LOWER VALLEY HOSPITAL ASSOCIATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- LOWER VALLEY HOSPITAL ASSOCIATION (EIN 84-0447998)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-09
- IRS object ID
- 202233139349300318
- Schema version
- 2021v4.2
- 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 | 2022-11-09T08:02:52-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840447998 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOWER VALLEY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LOWE | BusinessNameControlTxt |
| Phone | 9708582228 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 228 N CHERRY STREET PO BOX 130 | AddressLine1Txt |
| City | FRUITA | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81521 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KORREY KLEIN MD | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 9708582228 | PhoneNum |
| Signature | 2022-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KORREY | PersonFirstNm |
| Person Last | KLEIN MD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2022-11-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY HEALTH WEST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KORREY KLEIN MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 228 N CHERRY STREET PO BOX 130 | AddressLine1Txt |
| City | FRUITA | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81521 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $78,174,068 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | FHW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1946 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | ADDRESS THE HEALTHCARE NEEDS OF THE GREATER FRUITA COMMUNITY AND PROVIDE HEALTHCARE SERVICES WITHOUT REGARD TO RACE, AGE, HANDICAP, CREED, OR NATIONAL ORIGIN. PROVIDE THOSE SERVICES TO INDIVIDUALS OF ALL INCOME LEVELS CONSISTENT WITH OUR FINANCIAL ABILITY TO DO SO. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 825 | TotalEmployeeCnt |
| Total Volunteers | 33 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $134,467 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,089,490 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $60,275,983 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $76,953,674 | CYProgramServiceRevenueAmt |
| PY Investment Income | $71,045 | PYInvestmentIncomeAmt |
| CY Investment Income | $130,904 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,930,444 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $65,411,939 | PYTotalRevenueAmt |
| CY Total Revenue | $78,174,068 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $138,574 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,338,430 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,189,507 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $25,819,929 | PYOtherExpensesAmt |
| CY Other Expenses | $30,826,904 | CYOtherExpensesAmt |
| PY Total Expenses | $66,296,933 | PYTotalExpensesAmt |
| CY Total Expenses | $74,016,411 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$884,994 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,157,657 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $66,749,020 | TotalAssetsBOYAmt |
| Total Assets EOY | $64,162,006 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $59,203,708 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $52,459,037 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,545,312 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,702,969 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ADDRESS THE HEALTHCARE NEEDS OF THE GREATER FRUITA COMMUNITY AND PROVIDE HEALTHCARE SERVICES WITHOUT REGARD TO RACE, AGE, HANDICAP, CREED, OR NATIONAL ORIGIN. PROVIDE THOSE SERVICES TO INDIVIDUALS OF ALL INCOME LEVELS CONSISTENT WITH OUR FINANCIAL ABILITY TO DO SO. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $43,333,033 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $64,330,943 | RevenueAmt |
| Desc | LOWER VALLEY HOSPITAL ASSOCIATION OPERATES COLORADO CANYONS HOSPITAL AND MEDICAL CENTER A 25-BED SWING AND ACUTE CARE CRITICAL ACCESS HOSPITAL. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, PROVIDES CHARITY CARE AND OTHER ASSISTANCE TO ENSURE ACCESS TO THESE SERVICES IN OUR COMMUNITY. OUR HOSPITAL SERVICES ARE 52% MEDICARE. WE OFFER LABS FOR THE GOOD SAMARITAN PROGRAM, ROCK STEADY BOXING AND THE SENIOR STEP ON PROGRAM FOR OUR COMMUNITY. IN 2021, WE ADMINISTERED COVID VACCINE TO OUR COMMUNITY PARTNERS AT NO COST. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,737,628 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $10,338,636 | RevenueAmt |
