2022-11-09T08:02:52-06:00 2021-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2021-01-01 840447998 LOWER VALLEY HOSPITAL ASSOCIATION LOWE 9708582228 228 N CHERRY STREET PO BOX 130 FRUITA CO 81521 KORREY KLEIN MD PRESIDENT/CEO 9708582228 2022-11-07 1 KORREY KLEIN MD 999009999 MICHAEL J PETERSON CPA P01833529 2187224705 2022-11-07 0 AAL1 IAL1 2021 2022-09-23 18:48:47Z FAMILY HEALTH WEST KORREY KLEIN MD 228 N CHERRY STREET PO BOX 130 FRUITA CO 81521 78174068 0 X FHW.ORG X 1946 CO 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. 10 7 825 33 0 0 134467 1089490 60275983 76953674 71045 130904 4930444 0 65411939 78174068 138574 0 0 0 40338430 43189507 0 0 0 25819929 30826904 66296933 74016411 -884994 4157657 66749020 64162006 59203708 52459037 7545312 11702969 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. 0 0 43333033 0 64330943 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. 16737628 0 10338636 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. 2796805 0 2284095 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. 62867466 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 92 0 825 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CO X BEN PROEHL 9708582228 228 N CHERRY STREET PO BOX 130 FRUITA CO 81521 DUSTIN WELLS CHAIR 1.00 X X 0 0 0 LINDSAY GRAY VICE CHAIR (THRU DECEMBER) 1.00 X X 0 0 0 JENNIFER LANDINI VICE CHAIR 1.00 X X 0 0 0 PAUL BURDETT TREASURER 1.00 X X 0 0 0 MICHAEL NESTE TT/CHIEF OF MED. STAFF (THRU DEC.) 40.00 X 387859 0 17383 TROY GRIFFITHS TRUSTEE/DIRECTOR OF WOUND CENTER 1.00 X 278167 0 21895 JERRY HAMILTON TRUSTEE 1.00 1.00 X 0 0 0 VANESSA MCCLELLAN TRUSTEE/PHYSICIAN 40.00 X 202435 0 14174 KEN PALMER TRUSTEE 1.00 X 0 0 0 LARRY TICE TRUSTEE 1.00 X 0 0 0 CHRISTOPER TAGGART CHIEF MEDICAL OFFICER 40.00 X 228233 0 21814 LORI RANDALL EXECUTIVE VP 42.00 X 211648 0 15569 DIANE MILLER CHIEF FINANCIAL OFFICER 40.00 X 154117 0 11246 KORREY KLEIN CEO/SECRETARY 42.00 4.00 X 297597 0 30200 PETER SCHEFFEL PHYSICIAN 40.00 X 585434 0 24426 RICHARD ACKERSON PHYSICIAN 40.00 X 558561 0 22718 CHRIS COPELAND PHYSICIAN 40.00 X 575089 0 23354 KELLY COMMON PHYSICIAN 40.00 X 293808 0 11600 BRIAN BELNAP PHYSICIAN 40.00 X 330119 0 21560 4103067 0 235939 44 0 1 0 ANESTHESIA CONSULTANTS OF WESTERN COLORA 1120 WELLINGTON AVENUE SUITE 206 GRAND JUNCTION CO 81501 PROFESSIONAL ANESTHESIA SERVICES 301128 COLORADO WEST EMERGENCY PHYSICIANS LLC 2635 N 7TH STREET GRAND JUNCTION CO 81501 PROFESSIONAL ED SERVICES 190131 COLORADO SURGICAL AFFILIATES LLC 2440 NORTH 11TH STREET GRAND JUNCTION CO 81501 PROFESSIONAL SURGICAL SERVICES 163900 ECLINICALWORKS PO BOX 847950 BOSTON MA 022847950 ELECTRONIC HEALTH RECORD SYSTEM 134496 SCOTT E VINCENT MD PC 601 CENTER AVE GRAND JUNCTION CO 81501 PROFESSIONAL ED SERVICES 126520 7 199149 890341 1089490 HOSPITAL REVENUE 621110 64326110 64326110 PHYSICIAN CLINICS 621110 10338636 10338636 ASSISTED LIVING 623990 2284095 2284095 SUPPORT SERVICES 621990 4833 4833 76953674 127829 127829 3075 0 3075 3075 3075 78174068 76953674 0 130904 1936890 1155159 781731 33841548 30034744 3806804 902362 741067 161295 4139993 3333315 806678 2368714 2054931 313783 128476 81964 46512 9750 9750 1021 1021 5157765 3336118 1821647 588110 149019 439091 488458 355301 133157 1531290 781788 749502 1339388 1267157 72231 43383 26362 17021 2346344 1601697 744647 2486584 1695020 791564 525917 269602 256315 MEDICAL SUPPLIES 12835559 12735405 100154 BAD DEBT EXPENSE 2170864 2170864 DIETARY EXPENSE 551216 551216 DUES AND