MONTROSE MEMORIAL HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: MONTROSE MEMORIAL HOSPITAL (EIN 84-6002707)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-10-08
IRS object ID: 201912819349300921
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-10-08T11:54:40-05:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 South Tejon Suite 800	AddressLine1Txt
City	Colorado Springs	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	809039848	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	846002707	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MONTROSE MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% THE CORPORATION	InCareOfNm
Business Name Control	MONT	BusinessNameControlTxt
Phone	9702492211	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 SOUTH THIRD STREET	AddressLine1Txt
City	MONTROSE	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81401	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KJERSTEN A DAVIS DVM	PersonNm
Person Title	Board Chairperson	PersonTitleTxt
Phone	9702492211	PhoneNum
Signature	2019-09-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Adam R Smith CPA	PreparerPersonNm
PTIN	P00958966	PTIN
Phone	7194714290	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	84022720192815000018	FederalOriginalSubmissionId
Federal Original Submission Id	2019-10-08	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B297EB62ACBDF2C63341018967E8037D5137B826	AtSubmissionCreationDeviceId
At Submission Filing Device Id	1E5D5B19B81F25AE9DAC4BA75F67F0807E0A9DB7	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-01-14 16:20:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAMES KISER CEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 SOUTH THIRD STREET	AddressLine1Txt
City	MONTROSE	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81401	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$126,796,294	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MONTROSEHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2010	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	IT IS THE MISSION OF MONTROSE MEMORIAL HOSPITAL TO PROVIDE HEALTHCARE SERVICES TO OUR COMMUNITIES WITH EXCELLENT SERVICE, COMPASSION AND FISCAL RESPONSIBILITY.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	865	TotalEmployeeCnt
Total Volunteers	103	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$4,090	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$292,699	PYContributionsGrantsAmt
CY Contributions Grants	$232,148	CYContributionsGrantsAmt
PY Program Service Revenue	$108,219,864	PYProgramServiceRevenueAmt
CY Program Service Revenue	$117,748,489	CYProgramServiceRevenueAmt
PY Investment Income	$432,183	PYInvestmentIncomeAmt
CY Investment Income	$796,646	CYInvestmentIncomeAmt
PY Other Revenue	$55,900	PYOtherRevenueAmt
CY Other Revenue	$1,239,864	CYOtherRevenueAmt
PY Total Revenue	$109,000,646	PYTotalRevenueAmt
CY Total Revenue	$120,017,147	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$81,105	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$48,219,029	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$48,885,340	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$64,131,537	PYOtherExpensesAmt
CY Other Expenses	$65,908,352	CYOtherExpensesAmt
PY Total Expenses	$112,350,566	PYTotalExpensesAmt
CY Total Expenses	$114,874,797	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,349,920	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,142,350	CYRevenuesLessExpensesAmt
Total Assets BOY	$98,554,128	TotalAssetsBOYAmt
Total Assets EOY	$102,047,995	TotalAssetsEOYAmt
Total Liabilities BOY	$36,389,193	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$34,989,040	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$62,164,935	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$67,058,955	NetAssetsOrFundBalancesEOYAmt
Mission	IT IS THE MISSION OF MONTROSE MEMORIAL HOSPITAL TO PROVIDE HEALTHCARE SERVICES TO OUR COMMUNITIES WITH EXCELLENT SERVICE, COMPASSION AND FISCAL RESPONSIBILITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$24,548,793	ExpenseAmt
Revenue	$34,147,717	RevenueAmt
Desc	MONTROSE MEMORIAL HOSPITAL IS LICENSED FOR 75 BEDS AND PROVIDES INPATIENT SERVICES INCLUDING ICU, MEDICAL SURGICAL, JOINT REPLACEMENT CENTER AND FAMILY CENTER. THE PRIMARY SERVICE AREA IS MONTROSE, OURAY AND SAN MIGUEL COUNTIES. MONTROSE MEMORIAL HAD 9,844 INPATIENT DAYS FOR THE YEAR ENDING DECEMBER 31, 2018. MONTROSE MEMORIAL PROVIDES A SIGNIFICANT AMOUNT OF CHARITY CARE AND WROTE OFF $5,589,905 IN CHARGES FOR THE YEAR ENDING DECEMBER 31,2018.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$58,413,059	ExpenseAmt
Revenue	$80,489,699	RevenueAmt
Desc	MONTROSE MEMORIAL HOSPITAL PROVIDES A WIDE VARIETY OF OUTPATIENT SERVICES INCLUDING EMERGENCY ROOM, MEDICAL IMAGING, CARDIOLOGY, PULMONOLOGY, ONCOLOGY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, CARDIO-PULMONARY REHAB AND LABORATORY. MONTROSE MEMORIAL HAS A LEVEL III TRAUMA DESIGNATION AND WE HAVE HELICOPTER TRANSPORT SERVICES ON CAMPUS. OUR EMERGENCY ROOM IS STAFFED 24/7 WITH ER BOARD CERTIFIED PHYSICIANS. FOR THE YEAR ENDING DECEMBER 31, 2018 THE HOSPITAL HAD 120,750 OUTPATIENT VISITS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,702,344	ExpenseAmt
Revenue	$3,144,773	RevenueAmt
