2021-11-15T16:39:47-06:00 2020-12-31 STOCKMAN KAST RYAN & CO LLP 102 N CASCADE AVENUE SUITE 400 COLORADO SPRINGS CO 80903 990 2020-01-01 840469270 Colorado West Healthcare System % JON HOOKER COLO 9702566321 2351 G Road Grand Junction CO 81505 CHRISTIAN THOMAS CEO 9702566321 2021-11-15 true CHRISTIAN THOMAS 999009999 DOREEN B MERZ P00841439 7196301186 2020 2022-09-23 18:48:47Z COMMUNITY HOSPITAL GRAND JUNCTION CHRISTIAN THOMAS 2351 G Road Grand Junction CO 81505 198159526 false X www.yourcommunityhospital.com X 1956 CO Improve the health and quality of life of the individuals and communities we serve. 12 10 1383 30 -195937 0 240424 76473 178946444 198243304 173293 330551 1132343 -501962 180492504 198148366 336596 306081 0 0 85949857 86238232 0 0 0 81660301 100273366 167946754 186817679 12545750 11330687 125735865 179455325 88598532 130987305 37137333 48468020 X The mission of Colorado West Healthcare System and Community Hospital is to improve the health and quality of life of the individuals and communities we serve. false false 147363215 306081 197741342 Community Hospital provides inpatient, outpatient, emergency, urgent, and primary health care services to communities in western Colorado which have been identified as a physician shortage area. During the tax year ended December 2020, Community Hospital had 8,275 patient days, 15,522 emergency room visits, 11,061 urgent care visits, 49,928 primary care visits, 5,407 oncology infusions and performed 3,836 surgeries. Continuted on Sch O. 147363215 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true true true false false false false false false false true false false false false false true true true false false true 220 0 true 1383 true true true false false false false false false false false false false false X 12 10 false true false false false false false true true false false true true true true true true true true true false CO X JON HOOKER 9702576295 2351 G ROAD GRAND JUNCTION CO 81505 Kirk Clifford Physician 40.0 0.0 X 770743 0 44060 Andrew Morse Physician 40.0 0.0 X 694784 0 41569 James Gebhard Physician 40.0 0.0 X 693789 0 31813 Robert Brooks Physician 40.0 0.0 X 575723 0 38048 Jack Bagley Physician 40.0 0.0 X 549791 0 38190 Thomas Tobin CMO 40.0 0.0 X 461094 0 21424 Grant Roper Chief of Staff 1.5 0.0 X 436653 0 36000 Florian Seeberger Board Member 1.5 0.0 X 253687 0 33693 Ed Johlman CFO 40.0 0.0 X 245319 0 28412 John Skillicorn Executive Director of Physicia 40.0 0.0 X 240238 0 33344 Joseph Gerardi COO/CNO 40.0 0.0 X 223552 0 12556 Scot Houska CCO (retired 11/1/2020) 40.0 0.0 X 211564 0 23611 Bart Butzine CIO 40.0 0.0 X 170372 0 31116 Tawny Espinoza VP of Business Development 40.0 0.0 X 160765 0 30754 Landon Brown CCO 40.0 0.0 X 38465 0 2875 Sam Starritt Chairman 1.5 0.0 X X 0 0 0 Janet Brink Foundation Liaison 1.5 0.0 X X 0 0 0 Tarek Arja Secretary -thru 2/26/2020 1.5 0.0 X X 0 0 0 Todd Young Treasurer 1.5 0.0 X X 0 0 0 David Kast Chief of Staff -thru 2/26/2020 1.5 0.0 X 0 0 0 JJ Stroh Board Member 1.5 0.0 X 0 0 0 Dean Havlik Board Member 1.5 0.0 X 0 0 0 Jenna Noem Board Member 1.5 0.0 X 0 0 0 Dale Rooks Board Member 1.5 0.8 X 0 0 0 Todd Hegstrom Board Member 1.5 0.0 X 0 0 0 Deedra Shear Vice Chairman 1.5 0.0 X 0 0 0 Mark Harrington Secretary (starting 4/30/2020) 1.5 0.0 X 0 0 0 Christian Thomas CEO 40.0 0.0 X 0 0 0 5726539 0 447465 147 false true false Community Anesthesia Consultants 2754 Compass Drive GRAND JUNCTION CO 81506 Anesthesia Services 1721155 University of Utah 50 North Medical Drive RMW1200 SALT LAKE CITY UT 84132 Management Services 1469375 Copic Insurance Company 7351 Lowry Blvd STE 400 DENVER CO 80230 Insurance 1254374 CGB LLC 5734 S Prince St STE 400 LITTLETON CO 80120 Spine Surgical Suppl 1174880 Mayo Collaborative Services Inc 200 1st St SW ROCHESTER MN 55905 Lab Services 894502 121 49843 26630 76473 PATIENT SERVICE REVENUE 621110 190489741 190489741 PHARMACY REVENUE 621110 4353552 4353552 PROVIDER RELIEF FUNDS 621110 1694287 1694287 