FURP.ORG / PUBLIC DATA EXPLORER

MOAB VALLEY HEALTHCARE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MOAB VALLEY HEALTHCARE INC (EIN 87-0543342)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-13
IRS object ID
202112869349301401
Schema version
2020v4.0
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)
Return2021-10-13T11:14:03-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN200079326PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DINGUS ZARECOR & ASSOCIATES PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line112015 E MAIN AVEAddressLine1Txt
CitySPOKANE VALLEYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99206ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN870543342EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOAB VALLEY HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOABBusinessNameControlTxt
Phone4357193500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1450 WEST WILLIAMS WAYAddressLine1Txt
CityMOABCityNm
State AbbreviationUTStateAbbreviationCd
ZIP845320998ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER SADOFFPersonNm
Person TitleCEOPersonTitleTxt
Phone4357193503PhoneNum
Signature2021-10-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJENNIFERPersonFirstNm
Person LastSADOFFPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS DINGUSPreparerPersonNm
PTINP00951009PTIN
Phone5092420874PhoneNum
Preparation2021-10-13PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MOAB REGIONAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJENNIFER SADOFFPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1450 WEST WILLIAMS WAYAddressLine1Txt
CityMOABCityNm
State AbbreviationUTStateAbbreviationCd
ZIP845320998ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$39,816,768GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MRHMOAB.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateUTLegalDomicileStateCd
Activity Or MissionOUR DEDICATED TEAM PUTS THE PATIENT FIRST, DELIVERS QUALITY COST-EFFECTIVE HEALTHCARE AND PROMOTES WELLNESS TO ALL WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee306TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$39,990PYContributionsGrantsAmt
CY Contributions Grants$3,329,551CYContributionsGrantsAmt
PY Program Service Revenue$34,921,765PYProgramServiceRevenueAmt
CY Program Service Revenue$35,572,878CYProgramServiceRevenueAmt
PY Investment Income$852,941PYInvestmentIncomeAmt
CY Investment Income$534,328CYInvestmentIncomeAmt
PY Other Revenue$414,134PYOtherRevenueAmt
CY Other Revenue$380,011CYOtherRevenueAmt
PY Total Revenue$36,228,830PYTotalRevenueAmt
CY Total Revenue$39,816,768CYTotalRevenueAmt
PY Grants And Similar Paid$301,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,509CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,436,995PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$21,947,686CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,301,274PYOtherExpensesAmt
CY Other Expenses$15,191,703CYOtherExpensesAmt
PY Total Expenses$33,039,269PYTotalExpensesAmt
CY Total Expenses$37,144,898CYTotalExpensesAmt
PY Revenues Less Expenses$3,189,561PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,671,870CYRevenuesLessExpensesAmt
Total Assets BOY$59,235,123TotalAssetsBOYAmt
Total Assets EOY$66,052,667TotalAssetsEOYAmt
Total Liabilities BOY$27,225,813TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,371,487TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$32,009,310NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$34,681,180NetAssetsOrFundBalancesEOYAmt
MissionOUR DEDICATED TEAM PUTS THE PATIENT FIRST, DELIVERS QUALITY COST-EFFECTIVE HEALTHCARE AND PROMOTES WELLNESS TO ALL WE SERVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$30,216,909ExpenseAmt
Grant$5,509GrantAmt
Revenue$35,572,878RevenueAmt
DescMOAB REGIONAL HOSPITAL (MRH) OPERATES A 17-BED ACUTE CARE CRITICAL ACCESS HOSPITAL (CAH), WHICH PROVIDES EMERGENCY, INPATIENT, OUTPATIENT, ACUTE CARE AND SUBACUTE SERVICES IN HOSPITAL AND CLINIC SETTINGS. THE HOSPITAL PROVIDED 4,775 EMERGENCY DEPARTMENT VISITS, 1,811 DAYS OF INPATIENT SERVICES, 23,717 CLINIC VISITS, 2,155 HOSPICE DAYS, AND 85 BIRTHS DURING THE YEAR. SEE CONTINUATION ON SCHEDULE O.Desc
Total Program Service Expenses$30,216,909TotalProgramServiceExpensesAmt
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 AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
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 MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document65IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee306EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldUTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRICHARD WHITEPersonNm
Phone4357193503PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1450 WEST WILLIAMS WAYAddressLine1Txt
CityMOABCityNm
State AbbreviationUTStateAbbreviationCd
ZIP845320998ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DOUG FIX
CHAIR1.00Yes (X)Yes (X)$0$0$0
SAM CRANE
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
ROBERT FARNSWORTH
TRUSTEE1.00Yes (X)$0$0$0
BETH LOGAN
TRUSTEE1.00Yes (X)$0$0$0
DEE GULLEDGE
TRUSTEE1.00Yes (X)$0$0$0
DOUG GARRET
TRUSTEE1.00Yes (X)$0$0$0
HOLLY SLOAN
TRUSTEE1.00Yes (X)$0$0$0
LYNDA DMIRZ
TRUSTEE1.00Yes (X)$0$0$0
ANGIE ALEXANDER
TRUSTEE32.00Yes (X)$320,167$0$0
JENNIFER SADOFF
CEO40.00Yes (X)$247,739$0$28,814
RICHARD WHITE
CFO40.00Yes (X)$182,604$0$27,601
DYLAN COLE
CHIEF MED OF32.00$420,703$0$39,162Yes (X)
KIMBERLY FRANKE
PHYSICIAN32.00$445,437$0$30,608Yes (X)
KIM BRANDAU
PHYSICIAN32.00$416,988$0$39,162Yes (X)
KENNETH WILLIAMS
PHYSICIAN32.00$369,584$0$39,162Yes (X)
JONAS MUNGER
PHYSICIAN32.00$355,218$0$39,162Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,758,440TotalReportableCompFromOrgAmt
Total Other Compensation$243,671TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
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
PAUL ROBERT REAY
PO BOX 487MONTICELLOUT84532ER PHYSICIAN$475,258
MAYO COLLABORATIVE SERVICES LLC
200 FIRST STREET SOUTHWESTROCHESTERMN55905LAB SERVICES$356,900
SCHERER MEDICAL
1575 OLD MAIL TRAILMOABUT84532ER PHYSICIAN$342,781
ANGELA ALEXANDER MD PLLC
PO BOX 775688STEAMBOAT SPRINGSCO80477ER PHYSICIAN$320,167
ERIC HANLY
2343 PROMONTARY COURTGRAND JUNCTIONCO81507SURGEON$253,819
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Government Grants$3,319,925GovernmentGrantsAmt
All Other Contributions$9,626AllOtherContributionsAmt
Total Contributions$3,329,551TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE624100$35,007,530$35,007,530
MANAGEMENT FEES561000$565,348$565,348
FieldValueIRS element (for citing)
Total Program Service Revenue$35,572,878TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$533,063TotalRevenueColumnAmt
Exclusion$533,063ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$105,102RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$105,102RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$105,102TotalRevenueColumnAmt
Exclusion$105,102ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,265OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,265OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,265TotalRevenueColumnAmt
Exclusion$1,265ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA$205,901$205,901
OTHER REVENUE$51,366$51,366
REBATES$17,642$17,642
FieldValueIRS element (for citing)
Other Revenue Total$274,909OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,816,768TotalRevenueColumnAmt
Related Or Exempt Func Income$35,572,878RelatedOrExemptFuncIncomeAmt
Exclusion$914,339ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,509TotalAmt
Program Services$5,509ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$806,925TotalAmt
Program Services$320,167ProgramServicesAmt
Management And General$486,758ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,771,064TotalAmt
Program Services$13,875,395ProgramServicesAmt
Management And General$2,895,669ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$633,325TotalAmt
Program Services$513,105ProgramServicesAmt
Management And General$120,220ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,456,580TotalAmt
Program Services$2,025,625ProgramServicesAmt
Management And General$430,955ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,279,792TotalAmt
Program Services$1,017,671ProgramServicesAmt
Management And General$262,121ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$99,188TotalAmt