| Desc | THE ORGANIZATION SPONSORS CLINICS TO ENSURE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY. THESE OPERATIONS ARE NOT LIMITED TO ANESTHESIA, EMERGENCY PROVIDERS, HOSPITALIST, RADIOLOGIST, ORTHOPEDIC SPECIALISTS, PODIATRY, RHEUMATOLOGY, NEUROSURGERY AND PHYSIATRY. AN ATHLETIC TRAINER IS DONATED TO THE LOCAL SCHOOLS DURING SPORTS TRAINING AND GAMES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,796,805 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,284,095 | RevenueAmt |
| Desc | THE ORGANIZATION OPERATES A MEMORY CARE FACILITY THAT PROVIDE RESIDENTIAL ACCOMMODATIONS AND LIMITED HEALTHCARE SERVICES TO THE ELDERLY AND DISABLED FOR A TOTAL BED COUNT OF 26. THE WILLOWS IS DEDICATED TO RESIDENTS WITH DEMENTIA AND IS A SECURED FACILITY. DURING 2021, THE ORGANIZATION CLOSED THE OAKS ASSISTED LIVING FACILITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $62,867,466 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 92 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 825 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEN PROEHL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9708582228 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 228 N CHERRY STREET PO BOX 130 | AddressLine1Txt |
| City | FRUITA | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81521 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DUSTIN WELLS | ||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LINDSAY GRAY | ||||||||
| VICE CHAIR (THRU DECEMBER) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER LANDINI | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PAUL BURDETT | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL NESTE | ||||||||
| TT/CHIEF OF MED. STAFF (THRU DEC.) | 40.00 | Yes (X) | $387,859 | $0 | $17,383 | |||
| TROY GRIFFITHS | ||||||||
| TRUSTEE/DIRECTOR OF WOUND CENTER | 1.00 | Yes (X) | $278,167 | $0 | $21,895 | |||
| JERRY HAMILTON | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| VANESSA MCCLELLAN | ||||||||
| TRUSTEE/PHYSICIAN | 40.00 | Yes (X) | $202,435 | $0 | $14,174 | |||
| KEN PALMER | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LARRY TICE | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPER TAGGART | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $228,233 | $0 | $21,814 | |||
| LORI RANDALL | ||||||||
| EXECUTIVE VP | 42.00 | Yes (X) | $211,648 | $0 | $15,569 | |||
| DIANE MILLER | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $154,117 | $0 | $11,246 | |||
| KORREY KLEIN | ||||||||
| CEO/SECRETARY | 42.00 | Yes (X) | $297,597 | $0 | $30,200 | 4.00 | ||
| PETER SCHEFFEL | ||||||||
| PHYSICIAN | 40.00 | $585,434 | $0 | $24,426 | Yes (X) | |||
| RICHARD ACKERSON | ||||||||
| PHYSICIAN | 40.00 | $558,561 | $0 | $22,718 | Yes (X) | |||
| CHRIS COPELAND | ||||||||
| PHYSICIAN | 40.00 | $575,089 | $0 | $23,354 | Yes (X) | |||
| KELLY COMMON | ||||||||
| PHYSICIAN | 40.00 | $293,808 | $0 | $11,600 | Yes (X) | |||
| BRIAN BELNAP | ||||||||
| PHYSICIAN | 40.00 | $330,119 | $0 | $21,560 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,103,067 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $235,939 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 44 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ANESTHESIA CONSULTANTS OF WESTERN COLORA | |||||
| 1120 WELLINGTON AVENUE SUITE 206 | GRAND JUNCTION | CO | 81501 | PROFESSIONAL ANESTHESIA SERVICES | $301,128 |
| COLORADO WEST EMERGENCY PHYSICIANS LLC | |||||
| 2635 N 7TH STREET | GRAND JUNCTION | CO | 81501 | PROFESSIONAL ED SERVICES | $190,131 |
| COLORADO SURGICAL AFFILIATES LLC | |||||
| 2440 NORTH 11TH STREET | GRAND JUNCTION | CO | 81501 | PROFESSIONAL SURGICAL SERVICES | $163,900 |
| ECLINICALWORKS | |||||
| PO BOX 847950 | BOSTON | MA | 022847950 | ELECTRONIC HEALTH RECORD SYSTEM | $134,496 |
| SCOTT E VINCENT MD PC | |||||
| 601 CENTER AVE | GRAND JUNCTION | CO | 81501 | PROFESSIONAL ED SERVICES | $126,520 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $199,149 | RelatedOrganizationsAmt |
| Government Grants | $890,341 | GovernmentGrantsAmt |
| Total Contributions | $1,089,490 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPITAL REVENUE | 621110 | $64,326,110 | $64,326,110 |
| PHYSICIAN CLINICS | 621110 | $10,338,636 | $10,338,636 |