Desc	MONTROSE MEMORIAL OPERATES AN ACUTE REHABILITATION UNIT THAT PROVIDES SERVICES AS A CONTINUUM OF CARE FOR PATIENTS THAT NEED ADDITIONAL TIME AND REHABILITATION AFTER A HOSPITAL STAY BEFORE THEY CAN GO TO A LOWER LEVEL OF CARE OR HOME. OUR GOAL, AT MONTROSE MEMORIAL HOSPITAL, IS TO HELP PATIENTS GET BACK TO LIFE, FAMILY AND FRIENDS AS QUICKLY AS POSSIBLE. WORKING WITH EACH PATIENT AND THEIR FAMILY, THE REHABILITATION TEAM DESIGNS A HIGHLY INDIVIDUALIZED TREATMENT PLAN THAT FOCUSES ON POTENTIAL, NOT ON LIMITATIONS. THIS PROGRESSIVE APPROACH STRIVES TO MEET THE NEEDS OF THE PATIENT AND THEIR FAMILY INVOLVED IN THE REHABILITATION PROCESS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$85,664,196	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	134	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	865	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	THE CORPORATION	PersonNm
Phone	9702407397	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 S 3RD STREET	AddressLine1Txt
City	MONTROSE	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81401	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RONALD COURTNEY
SECRETARY/TREASURER	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL BREZINSKY MD
Director	3.0	0.0	Yes (X)		$0	$0	$0
KJERSTEN DAVIS DVM
CHAIRPERSON	5.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
HEIDI DRAGOO
VICE CHAIRPERSON	3.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MARY VADER DO
Director	3.0	0.0	Yes (X)		$0	$0	$0
ROY E RYAN
Director	3.0	0.0	Yes (X)		$0	$0	$0
SETH D RYAN
Director	3.0	0.0	Yes (X)		$0	$0	$0
BUD TAYLOR
Director	3.0	0.0	Yes (X)		$0	$0	$0
SUSAN SCHREIER
CNO	40.0	0.0		Yes (X)	$175,846	$0	$17,959
JAMES KISER
CEO (DEEMED OFFICER)	40.0	0.0		Yes (X)	$0	$0	$0
TIM HOWARD
CFO (DEEMED OFFICER)	40.0	0.0		Yes (X)	$0	$0	$0
CINDY BRADLEY
INTERIM CEO (DEEMED OFFICER)	40.0	0.0		Yes (X)	$0	$0	$0
LARRY DUPPER
CFO (DEEMED OFFICER)	40.0	0.0		Yes (X)	$0	$0	$0
ALAN SALIMAN
CMO	40.0	0.0		Yes (X)	$154,896	$0	$16,704
DAVID LEE
PHYSICIAN	40.0	0.0			$666,623	$0	$17,779	Yes (X)
RILEY FOREMAN
PHYSICIAN	40.0	0.0			$639,838	$0	$30,715	Yes (X)
ROBERT KILBOURN
PHYSICIAN	40.0	0.0			$488,288	$0	$37,327	Yes (X)
RICHARD HANLEY
PHYSICIAN	40.0	0.0			$405,741	$0	$39,127	Yes (X)
JAMES GILHAM
PHYSICIAN	40.0	0.0			$382,270	$0	$28,483	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,913,502	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$188,094	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	27	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
FIRST CONTACT MEDICAL
800 S 3RD ST	MONTROSE	CO	81401	ER PHYSICIANS GROUP	$3,292,402
CEDAR POINT HEALTH
300 S NEVADA AVE	MONTROSE	CO	81401	HOSPITALIST	$2,078,787
QUORUM HEALTH RESOURCES LLC
1573 MALLORY LANE SUITE 200	BRENTWOOD	TN	37027	MANAGEMENT CONSULT	$1,332,318
MAYO COLLABORATIVE SERVICES
PO BOX 9146	MINNEAPOLIS	MN	55480	LAB FEES	$657,889
WESTERN SLOPE ORTHOPEDICS
910 S 4TH ST	MONTROSE	CO	81401	orthopedic SERVICES	$387,050

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	72	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$232,148	AllOtherContributionsAmt
Total Contributions	$232,148	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$115,697,225	$115,697,225
INCOME ON EQUITY INVESTEES	900003	$1,831,556	$1,831,556
EHR	900099	$105,097	$105,097
OTHER HEALTHCARE INCOME	621110	$114,611	$114,611

Field	Value	IRS element (for citing)
Total Program Service Revenue	$117,748,489	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$770,889	TotalRevenueColumnAmt
Exclusion	$770,889	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$82,078	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$15,421	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$66,657	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,657	TotalRevenueColumnAmt
Exclusion	$66,657	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$6,776,577	SecuritiesAmt
Other	$12,906	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$6,699,718	SecuritiesAmt
Other	$64,008	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$76,859	SecuritiesAmt
Other	-$51,102	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,757	TotalRevenueColumnAmt
Exclusion	$25,757	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA & VENDING REVENUE	722514	$905,680	$905,680
OTHER INCOME	900099	$267,527	$233,827	$33,700

Field	Value	IRS element (for citing)
Other Revenue Total	$1,173,207	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$120,017,147	TotalRevenueColumnAmt
Related Or Exempt Func Income	$117,782,189	RelatedOrExemptFuncIncomeAmt
Exclusion	$2,002,810	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$81,105	TotalAmt
Program Services	$81,105	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$364,254	TotalAmt
Program Services	$282,183	ProgramServicesAmt
Management And General	$82,071	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$38,528,032	TotalAmt
Program Services	$29,903,501	ProgramServicesAmt
Management And General	$8,624,531	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$997,608	TotalAmt
Program Services	$655,536	ProgramServicesAmt
Management And General	$342,072	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,335,097	TotalAmt
Program Services	$4,131,681	ProgramServicesAmt
Management And General	$2,203,416	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,660,349	TotalAmt
Program Services	$1,750,508	ProgramServicesAmt
Management And General	$909,841	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,332,318	TotalAmt
Management And General	$1,332,318	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,222,344	TotalAmt