CAFETERIA 621110 599168 599168 CLINICAL TRIALS 621110 81184 81184 1025372 1025372 198243304 341711 341711 0 0 0 0 0 11160 -11160 -11160 -11160 0 0 0 0 0 0 0 0 0 LOSS FROM INVESTMENT IN SUBSIDIARIES -501962 -306025 -195937 -501962 198148366 197937279 -195937 330551 244806 244806 61275 61275 0 0 2695498 2210309 485189 0 69657121 57118839 12538282 0 13885613 4026828 9858785 0 0 289603 289603 95200 95200 2060 2060 0 0 21022420 15942981 5079439 371584 371584 3266680 3136013 130667 0 0 6297425 5410722 886703 18065 18065 0 0 5658870 5658870 0 5571090 5571090 1395297 530213 865084 MEDICAL SUPPLIES 37844990 36351412 1493578 BAD DEBT EXPENSE 7850726 7850726 0 CONTRACT LABOR 2782650 1669590 1113060 REPAIRS & MAINTENANCE 4931258 1331440 3599818 2875448 230036 2645412 186817679 147363215 39454464 0 0 0 11697228 40060485 0 0 26474052 27540296 0 0 0 0 0 0 3016439 3885922 1107078 3105314 125187643 40297012 76963816 84890631 1168946 9470884 0 0 -827367 -1314066 0 0 6135673 11815859 125735865 179455325 16913682 17866171 0 0 226023 8180409 0 0 0 0 0 0 67474470 100190987 0 0 3984357 4749738 88598532 130987305 X 37137333 48468020 0 0 37137333 48468020 125735865 179455325 11330687 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2060 2060 false Part II-B, Line 1, Lobbying Activities: The Organization pays dues to the Colorado Hospital Association and a portion of the money is used for lobbying activities. 4041532 4041532 62707646 12128703 50578943 4974947 795390 4179557 42317142 27372919 14944223 11146376 11146376 84890631 INTERCOMPANY RECEIVABLE 7984418 457 ASSETS 3831441 11815859 0 DUE TO 3RD PARTY MCARE/MCAID 916439 INTERCOMPANY PAYABLE 1859 457 LIABILITY 3831440 4749738 X 190297640 190297640 7850726 7850726 198148366 178966953 178966953 7850726 7850726 186817679 Part XI, Line 4b: Other revenue recorded on return, but not in books: RECLASS: Provision for Bad Debts $7,850,726 Part XII, Line 4b: Other expenses recorded on return, but not in books: RECLASS: Provision for Bad Debts $7,850,726 true true X true X true X 150. true true true false false 892101 892101 0.00480 40129974 30246422 9883552 0.05290 652124 502967 149157 0.00080 41674199 30749389 10924810 0.05850 41674199 30749389 10924810 0.05850 1 35 61275 61275 0.00030 1 35 61275 61275 0.00030 true 1792728 30209371 35133233 -4923862 X true true Grand Junction Property Rental 0.1 0.0 0.4 Medical Center Canyon View ASC Ambulatory Surgery Center 0.51 0.0 0.51 LLC Physicians Choice Property Rental 0.63 0.0 0.37 Real Estate LLC Healthcare Collections 0.19556 0.19556 Management 1 1 Community Hospital 2351 G Road Grand Junction CO 81505 http://www.yourcommunityhospital.com/ 011119 X X X Community Hospital 1 false false true X X X X X X X X X 18 true true true true X See Line 7d X See Line 7d X X true 18 true See Line 7d false true X 100 150. X X X X X true true X X X X true X See Part V, line 16j X See Part V, line 16j X See Part V, line 16j X X X X X X X true X false X X X X true X false false Part V, Section B, Line 5: Community Hospital was an active participant in the CHNA collaboration with the Mesa County Community Health Department and a number of other local hospitals and organizations in Mesa County. A Community Hospital representative worked with the CHNA planning committee and the Mesa County Community Transformation Group to determine what data needed to be gathered. Community Hospital provided aggregate health screening reports for its contracted employer groups to Mesa County Health Department. The healthcare partners of our community met regularly to put together a timeline and action plan to implement the Strategy Report and ensure no duplication of efforts. Community Hospital utilized previous assessments to guide interventions and collaborations. Primary data was collected from subject matter experts and community members through focus groups, informal interviews, and electronic surveys. Part V, Section B, Line 6a: The CHNA was conducted with the following other hospital