| ASSISTED LIVING | 623990 | $2,284,095 | $2,284,095 |
| SUPPORT SERVICES | 621990 | $4,833 | $4,833 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $76,953,674 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $127,829 | TotalRevenueColumnAmt |
| Exclusion | $127,829 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,075 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,075 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,075 | TotalRevenueColumnAmt |
| Exclusion | $3,075 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $78,174,068 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,953,674 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $130,904 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,936,890 | TotalAmt |
| Program Services | $1,155,159 | ProgramServicesAmt |
| Management And General | $781,731 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,841,548 | TotalAmt |
| Program Services | $30,034,744 | ProgramServicesAmt |
| Management And General | $3,806,804 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $902,362 | TotalAmt |
| Program Services | $741,067 | ProgramServicesAmt |
| Management And General | $161,295 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,139,993 | TotalAmt |
| Program Services | $3,333,315 | ProgramServicesAmt |
| Management And General | $806,678 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,368,714 | TotalAmt |
| Program Services | $2,054,931 | ProgramServicesAmt |
| Management And General | $313,783 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,476 | TotalAmt |
| Program Services | $81,964 | ProgramServicesAmt |
| Management And General | $46,512 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,750 | TotalAmt |
| Management And General | $9,750 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,021 | TotalAmt |
| Management And General | $1,021 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,157,765 | TotalAmt |
| Program Services | $3,336,118 | ProgramServicesAmt |
| Management And General | $1,821,647 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $588,110 | TotalAmt |
| Program Services | $149,019 | ProgramServicesAmt |
| Management And General | $439,091 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $488,458 | TotalAmt |
| Program Services | $355,301 | ProgramServicesAmt |
| Management And General | $133,157 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,531,290 | TotalAmt |
| Program Services | $781,788 | ProgramServicesAmt |
| Management And General | $749,502 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,339,388 | TotalAmt |
| Program Services | $1,267,157 | ProgramServicesAmt |
| Management And General | $72,231 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,383 | TotalAmt |
| Program Services | $26,362 | ProgramServicesAmt |
| Management And General | $17,021 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,346,344 | TotalAmt |
| Program Services | $1,601,697 | ProgramServicesAmt |
| Management And General | $744,647 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,486,584 | TotalAmt |
| Program Services | $1,695,020 | ProgramServicesAmt |
| Management And General | $791,564 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $525,917 | TotalAmt |
| Program Services | $269,602 | ProgramServicesAmt |
| Management And General | $256,315 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $12,835,559 | $12,735,405 | $100,154 |
| BAD DEBT EXPENSE | $2,170,864 | $2,170,864 | |
| DIETARY EXPENSE | $551,216 | $551,216 | |
| DUES AND SUBSCRIPTIONS | $183,229 | $111,795 | $71,434 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $439,550 | TotalAmt |
| Program Services | $414,942 | ProgramServicesAmt |
| Management And General | $24,608 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,016,411 | TotalAmt |
| Program Services | $62,867,466 | ProgramServicesAmt |
| Management And General | $11,148,945 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,315,746 | BOYAmt |
| EOY | $17,209,345 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,728,569 | BOYAmt |
| EOY | $9,191,749 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,631,403 | BOYAmt |
| EOY | $8,678,549 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,849,732 | BOYAmt |
| EOY | $1,861,151 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $839,804 | BOYAmt |