Management And General$99,188ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$44,974TotalAmt
Management And General$44,974ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$6,452TotalAmt
Management And General$6,452ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,263,758TotalAmt
Program Services$3,708,866ProgramServicesAmt
Management And General$554,892ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$45,097TotalAmt
Program Services$6,724ProgramServicesAmt
Management And General$38,373ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,070,359TotalAmt
Program Services$810,919ProgramServicesAmt
Management And General$259,440ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$307,375TotalAmt
Program Services$202,808ProgramServicesAmt
Management And General$104,567ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$448,393TotalAmt
Program Services$329,747ProgramServicesAmt
Management And General$118,646ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$88,789TotalAmt
Program Services$79,966ProgramServicesAmt
Management And General$8,823ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$43,607TotalAmt
Program Services$32,429ProgramServicesAmt
Management And General$11,178ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,665,213TotalAmt
Program Services$1,164,845ProgramServicesAmt
Management And General$500,368ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,110,051TotalAmt
Program Services$1,614,912ProgramServicesAmt
Management And General$495,139ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$342,008TotalAmt
Program Services$329,643ProgramServicesAmt
Management And General$12,365ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS AND MAINTENANCE$3,427,829$3,427,829
MEDICAL SUPPLIES & DRUGS$953,761$700,157$253,604
OTHER EXPENSES$274,849$50,592$224,257

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$37,144,898TotalAmt
Program Services$30,216,909ProgramServicesAmt
Management And General$6,927,989ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$150,748BOYAmt
EOY$126,997EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,002,273BOYAmt
EOY$18,767,541EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,612,265BOYAmt
EOY$4,829,358EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$876,071BOYAmt
EOY$870,844EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$563,633BOYAmt
EOY$781,661EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$40,272,640LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$23,210,723LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,657,926BOYAmt
EOY$17,061,917EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,921,216BOYAmt
EOY$22,121,698EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$138,036BOYAmt
EOY$152,722EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$292,500BOYAmt
EOY$260,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,020,455BOYAmt
EOY$1,079,929EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$59,235,123BOYAmt
EOY$66,052,667EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,064,633BOYAmt
EOY$3,369,065EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$1,458,144EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$24,161,180BOYAmt
EOY$26,275,278EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$269,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,225,813BOYAmt
EOY$31,371,487EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,009,310BOYAmt
EOY$34,681,180EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,009,310BOYAmt
EOY$34,681,180EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$59,235,123BOYAmt
EOY$66,052,667EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,671,870ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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)
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$3,674OtherActivitiesAmt
Total Lobbying Expenditures$3,674TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationTHE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$929,520OtherCostOrOtherBasisAmt
Book Value$929,520BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,288,274OtherCostOrOtherBasisAmt
Depreciation$13,529,396DepreciationAmt
Book Value$12,758,878BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,051,963OtherCostOrOtherBasisAmt
Depreciation$7,801,582DepreciationAmt
Book Value$2,250,381BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,002,883OtherCostOrOtherBasisAmt
Depreciation$1,879,745DepreciationAmt
Book Value$1,123,138BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,061,917TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescTHIRD-PARTY PAYOR SETTLEMENTSDesc
Amt$269,000Amt
FieldValueIRS element (for citing)
Total Liability$269,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$39,816,768TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$39,816,768RevenueSubtotalAmt
Total Revenue Per Form990$39,816,768TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$37,144,898TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$37,144,898ExpensesSubtotalAmt
Total Expenses Per Form990$37,144,898TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE HOSPITAL IS ORGANIZED AS A UTAH NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE HOSPITAL IS REQUIRED TO FILE AN ANNUAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE HOSPITAL IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE HOSPITAL HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS. THE HOSPITAL BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE HOSPITAL WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$803,795TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$803,795NetCommunityBenefitExpnsAmt
Total Expense0.02160TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,350,800TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,350,800DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,154,595TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,350,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$803,795NetCommunityBenefitExpnsAmt
Total Expense0.02160TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,238,116TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,216,354DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,021,762NetCommunityBenefitExpnsAmt
Total Expense0.02750TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,193TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,193NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,254,309TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,216,354DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,037,955NetCommunityBenefitExpnsAmt
Total Expense0.02790TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,408,904TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,567,154DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,841,750NetCommunityBenefitExpnsAmt
Total Expense0.04960TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$3,486,271BadDebtExpenseAmt
Bad Debt Expense Attributable$488,078BadDebtExpenseAttributableAmt
Reimbursed By Medicare$9,883,444ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,836,551CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$46,893MedicareSurplusOrShortfallAmt

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
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOAB VALLEY HEALTHCARE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1450 WEST WILLIAMS WAYAddressLine1Txt
CityMOABCityNm
State AbbreviationUTStateAbbreviationCd
ZIP845320998ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MRHMOAB.ORGWebsiteAddressTxt
State License2013-HOSP-45117StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MOAB VALLEY HEALTHCARE INCBusinessNameLine1Txt
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
OtherYes (X)OtherInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MRHMOAB.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, LINE 7D FOR FULL URLStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
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, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
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
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, MOAB VALLEY HEALTHCARE, INC. - PART V, LINE 3EIDENTIFICATION AND PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS BEGIN ON PAGE 31 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE.