facilities: Family Health West Hospital, St. Mary's Hospital & Regional Medical Center, Mind Springs Hospital, Inc. Part V, Section B, Line 6b: Mesa County Public Health, Hilltop, Marillac Clinic Part V, Section B, Line 7d: Hospital Website: https://yourcommunityhospital.com/Community_Health_Needs_Assessment.cfm Other Website: http://health.mesacounty.us/services/community/data-reports/ Implementation Strategy: https://yourcommunityhospital.com/Community_Health_Needs_Assessment.cfm Part V, Section B, Line 11: Community Hospital was an active participant in the CHNA in collaboration with the Mesa County Public Health and a number of other local hospitals and organizations in Mesa County. This collaborative approach enabled the group to identify areas where the various organizations might work together to achieve needed improvements. Community Hospital has been utilizing this assessment as a guide for providing programs to address identified community health needs in support of the collaborators and with the mission of our organization "to improve the health and quality of life of the individuals and communities we serve." While Community Hospital actively supports many of the health needs that have been identified by the CHNA, we have made the decision not to address social inequities at this time. We believe that our current resources are best used to impact health needs in the other areas of inequity. Additionally, other community entities are better suited to wholeheartedly address social inequities in Mesa County. Community Hospital's Implementation Strategies: Community Hospital is committed to enhancing its understanding about how best to develop and implement effective strategies to address community health needs. Community Hospital also recognizes that good health outcomes cannot be achieved without joint planning and partnerships with community stakeholders and leaders. As such, Community Hospital will continue to work in partnership with other local entities to refine its goals and strategies over time. With this approach, Community Hospital will most effectively address the needs identified. Community Hospital's implementation strategies address five of the six areas identified in the CHNA. For each area, the plan outlines the following: the goals and objectives designed to guide improvement efforts, Community Hospital's role or action in addressing the areas of concern, expected outcomes, and measures which may be used to determine the action(s)' effectiveness. 1. Institutional Inequities Community Hospital has recruited and employed over 15 new primary care providers to the Grand Valley since 2018. One additional primary care provider location was opened in 2019, one new location with be opened in 2020, and at least one more is in the planning phase for 2021. Community Hospital has also expedited the new patient process (paperwork) to improve accessibility and patient experience. Community Hospital's Diversity Council utilizes the Equity in Care Toolkit, developed by the American Hospital Association, as a framework to determine how patient demographic data collected upon admissions can be used to reduce inequity in health care delivery. 2. Living Conditions Community Hospital continues to work with local employer groups to reduce barriers to care, utilizing the near-site clinic model. This model provides all employees,/dependents access to care in a cost-effective setting 24/7. Additionally, these employees and their dependents have access to free Virtual Urgent Care through the University of Utah. These resources encourage primary care utilization and decrease emergency room utilization (for primary care needs). 3. Risk Behaviors Community Hospital supports the efforts of the Mesa County Health Department to address issues such as suicide and tobacco/vaping utilization. Community Hospital offers a 16-week Lifestyle Medicine program to address risk-factors such as overweight and obesity and encourage healthy behaviors. Lastly, Community Hospital provides no-cost flu vaccines through the Community Health Partnership annual health screenings for employer groups. Flu vaccines are offered at all primary care locations and Canyon View Pharmacy. 