| EOY | $598,500 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $64,214,151 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $39,806,006 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,910,577 | BOYAmt |
| EOY | $24,408,145 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,749 | BOYAmt |
| EOY | $205,749 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,037 | BOYAmt |
| EOY | $72,758 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,144,403 | BOYAmt |
| EOY | $1,936,060 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,749,020 | BOYAmt |
| EOY | $64,162,006 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,381,862 | BOYAmt |
| EOY | $5,928,761 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $473,592 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,573,543 | BOYAmt |
| EOY | $38,075,994 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,726 | BOYAmt |
| EOY | $2,788 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,027,871 | BOYAmt |
| EOY | $3,449,955 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,193,706 | BOYAmt |
| EOY | $4,527,947 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,203,708 | BOYAmt |
| EOY | $52,459,037 | 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 | $7,545,312 | BOYAmt |
| EOY | $11,702,969 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,545,312 | BOYAmt |
| EOY | $11,702,969 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,749,020 | BOYAmt |
| EOY | $64,162,006 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,157,657 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,021 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,021 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LOWER VALLEY HOSPITAL ASSOCIATION PAYS MEMBERSHIP DUES TO THE COLORADO HOSPITAL ASSOCIATION (CHA). A PORTION OF THESE DUES ARE USED BY CHA FOR POLITICAL EXPENDITURES DURING THE YEAR AND ARE NOT DEDUCTIBLE. IN 2021, THE ORGANIZATION PAID $26,867 IN MEMBERSHIP DUES TO CHA. CHA ESTIMATED THAT 3.8% OF THE DUES WERE SPENT ON LOBBYING ACTIVITIES | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $315,742 | OtherCostOrOtherBasisAmt |
| Book Value | $315,742 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,585,255 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,337,495 | DepreciationAmt |
| Book Value | $21,247,760 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,040,006 | OtherCostOrOtherBasisAmt |
| Depreciation | $859,897 | DepreciationAmt |
| Book Value | $180,109 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,270,642 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,608,614 | DepreciationAmt |
| Book Value | $2,662,028 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,506 | OtherCostOrOtherBasisAmt |
| Book Value | $2,506 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $24,408,145 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITY | $960,936 |
| DEFERRED COMPENSATION PLAN LIABILITY | $552,767 |
| AMOUNTS PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAMS | $3,014,244 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,527,947 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 450.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,269 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $46,269 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,819,104 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,523,203 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,295,901 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03200 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,644 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,967 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,677 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,891,017 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,531,170 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,359,847 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03280 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $353,435 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $353,435 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,725,360 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,056,359 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,669,001 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09280 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,078,795 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,056,359 