FACILITY 1, MOAB VALLEY HEALTHCARE, INC. - PART V, LINE 5MOAB REGIONAL HOSPITAL PARTNERED WITH THE NATIONAL RURAL HEALTH RESOURCE CENTER (NRHRC) TO CONDUCT ITS 2020 COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY MAILING OUT 800 SURVEYS TO A RANDOM STRATIFIED SAMPLE OF COMMUNITY MEMBERS. NRHRC FACILITATED A SERIES OF FOCUS GROUPS MADE UP OF A DIVERSE GROUP OF COMMUNITY MEMBERS, REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY TO SUPPLEMENT THE ASSESSMENT WITH QUALITATIVE DATA. THE FOCUS GROUPS INCLUDED: HEALTHCARE PROFESSIONALS; COMMUNITY LEADERS; YOUTH ORGANIZATIONS AND PARENTS; SENIORS; AND MULTICULTURAL GROUPS. AN EXTENSIVE LIST OF INVITEES WAS COMPILED BY THE MRH DIRECTOR OF COMMUNITY RELATIONS TO ENSURE QUALITY REPRESENTATION OF VARIOUS COMMUNITY ORGANIZATIONS, GOVERNMENT COUNCILS AND LOCAL RESIDENTS.
FACILITY 1, MOAB VALLEY HEALTHCARE, INC. - PART V, LINE 6BMOAB REGIONAL HOSPITAL PARTNERED WITH THE NATIONAL RURAL HEALTH RESOURCE CENTER TO CONDUCT ITS 2020 COMMUNITY HEALTH NEEDS ASSESSMENT TO IMPROVE THE UNDERSTANDING OF THE HEALTH STATUS OF THE COMMUNITY IT SERVES.
FACILITY 1, MOAB VALLEY HEALTHCARE, INC. - PART V, LINE 7DTHE COMMUNITY HEALTH NEEDS ASSESSMENT WAS DISTRIBUTED TO LOCAL INTERESTED AGENCIES, INCLUDING THE SOUTH EASTERN UTAH HEALTH DEPARTMENT, THE MOAB FREE HEALTH CLINIC, AND ALL COMMUNITY LEADERS INVOLVED IN THE FOCUS GROUP. HARD COPIES OF THE LATEST COMMUNITY HEALTH NEEDS ASSESSMENT AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY ARE ALSO AVAILABLE UPON REQUEST WITHOUT CHARGE AND POSTED ON THE HOSPITAL WEBSITE AT THE FOLLOWING URL: HTTP://MRHMOAB.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
FACILITY 1, MOAB VALLEY HEALTHCARE, INC. - PART V, LINE 11AFTER RECEIVING THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS, THE MOAB REGIONAL HOSPITAL COMMUNITY RELATIONS DIRECTOR INVITED COMMUNITY AND HOSPITAL LEADERS TO PARTICIPATE IN A STRATEGIC PLANNING SESSION TO PRIORITIZE TARGET AREAS FOR THE COMMUNITY HEALTH ASSESSMENT ACTION PLAN. THE DATA WAS ALSO SHARED AND DISCUSSED WITH HOSPITAL LEADERSHIP GROUPS AND GOVERNING BODIES. THE TOP THREE IDENTIFIED HEALTH NEEDS INCLUDE: 1) ACCESS TO MENTAL AND BEHAVIORAL HEALTHCARE 2) ACCESS TO PRIMARY CARE PROVIDERS AND SPECIALISTS 3) REMOVE FINANCIAL BARRIERS TO CARE THE HOSPITAL IS ADDRESSING THESE NEEDS USING THE FOLLOWING STRATEGIES: RECRUIT FULL-TIME PSYCHIATRIST, PSYCHOLOGIST, AND CHILD PSYCHIATRIST ADD MID-LEVEL PROVIDER TO WORK WITH PSYCHIATRIST FOR BEHAVIORAL HEALTH PATIENTS AND MENTAL HEALTH PROGRAM NURSE COORDINATOR PROVIDE ACCESS TO TELE-MENTAL HEALTH PROVIDE SPONSORSHIP TO COMMUNITY ORGANIZATIONS THAT ARE WORKING TO REDUCE RISK FACTORS AND INCREASE PROTECTIVE FACTORS RECRUIT FAMILY PRACTICE PHYSICIAN WITH OB, NURSES FOR TRIAGE AND CARE COORDINATION, AND VISITING SPECIALISTS SUCH AS CARDIOLOGIST,OTOLARYNGOLOGIST (ENT), PEDIATRICIAN, GERONTOLOGIST ADD OUT-PATIENT NURSING SERVICES PROGRAM MANAGER AND ONCOLOGY NAVIGATOR IMPLEMENT ECHO PROGRAM EMPLOY FULL-TIME FINANCIAL NAVIGATORS REDUCE LAB CHARGES EXPAND LOW-COST BLOOD DRAWS THROUGHOUT THE YEAR MRH IS NOT ACTIVELY FOCUSING RESOURCES ON THE OTHER HEALTH CONCERNS OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDING: ILLEGAL AND PRESCRIPTION DRUG USE/UNDERAGE ALCOHOL, TOBACCO, AND DRUG USE. THERE ARE MANY OTHER COMMUNITY ORGANIZATIONS, SUCH AS THE SOUTHEAST UTAH HEALTH DEPARTMENT, THE MOAB FREE HEALTH CLINIC, AND FAMILY SUPPORT SERVICES, THAT HAVE ROBUST PROGRAMS THAT ADDRESS THESE CONCERNS. THE HOSPITAL SUPPORTS AND PARTNERS WITH THESE ORGANIZATIONS WHEN APPROPRIATE; HOWEVER, THE HOSPITAL FELT THAT THE COMMUNITY HEALTH ASSESSMENT ACTION PLAN GOALS SHOULD ADDRESS GAPS IN LOCAL SERVICES RATHER THAN DUPLICATING AVAILABLE PROGRAMS. MRH WILL COLLABORATE WITH OTHER COMMUNITY CHAMPIONS ON THIS EFFORT. MRH IS CONTINUALLY ASSESSING THE HEALTH NEEDS OF OUR COMMUNITY AND DECIDING HOW WE CAN BETTER SERVE OUR COMMUNITY BASED ON NEED.