Management And General	$1,222,344	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$85,620	TotalAmt
Management And General	$85,620	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$15,497	TotalAmt
Management And General	$15,497	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,976,916	TotalAmt
Program Services	$12,351,583	ProgramServicesAmt
Management And General	$3,625,333	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$236,444	TotalAmt
Management And General	$236,444	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,807,413	TotalAmt
Program Services	$2,837,880	ProgramServicesAmt
Management And General	$2,969,533	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$65,776	TotalAmt
Program Services	$13,187	ProgramServicesAmt
Management And General	$52,589	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$884,279	TotalAmt
Program Services	$511,428	ProgramServicesAmt
Management And General	$372,851	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$106,808	TotalAmt
Program Services	$9,012	ProgramServicesAmt
Management And General	$97,796	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$5,087	TotalAmt
Management And General	$5,087	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$828,085	TotalAmt
Program Services	$478,928	ProgramServicesAmt
Management And General	$349,157	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,277,334	TotalAmt
Program Services	$3,052,177	ProgramServicesAmt
Management And General	$2,225,157	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$958,893	TotalAmt
Program Services	$744,389	ProgramServicesAmt
Management And General	$214,504	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$16,768,836	$16,697,649	$71,187
BAD DEBT EXPENSE	$4,489,706	$4,489,706
PROVIDER FEES	$5,593,467	$5,593,467
REPAIRS & MAINTENANCE	$4,282,402	$2,080,276	$2,202,126

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,971,127	TotalAmt
Management And General	$1,971,127	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$114,874,797	TotalAmt
Program Services	$85,664,196	ProgramServicesAmt
Management And General	$29,210,601	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,057,919	BOYAmt
EOY	$8,150,355	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$682,167	BOYAmt
EOY	$2,198,991	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,945,077	BOYAmt
EOY	$15,027,579	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,104,568	BOYAmt
EOY	$789,754	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,595,652	BOYAmt
EOY	$3,785,293	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,498,266	BOYAmt
EOY	$1,524,891	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$102,083,239	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$62,637,157	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$41,523,236	BOYAmt
EOY	$39,446,082	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$24,288,945	BOYAmt
EOY	$27,609,819	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,858,298	BOYAmt
EOY	$3,515,231	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$98,554,128	BOYAmt
EOY	$102,047,995	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,807,701	BOYAmt
EOY	$14,477,955	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,581,492	BOYAmt
EOY	$20,511,085	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$36,389,193	BOYAmt
EOY	$34,989,040	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$62,067,186	BOYAmt
EOY	$66,969,167	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$92,749	BOYAmt
EOY	$84,788	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,000	BOYAmt
EOY	$5,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$62,164,935	BOYAmt
EOY	$67,058,955	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$98,554,128	BOYAmt
EOY	$102,047,995	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,142,350	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$169,585	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$78,745	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$4,668	OtherActivitiesAmt
Total Lobbying Expenditures	$4,668	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1i	FormAndLineReferenceDesc
Explanation	Lobbying Activity: The Lobbying Expense is the Allocable Portion of Dues Paid to CHA and AHA disclosed as lobbying activity. The Organizations provide the percentage to use for allocation purposes.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,023,551	OtherCostOrOtherBasisAmt
Book Value	$1,023,551	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,650,061	OtherCostOrOtherBasisAmt
Depreciation	$32,129,672	DepreciationAmt
Book Value	$26,520,389	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,540,940	OtherCostOrOtherBasisAmt
Depreciation	$29,577,791	DepreciationAmt
Book Value	$9,963,149	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,868,687	OtherCostOrOtherBasisAmt
Depreciation	$929,694	DepreciationAmt
Book Value	$1,938,993	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$39,446,082	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$114,811,394	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$169,585	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$169,585	RevenueNotReportedAmt
Revenue Subtotal	$114,980,979	RevenueSubtotalAmt