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,022,436 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09770 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,969,812 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,587,529 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,382,283 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $980,289 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $17,553 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,190,668 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $17,020,464 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $170,204 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| 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 | COLORADO CANYONS HOSPITAL & MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 W OTTLEY AVENUE | AddressLine1Txt |
| City | FRUITA | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81521 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | FHW.ORG | WebsiteAddressTxt |
| State License | 2511OC | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLORADO CANYONS HOSPITAL & MEDICAL CENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://FHW.ORG/PATIENT-RESOURCES/COMMUNITY-HEALTH-NEEDS/ | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTPS://HEALTH.MESACOUNTY.US/2021CHNA/ | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://FHW.ORG/PATIENT-RESOURCES/COMMUNITY-HEALTH-NEEDS/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 450.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://FHW.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://FHW.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://FHW.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ | 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 (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - PHYSICIAN SERVICES | ||||
| 551 KOKOPELLI BLVD | FRUITA | CO | 81521 | PHYSICIAN CLINICS AND SUPPORTING SERVICES |
| 2 - WILLOWS ASSISTED LIVING | ||||
| 243 NORTH CHERRY STREET | FRUITA | CO | 81521 | STATE LICENSED ASSISTED LIVING FACILITY |
| 3 - OAKS ASSISTED LIVING | ||||
| 805 WEST OTTLEY | FRUITA | CO | 81521 | STATE LICENSED ASSISTED LIVING FACILITY |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | COMMUNITY REPORT PREPARED IN CONJUNCTION WITH MESA COUNTY COLORADO HOSPITALS AND HEALTHCARE FACILITIES. |
| PART I, LN 7 COL(F): | THE ORGANIZATION HAS REPORTED BAD DEBT EXPENSE IN THE AMOUNT OF $2,170,864 ON FORM 990, PART IX, LINE 24. |
| PART III, LINE 3: | BAD DEBT IS CALCULATED AFTER ALL PATIENTS HAVE BEEN ASSESSED FOR CHARITY AND GOVERNMENTAL ASSISTANCE PROGRAMS. UNPAID BALANCE IS CALCULATED AS BED DEBT. |
| PART III, LINE 8: | MEDICARE HAS UNDERPAID THE HOSPITAL FOR SERVICES PROVIDED TO THE COMMUNITY. WITH THE INCREASE IN SUPPLIES, PHARMACY PRICES AND LABOR WAGE HIKES THE MEDICARE RATE DOES NOT COVER THE COST OF THE EXCELLENT HEALTHCARE WE PROVIDE TO OUR COMMUNITY. |
| PART III, LINE 9B: | PATIENTS ARE PROVIDED ALL PAPERWORK AND ACCESS TO WEB INFORMATION TO APPLY FOR FINANCIAL ASSISTANCE. OUR PAYMENT RESOLUTION CENTER ATTEMPTS TWO PHONE CALLS FOR ANY UNPAID BALANCE. |
| PART VI, LINE 2: | SURVEY INFORMATION IS SENT TO THE COMMUNITY. ATTENDANCE AT THE LOCAL FARMER'S MARKETS PROVIDES FEEDBACK FROM THE LOCAL COMMUNITY. |
| PART VI, LINE 3: | PATIENT FINANCIAL ASSISTANCE POLICIES ARE AVAILABLE ON OUR WEBSITE IN PLAIN LANGUAGE SUMMARY FORM AND IN PAPER TO ALL PATIENTS. PATIENT FINANCIAL REPRESENTATIVES ARE AVAILABLE IN THE HOSPITAL AT THE TIME OF REGISTRATION AND DISCHARGE TO WORK WITH PATIENTS TO ENSURE THEY ARE AWARE OF FINANCIAL ASSISTANCE. ALL PATIENT STATEMENTS HAVE INFORMATION ABOUT FINANCIAL ASSISTANCE WRITTEN AT THE BOTTOM. WE HAVE CREATED A PATIENT RESOLUTION CENTER TO REACH OUT TO PATIENTS WITH OVERDUE BALANCES FOR ASSISTANCE IN APPLICATION FOR CHARITABLE SERVICES OR HARDSHIP DEFERMENT OF PAYMENT PLANS. |
| PART VI, LINE 4: | WE SERVE THE LOWER VALLEY COMMUNITY WITH FRUITA COLORADO AS OUR HOME BASE. THIS IS A RURAL COMMUNITY LOCATED NEXT TO THE URBAN POPULATION OF GRAND JUNCTION COLORADO. THE COMMUNITY IS MADE UP OF FARMERS, RANCHERS, RETIRED FAMILIES, AND A BEDROOM COMMUNITY TO THE MANY RESIDENTS WHO WORK IN GRAND JUNCTION. OUR HOSPITAL IS THE FARTHEST WEST HOSPITAL IN THE AREA. WE ARE 19 MILES FROM THE UTAH BORDER RIGHT OFF INTERSTATE 7 WHICH RUNS FROM SALT LAKE CITY UTAH TO DENVER COLORADO. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETER SCHEFFEL | ||||||||||||||
