, FINANCIAL, GROWTH, AND PEOPLE. PHYSICIAN BONUSES ARE BASED ON RELATIVE VALUE UNITS (RVU) AND LONGEVITY. RVU IS A MEASURE USED IN MEDICARE REIMBURSEMENT FORMULAS FOR PHYSICIAN SERVICES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Amber Skillicorn
Relative to John Skillicorn (key employee)$26,262payrollfalse
ERICA Skillicorn
Relative to John Skillicorn (key employee)$22,581Payrollfalse
The Pathology Group
Board owned --Dean Havlik$126,000Pathology contractfalse
Diagnostic Radiology Associates
Board owned --Todd Hegstrom$201,608Radiology contractfalse
Kiaja Thomas
Relative to Chris Thomas, CEO$30,000Marketing contractfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Doing Business As:Community Hospital Grand Junction Form 990, Part III, Line 4a: During the tax year, the Hospital was able to provide charity care services to those who could not otherwise afford necessary medical care. The Hospital provides care to persons covered by governmental programs at/or below cost and to individuals who are unable to pay.
Form 990, Part VI, Section A, Line 8a/b:The Executive Committee shall be composed of the Chairperson, Vice Chairperson, Treasurer, Secretary, Chief of Staff, and the President/CEO. The Executive Committee shall meet upon the call of the Chairperson to: A. Review upcoming Board of Trustee meetings. B. Act on behalf of the Board of Trustees between regular or special meetings of the Board and then report actions to the Board of Trustees. C. Communicate to keep the Board of Trustees, medical staff and administration of the Hospital aware of pertinent actions taken or contemplated by one or the other, and to make recommendations to the Board of Trustees on major expenditures. D. Consider issues affecting medical care that arise in the operation and affairs of the Hospital. E. Perform the annual evaluation of the President/CEO. F. Perform any other actions the Board of Trustees deems necessary, as instructed by the Board of Trustees.
Form 990, Part VI, Section B, Line 11b:The 990 is prepared by the Hospital's independent CPA firm and reviewed by the Hospital's accounting staff and Administration, including the CEO, Controller, and the Compliance Officer. A preliminary draft is presented to the Board of Directors for detailed review and approval. A final copy of the 990 is provided to all board members prior to the final filing with the IRS.
Form 990, Part VI, Section B, Line 12c:The Hospital's conflict of interest policy is maintained and managed by the Chief Compliance Officer on an annual basis. All board members, officers, and key employees are required to complete a conflict of interest disclosure form and submit it to the compliance department. That documentation is reviewed by and retained by the compliance officer. Any conflicts of interest that arise are addressed by the compliance department and the Board of Trustees. All board members, officers, and key employees are required to notify the facility of any changes during the year.
Form 990, Part VI, Section B, Line 15:Community Hospital is a Quorum Health Resources managed hospital. Quorum conducts national wage surveys to suggest market rates for CEO and CFO salaries based on Hospital revenue. The final salary is determined by the Board based on this information and local market conditions.
Form 990, Part VI, Section C, Line 19:Governing documents, policies and procedures, and audited financial statements are made available to the public upon request on a case by base basis.
form 990, part ix, column dthe hospital does not have any fundraising functional expenses (column D), as a related organization, community hospital foundation, conducts fundraising activities for the benefit of the hospital.
form 990, Part XI, Line 9:net deficit of canyon view asc llc purchase: -$1,915,842
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT LABOR TOTAL FEES:10618936
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:12134026
FORM 990 PART IX LINE 11GDESCRIPTION:PROVIDER FEES TOTAL FEES:8807776

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Canyon View ASC LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12373 G Road Suite 180AddressLine1Txt
CityGrand JunctionCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81505ZIPCd
FieldValueIRS element (for citing)
EIN455352976EIN
Primary ActivitiesAmbulatory SuPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Total Income-$1,262,460TotalIncomeAmt
End Of Year Assets$3,961,625EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Community HoBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Community Hospital FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12351 G RoadAddressLine1Txt
CityGrand JunctionCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81505ZIPCd
FieldValueIRS element (for citing)
EIN742576856EIN
Primary ActivitiesFundraisingPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Exempt Code Section501(c)3ExemptCodeSectionTxt
Public Charity Status10PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Community HoBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Physicians Choice Real Estate
2012 N 12th StreetGrand JunctionCO81501841601063Real EstateCOCommunity HospiRELATED$128,222$143,659false$0false0.64118
Healthcare Management LLC
PO Box 1929Grand JunctionCO81502841238904CollectionsCOCommunity HospiRELATED-$277,761$1,251,716false$0Yes (true)0.19586

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Doctor's Clinic Building
2351 G RDGrand JunctionCO81505840507943Real EstateCOCommunity HospiC Corp$201,158$845,4941.00000Yes (true)
Community Health Providers Organization
2351 G Roadgrand junctionCO81505insurance liaisonCOCommunity HospiC Corp-$2,750$00.50000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
doctor's clinic building
k$201,158usage time rate
doctor's clinic building
O,P,Q$105,881cash
community hospital foundation
c$2,056,000cash
Community Hospital Foundation
M,N,O$1,187,571cash
Physicians Choice Real Estate LLC
s$388,803partner distrib
Physicians Choice Real Estate LLC
O,P,Q$155,321Cash
Physicians Choice Real Estate LLC
e$1,996,858loan balance ye
Physicians Choice Real Estate LLC
k$348,024use x rate

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