Other Revenues Not Included	$5,036,168	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$5,036,168	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$120,017,147	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$109,917,374	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$109,917,374	ExpensesSubtotalAmt
Other Expenses Not Included	$4,957,423	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$4,957,423	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$114,874,797	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, part X, Line 2	UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part XI, Line 4B	Revenue on Return, Not on Books: Bad Debt reclassed to Expense 4,489,706 Expenses Netted with Revenue for audit, Included in Expenses for 990 373,345 Income from Grantor Trust 117,117 Total 5,036,168
Schedule D, part XII, Line 4b	Expenses on Return, not on Books: Bad Debt Reclassed to Expense 4,489,706 Expenses Netted with revenue for Audit, Included in Expenses for 990 Reporting: 373,345 Expenses from Grantor Trust 94,372 Total 4,957,423

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	40.9	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,072,747	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,072,747	NetCommunityBenefitExpnsAmt
Total Expense	0.07020	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,814,332	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,072,254	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,887,079	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,072,254	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,072,747	NetCommunityBenefitExpnsAmt
Total Expense	0.07020	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	172	PersonsServedCnt
Total Community Benefit Expns	$34,158	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,158	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	37	PersonsServedCnt
Total Community Benefit Expns	$118,811	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$118,111	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$171,148	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$139,595	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,553	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	144	PersonsServedCnt
Total Community Benefit Expns	$79,283	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$79,283	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	353	PersonsServedCnt
Total Community Benefit Expns	$403,400	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$139,595	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$263,105	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	353	PersonsServedCnt
Total Community Benefit Expns	$32,290,479	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,211,849	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,335,852	NetCommunityBenefitExpnsAmt
Total Expense	0.07250	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	51	PersonsServedCnt
Total Community Benefit Expns	$21,825	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,825	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Persons Served	64	PersonsServedCnt
Total Community Benefit Expns	$1,723	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,723	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	90	PersonsServedCnt
Total Community Benefit Expns	$873,321	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$873,321	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	20	PersonsServedCnt
Total Community Benefit Expns	$364	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$364	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	225	PersonsServedCnt
Total Community Benefit Expns	$897,233	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$897,233	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,489,706	BadDebtExpenseAmt
Bad Debt Expense Attributable	$150,000	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$30,457,842	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$82,141,432	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$51,683,590	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	false	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
BLACK CANYON SURGICA
AMBULATORY SURGERY CENTER	0.51	0.49
SAN JUAN CANCER CENT
CANCER CENTER	0.3333	0.3333

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MONTROSE MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 SOUTH 3RD ST	AddressLine1Txt
City	MONTROSE	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	81401	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MONTROSEHOSPITAL.COM	WebsiteAddressTxt
State License	011165	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	A	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MONTROSE MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V for URL	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V for URL	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	40.9	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See part V for URL	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See part V for URL	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V for URL	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	THE HOSPITAL ENGAGED WITH RIVER VALLEY FAMILY HEALTH CENTER, CENTER FOR MENTAL HEALTH, REGIONAL ACCOUNTABLE ENTITY, HOPE WEST HOSPICE, TOUCH OF CARE, PASCO HOME HEALTH, MONTROSE COUNTY SHERIFF, MONTROSE POLICE DEPARTMENT, MONTROSE COUNTY PUBLIC HEALTH, DELTA COUNTY MEMORIAL HOSPITAL, PIC PLACE, TRI-COUNTY HEALTH NETWORK, CEDAR POINT HEALTH, VOLUNTEERS OF AMERICA AND THE SCHOOL BASED HEALTH CENTER.