| PHYSICIAN | $539,934 | $0 | $45,500 | $0 | $0 | $0 | $11,600 | $0 | $12,826 | $0 | $609,860 | $0 | $0 | $0 |
| CHRIS COPELAND | ||||||||||||||
| PHYSICIAN | $539,689 | $0 | $35,400 | $0 | $0 | $0 | $11,600 | $0 | $11,754 | $0 | $598,443 | $0 | $0 | $0 |
| RICHARD ACKERSON | ||||||||||||||
| PHYSICIAN | $536,111 | $0 | $22,450 | $0 | $0 | $0 | $11,600 | $0 | $11,118 | $0 | $581,279 | $0 | $0 | $0 |
| MICHAEL NESTE | ||||||||||||||
| TT/CHIEF OF MED. STAFF (THRU DEC.) | $337,859 | $0 | $50,000 | $0 | $0 | $0 | $11,600 | $0 | $5,783 | $0 | $405,242 | $0 | $0 | $0 |
| BRIAN BELNAP | ||||||||||||||
| PHYSICIAN | $314,467 | $0 | $15,652 | $0 | $0 | $0 | $11,600 | $0 | $9,960 | $0 | $351,679 | $0 | $0 | $0 |
| KORREY KLEIN | ||||||||||||||
| CEO/SECRETARY | $297,597 | $0 | $0 | $0 | $0 | $0 | $11,600 | $0 | $18,600 | $0 | $327,797 | $0 | $0 | $0 |
| KELLY COMMON | ||||||||||||||
| PHYSICIAN | $292,483 | $0 | $1,325 | $0 | $0 | $0 | $11,600 | $0 | $0 | $0 | $305,408 | $0 | $0 | $0 |
| TROY GRIFFITHS | ||||||||||||||
| TRUSTEE/DIRECTOR OF WOUND CENTER | $278,167 | $0 | $0 | $0 | $0 | $0 | $11,192 | $0 | $10,703 | $0 | $300,062 | $0 | $0 | $0 |
| CHRISTOPER TAGGART | ||||||||||||||
| CHIEF MEDICAL OFFICER | $228,233 | $0 | $0 | $0 | $0 | $0 | $9,600 | $0 | $12,214 | $0 | $250,047 | $0 | $0 | $0 |
| LORI RANDALL | ||||||||||||||
| EXECUTIVE VP | $211,648 | $0 | $0 | $0 | $0 | $0 | $8,051 | $0 | $7,518 | $0 | $227,217 | $0 | $0 | $0 |
| VANESSA MCCLELLAN | ||||||||||||||
| TRUSTEE/PHYSICIAN | $186,614 | $0 | $15,821 | $0 | $0 | $0 | $8,315 | $0 | $5,859 | $0 | $216,609 | $0 | $0 | $0 |
| DIANE MILLER | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $154,117 | $0 | $0 | $0 | $0 | $0 | $6,343 | $0 | $4,903 | $0 | $165,363 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF FRUITA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 846000669 | BondIssuerEIN |
| CUSIP | 00359427A | CUSIPNum |
| Bond Issued | 2017-12-19 | BondIssuedDt |
| Issue Price | $33,600,000 | IssuePriceAmt |
| Purpose | HEALTHCARE HOSPITAL EXPANSION | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $650,000 | RetiredAmt |
| Total Proceeds | $33,600,000 | TotalProceedsAmt |
| In Reserve Fund | $2,813,875 | InReserveFundAmt |
| Issuance Costs From Proceeds | $680,000 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $6,278,059 | CapitalExpendituresAmt |
| Substantial Completion | 2009 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | Yes (1) | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | Yes (1) | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITIGROUP FINANCIAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 0.215000000000 | TermOfGICPct |
| Regulatory Safe Harbor Stsfd | Yes (1) | RegulatorySafeHarborStsfdInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS MADE AVAILABLE UPON REQUEST TO ALL MEMBERS OF BOTH BOARDS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS, OFFICERS, AND DIRECTORS OF THE FOUNDATION AND PERSONS IN POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER DECISIONS OF FHW (KEY EMPLOYEES) ARE REQUIRED TO ANNUALLY DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE GOVERNING BOARD AND COMPLIANCE OFFICER THEN REVIEW THE DISCLOSURES TO DETERMINE WHETHER A CONFLICT EXISTS. IF A CONFLICT IS DETERMINED TO EXIST, THE INTERESTED PERSON WILL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE PROPOSED TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S CEO COMPENSATION IS REVIEWED AND DETERMINED BY THE LOWER VALLEY HOSPITAL GOVERNING BOARD. A FULL WAGE EVALUATION IS PERFORMED BY OUR HR DEPARTMENT BASED ON THE AMERICAN HOSPITAL ASSOCIATION WAGE DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANNIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY HEALTH WEST FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 228 N CHERRY STREET | AddressLine1Txt |
| City | FRUITA | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81521 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 825487165 | EIN |
| Primary Activities | PROVIDING SUPPORT FOR THE LOWER VALLEY HOSPITAL ASSOCIATION. | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 10 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOWER VALLEY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY HEALTH WEST FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $199,149 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |
Comments