LOWER VALLEY HOSPITAL ASSOCIATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
LOWER VALLEY HOSPITAL ASSOCIATION (EIN 84-0447998)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-07-26
IRS object ID
201932129349301218
Schema version
2018v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-07-26T11:32:46-07:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840447998EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LOWER VALLEY HOSPITAL ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLOWEBusinessNameControlTxt
Phone9708582228PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1228 N Cherry Street / PO Box 130AddressLine1Txt
CityFruitaCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81521ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDiane MillerPersonNm
Person TitleCFOPersonTitleTxt
Phone9708582228PhoneNum
Signature2019-07-31SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address204.131.171.178IPv4AddressTxt
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1FAMILY HEALTH WESTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMark FrancisPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1228 N Cherry StreetAddressLine1Txt
CityFruitaCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81521ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$51,623,296GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressFHW.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1946FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionADDRESS THE HEALTH CARE NEEDS OF THE GREATER FRUITA COMMUNITY AND PROVIDE HEALTHCARE SERVICES WITHOUT REGARD TO RACE, AGE, HANDICAP, CREED OR NATIONAL ORIGIN. PROVIDE THOSE SERVICES TO INDIVIDUALS OF ALL INCOME LEVELS CONSISTENT WITH OUR FINANCIAL ABILITY TO DO SO.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee699TotalEmployeeCnt
Total Volunteers61TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$346,792PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$52,272,708PYProgramServiceRevenueAmt
CY Program Service Revenue$51,420,956CYProgramServiceRevenueAmt
PY Investment Income$151,140PYInvestmentIncomeAmt
CY Investment Income$202,340CYInvestmentIncomeAmt
PY Other Revenue$450,767PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$53,221,407PYTotalRevenueAmt
CY Total Revenue$51,623,296CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$28,053,688PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$31,794,554CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$23,562,416PYOtherExpensesAmt
CY Other Expenses$25,787,602CYOtherExpensesAmt
PY Total Expenses$51,616,104PYTotalExpensesAmt
CY Total Expenses$57,582,156CYTotalExpensesAmt
PY Revenues Less Expenses$1,605,303PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,958,860CYRevenuesLessExpensesAmt
Total Assets BOY$61,535,950TotalAssetsBOYAmt
Total Assets EOY$55,857,897TotalAssetsEOYAmt
Total Liabilities BOY$48,601,165TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,312,719TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,934,785NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,545,178NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionADDRESS THE HEALTHCARE NEEDS OF THE GREATER FRUITA COMMUNITY AND PROVIDE HEALTHCARE SERVICES WITHOUT REGARD TO RACE, AGE, HANDICAP, CREED OR NATIONAL ORIGIN. PROVIDE THOSE SERVICES TO INDIVIDUALS OF ALL INCOME LEVELS CONSISTENT WITH OUR FINANCIAL ABILITY TO DO SO.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$32,806,820ExpenseAmt
Grant$49,935GrantAmt
Revenue$42,955,801RevenueAmt
DescLOWER VALLEY HOSPITAL ASSOCIATION OPERATES COLORADO CANYONS HOSPITAL AND MEDICAL CENTER A 25 BED SWING AND ACUTE CARE CRITICAL ACCESS HOSPITAL. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, PROVIDES CHARITY CARE AND OTHER ASSISTANCE TO ENSURE ACCESS TO THESE SERVICES IN OUR COMMUNITY. OUR HOSPITAL SERVICES ARE 40% TO 50% MEDICARE. THIS FACILITY SUPPORTS OUR MEDICAID BASED NURSING HOME AND ASSISTED LIVING FACILITIES WHICH OPERATE WITH 80% MEDICAID. WE OFFER LABS FOR THE GOOD SAMARITAN PROGRAM, ROCK STEADY BOXING AND THE SENIOR STEP ON PROGRAM FOR OUR COMMUNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,169,432ExpenseAmt
Grant$7,512GrantAmt
Revenue$3,418,276RevenueAmt
DescTHE ORGANIZATION OPERATED A NURSING HOME PROVIDING UNSKILLED NURSING CARE AND SERVICES UNTIL NOVEMBER 2019. THE FACILITY DOES NOT LIMIT THE PERCENTAGE OF MEDICAID THAT ARE ADMITTED TO THE FACILITY. THE TOTAL NUMBER OF LICENSED BEDS IS 60. THE FACILITY OPERATES WITH AN 80% TO 90% MEDICAID PAYOR MIX. THIS FACILITY OPERATES AT A LOSS AND IS SUPPORTED BY THE HOSPITAL. IN NOVEMBER THIS FACILITY CEASED OPERATION.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,138,312ExpenseAmt
Grant$0GrantAmt
Revenue$3,177,525RevenueAmt
DescTHE ORGANIZATION OPERATES TWO ASSISTED LIVING FACILITIES THAT PROVIDE RESIDENTIAL ACCOMMODATIONS AND LIMITED HEALTHCARE SERVICES TO THE ELDERLY AND DISABLED FOR A TOTAL BED COUNT OF 96. THE WILLOWS IS DEDICATED TO RESIDENTS WITH DEMENTIA AND IS A SECURED FACILITY. THE OAKS ASSISTED LIVING OPERATES ON A 75% + MEDICAID PAYOR MIX AND IS FINANCIALLY SUPPORTED THROUGH THE HOSPITAL.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$5,382,190ExpenseAmt