SCHEDULE H, PART V, SECTION B, LINE 7a	Direct URL for the CHNA: http://www.montrosehospital.com/wp-content/uploads/2017/09/2016-CHNA-FINAL .pdf
SCHEDULE H, PART V, SECTION B, LINE 10A	Direct URL for implementation strategy: https://www.montrosehospital.com/news-community/community-health/
SCHEDULE H, PART V, SECTION B, LINE 11	SIGNIFICANT NEEDS AND THE IMPLEMENTATION PLAN ASSOCIATED WITH THE IDENTIFIED NEEDS ARE OUTLINED ON PAGE 32 OF THE ATTACHMENT COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THESE INCLUDE THE FOLLOWING: MENTAL HEALTH SUBSTANCE ABUSE MATERNAL/INFANT MEASURES - WOMEN'S HEALTH SUICIDE HEART DISEASE HEALTHY LIFESTYLES ALZHEIMER'S THE IMPLEMENTATION PLAN INCLUDES THE FOLLOWING: - CASE MANAGEMENT AND CENTER FOR MENTAL HEALTH ARE COLLABORATING TO DEVELOP TREATMENT PLANS FOR PATIENTS WHO FREQUENTLY PRESENT IN THE ED TO HELP REDUCE RE- HOSPITALIZATION - RESEARCH WAYS TO LEAD EFFORTS AND COORDINATE WITH OTHER ORGANIZATIONS TO HELP LOCAL HOMELESS POPULATION - WORK WITH LOCAL GOVERNMENT AND LAW ENFORCEMENT TO MEET NEEDS OF MENTAL HEALTH PATIENTS, PROVIDE TOOLS AND TRAINING, AND IMPROVE INTERACTIONS AND TREATMENT - FUNDRAISING CAMPAIGN TO BRING IN 3D MAMMOGRAPHY INCLUDING CASE FOR SUPPORT WITH STATISTICS ON CURRENT BREAST CANCER PREVALENCE AND NEED FOR NEW TECHNOLOGY - EXPLORING BUILDING A NEW CARDIOLOGY CLINIC TO PROVIDE ADDITIONAL SPACE - LEAD COORDINATION OF REGIONAL EFFORTS WITH OTHER ORGANIZATIONS AND AGENCIES TO IMPROVE HEALTHY LIFESTYLES (E .G., COOKING CLASSES, FARMER'S MARKETS , ETC . ) - GRANT RECEIVED TO STUDY BARRIERS TO BREAST CANCER SCREENINGS THAT ALSO COVERS A COMMUNITY HEALTH WORKER WHO PROVIDES EDUCATION, RESOURCES , AND TRANSPORTATION VOUCHERS FOR CANCER SCREENINGS - LOOK AT OPPORTUNITIES TO SUPPORT COMMUNITY GARDEN OR USE HOSPITAL GARDEN TO PROVIDE EDUCATION ON NUTRITION AND HEALTHY EATING TO LOCAL COMMUNITY - HOSPITAL CAMPUS BECOMING SMOKE-FREE - NEW LEAD PROGRAM FOR COMMUNITY LEADERS AND PROFESSIONALS TO EDUCATE ON HEALTHCARE SERVICES AND RESOURCES THAT ARE AVAILABLE AND BECOME AMBASSADORS IN THE COMMUNITY - RESEARCH GRANT OPTIONS FOR COORDINATING HEALTH EDUCATION/RESOURCES IN THE COMMUNITY - COLLABORATE WITH MIND SPRINGS HEALTH/WEST SPRINGS HOSPITAL TO INCREASE SERVICES AND SECURE FUNDING FOR ADDITIONAL MENTAL HEALTH BEDS FOR THE COMMUNITY MMH DOES NOT HAVE ADEQUATE RESOURCES TO SOLVE ALL THE PROBLEMS IDENTIFIED. SOME ISSUES ARE BEYOND THE MISSION OF THE HOSPITAL AND ACTION IS BEST SUITED FOR A RESPONSE BY OTHERS. SOME IMPROVEMENTS WILL REQUIRE PERSONAL ACTIONS BY INDIVIDUALS RATHER THAN THE RESPONSE OF AN ORGANIZATION. WE VIEW THIS AS A PLAN FOR HOW WE, ALONG WITH OTHER AREA ORGANIZATIONS AND AGENCIES, CAN COLLABORATE TO BRING THE BEST EACH HAS TO OFFER TO SUPPORT CHANGE AND TO ADDRESS THE MOST PRESSING IDENTIFIED NEEDS. AREAS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT MMH IS NOT ADDRESSING INCLUDE: IMPROVED WELL WATER QUALITY: BEST ADDRESSED BY MONTROSE COUNTY HEALTH AND HUMAN SERVICES. IMMUNIZATION RATE AND TRACKING: WHILE MMH PROVIDES HOSPITALIZED PATIENTS WITH NECESSARY IMMUNIZATIONS, MONTROSE HEALTH AND HUMAN SERVICES TRACKS THE COUNTY IMMUNIZATION RATES. AIR QUALITY: INDOOR AIR MONITORING AND EDUCATION RADON/MOLD: BEST ADDRESSED BY MONTROSE COUNTY HEALTH AND HUMAN SERVICES. FOOD SAFETY: ADEQUATE INSPECTIONS AND FOOD HANDLER EDUCATION: BEST ADDRESSED BY MONTROSE COUNTY AND THE CITY OF MONTROSE. TOBACCO CESSATION: THE HOSPITAL PROVIDES PATIENT EDUCATION MATERIALS AND SMOKING CESSATION INFORMATION FOR PATIENTS, HOWEVER MMH RELIES ON COMMUNITY PROGRAMS AND EXPERTS IN THIS FIELD. MONTROSE HEALTH AND HUMAN SERVICES PROVIDES SMOKING CESSATION CLASSES. SUICIDE RATE: THE HOSPITAL REFERS EMERGENCY DEPARTMENT PATIENTS WHO ARE AT RISK FOR SUICIDE TO THE APPROPRIATE PERSON AND/OR FACILITY AND RELIES ON COLORADO WEST MENTAL HEALTH PROGRAMS AND EXPERTS IN THIS FIELD.
Schedule H, Part V, Line 16a	The Financial assistance policy was available during the year and the full financial assistance policy is available on-line. Direct URL for Financial Assistance Policy: https://www.montrosehospital.com/medical-services/patient-financial/
schedule H, part V, Line 16b	Direct URL for the application for Financial Assistance: https://www.montrosehospital.com/medical-services/patient-financial/
Schedule H, part V, Line 16c	Direct URL for Plain LAnguage summary: https://www.montrosehospital.com/medical-services/patient-financial/
Schedule H, Part V, Line 16h	Desciption of NOtification for memebers of the communty that will most likely require financial assistance: Montrose Memorial Hospital was not notifiying members of the that are most likely to require financials assitance during the tax year. At the time of this filing Montrose Memorial Hospital is now notifying members of the community that will most likely require financial assistance.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, Line 3c	Description of other factors used to determine Financial assistance: Montrose Memorial Hospital also uses a patients asset level, insurance and Residency to determine the eleigibilty for free or discounted care.
SCHEDULE H, PART I, Line 7	Costing Methodology: THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. Montrose Memorial Hospital USED THE SAME COST-TO-CHARGE RATIO THROUGHOUT THE ENTIRE SCHEDULE TO DETERMINE THE COST OF THOSE ACTIVITIES.
