2019-10-08T11:54:40-05:00 2018-12-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2018-01-01 846002707 MONTROSE MEMORIAL HOSPITAL INC % THE CORPORATION MONT 9702492211 800 SOUTH THIRD STREET MONTROSE CO 81401 KJERSTEN A DAVIS DVM Board Chairperson 9702492211 2019-09-15 true Adam R Smith CPA P00958966 7194714290 167.68.126.162 84022720192815000018 2019-10-08 P B297EB62ACBDF2C63341018967E8037D5137B826 1E5D5B19B81F25AE9DAC4BA75F67F0807E0A9DB7 2018 2020-01-14 16:20:31Z JAMES KISER CEO 800 SOUTH THIRD STREET MONTROSE CO 81401 126796294 false X WWW.MONTROSEHOSPITAL.COM X 2010 CO IT IS THE MISSION OF MONTROSE MEMORIAL HOSPITAL TO PROVIDE HEALTHCARE SERVICES TO OUR COMMUNITIES WITH EXCELLENT SERVICE, COMPASSION AND FISCAL RESPONSIBILITY. 8 8 865 103 0 4090 292699 232148 108219864 117748489 432183 796646 55900 1239864 109000646 120017147 0 81105 0 0 48219029 48885340 0 0 0 64131537 65908352 112350566 114874797 -3349920 5142350 98554128 102047995 36389193 34989040 62164935 67058955 IT IS THE MISSION OF MONTROSE MEMORIAL HOSPITAL TO PROVIDE HEALTHCARE SERVICES TO OUR COMMUNITIES WITH EXCELLENT SERVICE, COMPASSION AND FISCAL RESPONSIBILITY. false false 24548793 34147717 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. 58413059 80489699 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. 2702344 3144773 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. 85664196 true true false true false false false false false true false false false false false true false false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true false false false true 134 0 865 true true true false false false false false false false false false false false X 8 8 false true false false false false false true false false false true true true true true true false false true true X X THE CORPORATION 9702407397 800 S 3RD STREET MONTROSE CO 81401 X RONALD COURTNEY SECRETARY/TREASURER 3.0 0.0 X X 0 0 0 MICHAEL BREZINSKY MD Director 3.0 0.0 X 0 0 0 KJERSTEN DAVIS DVM CHAIRPERSON 5.0 0.0 X X 0 0 0 HEIDI DRAGOO VICE CHAIRPERSON 3.0 0.0 X X 0 0 0 MARY VADER DO Director 3.0 0.0 X 0 0 0 ROY E RYAN Director 3.0 0.0 X 0 0 0 SETH D RYAN Director 3.0 0.0 X 0 0 0 BUD TAYLOR Director 3.0 0.0 X 0 0 0 SUSAN SCHREIER CNO 40.0 0.0 X 175846 0 17959 JAMES KISER CEO (DEEMED OFFICER) 40.0 0.0 X 0 0 0 TIM HOWARD CFO (DEEMED OFFICER) 40.0 0.0 X 0 0 0 CINDY BRADLEY INTERIM CEO (DEEMED OFFICER) 40.0 0.0 X 0 0 0 LARRY DUPPER CFO (DEEMED OFFICER) 40.0 0.0 X 0 0 0 ALAN SALIMAN CMO 40.0 0.0 X 154896 0 16704 DAVID LEE PHYSICIAN 40.0 0.0 X 666623 0 17779 RILEY FOREMAN PHYSICIAN 40.0 0.0 X 639838 0 30715 ROBERT KILBOURN PHYSICIAN 40.0 0.0 X 488288 0 37327 RICHARD HANLEY PHYSICIAN 40.0 0.0 X 405741 0 39127 JAMES GILHAM PHYSICIAN 40.0 0.0 X 382270 0 28483 2913502 0 188094 27 false true false FIRST CONTACT MEDICAL 800 S 3RD ST MONTROSE CO 81401 ER PHYSICIANS GROUP 3292402 CEDAR POINT HEALTH 300 S NEVADA AVE MONTROSE CO 81401 HOSPITALIST 2078787 QUORUM HEALTH RESOURCES LLC 1573 MALLORY LANE SUITE 200 BRENTWOOD TN 37027 MANAGEMENT CONSULT 1332318 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 55480 LAB FEES 657889 WESTERN SLOPE ORTHOPEDICS 910 S 4TH ST MONTROSE CO 81401 orthopedic SERVICES 387050 72 232148 232148 NET PATIENT SERVICE REVENUE 621110 115697225 115697225 INCOME ON EQUITY INVESTEES 900003 1831556 1831556 EHR 900099 105097 105097 OTHER HEALTHCARE INCOME 621110 114611 114611 117748489 770889 770889 0 0 82078 15421 66657 0 66657 66657 6776577 12906 6699718 64008 76859 -51102 25757 25757 0 0 0 0 0 0 0 0 0 CAFETERIA & VENDING REVENUE 722514 905680 905680 OTHER INCOME 900099 267527 33700 233827 1173207 120017147 117782189 2002810 X 81105 81105 0 0 0 364254 282183 82071 0 38528032 29903501 8624531 997608 655536 342072 6335097 4131681 2203416 2660349 1750508 909841 1332318 1332318 1222344 1222344 85620 85620 0 0 15497 15497 15976916 12351583 3625333 236444 236444 5807413 2837880 2969533 65776 13187 52589 0 884279 511428 372851 106808 9012 97796 0 5087 5087 828085 478928 349157 0 5277334 3052177 2225157 958893 744389 214504 MEDICAL SUPPLIES 16768836 16697649 71187 BAD DEBT EXPENSE 4489706 4489706 PROVIDER FEES 5593467 5593467 REPAIRS & MAINTENANCE 