Grant$0GrantAmt
Revenue$3,117,729RevenueAmt
DescTHE ORGANIZATION SPONSORS CLINICS TO ENSURE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY. THESE OPERATIONS ARE NOT LIMITED TO ANESTHESIA, EMERGENCY PROVIDERS, HOSPITALIST, RADIOLOGIST, ORTHOPEDIC SPECIALISTS, PODIATRY, RHEUMATOLOGY, NEUROSURGERY AND PHSYIARTRY. AN ATHLETIC TRAINER IS DONATED TO THE LOCAL SCHOOLS DURING SPORTS TRAINING AND GAMES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$5,382,190TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$3,117,729TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$45,496,754TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document88IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee699EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCOStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDiane MillerPersonNm
Phone9708582228PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1228 N Cherry Street / PO Box 130AddressLine1Txt
CityFruitaCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81521ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Randy Brown
Trustee1Yes (X)$0$0$0
Paul Burdett
Trustee4Yes (X)$0$0$00
Troy Griffiths
Trustee Director of Wound Center40Yes (X)$271,866$0$00Yes (X)
Jennifer Landini
Trustee4Yes (X)$0$0$00
Vanessa McClellan
Trustee Physician1Yes (X)$0$0$00
Errol Snider
Trustee Former Officer30Yes (X)$46,107$0$00Yes (X)
Larry Tice
Physician Director of Surgery/Trustee40Yes (X)$318,923$0$00Yes (X)Yes (X)
Blaine Buck
Chair2$0$0$00Yes (X)
Lindsay Gray
Vice Chair1$0$0$00Yes (X)
Mark Francis
Secretary40$283,743$0$00Yes (X)Yes (X)Yes (X)
Dustin Wells
Treasurer4$0$0$00Yes (X)
Michael Neste
Chief of Medical Staff Trustee40$330,574$0$00Yes (X)Yes (X)
Peter Scheffel
Physician Director of Orthopedics40$507,620$0$00Yes (X)Yes (X)
Richard Cappiello
Physician40$231,232$0$00Yes (X)
Elizabeth Mensing
Physician40$226,200$0$00Yes (X)
Joseph Kupets
Physician40$223,472$0$00Yes (X)
David Kirch
Physician40$222,341$0$00Yes (X)
Scott Vincent
Physician40$220,020$0$00Yes (X)
Douglas Goforth
Physician40$219,829$0$00Yes (X)
Andre-Paul Michaud
Physician40$202,701$0$00Yes (X)
Lori Randall
Executive VP40$164,228$0$00Yes (X)
Ellen Price
Physician40$147,763$0$00Yes (X)
Roy Mears
Physician40$131,124$0$00Yes (X)Yes (X)
Richard Ackerson
Physician40$130,619$0$00Yes (X)
Diane Miller
CFO40$129,007$0$00Yes (X)
Melody White
Director of Pharmacy40$120,437$0$00Yes (X)
Jessica Mears
Physician40$119,588$0$00Yes (X)
Brad Koppenhafer
Directory of Surgery40$110,713$0$00Yes (X)
Kelly Murphy
Director of Human Resources40$107,614$0$00Yes (X)Yes (X)
David Snover
Physician Assistant40$106,536$0$00Yes (X)
Britney Guccini
Assistant CNO40$103,469$0$00Yes (X)
William Cummins
Ancillary Services Administrator40$102,569$0$00Yes (X)
Brian Belnap
Anesthesiologist40$297,323$0$00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,075,618TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
Western Valley Family Practice
281 N PlumFruitaCO81521Hospitalist Contractor$490,186
Fusion Medical Staffing LLC
PO Box 82674LincolnNE68501Contracted Employees$224,495
Jaws LLC
PO Box 1401Grand JunctionCO81502Rental Property Services$186,629
GCC MFE West LLC
CO Wells Fargo BankGrand JunctionCO81501Property Rental$146,507359 Main Street
Allevant Solutions
4714 Gettysburgh RoadMechanicsburgPA17055Professional training$144,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K50CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Hospital Acute and Swing Bed Care622000$43,007,875$43,007,875$0$0
Nursing Home623110$3,432,113$3,432,113$0$0
Assisted Living623312$3,189,641$3,189,641$0$0
Physician Clinics621110$1,791,327$1,791,327$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$51,420,956TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,934TotalRevenueColumnAmt
Related Or Exempt Func Income$38,934RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$163,406TotalRevenueColumnAmt
Related Or Exempt Func Income$163,406RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,623,296TotalRevenueColumnAmt
Related Or Exempt Func Income$51,623,296RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,897,333TotalAmt
Program Services$3,449,362ProgramServicesAmt
Management And General$447,971ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,443,915TotalAmt
Program Services$17,105,003ProgramServicesAmt
Management And General$4,338,912ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$721,978TotalAmt
Program Services$585,525ProgramServicesAmt
Management And General$136,453ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,976,831TotalAmt
Program Services$3,225,901ProgramServicesAmt
Management And General$750,930ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,754,497TotalAmt
Program Services$1,423,131ProgramServicesAmt
Management And General$331,366ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$147,442TotalAmt
Program Services$0ProgramServicesAmt
Management And General$147,442ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$50,675TotalAmt
Program Services$0ProgramServicesAmt
Management And General$50,675ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,684,559TotalAmt