4. Disease and Injury See above efforts to address suicide and overweight/obesity. With regards to lung cancer, in 2018 Community Hospital created a comprehensive lung cancer care team, which is made up of pulmonologists, radiation oncologists, a thoracic and vascular surgeon, medical oncologists, and a diagnostic radiologist. IN addition to state-of-the-art technology, this care team serves to threat the whole patient through comprehensive and coordinated efforts; Community Hospital believes that this approach is likely to lead to both better outcomes and improved care quality for lung cancer patients in Mesa County. This model was duplicated in 2019 when a breast cancer care team and head/neck cancer care team were also created. 5. Mortality By providing service for the entire health spectrum-from outpatient clinics to the intensive care unit - Community Hospital is aiding in reducing mortality from all causes in Mesa County. Part V, Section B, Line 13h: Community Hospital may make a presumption of eligibility on the basis of individual life circumstances that may include homelessness, patient deceased with no known estate, and other circumstances. The facility may use outside agencies in determining estimated income amounts for presumptive charity care eligibility. Part V, Section B, Line 16j: Part V, Line 16a FAP: https://yourcommunityhospital.com/Billing.cfm Part V, Line 16b: FAP Application: https://yourcommunityhospital.com/PDFs/Financial%20Application%20Website.p df Part V, Line 16c FAP Plain Language Summary: https://yourcommunityhospital.com/Billing.cfm Part V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy. 24 Grand Valley Oncology 2596 Patterson Road Grand Junction CO 81505 Cancer Care Grand Valley Primary Care 603 28 1/4 Road Grand Junction CO 81506 Primary Physician Care Therapy Works at Community Hospital 2004 N 12th St Grand Junction CO 81501 Rehabilitation Programs Grand Valley Occupational Medicine 2004 N 12th St Grand Junction CO 81501 Employee-related Exam Services Community Care of the Grand Valley 1060 Orchard Ave Suite N Grand Junction CO 81501 Urgent Medical Services Grand Valley Wellness 605 AB 28 1/4 Road Grand Junction CO 81501 Counseling Services Colorado Mesa University Health Center 1060 Orchard Ave Suite O Grand Junction CO 81501 Student Medical Services Grand Valley Women's Health Specialist 603 28 1/4 Road Grand Junction CO 81506 Obstetrics and Gynecology Internal Medicine Assoc of the Grand 607 28 1/4 Road Grand Junction CO 81506 Internal Medicine Fruita Family Medicine-Grand Valley 551 Kokopelli Dr Suite F Grand Junction CO 81501 Outpatient Physician Practice Grand Valley ENT & Facial 2373 G Road Suite 270 Grand Junction CO 81505 ENT & Facial Grand Valley Pediatrics 601 B 28 1/4 Road Grand Junction CO 81506 Pediatrics Western Orthopedics & Sports Medicine 2373 G Road Suite 100 Grand Junction CO 81505 Sports Medicine & General Orthopedics Western Colorado Spine 2373 G Road Suite 100 Grand Junction CO 81505 Sports Medicine & General Orthopedics Advanced Pulmonary and Critical Care 2373 G Road Suite 160 Grand Junction CO 81505 Pulmonary Grand Valley Primary Care II 2020 N 12th Grand Junction CO 81505 Primary Physician Care Grand Valley Primary Care III 2373 G Road Suite 160 Grand Junction CO 81505 Primary Physician Care Surgical Associates of the Grand Valley 2373 G Road Suite 280 Grand Junction CO 81505 Surgical and Minimally Invasive Treatments Grand Valley Primary Care V 2373 G Road Suite 160 Grand Junction CO 81505 Primary Physician Care Grand Valley ThoracicVascular 2373 G Road Suite 260 Grand Junction CO 81505 Vascular and Thoracic Surgery Grand Valley Rheumatology 603 28 1/4 Road Grand Junction CO 81505 Diagnosis and Management of Autoimmune