FACILITY 1, MOAB VALLEY HEALTHCARE, INC. - PART V, LINE 16JTHE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS PROVIDED IN THE EMERGENCY AND WAITING ROOMS. PATIENTS ARE PROVIDED FINANCIAL AID INFORMATION AND AN APPLICATION AT THE TIME OF SERVICE. THE HOSPITAL ALSO INFORMS PATIENTS THAT FINANCIAL AID IS AVAILABLE IN ALL INVOICES. IN ADDITION, THE HOSPITAL PUBLICIZED THE FINANCIAL ASSISTANCE POLICY THROUGH NEWSPAPER ARTICLES AND EDUCATIONAL SEMINARS WITH THE COMMUNITY SENIOR CITIZENS AND MINORITY POPULATIONS. THE LATEST FINANCIAL ASSISTANCE POLICY (FAP) IS AVAILABLE ON THE HOSPITAL WEBSITE AS FOLLOWS. FAP: HTTP://MRHMOAB.ORG/WP-CONTENT/UPLOADS/2018/06/FINANCIAL-AID-POLICY-MRH.PDF FAP APPLICATION: HTTP://MRHMOAB.ORG/WP-CONTENT/UPLOADS/2017/07/FIN-AID-APPLICATION-2017.PDF FAP PLAIN LANGUAGE SUMMARY: HTTP://MRHMOAB.ORG/WP-CONTENT/UPLOADS/2015/11/FINANCIAL-SUMMARY-AND- DIRECTION.PDF

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7GTHE HOSPITAL HAS INCLUDED COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IN THE AMOUNT OF 3,238,116 IN COLUMN C AND 2,216,354 IN COLUMN D.
SCHEDULE H, PART I, LINE 7THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR FIGURES REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES LESS NON-PATIENT CARE ACTIVITIES, TOTAL COMMUNITY BENEFIT, AND TOTAL COMMUNITY BUILDING EXPENSES).
SCHEDULE H, PART IIGRAND COUNTY IS DESIGNATED AS MEDICALLY UNDERSERVED AND HAS A SHORTAGE IN THE AREA OF HEALTH PROFESSIONALS. THE HOSPITAL IS CONTINUALLY RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO ITS RURAL SERVICE AREA TO HELP IMPROVE ACCESS TO HEALTHCARE SERVICES AS IDENTIFIED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT.
SCHEDULE H, PART III, LINE 2BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES.
SCHEDULE H, PART III, LINE 3THE HOSPITAL DETERMINED THE ESTIMATED AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE BY REVIEWING THEIR RECORDS FOR THE PERCENTAGE OF PATIENTS THAT WOULD HAVE BEEN ELIGIBLE HAD THEY COMPLETED THE FINANCIAL ASSISTANCE PROCESS. THE HOSPITAL ESTIMATED 14% OF ITS BAD DEBTS WOULD HAVE QUALIFIED.
SCHEDULE H, PART III, LINE 4THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 5 ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED. THE PROVISION FOR BAD DEBTS IS INCLUDED IN FOOTNOTE 10 BEGINNING ON PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8SERVICES ARE PROVIDED TO PATIENTS UNDER THE MEDICARE PROGRAM KNOWING THAT NOT ALL COSTS ASSOCIATED WITH PROVIDING THESE SERVICES WILL BE RECOVERED. PROVIDING THESE SERVICES IS ESSENTIAL TO THESE PATIENTS AND THE COMMUNITY AND INCREASES THEIR ACCESS TO HEALTHCARE SERVICES. THEREFORE, ANY MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. MEDICARE ALLOWABLE COST IS BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES & REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES.
SCHEDULE H, PART III, LINE 9BIT IS THE POLICY OF MOAB REGIONAL HOSPITAL TO UTILIZE A COLLECTION AGENCY AS A RESOURCE FOR COLLECTING BAD DEBT. ALL PATIENTS WILL RECEIVE A MONTHLY STATEMENT REGARDING ANY OPEN BALANCES ON THEIR ACCOUNTS. THE PATIENT WILL RECEIVE TWO STATEMENTS APPROXIMATELY 30 DAYS APART. THE THIRD STATEMENT AT 90 DAYS WILL BE STAMPED FINAL NOTICE. AT 120 DAYS AFTER THE FIRST BILLING IF THE OPEN BALANCE HAS NOT BEEN ADDRESSED BY THE PATIENT THESE ACCOUNTS WILL BE FORWARDED ON TO THE COLLECTION AGENCY FOR ADDITIONAL ACTION (E.G. ACCRUING INTEREST, GARNISHING OF WAGES AND LEGAL ACTION) IF NECESSARY. IF AT ANY TIME DURING THE COLLECTION ACTIONS THE COLLECTION AGENCY DETERMINES THE PATIENT WOULD BE POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE, THE AGENCY WILL ENCOURAGE THE PATIENT TO CONTACT THE HOSPITAL TO APPLY FOR FINANCIAL ASSISTANCE. ONCE THE PATIENT CONTACTS THE HOSPITAL, THE ACCOUNT IS IMMEDIATELY MOVED TO "APPLYING FOR ASSISTANCE" STATUS AND NO FURTHER COLLECTION ACTIONS ARE TAKEN. THE PATIENT THEN HAS AN ADDITIONAL 120 DAYS TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. IF THE INDIVIDUAL RECEIVES DISCOUNTED CARE, THE REMAINING SELF-PAY PORTION IS MOVED TO AN INTEREST-FREE MONTHLY PAYMENT PLAN. IF AFTER SIX MONTHS THERE ARE NO FURTHER PAYMENTS MADE, THE HOSPITAL CONTACTS THE PATIENT TO DETERMINE IF THE PATIENT NEEDS TO LOWER THEIR MONTHLY PAYMENT AND INCREASE THE PAYMENT TIMELINE.
