2019-07-26T11:32:46-07:00 2018-12-31 990 2018-01-01 840447998 LOWER VALLEY HOSPITAL ASSOCIATION LOWE 9708582228 228 N Cherry Street / PO Box 130 Fruita CO 81521 Diane Miller CFO 9708582228 2019-07-31 204.131.171.178 2018 2019-02-21 02:37:17Z FAMILY HEALTH WEST Mark Francis 228 N Cherry Street Fruita CO 81521 51623296 0 X FHW.ORG X 1946 CO ADDRESS 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. 11 11 699 61 0 0 346792 0 52272708 51420956 151140 202340 450767 0 53221407 51623296 0 0 0 0 28053688 31794554 0 0 0 23562416 25787602 51616104 57582156 1605303 -5958860 61535950 55857897 48601165 49312719 12934785 6545178 X ADDRESS 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. 1 1 32806820 49935 42955801 LOWER 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. 4169432 7512 3418276 THE 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. 3138312 0 3177525 THE 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. 5382190 0 3117729 THE 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. 5382190 0 3117729 45496754 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 88 0 1 699 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CO X Diane Miller 9708582228 228 N Cherry Street / PO Box 130 Fruita CO 81521 Randy Brown Trustee 1 X 0 0 0 Paul Burdett Trustee 4 0 X 0 0 0 Troy Griffiths Trustee Director of Wound Center 40 0 X X 271866 0 0 Jennifer Landini Trustee 4 0 X 0 0 0 Vanessa McClellan Trustee Physician 1 0 X 0 0 0 Errol Snider Trustee Former Officer 30 0 X X 46107 0 0 Larry Tice Physician Director of Surgery/Trustee 40 0 X X X 318923 0 0 Blaine Buck Chair 2 0 X 0 0 0 Lindsay Gray Vice Chair 1 0 X 0 0 0 Mark Francis Secretary 40 0 X X X 283743 0 0 Dustin Wells Treasurer 4 0 X 0 0 0 Michael Neste Chief of Medical Staff Trustee 40 0 X X 330574 0 0 Peter Scheffel Physician Director of Orthopedics 40 0 X X 507620 0 0 Richard Cappiello Physician 40 0 X 231232 0 0 Elizabeth Mensing Physician 40 0 X 226200 0 0 Joseph Kupets Physician 40 0 X 223472 0 0 David Kirch Physician 40 0 X 222341 0 0 Scott Vincent Physician 40 0 X 220020 0 0 Douglas Goforth Physician 40 0 X 219829 0 0 Andre-Paul Michaud Physician 40 0 X 202701 0 0 Lori Randall Executive VP 40 0 X 164228 0 0 Ellen Price Physician 40 0 X 147763 0 0 Roy Mears Physician 40 0 X X 131124 0 0 Richard Ackerson Physician 40 0 X 130619 0 0 Diane Miller CFO 40 0 X 129007 0 0 Melody White Director of Pharmacy 40 0 X 120437 0 0 Jessica Mears Physician 40 0 X 119588 0 0 Brad Koppenhafer Directory of Surgery 40 0 X 110713 0 0 Kelly Murphy Director of Human Resources 40 0 X X 107614 0 0 David Snover Physician Assistant 40 0 X 106536 0 0 Britney Guccini Assistant CNO 40 0 X 103469 0 0 William Cummins Ancillary Services Administrator 40 0 X 102569 0 0 Brian Belnap Anesthesiologist 40 0 X 297323 0 0 5075618 0 0 25 1 1 0 Western Valley Family Practice 281 N Plum Fruita CO 81521 Hospitalist Contractor 490186 Fusion Medical Staffing LLC PO Box 82674 Lincoln NE 68501 Contracted Employees 224495 Jaws LLC PO Box 1401 Grand Junction CO 81502 Rental Property Services 186629 GCC MFE West LLC CO Wells Fargo Bank 359 Main Street Grand Junction CO 81501 Property Rental 146507 Allevant Solutions 4714 Gettysburgh Road Mechanicsburg PA 17055 Professional training 144000 50 0 0 0 0 0 0 Hospital Acute and Swing Bed Care 622000 