Disease Grand Valley Infectious Disease 2020 N 12th Grand Junction CO 81501 Infectious Disease Canyon View Pharmacy 2373 G Road Suite 120 Grand Junction CO 81505 Retail Pharmacy Canyon View Women's Health 2373 G Road Suite 240 Grand Junction CO 81505 Obstetrics, Gynecology, Nurse- Midwives Part I, Line 3c: In addition to FPL, the organization used an asset test in determining eligibility for financial assistance. The organization also took insurance status and medical indigency into consideration. Community Hospital may make a presumption of eligibility on the basis of individual life circumstances that may include homelessness, patient deceased with no known estate, and other circumstances. The facility may use outside agencies in determining estimated income amounts for presumptive charity care eligibility. Part I, Line 7: Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Line 7b and 7c were determined using the overall cost to charge ratio. Line 7i is actual expenses from the general ledger. Part III, Line 2: Allowance for bad debts is determined monthly by review of contractuals by payor using historical activity and expected collection rates. The amount is reviewed by the CFO and Board. Part III, Line 4: Footnote from Financial Statement: Please see Note 2, Financial Statement, Patient Service Revenue on page 17. Part III, Line 8: The Medicare cost report was used to determine the amount of the Medicare shortfall. IRS Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. This implies that treating Medicare patients is a community benefit. The organization estimates 100% should be considered a community benefit. If these individuals did not qualify for Medicare, they would qualify for financial assistance, based on the demographics of the community in which we operate. Part III, Line 9b: For patients who qualify for charity and who are cooperating in good faith to resolve their discounted hospital bills, Community Hospital may offer extended payment plans, will not send unpaid bills to outside collection agencies, and will cease all collection efforts. Community Hospital will not impose extraordinary collections actions such as wage garnishments, liens on primary residences, or other legal actions for any patient without first making reasonable efforts to determine whether that patient is eligible for charity care under this financial assistance policy. Part VI, Line 2: Community Hospital develops its strategic plan both internally and supported by Quorum Health Resources to assess the healthcare needs of the community it serves. This plan includes market assessment of the service area and local demographic characteristics, clinical service line utilization and projections for inpatient, ambulatory, and provider practices. Clinical foci resulting form the same diabetes, obesity, and primary care access. Part VI, Line 3: Part of the Hospital's written financial assistance and charity care policy provides for financial counselors to meet with all uninsured patients prior to discharge. The Hospital's billing team may also inform patients of the Hospital's financial assistance and charity care program. Part IV, Line 4: The Hospital's primary service area is Western Colorado and the residents of Mesa County. Mesa County's population is approximately 150,000 with 15% of the population being over the age of 65. Community Hospital captures 15.9% of the area's healthcare market for those patients requiring inpatient stays. Part VI, Line 5: The Hospital is governed by a 12-member Board of Trustees composed of seven Mesa County, Colorado, community members and five community medical staff members who are all committed to fulfilling the following mission statement: Community Hospital will improve the health and quality of life of the individuals and communities we serve. The community members use their unique experience and abilities to lead the Hospital in directions that support the needs of the community. true Quality Health