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      <PhoneNum>9708582228</PhoneNum>
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        <CityNm>Fruita</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>81521</ZIPCd>
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      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>9708582228</PhoneNum>
      <SignatureDt>2020-10-10</SignatureDt>
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    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
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        <ExplanationTxt>Currently participating in the Alto Project to provide non opiod alternatives in out Emergency Department. Offering reduced fees for health screening and sports physicals. Providing quick access to health care for the under and uninsured. Providing a local cumadin clinic for the elderly. Supporting a smoke free campus. Providing free space for immunization clinics for children. Providing nutritional support al the local Farmer' Market. Providing sports clinics and free athletic trainers at the local schools. Providing free transportation for patients to hospital and doctor appointments. Providing traveling therapists to eldercare facilities. Providing diabetic foot care clinics.</ExplanationTxt>
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      <SupplementalInformationGrp>
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        <ExplanationTxt>Our Patient Resolution Center team attempts two phone calls to the patient before the notice to send to collections is sent to the patient.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>15</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Physician Services</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>551 Kokopelli Blvd</AddressLine1Txt>
            <CityNm>Fruita</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81521</ZIPCd>
          </USAddress>
          <FacilityTxt>Physician Clinics and supporting services.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Oaks Assisted Living</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>805 West Ottley</AddressLine1Txt>
            <CityNm>Fruita</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81521</ZIPCd>
          </USAddress>
          <FacilityTxt>State Licensed Assisted Living Facility for 70 beds that accepts unlimited number of Medicaid.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Willows Assisted Living</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>243 North Cherry Street</AddressLine1Txt>
            <CityNm>Fruita</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81521</ZIPCd>
          </USAddress>
          <FacilityTxt>State Licensed Secure Assisted Living Facility with 26 memory care beds.</FacilityTxt>
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      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Community Report prepared by Mesa County.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The loss from supporting eldercare facilities and physician clinics to provide for care for our local community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7, Column f</FormAndLineReferenceDesc>
        <ExplanationTxt>Providing education to the community at local events.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g</FormAndLineReferenceDesc>
        <ExplanationTxt>The loss of physician clinics to provide care in our community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Emergency Preparation and Assistance with County Programs and Facilities. Education of Public at the local farmers market, health fairs, schools and sporting events. Access to care with a physician staffed Access Clinic to the uninsured and under insured. Physician Recruitment and placement within the rural community. Free transportation to and from physician appointments, eldercare facilities and hospital services. Renovation of children's electric cars and toys to fit disabled children. Wellness training to high school students.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt is calculated after all patients have been assessed for charity and governmental assistance programs. Unpaid balance is calculated as bad debt.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section B, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Section C, Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization sets up booths at the local Farmers Markets, fairs and community events to talk with the public about their healthcare needs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient financial assistance policies are available on our website in plain language summary form and in paper to all patients. Patient financial representitives 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>We serve the Lower Valley Community with Fruita Colorado as out 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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        <PersonNm>Korrey Klein</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>234552</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lori Randall</PersonNm>
        <TitleTxt>Executive VP</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>218037</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ellen Price</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>180575</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>30000</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>210575</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Amy Archer</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>183200</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>183200</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kurtis Holmes</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Elizabeth Rook</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>165529</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>165529</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jessica Mears</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>150337</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>150337</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing Board and Compliance officer with salary survey reporting determine compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>City Of Fruita</BusinessNameLine1Txt>
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        <CUSIPNum>00359427A</CUSIPNum>
        <BondIssuedDt>2017-12-19</BondIssuedDt>
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        <PurposeDesc>Healthcare Hospital Expansion</PurposeDesc>
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        <CapitalExpendituresAmt>6278059</CapitalExpendituresAmt>
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        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
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        <GICProviderName>
          <BusinessNameLine1Txt>Citigroup Financial</BusinessNameLine1Txt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Started Pediatric Behavior Health Services which provides diagnostic testing to determine if a child should be diagnosed with Autism. Started Shift to Independence which performs driver assessment testing to support patients getting back behind the wheel of a vehicle.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Presented to the executive committee for review.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Members were asked to excuse themselves from meetings or voting if a possible conflict were presented.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The compliance officer and a legal team assisted the board with compensation guidance based on Colorado Hospital Association guidelines for the CEO. Other top employees were consulted with the same guidance through HR and MGMA standards.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Governing Board of Directors likes to Change Accounting and Auditing Firms every few years.</ExplanationTxt>
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