43007875 43007875 0 0 Nursing Home 623110 3432113 3432113 0 0 Assisted Living 623312 3189641 3189641 0 0 Physician Clinics 621110 1791327 1791327 0 0 0 0 0 0 51420956 38934 38934 0 0 163406 163406 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 51623296 51623296 0 0 0 0 0 0 0 0 0 0 3897333 3449362 447971 0 0 0 0 0 21443915 17105003 4338912 721978 585525 136453 0 3976831 3225901 750930 0 1754497 1423131 331366 0 0 0 0 0 147442 0 147442 0 50675 0 50675 0 0 0 0 0 0 0 0 0 2684559 2684559 0 0 423173 42493 380680 1723150 1417363 305787 1165836 1036366 129470 0 0 0 0 0 1383754 1383754 0 0 1600 1600 0 0 0 0 0 0 0 0 0 4531554 4531554 0 0 0 0 0 0 3654035 3607899 46136 0 541695 515060 26635 0 Supplies 8315019 3780489 4534530 0 Fees Subs and Dues 144841 144841 0 0 Service contracts 1020269 563454 456815 0 57582156 45496754 12085402 0 20035537 17977116 4338844 5072335 0 0 11016520 8906819 0 0 0 0 0 1231316 1638898 2964500 792108 53045659 31641743 21882527 21403916 0 0 0 0 0 0 0 0 66706 66705 61535950 55857897 5479354 6561214 0 0 0 0 41400000 41400000 0 0 0 0 1721811 1351505 0 0 48601165 49312719 X 12934785 6545178 0 0 0 0 12934785 6545178 61535950 55857897 -5958860 0 0 0 -430747 0 X 0 1 X 1 0 X 315742 0 315742 32046328 0 17114338 14931990 4229084 0 2477819 1751265 14440584 0 11791018 2649566 2013921 0 258568 1755353 21403916 51420957 0 0 0 0 0 51420957 0 202339 202339 51623296 53004470 0 0 0 0 0 53004470 4577686 0 4577686 57582156 Schedule D, Part XI, Line 4b Donations Schedule D, Part XII, Line 4a Interest 1 1 1 X 125 1 X 450 1 1 0 1 1 165747 165747 0.0033 0 0 165747 0 165747 0.0033 222943 222943 0.0045 5812018 5812018 0.1173 0 0 0 0 0 0 0 0 6034961 0 6034961 0.1218 0 0 6200708 0 6200708 0.1251 156162 156162 0.0032 216120 0 216120 0.0043 52563 0 52563 0.0011 0 0 424845 0 424845 0.0086 1 1286267 0 46081280 46980497 -899217 X 1 1 1 1 Colorado Canyons Hospital & Medical Center 300 W Ottley Fruita CO 81521 FHW.ORG 2511OC X X X X Colorado Canyons Hospital & Medical Center 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X FHW.ORG X htpp://http://health.mesacounty.us/services/community/data-reports/ 1 18 1 FHW.ORG 0 0 1 X 125 450 X X X X X X 1 1 X X X X 1 X FHW.ORG X FHW.ORG X FHW.ORG X X X X X X 1 X 0 X X X 1 X 0 0 Schedule H, Part V, Section B, Line 5-Colorado Canyons Hospital & Medical Center Current county officials. Schedule H, Part V, Section B, Line 6a-Colorado Canyons Hospital & Medical Center Community Hospital, St Mary's Medical Center and West Springs Hospital. Schedule H, Part V, Section B, Line 6b-Colorado Canyons Hospital & Medical Center Mesa County Government. Schedule H, Part V, Section B, Line 11-Colorado Canyons Hospital & Medical Center Currently 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 Center On 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 Center We attempt two phone calls to the patient before sending them to collections. 