SCHEDULE H, PART VI, LINE 2IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED EVERY THREE YEARS, THE HOSPITAL REVIEWS LOCAL THIRD PARTY HEALTH DATA, SUCH AS DATA FROM THE HEALTH DEPARTMENT AND THE UTAH STUDENT HEALTH RISK AND POPULATION (SHARP) SURVEY. MRH ALSO COLLECTS FEEDBACK FROM PATIENTS TO HELP IMPROVE SERVICES. COPIES ARE AVAILABLE AT THE HOSPITAL UPON REQUEST OF THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY OR A COPY CAN BE FOUND AT THE HOSPITAL'S WEBSITE AT THE FOLLOWING URL: HTTPS://MRHMOAB.ORG/WP-CONTENT/UPLOADS/2020/07/2019-CHNA-REPORT-FINAL- POSTED-ON-WEBSITE-COMPRESSED.PDF HTTPS://MRHMOAB.ORG/WP-CONTENT/UPLOADS/2020/07/2019-CHNA-IMPLEMENTAION- PLAN-FINAL-POSTED-ON-WEBSITE-2.PDF
SCHEDULE H, PART VI, LINE 3THE HOSPITAL POSTS ITS CHARITY CARE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. IT ALSO PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ITS ADMISSION PACKET AS PART OF THE INTAKE PROCESS. A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS ARE ALSO INCLUDED WITH DISCHARGE MATERIALS. ASSIGNED HOSPITAL STAFF ALSO DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, AS APPLICABLE.
SCHEDULE H, PART VI, LINE 4THE HOSPITAL'S DEFINED SERVICE AREA EXTENDS OUT APPROXIMATELY 70 MILES IN ALL DIRECTIONS CAPTURING A SERVICE AREA POPULATION OF APPROXIMATELY 16,350. THE ENTIRE SERVICE AREA IS RURAL OR FRONTIER IN NATURE. IT INCLUDES THE SETTLEMENTS OF MOAB (7,500), GREEN RIVER (1,500), THOMPSON (100), LA SAL (250), MONTICELLO (3,000), AND BLANDING (4,000). MOST ALL OF THESE COMMUNITIES HAVE AGRICULTURE, MINING, OR TOURISM AS A PRIMARY ECONOMIC BASE. SMALL HOSPITALS SERVE MONTICELLO AND BLANDING, BUT MAJOR SURGICAL AND ANCILLARY SERVICES ARE PROVIDED IN MOAB. THE LARGER COMMUNITIES IN COLORADO - CORTEZ AND GRAND JUNCTION - OFFER SECONDARY CARE HOSPITALS, BUT ARE 100+ MILES AWAY FROM ANY OF THE COMMUNITIES DESCRIBED. GRAND COUNTY IS PRIMARILY DRIVEN BY A STRONG OUTDOOR RECREATION-BASED TOURISM INDUSTRY. ALTHOUGH LOCAL TOURIST ATTRACTIONS DRAW A STEADY INFLUX OF VISITORS OF OVER 2+ MILLION ANNUALLY AND GENERATE SUBSTANTIAL LOCAL REVENUES, GRAND COUNTY'S RURAL LOCATION AND LOW INDUSTRIAL DIVERSITY HAS IMPEDED THE DEVELOPMENT OF MAJOR GROWTH DRIVERS OUTSIDE OF TOURISM. UNEMPLOYMENT IN THE COUNTY EXCEEDS UTAH AND U.S. LEVEL, AND THE LACK OF HIGH PAYING INDUSTRIES CORRESPONDS TO BELOW AVERAGE HOUSEHOLD INCOME LEVELS. THE MEDIAN AGE OF GRAND COUNTY'S POPULATION IS 39.4 YEARS COMPARED WITH UTAH'S POPULATION AT 29.5 YEARS AND THE U.S. FIGURE OF 36.8 YEARS. ANNUAL AVERAGE HOUSEHOLD INCOME FOR GRAND COUNTY IS 50,331, COMPARED WITH 68,450 AND 67,315 FOR UTAH AND THE U.S. RESPECTIVELY. APPROXIMATELY 32% OF THE COUNTY'S HOUSEHOLDS' INCOME LEVELS FALL UNDER 25,000 THRESHOLD. EDUCATIONALLY, 29.9% ARE HIGH SCHOOL GRADUATES, 30.3% HAVE COMPLETED ASSOCIATES DEGREES, AND 14.7% HOLD BACHELOR'S DEGREES WITH 8.3% HAVING EARNED ADVANCED DEGREES AT THE MASTERS OR PH.D. LEVELS. APPROXIMATELY 33.5% OF THE HOSPITAL'S PATIENT MIX IS MEDICARE WITH 13.6% COVERED BY THE MEDICAID PROGRAM.