Network 744 Horizon Court Suite 210 Grand Junction CO 81506 201632384 501(c)(3) 171606 Community Support CMU Foundation 1100 North Avenue Grand Junction CO 81501 846037667 501(c)(3) 20700 GENERAL SUPPORT Grand Junction Soccer Club 2791 Printers Court Grand Junction CO 81506 840743815 501(c)(3) 15000 GENERAL SUPPORT Redlands Middle School 2200 Broadway Grand Junction CO 81507 846002839 501(c)(3) 10000 GYM FLOOR Strive 950 Grand Avenue Grand Junction CO 81501 846044855 501(c)(3) 10000 CAPITAL CAMPAIGN Western Slope Center for Children PO Box 3978 Grand Junction CO 81501 841128554 501(c)(3) 7500 GENERAL SUPPORT 6 1 Employee Tuition Assistance 35 61275 Part 1, Line 2: The Organization provides assistance to nonprofit organizations for general support. As such, the hospital does not feel there is a need to monitor how the assistance is used. false false false false false false false true false Grant Roper Chief of Staff 259824 162205 14624 9755 26245 472653 Florian Seeberger Board Member 217287 25953 10447 7620 26073 287380 Ed Johlman CFO 206962 24903 13454 7326 21086 273731 Scot Houska CCO (retired 11/1/2020) 179264 22980 9320 6405 17206 235175 Landon Brown CCO 27666 10000 799 0 2875 41340 Bart Butzine CIO 144628 15969 9775 5151 25965 201488 Joseph Gerardi COO/CNO 207266 8334 7952 1757 10799 236108 Thomas Tobin CMO 416242 37791 7061 10921 10503 482518 John Skillicorn Executive Director of Physicia 212985 15423 11830 7217 26127 273582 Tawny Espinoza VP of Business Development 136292 15044 9429 4823 25931 191519 Kirk Clifford Physician 750661 4856 15226 18203 25857 814803 James Gebhard Physician 606943 68669 18177 5568 26245 725602 Andrew Morse Physician 524643 155329 14812 15324 26245 736353 Robert Brooks Physician 400499 154888 20336 12854 25194 613771 Jack Bagley Physician 505696 30000 14095 12996 25194 587981 Part I, Line 3: The CEO is an employee of Quorum Health Resources. The Board of directors of Colorado West Healthcare System utilizes the methods described on Line 3 in negotiating the contract for CEO services with Quorum. Part I, Line 7: Quorum Health Resources, a management company, compensates the CEO. His compensation includes a set amount plus a bonus if certain criteria are met. The bonus eligibility is based on a scorecard of thirteen metrics, focused around the Pillars of Excellence-quality, service, financial, growth, and people. Physician bonuses are based on Relative value units (RVU) and longevity. RVU is a measure used in Medicare reimbursement formulas for physician services. Rachel Aiken Daughter to John Skillicorn (key employee) 30503 Payroll false Amber Skillicorn Daughter to John Skillicorn (key employee) 24831 Payroll false The Pathology Group Board owned --Dean Havlik 145568 Pathology contract false Diagnostic Radiology Associates Board owned --Todd Hegstrom 248444 Radiology contract false Community Anesthesia Board owned --David Kast 1721155 Anesthesia contract false Kiaja Thomas Daughter to Chris Thomas, CEO 27000 Marketing contract false Form 990, Part I, Doing Business As: Community Hospital Grand Junction Form 990, Part III, Line 4a: During the tax year, the Hospital was able to provide charity care services to those who could not otherwise afford necessary medical care. The Hospital provides care to persons covered by governmental programs at/or below cost and to individuals who are unable to pay. Form 990, Part VI, Section A, Line 1: The Executive Committee shall be composed of the Chairperson, Vice Chairperson, Treasurer, Secretary, Chief of Staff, and the President/CEO. The Executive Committee shall meet upon the call of the Chairperson to: A. Review upcoming Board of Trustee meetings. B. Act on behalf of the Board of Trustees between regular or special meetings of the Board and then report actions to the Board of Trustees. C. Communicate to keep the Board of Trustees, medical staff and administration of the Hospital aware of pertinent actions taken or contemplated by one or the other, and