9 Physician Services 551 Kokopelli Blvd Fruita CO 81521 Physician Clinics and supporting services. Courtyard Care Center 228 N Cherry Street Fruita CO 81521 Long Term Care Nursing Facility. No Medicare Part A beds. Oaks Assisted Living 805 West Ottley Fruita CO 81521 State Licensed Assisted Living Facility for 70 beds that accepts unlimited number of Medicaid. Willows Assisted Living 243 North Cherry Street Fruita CO 81521 State Licensed Secure Assisted Living Facility with 26 memory care beds. Schedule H, Part I, Line 6a Community Report prepared by Mesa County. Schedule H, Part I, Line 7 From audited financial statements and cost report. The loss of the eldercare facilities and physician clinics. Schedule H, Part I, Line 7g The loss of the physician clinic is 4,648,121. Schedule H, Part II Emergency Preparation and Assistance with County Programs and Facilities. Education of Public at the local farmers market, health fairs, schools and sporting events. Access to care with a physician staffed Access Clinic to the uninsured and under insured. Physician Recruitment and placement within the rural community. Free transportation to and from physician appointments, eldercare facilities and hospital services. Renovation of children electric cars to fit disabled children. Schedule H, Part III, Section A, Line 4 Bad 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 8 Medicare 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 9b Patients are provided all paperwork and access to web information to apply for financial assistance. Schedule H, Part VI, Line 2 The 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 3 Patient 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 4 We 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. X X X 0 0 0 0 0 0 0 0 0 Mark Francis Secretary 283743 0 0 0 0 0 0 0 0 0 283743 0 0 0 Michael Neste Chief of Medical Staff Trustee 330574 0 0 0 48000 0 0 0 0 0 378574 0 0 0 Troy Griffiths Trustee Director of Wound Center 271866 0 0 0 50148 0 0 0 0 0 322014 0 0 0 Larry Tice Physician Director of Surgery/Trustee 318923 0 0 0 0 0 0 0 0 0 318923 0 0 0 Peter Scheffel Physician Director of Orthopedics 507620 0 0 0 45750 0 0 0 0 0 553370 0 0 0 Brian Belnap Anesthesiologist 297323 0 0 0 0 0 0 0 0 0 297323 0 0 0 Richard Cappiello Physician 231232 0 0 0 36000 0 0 0 0 0 267232 0 0 0 Joseph Kupets Physician 223472 0 0 0 28200 0 0 0 0 0 251672 0 0 David Kirch Physician 222341 0 0 0 0 0 0 0 0 0 222341 0 0 0 Scott Vincent Physician 220020 0 0 0 17600 0 0 0 0 0 237620 0 0 0 Douglas Goforth Physician 219829 0 0 0 0 0 0 0 0 0 219829 0 0 0 Andre-Paul Michaud Physician 202701 0 0 0 0 0 0 0 0 0 202701 0 0 0 Lori Randall Executive VP 164228 0 0 0 0 0 0 0 0 0 164228 0 0 0 Ellen Price Physician 147763 0 0 0 30000 0 0 0 0 0 177763 0 0 0 A City of Fruita 846000669 359428AC3 2008-04-10 28000000 Replacement Hospital and Debt Consolidation 1 0 0 B City Of Fruita 846000669 00359427A 2017-12-19 33600000 Healthcare Hospital Expansion 0 0 0 A 28000000 28000000 28000000 0 0 0 0 0 0 1 1 B 0 0 33600000 2310912 0 0 680000 0 0 5213713 0 1064346 0 1 0 1 A 0 0 0 0 0 0 0 1 0 1 B 0 0 0 0 0 0 0 0 0 1 A 0 0 0 0 0 0 1 Citigroup Financial Partner .215 1 0 1 B 0 1 0 0 0 0 1 Citigroup Financial .215 1 0 1 A 1 0 1 0 Form 990, Part III, Line 2 In 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 3 In 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 11b Presented to the board for review. Form 990, Part VI, Section B, Line 12c Annual 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 15 The board approves the CEO and the executive team approves salaries of top officers. Form 990, Part VI, Section C, Line 19 Available upon request. Completion of independent audit.