Program Services$2,684,559ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$423,173TotalAmt
Program Services$42,493ProgramServicesAmt
Management And General$380,680ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,723,150TotalAmt
Program Services$1,417,363ProgramServicesAmt
Management And General$305,787ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,165,836TotalAmt
Program Services$1,036,366ProgramServicesAmt
Management And General$129,470ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,383,754TotalAmt
Program Services$1,383,754ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,600TotalAmt
Management And General$1,600ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,531,554TotalAmt
Program Services$4,531,554ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,654,035TotalAmt
Program Services$3,607,899ProgramServicesAmt
Management And General$46,136ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$541,695TotalAmt
Program Services$515,060ProgramServicesAmt
Management And General$26,635ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Supplies$8,315,019$3,780,489$4,534,530$0
Fees Subs and Dues$144,841$144,841$0$0
Service contracts$1,020,269$563,454$456,815$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$57,582,156TotalAmt
Program Services$45,496,754ProgramServicesAmt
Management And General$12,085,402ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,035,537BOYAmt
EOY$17,977,116EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,338,844BOYAmt
EOY$5,072,335EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,016,520BOYAmt
EOY$8,906,819EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,231,316BOYAmt
EOY$1,638,898EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,964,500BOYAmt
EOY$792,108EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$53,045,659LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$31,641,743LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$21,882,527BOYAmt
EOY$21,403,916EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$66,706BOYAmt
EOY$66,705EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,535,950BOYAmt
EOY$55,857,897EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,479,354BOYAmt
EOY$6,561,214EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,400,000BOYAmt
EOY$41,400,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,721,811BOYAmt
EOY$1,351,505EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$48,601,165BOYAmt
EOY$49,312,719EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,934,785BOYAmt
EOY$6,545,178EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,934,785BOYAmt
EOY$6,545,178EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,535,950BOYAmt
EOY$55,857,897EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$5,958,860ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments-$430,747PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$315,742InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$315,742BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$32,046,328InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$17,114,338DepreciationAmt
Book Value$14,931,990BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,229,084InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$2,477,819DepreciationAmt
Book Value$1,751,265BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$14,440,584InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$11,791,018DepreciationAmt
Book Value$2,649,566BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,013,921InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$258,568DepreciationAmt
Book Value$1,755,353BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,403,916TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$51,420,957TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$51,420,957RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$202,339OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$202,339RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$51,623,296TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$53,004,470TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$53,004,470ExpensesSubtotalAmt
Investment Expenses Not Incld2$4,577,686InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,577,686ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$57,582,156TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part XI, Line 4bDonations
Schedule D, Part XII, Line 4aInterest

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other125FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other450DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$165,747TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$165,747NetCommunityBenefitExpnsAmt
Total Expense0.0033TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$165,747TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$165,747NetCommunityBenefitExpnsAmt
Total Expense0.0033TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$222,943TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$222,943NetCommunityBenefitExpnsAmt
Total Expense0.0045TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,812,018TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,812,018NetCommunityBenefitExpnsAmt