to make recommendations to the Board of Trustees on major expenditures. D. Consider issues affecting medical care that arise in the operation and affairs of the Hospital. E. Perform the annual evaluation of the President/CEO. F. Perform any other actions the Board of Trustees deems necessary, as instructed by the Board of Trustees. Form 990, Part VI, Section A, Line 3: The Hospital has a management agreement with Quorum Health Resources. Christian Thomas, CEO, is compensated by Quorum Health Resources. His compensation for calendar year 2020 was $396,722.12 base salary, $108,687 Bonus, $13, 548 other compensation. Benefits totaled $104,619 . Form 990, Part VI, Section B, Line 11b: The 990 is prepared by the Hospital's independent CPA firm and reviewed by the Hospital's accounting staff and Administration, including the CEO, Controller, and the Compliance Officer. A preliminary draft is presented to the Board of Directors for detailed review and approval. A final copy of the 990 is provided to all board members prior to the final filing with the IRS. Form 990, Part VI, Section B, Line 12c: The Hospital's conflict of interest policy is maintained and managed by the Chief Compliance Officer on an annual basis. All board members, officers, and key employees are required to complete a conflict of interest disclosure form and submit it to the compliance department. That documentation is reviewed by and retained by the compliance officer. Any conflicts of interest that arise are addressed by the compliance department and the Board of Trustees. All board members, officers, and key employees are required to notify the facility of any changes during the year. Form 990, Part VI, Section B, Line 15: Community Hospital is a Quorum Health Resources managed hospital whereby the CEO is an employee of the management company. Quorum conducts national wage surveys to suggest market rates for CEO and CFO salaries based on Hospital revenue. The final salary is determined by the Board based on this information and local market conditions. Form 990, Part VI, Section C, Line 19: Governing documents, policies and procedures, and audited financial statements are made available to the public upon request on a case by base basis. FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:13941478 FORM 990 PART IX LINE 11G DESCRIPTION:PROVIDER FEES TOTAL FEES:7080942 Community Hospital Foundation 2351 G Road Grand Junction CO 81505 742576856 Fundraising CO 501(c)3 12(c) Community Ho true Physicians Choice Real Estate 2012 N 12th Street Grand Junction CO 81501 841601063 Real Estate CO Community Hospi Related 115432 1695096 false 0 true 0.62940 Canyon View ASC LLC 2373 G Road Suite 180 Grand Junction CO 81505 455352976 Ambulatory Surger CO Community Hospi Related -542090 6327562 false 0 true 0.51000 Healthcare Management LLC PO Box 1929 Grand Junction CO 81502 841238904 Collections CO Community Hospi Related -162320 2224509 false 0 true 0.24820 Grand Junction Medical Center 1623 Blake Street Suite 300 Denver CO 80202 454152123 Real Estate CO Community Hospi Related 0 1472 false 0 true 0.09804 Doctor's Clinic Building 2351 G RD Grand Junction CO 81505 840507943 Real Estate CO Community Hospi C Corp 201156 672640 1.00000 true false false false true true false false false false false true false false true true true true false false Physicians Choice Real Estate LLC K 201156 Cash Community Hospital M,N,O 49843 Cash Schedule R Part II During 2020, the Community Hospital Foundation submitted Form 8940, Request for Miscellaneous Determination, to the IRS requesting a change from Type III Functionally integrated supporting organization status under IRC 509(a)(3) to publicly supported under IRC 509(a)(1) and 170(b)(1)(A)(vi). The IRS determined the Foundation meets the requirements for classifications as a public charity described in IRC Sections 509(a)(1) and 170(b)(1)(A)(vi). With this change, the Foundation is no longer a related organization for 990 purposes.