4282402 2080276 2202126 1971127 1971127 114874797 85664196 29210601 0 7057919 8150355 682167 2198991 0 0 15945077 15027579 0 0 0 0 1104568 789754 3595652 3785293 1498266 1524891 102083239 62637157 41523236 39446082 24288945 27609819 0 0 2858298 3515231 0 0 0 0 98554128 102047995 14807701 14477955 0 0 0 0 21581492 20511085 0 0 0 0 0 0 0 0 0 0 36389193 34989040 X 62067186 66969167 92749 84788 5000 5000 62164935 67058955 98554128 102047995 X 5142350 -169585 -78745 X false true X true false X false false false false false false false false true 4668 4668 false false Schedule C, Part II-B, Line 1i 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. 1023551 1023551 58650061 32129672 26520389 39540940 29577791 9963149 2868687 929694 1938993 39446082 114811394 -169585 -169585 114980979 5036168 5036168 120017147 109917374 109917374 4957423 4957423 114874797 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 true true X true X 40.9 true X true true true false false 8072747 8072747 0.07020 23814332 29072254 31887079 29072254 8072747 0.07020 172 34158 34158 0.00030 37 118811 118111 0.00100 171148 139595 31553 0.00030 144 79283 79283 0.00070 353 403400 139595 263105 0.00230 353 32290479 29211849 8335852 0.07250 51 21825 21825 0.00020 64 1723 1723 0.00000 90 873321 873321 0.00760 20 364 364 0.00000 225 897233 897233 0.00780 true 4489706 150000 30457842 82141432 -51683590 X true false BLACK CANYON SURGICA AMBULATORY SURGERY CENTER 0.51 0.49 SAN JUAN CANCER CENT CANCER CENTER 0.3333 0.3333 1 1 MONTROSE MEMORIAL HOSPITAL 800 SOUTH 3RD ST MONTROSE CO 81401 WWW.MONTROSEHOSPITAL.COM 011165 X X X A MONTROSE MEMORIAL HOSPITAL 1 false false true X X X X X X X X 16 true false false true X See Part V for URL X true 16 true See Part V for URL false true X 40.9 400. X X X true true X X X true X See part V for URL X See part V for URL X See Part V for URL X X X X X true X false X X X X true X false false 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. 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. true Montrose Medical Mission 2479 Sunnyside Rd Montrose CO 81404 270035830 501(C)(3) 20000 to Support Program Colorado West Psychiatric Hospital 515 28 3/4 Rd Bldg A Grand Junction CO 81501 264166675 501(C)(3) 35000 To Support Program Dolphin House 735 S 1st St Montrose CO 81401 202086127 501(C)(3) 15000 To Support Program 3 Schedule I, Part I, Line 2 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. X false false false false false false false true false SUSAN SCHREIER CNO 170631 0 0 0 5215 0 5406 0 12553 0 193805 0 ALAN SALIMAN CMO 153571 0 0 0 1325 0 4839 0 11865 0 171600 0 DAVID LEE PHYSICIAN 666123 0 0 0 500 0 8250 0 9529 0 684402 0 RILEY FOREMAN PHYSICIAN 639838 0 0 0 0 0 8250 0 22465 0 670553 0 ROBERT KILBOURN PHYSICIAN 488288 0 0 0 0 0 8250 0 29077 0 525615 0 RICHARD HANLEY PHYSICIAN 405741 0 0 0 0 0 8250 0 30877 0 444868 0 JAMES GILHAM PHYSICIAN 382270 0 0 0 0 0 8250 0 20233 0 410753 0 Schedule J, part I, Line 7 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. A Colorado Health Facilities Authority 840752932 2017-12-29 22034584 BUILDING ADDITION false false false A 682259 0 22034584 0 0 0 440692 0 0 0 21593892 0 2017 true false true true A false false false false 0 false false false true A false true false false true false 0 false 0 false true A true 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 BLACK CANYON SURGICAL CENTER 611 E STAR COURT MONTROSE CO 81401 510514274 SURGERY CENTER CO See Part VII Medical 282140 2933624 false 0 true 0.51000 SMHMMH AIR MEDICAL TRANSPORT 500 ELDORADO BLVD STE 4300 BROOMFIELD CO 80021 473525381 Tranportation CO NA Air Transport 86917 855945 false false 0.49000 San Juan Cancer Center 600 S 5th Street Montrose CO 81401 202856331 cancer Center CO NA Medical 957715 1886456 false false 0.33330 false false false false false false false false false false false true false false false false false true true San Juan Cancer Center R 6889718 Book Value Black Canyon Surgical center S 102000 Book value San Juan Cancer Center S 745000 Book Value Schedule R, Part III, Line 1, Column D Black Canyon Surgical Center is Directly Controlled by Montrose Memorial Hospital, Inc.