SCHEDULE H, PART I, Line 7, Column (f)	Bad Debt Expense: BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT EXCLUDED FOR PURPOSES OF CALCULATING PERCENTAGES IN THIS COLUMN EQUAL $4,489,706.
SCHEDULE H, PART I, Line 7g	Subsidized Health service Costs: SUBSIDIZED HEALTH SERVICES INCLUDES VARIOUS PHYSICIAN CLINICS IN ORDER TO BETTER SERVE THE Colorado AREAS. The Midwife clinic was not fully funded. TOTAL COSTS FOR THE SUBSIDIZED SERVICES WERE $171,148 AND NET COMMUNITY BENEFIT OF THOSE SERVICES WAS DETERMINED TO BE $31,553.
SCHEDULE H, PART II, LINES 1 - 10	COMMUNITY BUILDING ACTIVITIES INCLUDE PHYSICIAN RECRUITMENT WHICH BRINGS JOBS AND NECESSARY MEDICAL SUPPORT TO THE COMMUNITY AS WELL AS CLASSROOM USAGE FOR COMMUNITY GROUPS.
SCHEDULE H, PART III, SECTION A, LINE 2	ACCOUNTS GREATER THAN 120 DAYS WITHOUT PAYMENT OR PAYMENT ARRANGEMENTS ARE ELIGIBLE FOR BAD DEBT. 4 STATEMENTS ARE SENT OUT OVER A PERIOD OF 120 DAYS. DISCOUNTS AND PAYMENTS ARE CAPTURED VIA APPROPRIATE PAYMENT AND ADJUSTMENT CODES.
SCHEDULE H, PART III, Section A, LINE 3	DESCRIPTION OF METHODOLOGY FOR INCLUSION OF BAD DEBT EXPENSE AS A COMMUNITY BENEFIT: THE AMOUNT OF BAD DEBT EXPENSE ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED BASED ON EXPERIENCE AND COMMUNITY/INDUSTRY KNOWLEDGE APPLIED TO VARIOUS FINANCIAL CLASSES. THE LARGEST FINANCIAL CLASS WAS SELF-PAY, WHICH WAS ESTIMATED AT 10.74% THAT MAY HAVE BEEN ELIGIBLE IF PAPERWORK WOULD HAVE BEEN COMPLETED AND SUBMITTED.
SCHEDULE H, PART III, Section A, LINE 4	Bad Debt Expense in Financial Statements: SEE PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE DESCRIBING BAD DEBT EXPENSE.
SCHEDULE H, PART III, Section B, LIne 8	Description of Medicare shortfall treated as a community benefit: All of the Medicare shortfall should be treated as community benefit because hospitals must treat patients regardless of their ability to pay. The government sets non-negotiable Medicare rates which are sometimes out of line with the true cost to treat Medicare patients. By treating Medicare eligible patients, hospitals alleviate the federal government's burden for directly providing medical services. The data used to evaluate the Medicare shortfall was obtained from the fy2018 Medicare cost report.
SCHEDULE H, PART VI, LINE 2	MONTROSE MEMORIAL HOSPITAL HAS PERFORMED A COMMUNITY HEALTH NEEDS ASSESSMENT TO DETERMINE THE HEALTH NEEDS OF THE LOCAL COMMUNITY, DEVELOP AN IMPLEMENTATION PLAN TO OUTLINE AND ORGANIZE HOW TO MEET THOSE NEEDS, AND FULFILL FEDERAL REQUIREMENTS. DATA WAS GATHERED FROM MULTIPLE WELL-RESPECTED SECONDARY SOURCES TO BUILD AN ACCURATE PICTURE OF THE CURRENT COMMUNITY AND ITS HEALTH NEEDS. A SURVEY OF A SELECT GROUP OF LOCAL EXPERTS WAS PERFORMED TO REVIEW THE PRIOR CHNA AND PROVIDE FEEDBACK, AND TO ASCERTAIN WHETHER THE PREVIOUSLY IDENTIFIED NEEDS ARE STILL A PRIORITY. A SECOND SURVEY WAS DISTRIBUTED TO THE SAME GROUP THAT REVIEWED THE DATA GATHERED FROM THE SECONDARY SOURCES AND DETERMINED THE SIGNIFICANT HEALTH NEEDS FOR THE COMMUNITY. THE SIGNIFICANT HEALTH NEEDS FOR MONTROSE COUNTY ARE: 1. MENTAL HEALTH 2. SUBSTANCE ABUSE 3. MATERNAL/INFANT MEASURES (WOMEN'S HEALTH) 4. SUICIDE 5. HEART DISEASE 6. HEALTHY LIFESTYLES 7. ALZHEIMER'S THE HOSPITAL HAS DEVELOPED ADDITIONAL IMPLEMENTATION STRATEGIES FOR FIVE OF THE SEVEN NEEDS (MENTAL HEALTH, MATERNAL/INFANT MEASURES- WOMEN'S HEALTH, SUICIDE, HEART DISEASE, HEALTHY LIFESTYLES, AND ALZHEIMER'S) INCLUDING ACTIVITIES TO CONTINUE/PURSUE, COMMUNITY PARTNERS TO WORK ALONGSIDE, AND LEADING AND LAGGING INDICATORS TO TRACK.