SCHEDULE H, PART VI, LINE 5THE HOSPITAL'S GOVERNING BODY IS COMPRISED EXCLUSIVELY OF CITIZENS RESIDING IN MOAB, MOST OF WHOM HAVE BEEN RESIDENTS FOR DECADES. THE MEMBERS BRING AN EXCELLENT MIX OF SKILLS AND EXPERIENCES TO THE BOARD THAT WELL SERVE THE NEEDS OF THE HOSPITAL. BOARD MEMBERS RANGE FROM A RETIRED HEALTH DEPARTMENT ADMINISTRATOR, TO GRAND COUNTY SCHOOL DISTRICT ADMINISTRATOR, TO PHYSICIANS, TO BUSINESS OWNERS. THIS VOLUNTEER BOARD DEDICATES TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. THE HOSPITAL EXTENDS MEMBERSHIP AND, ACCORDINGLY, MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY WHO QUALIFY. AS A NON-PROFIT CORPORATION, THE HOSPITAL DOES NOT HAVE ANY SHAREHOLDERS. EXCESS FUNDS FROM OPERATIONS ARE APPLIED TO EDUCATIONAL PROGRAMS DESIGNED TO ADDRESS SPECIFIC NEEDS OF THE COMMUNITY SUCH AS: SUBSTANCE ABUSE, YOUTH HEALTH PROFESSIONAL EDUCATION, DIABETES, CHILDBIRTH, CHRONIC DISEASE/CANCER, AND NUTRITION. THE HOSPITAL PARTICIPATES IN MULTIPLE ACTIVITIES WITHIN ITS COMMUNITY TO PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. THE HOSPITAL IS A MEMBER OF THE MOAB CHAMBER OF COMMERCE, AND HOSTS AN ANNUAL LUNCHEON AT THE HOSPITAL TO SUPPORT LOCAL BUSINESS DEVELOPMENT AND COLLABORATION. THE HOSPITAL ALSO SUPPORTS THE CHAMBER'S ANNUAL FUNDRAISER BANQUET THAT SUPPORTS LOCAL BUSINESS DEVELOPMENT AND ALSO SPONSORS THE CHAMBER'S GOLF TOURNAMENT TO HELP SUPPORT THE CHAMBER'S SCHOLARSHIP PROGRAM. THE HOSPITAL MADE FINANCIAL CONTRIBUTIONS TO LOCAL ORGANIZATIONS DURING THE YEAR. THESE ORGANIZATIONS INCLUDED YOUTH-ORIENTED ORGANIZATIONS, MENTORING PROGRAMS, THE LOCAL EDUCATION FOUNDATION, MENTAL HEALTH/BEHAVIORAL HEALTH TREATMENT CENTER, AND THE LOCAL DOMESTIC VIOLENCE SHELTER. THE FUNDING PROVIDES CRUCIAL PROGRAM SUPPORT TO AGENCIES THAT MAKE IMPORTANT IMPACTS ON THE LOCAL COMMUNITY. THE HOSPITAL COMMUNITY RELATIONS DIRECTOR PARTICIPATES IN THE MOAB COMMUNITY ACTION COALITION. THIS COALITION PRIMARILY FOCUSES ON UTILIZING COMMUNITY RESOURCES AND ORGANIZATIONAL COLLABORATION TO REDUCE YOUTH ALCOHOL AND SUBSTANCE MISUSE. THE HOSPITAL IS ALSO A MEMBER OF THE SOUTHEASTERN ADDICTION MEDICINE COALITION, WHICH ADDRESSES COMMUNITY OPIOID ABUSE. THE HOSPITAL PARTICIPATES IN THE GRAND COUNTY HIGH SCHOOL CAREER FAIR EACH YEAR. MRH STAFF SUCH AS NURSES, RADIOLOGY TECHNOLOGISTS AND ADMINISTRATIVE PERSONNEL PROVIDE INFORMATION TO HIGH SCHOOL JUNIORS ON CAREER DEVELOPMENT AND PURSUING CAREERS IN THE MEDICAL FIELD. THE HOSPITAL OFFERS AN INFUSION THERAPY PROGRAM FOR CANCER PATIENTS, MITIGATING THE NEED FOR THE PATIENT TO TRAVEL A MINIMUM OF THREE HOURS (ROUND TRIP) FOR CHEMO TREATMENT. EMERGENCY ROOM SERVICES ARE AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. THE HOSPITAL SERVES AS A SITE FOR THE CLINICAL TRAINING OF NURSES, AND RESIDENTS IN FAMILY MEDICINE, GENERAL SURGERY, AND ORTHOPEDIC SURGERY NEEDING TO COMPLETE A RURAL ROTATION. THE HOSPITAL IS A SOLE COMMUNITY PROVIDER WITH THE NEAREST (SMALLER) HOSPITAL APPROXIMATELY 55 MILES AWAY. THE HOSPITAL'S DIETICIAN AND SELECT NURSING AND ADMINISTRATIVE PERSONNEL ARE VERY ACTIVE IN MULTIPLE COMMUNITY INITIATIVES TO ADDRESS SUBSTANCE USE, BEHAVIORAL HEALTH, UNDERAGE SUBSTANCE USE, AND DIABETES PREVENTION. THE HOSPITAL ALSO SPONSORS OR HOSTS HEALTH FAIRS, BLOOD DRIVES, AND COMMUNITY INITIATIVES FOCUSING ON SPECIFIC COMMUNITY NEEDS. THE HOSPITAL ALSO REGULARLY PARTNERS AND PROVIDES SUPPORT TO THE LOCAL FREE HEALTH CLINIC. MEDICAL TENT AT MOAB HALF MARATHON: EACH YEAR 5000+ OUT-OF-TOWN RUNNERS VISIT MOAB TO PARTICIPATE IN THREE HALF MARATHONS RUN THROUGHOUT THE YEAR. LOCATED AT THE FINISH LINE OF EACH RACE, THE MEDICAL TENTS ARE STAFFED BY EMERGENCY DEPARTMENT PHYSICIANS AND NURSES WHO ARE AVAILABLE TO ATTEND TO A VARIETY OF MEDICAL NEEDS, FROM DEHYDRATION TO BLISTERS. NURSES ARE ALSO STATIONED ALONG THE LAST PART OF THE RACE COURSE TO LOOK FOR RUNNERS WHO MAY EXPERIENCE CARDIAC EVENTS NEAR THE FINISH LINE AS THEY FINISH THE RACE. ADDRESSING MANY OF THE ISSUES AT THE FINISH LINE OF THESE RACES HAS KEPT THE MRH EMERGENCY ROOM FROM BECOMING OVERWHELMED. SKINNY TIRE FESTIVAL & CENTURY TOUR AID STATION: MOAB REGIONAL HOSPITAL STAFFS TWO AID STATIONS PER YEAR FOR SKINNY TIRE EVENTS, A LOCAL ORGANIZATION WHICH RAISES MONEY FOR CANCER SUPPORT AND RESEARCH. DURING EACH RACE, MRH PROVIDES AN AID STATION WHERE BIKERS CAN RE-FUEL ON FOOD AND WATER AND ADDRESS