Total Expense0.1173TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$6,034,961TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,034,961NetCommunityBenefitExpnsAmt
Total Expense0.1218TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$6,200,708TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,200,708NetCommunityBenefitExpnsAmt
Total Expense0.1251TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$156,162TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$156,162NetCommunityBenefitExpnsAmt
Total Expense0.0032TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$216,120TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$216,120NetCommunityBenefitExpnsAmt
Total Expense0.0043TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,563TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$52,563NetCommunityBenefitExpnsAmt
Total Expense0.0011TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$424,845TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$424,845NetCommunityBenefitExpnsAmt
Total Expense0.0086TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,286,267BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$46,081,280ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$46,980,497CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$899,217MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Colorado Canyons Hospital & Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 W OttleyAddressLine1Txt
CityFruitaCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81521ZIPCd
FieldValueIRS element (for citing)
Website AddressFHW.ORGWebsiteAddressTxt
State License2511OCStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Colorado Canyons Hospital & Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLFHW.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhtpp://http://health.mesacounty.us/services/community/data-reports/OtherWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLFHW.ORGStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care450FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLFHW.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLFHW.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLFHW.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Colorado Canyons Hospital & Medical CenterCurrent county officials.
Schedule H, Part V, Section B, Line 6a-Colorado Canyons Hospital & Medical CenterCommunity Hospital, St Mary's Medical Center and West Springs Hospital.
Schedule H, Part V, Section B, Line 6b-Colorado Canyons Hospital & Medical CenterMesa County Government.
Schedule H, Part V, Section B, Line 11-Colorado Canyons Hospital & Medical CenterCurrently participating in the Alto Project to provide non opiod alternatives in our Emergency Department. Offering reduced fees for health screening and sports physicals. Providing quick access to health care for the under and uninsured. Providing a local cumadin clinic for the elderly. Supporting a smoke free campus. Providing free space for immunization clinics for children. Providing nutritional support at the local Farmer's Market. Providing sports clinics and free athletic trainers at the local schools.
Schedule H, Part V, Section B, Line 20a-Colorado Canyons Hospital & Medical CenterOn our last statement to the patient, we note that if payment is not received within 30 days, they will be turned over to collections. This statements also state a phone number and website to apply for financial assistance.
Schedule H, Part V, Section B, Line 20b-Colorado Canyons Hospital & Medical CenterWe attempt two phone calls to the patient before sending them to collections.
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Physician Services
551 Kokopelli BlvdFruitaCO81521Physician Clinics and supporting services.
Courtyard Care Center
228 N Cherry StreetFruitaCO81521Long Term Care Nursing Facility. No Medicare Part A beds.
Oaks Assisted Living
805 West OttleyFruitaCO81521State Licensed Assisted Living Facility for 70 beds that accepts unlimited number of Medicaid.
Willows Assisted Living
243 North Cherry StreetFruitaCO81521State Licensed Secure Assisted Living Facility with 26 memory care beds.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6aCommunity Report prepared by Mesa County.
Schedule H, Part I, Line 7From audited financial statements and cost report. The loss of the eldercare facilities and physician clinics.
Schedule H, Part I, Line 7gThe loss of the physician clinic is 4,648,121.
Schedule H, Part IIEmergency Preparation and Assistance with County Programs and Facilities. Education of Public at the local farmers market, health fairs, schools and sporting events. Access to care with a physician staffed Access Clinic to the uninsured and under insured. Physician Recruitment and placement within the rural community. Free transportation to and from physician appointments, eldercare facilities and hospital services. Renovation of children electric cars to fit disabled children.
Schedule H, Part III, Section A, Line 4Bad debt is used after all patients have been assessed for charity and governmental assistance programs and have not paid.