SCHEDULE H, PART VI, LINE 3	THE HOSPITAL FINANCIAL ASSISTANCE POLICIES CAN BE FOUND ON THE HOSPITAL WEB SITE. THE HOSPITAL ALSO HAS SIGNS IN WAITING AREAS THAT INFORM PATIENTS OF FINANCIAL ASSISTANCE AND REFER THEM TO VISIT OUR FINANCIAL COUNSELORS.
SCHEDULE H, PART VI, LINE 4	OUR PRIMARY SERVICE AREA IS MONTROSE COUNTY, COLORADO AS WELL AS SAN MIGUEL AND OURAY COUNTIES. MMH DETERMINED THE COMMUNITY WOULD BE DEFINED BY PRIMARY SERVICES AREA INCLUDED IN ZIP CODES 81401, 810403, 81411, 81422, 81424, 81425, AND 81431 (ZIP CODES INCLUDED ONLY RESIDENCES AND EXCLUDES ZIP CODES WITH ONLY PO BOXES AS THOSE PATIENTS ARE INCLUDED IN THE ZIP CODES REFLECTING RESIDENCES). THE TEAM ALSO DECIDED SECONDARILY, WE WOULD LIKE TO IMPACT OUR SECONDARY SERVICE AREA AS WE TOOK A REGIONAL APPROACH TO THE CHNA PROCESS BY ENGAGING DELTA AND GUNNISON IN OUR COMMUNITY EFFORTS. THE SECONDARY SERVICE AREA WAS DEFINED AS ZIP CODES 81210, 81224, 81230, 81231, 81239, 81241, 81243, 81410, 81415, 81415, 81416, 81419, 81428, 81434, 81225, 81414, 81418, 81420, AND 81433. RACE/ETHNICITY: 75% OF THE POPULATION IS WHITE NON-HISPANIC AND 21% OF THE POPULATION IS HISPANIC, BLACK NON-HISPANIC MAKE-UP LESS THAN 1% AS DOES THE ASIAN AND PACIFIC ISLANDER POPULATION, ALL OTHERS MAKE UP JUST OVER 2% OF THE POPULATION. AGE: MMHS PRIMARY SERVICE AREA IS SEEING AN EXPANSION IN OUR MEDICARE POPULATION AND THIS EXPANSION IS PROJECTED TO INCREASE. IN 2021, MMH EXPECTS TO SEE IN OUR PRIMARY SERVICES AREA, AN AGE DISTRIBUTION BY PERCENTAGE OF THE POPULATION:0-14=17%; 15-17= 4%; 18-24=8.9%; 25- 34=10%; 35-54=21%; 55-64=14%; 65+=24% (2016 CHNA) INCOME AND EMPLOYMENT STATUS: HOUSEHOLD INCOME DISTRIBUTION IS AS FOLLOWS: <$15K=12%; $15-$25K=14% (4% HIGHER THAN THE NATIONAL AVERAGE); $26-$50K=26% (3% HIGHER THAN THE NATIONAL AVERAGE); $51-$75K=20% (3% HIGHER THAN THE NATIONAL AVERAGE), $76-$100K=12%, $101K+=13% (11% LOWER THAN THE NATIONAL AVERAGE).
SCHEDULE H, PART VI, LINE 5	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, MMH CONDUCTED SEVERAL COMMUNITY MEETINGS TO RECEIVE FEEDBACK ON PRIORITY AREAS. MMH FELT IT IMPORTANT TO ENGAGE STAKEHOLDER AND COMMUNITY LEADERS TO DETERMINE WHAT INITIATIVES MMH SHOULD LEAD AND WHICH INITIATIVES MMH SHOULD PLAY A SUPPORTING ROLE.
Schedule H, Part VI, Line 6	MONTROSE MEMORIAL HOSPITAL, INC. IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Montrose Medical Mission
2479 Sunnyside Rd	Montrose	CO	81404	270035830	501(C)(3)	$20,000	to Support Program
Colorado West Psychiatric Hospital
515 28 3/4 Rd Bldg A	Grand Junction	CO	81501	264166675	501(C)(3)	$35,000	To Support Program
Dolphin House
735 S 1st St	Montrose	CO	81401	202086127	501(C)(3)	$15,000	To Support Program

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2	FormAndLineReferenceDesc
Explanation	Process for Monitoring Grants: Montrose Memorial Hospital only grants funds to other tax exempt organizations with which it has worked previously or have a like-minded purpose. Funds are all granted for use towards the recipient organization's greatest needs and are monitored through maintaining ongoing relationships between Montrose Memorial Hospital and the recipient organization.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
SUSAN SCHREIER
CNO	$170,631	$0	$0	$0	$5,215	$0	$5,406	$0	$12,553	$0	$193,805	$0
ALAN SALIMAN
CMO	$153,571	$0	$0	$0	$1,325	$0	$4,839	$0	$11,865	$0	$171,600	$0
DAVID LEE
PHYSICIAN	$666,123	$0	$0	$0	$500	$0	$8,250	$0	$9,529	$0	$684,402	$0
RILEY FOREMAN
PHYSICIAN	$639,838	$0	$0	$0	$0	$0	$8,250	$0	$22,465	$0	$670,553	$0
ROBERT KILBOURN
PHYSICIAN	$488,288	$0	$0	$0	$0	$0	$8,250	$0	$29,077	$0	$525,615	$0
RICHARD HANLEY
PHYSICIAN	$405,741	$0	$0	$0	$0	$0	$8,250	$0	$30,877	$0	$444,868	$0
JAMES GILHAM
PHYSICIAN	$382,270	$0	$0	$0	$0	$0	$8,250	$0	$20,233	$0	$410,753	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, part I, Line 7	FormAndLineReferenceDesc
Explanation	Description of Non-Fixed Payment: The Ceo is eligible for a bonus for up to 20% of his base salary. The board establishes accountability goals for the CEO. The incentive compensation is at the sole discretion of the board.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Colorado Health Facilities Authority	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	840752932	BondIssuerEIN