SUBSCRIPTIONS 183229 111795 71434 439550 414942 24608 74016411 62867466 11148945 0 15315746 17209345 12728569 9191749 9631403 8678549 1849732 1861151 839804 598500 64214151 39806006 24910577 24408145 205749 205749 123037 72758 1144403 1936060 66749020 64162006 15381862 5928761 0 473592 37573543 38075994 26726 2788 2027871 3449955 4193706 4527947 59203708 52459037 X 7545312 11702969 7545312 11702969 66749020 64162006 4157657 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1021 1021 0 PART II-B, LINE 1: 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 0 1 315742 315742 45585255 24337495 21247760 1040006 859897 180109 17270642 14608614 2662028 2506 2506 24408145 OPERATING LEASE LIABILITY 960936 DEFERRED COMPENSATION PLAN LIABILITY 552767 AMOUNTS PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAMS 3014244 4527947 1 1 X 1 X 125.000000000000 1 X 450.000000000000 1 1 0 1 1 46269 46269 0.00060 14819104 12523203 2295901 0.03200 25644 7967 17677 0.00020 14891017 12531170 2359847 0.03280 353435 353435 0.00490 16725360 10056359 6669001 0.09280 17078795 10056359 7022436 0.09770 31969812 22587529 9382283 0.13050 1 980289 17553 17190668 17020464 170204 X 1 1 1 1 COLORADO CANYONS HOSPITAL & MEDICAL CENTER 300 W OTTLEY AVENUE FRUITA CO 81521 FHW.ORG 2511OC X X X X COLORADO CANYONS HOSPITAL & MEDICAL CENT 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X HTTPS://FHW.ORG/PATIENT-RESOURCES/COMMUNITY-HEALTH-NEEDS/ X HTTPS://HEALTH.MESACOUNTY.US/2021CHNA/ X 1 21 1 HTTPS://FHW.ORG/PATIENT-RESOURCES/COMMUNITY-HEALTH-NEEDS/ 0 1 X 125.000000000000 450.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://FHW.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ X HTTPS://FHW.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ X HTTPS://FHW.ORG/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 3 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 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. X X X X 0 0 0 0 0 0 0 0 0 PETER SCHEFFEL PHYSICIAN 539934 0 45500 0 0 0 11600 0 12826 0 609860 0 0 0 CHRIS COPELAND PHYSICIAN 539689 0 35400 0 0 0 11600 0 11754 0 598443 0 0 0 RICHARD ACKERSON PHYSICIAN 536111 0 22450 0 0 0 11600 0 11118 0 581279 0 0 0 MICHAEL NESTE TT/CHIEF OF MED. STAFF (THRU DEC.) 337859 0 50000 0 0 0 11600 0 5783 0 405242 0 0 0 BRIAN BELNAP PHYSICIAN 314467 0 15652 0 0 0 11600 0 9960 0 351679 0 0 0 KORREY KLEIN CEO/SECRETARY 297597 0 0 0 0 0 11600 0 18600 0 327797 0 0 0 KELLY COMMON PHYSICIAN 292483 0 1325 0 0 0 11600 0 0 0 305408 0 0 0 TROY GRIFFITHS TRUSTEE/DIRECTOR OF WOUND CENTER 278167 0 0 0 0 0 11192 0 10703 0 300062 0 0 0 CHRISTOPER TAGGART CHIEF MEDICAL OFFICER 228233 0 0 0 0 0 9600 0 12214 0 250047 0 0 0 LORI RANDALL EXECUTIVE VP 211648 0 0 0 0 0 8051 0 7518 0 227217 0 0 0 VANESSA MCCLELLAN TRUSTEE/PHYSICIAN 186614 0 15821 0 0 0 8315 0 5859 0 216609 0 0 0 DIANE MILLER CHIEF FINANCIAL OFFICER 154117 0 0 0 0 0 6343 0 4903 0 165363 0 0 0 A CITY OF FRUITA 846000669 00359427A 2017-12-19 33600000 HEALTHCARE HOSPITAL EXPANSION 0 0 0 A 650000 33600000 2813875 680000 6278059 2009 0 1 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 1 CITIGROUP FINANCIAL 0.215000000000 1 0 1 A 1 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. FAMILY HEALTH WEST FOUNDATION 228 N CHERRY STREET FRUITA CO 81521 825487165 PROVIDING SUPPORT FOR THE LOWER VALLEY HOSPITAL ASSOCIATION. CO 501(C)(3) LINE 10 LOWER VALLEY HOSPITAL ASSOCIATION 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 FAMILY HEALTH WEST FOUNDATION C 199149 CASH