ANY MEDICAL OR MECHANICAL ISSUES. DINNER WITH A DOC PROGRAM: MOAB REGIONAL HOSPITAL PROVIDES FREE EDUCATIONAL ACCESS TO MEDICAL SPECIALISTS AND HEALTHCARE PROVIDERS THROUGH ITS DINNER WITH A DOC PROGRAM. MRH HOSTED COMMUNITY DINNERS ON THE FOLLOWING TOPICS: ALLERGIES & SINUSITIS; SKIN CANCER AWARENESS; INTEGRATIVE MEDICINE; PLANTAR FASCIITIS; STROKE EDUCATION; AND SMOKING CESSATION. THESE EVENTS SERVED OVER 120 COMMUNITY MEMBERS. DIABETES EDUCATION: MOAB REGIONAL HOSPITAL HOSTED FREE FOUR-DAY DIABETES EDUCATION CLASSES. THE HOSPITAL PARTNERED WITH A VISITING ENDOCRINOLOGIST AND A LOCAL PHARMACIST TO INCREASE THE EDUCATIONAL COMPONENTS OF THE CLASS. TWO REGISTERED DIABETES NURSE EDUCATORS PROVIDED INFORMATION ON EXERCISE, NUTRITION AND MEDICATION MANAGEMENT. YOUTH HEALTH EDUCATION: MOAB REGIONAL HOSPITAL PARTNERED WITH THE LOCAL AFTERSCHOOL YOUTH PROGRAM, BEACON, TO PROVIDE A HANDS-ON DAY OF HEART HEALTH EDUCATION. MRH ALSO PROVIDED MATURATION EDUCATION PRESENTATIONS FOR THE 5TH GRADERS AT THE LOCAL ELEMENTARY SCHOOL AND CHARTER SCHOOL. BREAST CANCER AWARENESS: MOAB REGIONAL HOSPITAL PROVIDED LOW-COST MAMMOGRAPHY VOUCHERS DURING THE MONTH OF OCTOBER TO UNINSURED WOMEN WHO DID NOT QUALIFY FOR THE HEALTH DEPARTMENT'S MAMMOGRAPHY VOUCHER PROGRAM. MRH ALSO SPONSORED A MAMMOGRAPHY AWARENESS CAMPAIGN IN THE LOCAL PAPERS AND ON SOCIAL MEDIA. ADVANCED DIRECTIVE WORKSHOPS: GRAND COUNTY HOSPICE AND MRH PUT ON TWO FREE ADVANCED DIRECTIVE WORKSHOPS FOR THE COMMUNITY. THE WORKSHOPS ARE FACILITATED BY THE DIRECTOR AND MEDICAL DIRECTOR OF GRAND COUNTY HOSPICE. WORKSHOP ATTENDEES RECEIVE INFORMATION ON THE IMPORTANCE OF PREPARING THE NECESSARY LEGAL DOCUMENTATION IN CASE THEY ARE UNABLE TO MAKE MEDICAL DECISIONS ON THEIR OWN BEHALF. "DEATH OVER DINNER": MOAB REGIONAL HOSPITAL AND GRAND COUNTY HOSPICE HOSTED FREE "DEATH OVER DINNER" COMMUNITY DINNER EVENTS. THESE EVENTS WERE HELD IN HONOR OF HOSPICE AND PALLIATIVE CARE MONTH, AND ARE INTENDED TO ADDRESS AND BREAK DOWN THE SOCIETAL STIGMAS SURROUNDING DEATH AND DYING. THE ULTIMATE GOAL OF THESE EVENTS IS TO ENCOURAGE ATTENDEES TO HOST THEIR OWN DEATH OVER DINNER EVENT WITH FRIENDS AND FAMILY AS THE FACILITATION INFORMATION IS FREE AND ACCESSIBLE TO ANYONE WHO HAS INTERNET ACCESS. SERIOUS ILLNESS CONVERSATION TRAINING: MRH AND GRAND COUNTY HOSPICE PARTNERED WITH SLC-BASED NON-PROFIT HEALTH INSIGHT TO HOST A "SERIOUS ILLNESS CONVERSATION TRAINING" FOR LOCAL PRIMARY CARE PROVIDERS, NURSES AND SOCIAL WORKERS THAT HAVE REGULAR CONVERSATIONS WITH COMMUNITY MEMBERS REGARDING ADVANCED CARE PLANNING. ATTENDEES INCLUDED PHYSICIANS FROM WESTERN COLORADO AND SE UTAH REGION. RURAL STROKE SUMMIT: MRH HOSTED UTAH'S FIRST RURAL STROKE SUMMIT, FEATURING VASCULAR NEUROLOGIST SPECIALISTS FROM THE UNIVERSITY OF UTAH AND FIRST RESPONDERS FROM CLASSIC AIR MEDICAL. 35 PEOPLE PARTICIPATED, INCLUDING MEDICAL PROFESSIONALS AND LEADERSHIP FROM SEVERAL HEALTHCARE PROVIDERS IN SE UTAH. THE GOAL OF THE RURAL STROKE SUMMIT IS TO PROVIDE A PLATFORM FROM WHICH MEDICAL PROVIDERS CAN ENHANCE THE EFFICIENCY, EFFICACY AND UNIFORMITY OF RURAL STROKE RESPONSE ACROSS THE SE UTAH REGION. CHILDBIRTH CLASSES: MOAB REGIONAL HOSPITAL HOSTS SIX-SESSION CHILDBIRTH EDUCATION CLASSES AT NO-COST FOR FAMILIES DELIVERING BABIES AT MRH; THE CLASSES ARE ALSO OPEN TO THOSE DELIVERING AT OTHER FACILITIES. THE CLASSES ARE FACILITATED BY THE OBSTETRIC NURSING TEAM AT MRH. THE CLASSES PROVIDE EXPECTANT PARENTS WITH INFORMATION ON PRENATAL CARE, PAIN MANAGEMENT TECHNIQUES DURING LABOR, THE STAGES OF LABOR, AND OTHER CHILDBIRTH RELATED TOPICS THAT HELP PREPARE THE PARENTS FOR DELIVERY. THE CLASSES ALSO INCLUDE A BREASTFEEDING EDUCATIONAL SESSION. THESE CLASSES ARE EXTREMELY POPULAR AND WELL ATTENDED, AND HELP THE MRH MEDICAL PROVIDERS AND NURSING STAFF BETTER ASSIST PATIENTS DURING THE BIRTHING PROCESS, WITH THE ULTIMATE INTENTION OF ACHIEVING THE MOST POSITIVE POST- DELIVERY OUTCOMES. IN ADDITION, THE HOSPITAL IS CONTINUALLY WORKING WITH LOCAL OFFICIALS TO PROVIDE NEEDED SERVICES AND DONATE TIME AND EFFORT TO THE COMMUNITY. WE PROVIDE SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO INDIVIDUALS THAT ARE IN NEED.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
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 PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt
ANGIE ALEXANDER
TRUSTEE$320,167$320,167
JENNIFER SADOFF