Bond Issued	2017-12-29	BondIssuedDt
Issue Price	$22,034,584	IssuePriceAmt
Purpose	BUILDING ADDITION	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$682,259	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$22,034,584	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$440,692	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$21,593,892	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2017	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	Delegation of Control of Management Duties: Montrose Memorial Hospital (MMH) Engaged Quorum Health Services (QHR)to provide executive financials management services with the roles of CEO and CFO. Montrose Memorial Hospital paid QHR $1,332,318 for the services provided in 2018. QHR paid the following people in 2018 for services provided to MMH. Cindy Bradley - Interim CEO through 6/30/2018 - 187,694 Larry Dupper - CFO through 9/30/2018 - 137,633 James Kiser - CEO Starting 6/1/2018 - 291,162 Tim Howard - CFO Starting 7/1/2018 - 109,156
FORM 990, PART VI, SECTION A, LINE 8B	THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 WAS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS VIA E-MAIL FOR THEIR REVIEW. A REGULARLY SCHEDULED FINANCE COMMITTEE MEETING WAS HELD AT WHICH TIME THE CPA FIRM WHICH PREPARED THE FORM 990 EXPLAINED THE DOCUMENT AND ANSWERED QUESTIONS FROM THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12C	COMPLIANCE IS MONITORED ON AN ANNUAL BASIS THROUGH INDIVIDUAL ACKNOWLEDGEMENT OF THE CONFLICT OF INTEREST POLICY AND WRITTEN SELF-DISCLOSURE, AND THROUGH A 24/7 HOTLINE COMPLAINT REPORT.
FORM 990, PART VI, SECTION B, LINE 15A & 15b	COMPENSATION FOR THE CEO, CFO and Key Employees: The CEO and CFO are compensated through a Management Company which is QHR. QHR sets the salaries for the CEO and CFO. The board of directors reviews and approves the monthly invoices provided by QHr which includes the salaries and the management fees. THE BOARD OF DIRECTORS IS UNCOMPENSATED FOR THEIR SERVICES. THE COMPENSATION FOR OTHER KEY EMPLOYEES IS BASED ON MARKET SALARIES PAID TO INDIVIDUALS PERFORMING SIMILAR JOBS IN SIMILAR MARKETS TO OURS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATIONS FINANCIAL STATEMENTS ARE POSTED ON THE WEBSITE. OTHER GOVERNING DOCUMENTS AND THE ORGANIZATIONS CONFLICT OF INTEREST POLICY ARE AVAILABLE BY REQUEST FROM THE ADMINISTRATION.
FORM 990, PART XI, LIne 9	Description of Other Change in Net Assets: Net Income Recongnized from Grantor Trust Statement (78,745)
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:3176604
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIANS TOTAL FEES:8329905
FORM 990 PART IX LINE 11G	DESCRIPTION:BILLING SERVICES TOTAL FEES:128274
FORM 990 PART IX LINE 11G	DESCRIPTION:ELECTRONIC CLAIMS PROCESSING TOTAL FEES:243484
FORM 990 PART IX LINE 11G	DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:380169
FORM 990 PART IX LINE 11G	DESCRIPTION:LAB SERVICES TOTAL FEES:899509
FORM 990 PART IX LINE 11G	DESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:28903
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:759261
FORM 990 PART IX LINE 11G	DESCRIPTION:RECRUITMENT TOTAL FEES:842644
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTIONS TOTAL FEES:1188163

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
BLACK CANYON SURGICAL CENTER
611 E STAR COURT	MONTROSE	CO	81401	510514274	SURGERY CENTER	CO	See Part VII	Medical	$282,140	$2,933,624	false	$0	Yes (true)	0.51000
SMHMMH AIR MEDICAL TRANSPORT
500 ELDORADO BLVD STE 4300	BROOMFIELD	CO	80021	473525381	Tranportation	CO	NA	Air Transport	$86,917	$855,945	false		false	0.49000
San Juan Cancer Center
600 S 5th Street	Montrose	CO	81401	202856331	cancer Center	CO	NA	Medical	$957,715	$1,886,456	false		false	0.33330

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
San Juan Cancer Center
R	$6,889,718	Book Value
Black Canyon Surgical center
S	$102,000	Book value
San Juan Cancer Center
S	$745,000	Book Value

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part III, Line 1, Column D	FormAndLineReferenceDesc
Explanation	Black Canyon Surgical Center is Directly Controlled by Montrose Memorial Hospital, Inc.	ExplanationTxt