Schedule H, Part III, Section B, Line 8Medicare has underpaid the hospital for services provided to the community. With the increases in supplies, pharmacy prices and labor wage hikes the medicare rate does not cover the cost of the excellent healthcare we provide to our community.
Schedule H, Part III, Section C, Line 9bPatients are provided all paperwork and access to web information to apply for financial assistance.
Schedule H, Part VI, Line 2The organization sets up booths at the local farmers markets, fairs and community events to talk with the public about their healthcare needs.
Schedule H, Part VI, Line 3Patient financial assistance policies are available on our website in plain language summary form and in paper to all patients. Patient financial managers are available in the hospital at the time of registration and discharge to work with patients to ensure they are aware of financial assistance. All patient statements have information about financial assistance written at the bottom.
Schedule H, Part VI, Line 4We serve the Lower Valley community with Fruita Colorado as our home base. This is a rural community located next to the urban population of Grand Junction Colorado. The community is made up of farmers, ranchers, retired families and a bedroom community to many of the residents who work in Grand Junction. Our hospital is the farthest West hospital in the area. We are about 19 miles from the Utah border right off Interstate 70 which runs from Salt Lake City to Denver.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mark Francis
Secretary$283,743$0$0$0$0$0$0$0$0$0$283,743$0$0$0
Michael Neste
Chief of Medical Staff Trustee$330,574$0$0$0$48,000$0$0$0$0$0$378,574$0$0$0
Troy Griffiths
Trustee Director of Wound Center$271,866$0$0$0$50,148$0$0$0$0$0$322,014$0$0$0
Larry Tice
Physician Director of Surgery/Trustee$318,923$0$0$0$0$0$0$0$0$0$318,923$0$0$0
Peter Scheffel
Physician Director of Orthopedics$507,620$0$0$0$45,750$0$0$0$0$0$553,370$0$0$0
Brian Belnap
Anesthesiologist$297,323$0$0$0$0$0$0$0$0$0$297,323$0$0$0
Richard Cappiello
Physician$231,232$0$0$0$36,000$0$0$0$0$0$267,232$0$0$0
Joseph Kupets
Physician$223,472$0$0$0$28,200$0$0$0$0$0$251,672$0$0
David Kirch
Physician$222,341$0$0$0$0$0$0$0$0$0$222,341$0$0$0
Scott Vincent
Physician$220,020$0$0$0$17,600$0$0$0$0$0$237,620$0$0$0
Douglas Goforth
Physician$219,829$0$0$0$0$0$0$0$0$0$219,829$0$0$0
Andre-Paul Michaud
Physician$202,701$0$0$0$0$0$0$0$0$0$202,701$0$0$0
Lori Randall
Executive VP$164,228$0$0$0$0$0$0$0$0$0$164,228$0$0$0
Ellen Price
Physician$147,763$0$0$0$30,000$0$0$0$0$0$177,763$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
City of Fruita
A846000669359428AC32008-04-10$28,000,000Replacement Hospital and Debt ConsolidationYes (1)00
City Of Fruita
B84600066900359427A2017-12-19$33,600,000Healthcare Hospital Expansion000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtCredit EnhancementCreditEnhancementAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$28,000,000$28,000,000$28,000,000$0$0$0$000Yes (1)Yes (1)
B$0$0$33,600,000$0$0$0$00Yes (1)0Yes (1)$2,310,912$680,000$0$5,213,713$1,064,346

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000Yes (1)0Yes (1)
B000000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Citigroup Financial Partner
A000000Yes (1).215Yes (1)0Yes (1)
Citigroup Financial
B0Yes (1)0000Yes (1).215Yes (1)0Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 2In 2018 we began working with the STRIVE program providing therapy and nutritional counseling. We added 2 hand surgeons to our orthopedic practice and hand therapy to our outpatient therapy department.
Form 990, Part III, Line 3In November 2018 we ceased operation of the Courtyard Care Center, a 60 bed nursing home facility. We also decreased the services provided by our neurosurgeon due to retirement.
Form 990, Part VI, Section B, Line 11bPresented to the board for review.
Form 990, Part VI, Section B, Line 12cAnnual review of conflict of interest forms by compliance officer. If a potential discussion arose that may have an conflict of interest then the individual in question was excused from that particular discussion.
Form 990, Part VI, Section B, Line 15The board approves the CEO and the executive team approves salaries of top officers.
Form 990, Part VI, Section C, Line 19Available upon request.

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationCompletion of independent audit.ExplanationTxt

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