CEO$237,739$276,553$10,000$10,109$18,705
RICHARD WHITE
CFO$182,104$210,205$500$7,422$20,179
DYLAN COLE
CHIEF MED OFFICER$415,203$459,865$5,500$11,400$27,762
KIMBERLY FRANKE
PHYSICIAN$425,187$476,045$20,250$11,400$19,208
KIM BRANDAU
PHYSICIAN$401,779$456,150$15,209$11,400$27,762
KENNETH WILLIAMS
PHYSICIAN$363,584$408,746$6,000$11,400$27,762
JONAS MUNGER
PHYSICIAN$349,218$394,380$6,000$11,400$27,762

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT - CONTINUATION THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 1,296,443 FOR CHARITY CARE, 1,537,708 FOR MEDICAID, 7,741,705 FOR MEDICARE, AND 10,727,1281 FOR OTHER THIRD-PARTY PAYERS DURING THE YEAR. THE HOSPITAL IS THE LEADING HEALTHCARE FACILITY IN SOUTHEASTERN UTAH AND THE LARGEST PRIVATE EMPLOYER IN GRAND COUNTY. THE DEMAND FOR BOTH INPATIENT AND OUTPATIENT SERVICES HAS INCREASED SIGNIFICANTLY AS THE NEAREST TERTIARY HOSPITAL IS OVER 100 MILES AWAY, MAKING MRH A KEY COMPONENT TO THE HEALTH AND WELL-BEING OF THE 10,012 GRAND COUNTY RESIDENTS WHO CALL THE REGION HOME AND THE 2+ MILLION ANNUAL VISITORS TO THE REGION. ALL OF THE HOSPITAL'S 17 ACUTE CARE BEDS ARE ALSO LICENSED AS SWING BEDS. THE EMERGENCY DEPARTMENT IS VERY BUSY DUE TO THE EXTREME NATURE OF THE RECREATIONAL ACTIVITIES MOAB IS KNOWN FOR, AS IS THE ORTHOPEDIC DEPARTMENT THAT CAN ACCOMMODATE MOST INJURIES AND ELECTIVE PROCEDURES LOCALLY. MRH OWNS AND OPERATES THE MOAB REGIONAL MEDICAL CLINIC, A MULTI-SPECIALTY CLINIC LOCATED ADJACENT TO MOAB REGIONAL HOSPITAL. THE CLINIC MEDICAL STAFF INCLUDES FIVE PRIMARY CARE PHYSICIANS, ONE GENERAL SURGEON, ONE ORTHOPEDIC SURGEON, AND A BEHAVIORAL HEALTH PROVIDER; URGENT CARE SERVICES AS WELL AS ADDITIONAL PRIMARY CARE AND WOMEN'S HEALTH SERVICES ARE PROVIDED BY THREE PHYSICIAN'S ASSISTANTS. THE CLINIC ALSO SUPPORTS A VARIETY OF VISITING MEDICAL SPECIALISTS, INCLUDING CARDIOLOGY, GYNECOLOGY, INTEGRATIVE MEDICINE, NEUROLOGY, ONCOLOGY, PLASTIC SURGERY, AND PODIATRY. GRAND COUNTY HOSPICE, AN AFFILIATE OF MRH, PROVIDES COMPREHENSIVE END-OF- LIFE CARE FOR INDIVIDUALS IN THE AREA. HOSPICE STAFF PROVIDES IN-HOME MEDICAL AND PAIN MANAGEMENT CARE WITH THE GOAL OF HELPING PATIENTS MAINTAIN THE HIGHEST QUALITY OF LIFE POSSIBLE IN THEIR FINAL DAYS OF LIFE. ABSENCE OF THIS PROGRAM IN THE COMMUNITY WOULD CREATE A DIFFICULT SITUATION AT THE VERY TIME WHEN THESE SERVICES ARE MOST NEEDED. MOAB REGIONAL HOSPITAL'S ADDITIONAL PATIENT SERVICES INCLUDE INFUSION THERAPY SERVICES. UNDER THE DIRECTION OF LOCAL CHEMOTHERAPY CERTIFIED NURSES, AND WITH OVERSIGHT BY VISITING ONCOLOGISTS FROM GRAND JUNCTION, COLORADO, LOCAL AND REGIONAL CANCER PATIENTS ARE SPARED THE DIFFICULT EXPERIENCE OF HAVING TO DRIVE TWO TO FOUR HOURS ONE WAY TO A LARGE HOSPITAL FOR THEIR CHEMOTHERAPY AND OTHER INTRAVENOUS TREATMENTS. THIS ALSO ALLOWS THEM TO STAY IN THEIR OWN HOMES WHEN RECEIVING THERAPY. THE COMMUNITY HAS LAUDED THIS SERVICE AS A MOST WELCOME ADDITION TO THE HOSPITAL'S SERVICES. PHARMACY AND OTHER SUPPORT SERVICES HAVE MADE THIS PROGRAM VIABLE IF NOT PROFITABLE.
FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE 990 IS PROVIDED TO THE CFO AND BOARD FINANCE COMMITTEE WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PROVIDED TO THE BOARD WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN.
FORM 990, PAGE 6, PART VI, LINE 12CTHE HOSPITAL REQUIRES BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION TO REVIEW THE POLICY ANNUALLY AND TO DISCLOSE POTENTIAL CONFLICTS. IF A CONFLICT EXISTS THEY ARE REVIEWED BY THE BOARD AND THE INDIVIDUAL WITH THE CONFLICT ABSTAINS FROM VOTING ON THE ISSUE.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION OF THE CEO IS SET BY THE INDEPENDENT, VOLUNTEER BOARD OF DIRECTORS. CEO COMPENSATION RANGE IS DERIVED FROM THE UTAH HOSPITAL ASSOCIATION SALARY SURVEYS AND OTHER REGIONAL COMPENSATION SURVEYS. ADDITIONALLY, CEO COMPENSATION IS DETERMINED UNDER A YEARLY PERFORMANCE EVALUATION. THIS PRACTICE IS ALSO FOLLOWED FOR THE CFO POSITION AND FOR OTHER COMPENSATED OFFICERS AND KEY EMPLOYEES. THE ANNUAL DELIBERATION AND DECISION PROCESS IS SUBSTANTIATED.
FORM 990, PAGE 6, PART VI, LINE 15BSEE FORM 990, PART VI, LINE 15A ABOVE.
FORM 990, PAGE 6, PART VI, LINE 19THE HOSPITAL MAKES GOVERNING DOCUMENTS AND ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH THE PUBLIC DISCLOSURE COPY OF THE FORM 990.
FORM 990, PART IX, LINE 11G3,708,866 554,892 0