2018-11-14T12:34:23-07:00 2017-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2017-01-01 840469270 COLORADO WEST HEALTHCARE SYSTEM COLO 9702566321 2351 G ROAD GRAND JUNCTION CO 81505 CHRISTIAN THOMAS CEO 9702566321 2018-11-13 true LUKE ZARECOR P02161725 5092420874 2018-11-14 63.131.236.90 2018-11-14 13:34:23 CS P 4E47AE817102BDCE7527071ECCD14AD9DFD4CEB5 2474EFBFE268E1323248D70D812BABF32F861C74 2017 2019-02-21 02:37:17Z COMMUNITY HOSPITAL GRAND JUNCTION CHRISTIAN THOMAS 2351 G ROAD GRAND JUNCTION CO 81505 129255375 false X YOURCOMMUNITYHOSPITAL.COM X 1956 CO TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. 10 9 1061 61 343267 326445 146 120033 84918541 127113964 442513 428575 239325 1507695 85600525 129170267 40221 0 0 39151883 61608655 0 19112 50013895 68280631 89205999 129889286 -3605474 -719019 108425853 110194423 83460304 85947893 24965549 24246530 X TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. false false 111280548 127113964 COMMUNITY HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY, URGENT, AND PRIMARY HEALTH CARE SERVICES TO COMMUNITIES IN WESTERN COLORADO WHICH HAS BEEN IDENTIFIED AS A PHYSICIAN SHORTAGE AREA. DURING THE TAX YEAR ENDED DECEMBER 2017, COMMUNITY HOSPITAL HAD 8,603 PATIENT DAYS, 16,140 EMERGENCY ROOM VISITS, 11,990 URGENT CARE VISITS, 42,566 PRIMARY CARE VISITS, 3,654 ONCOLOGY INFUSIONS AND PERFORMED 3,250 SURGERIES. DURING THE TAX YEAR, THE HOSPITAL WAS ABLE TO PROVIDE CHARITY CARE SERVICES TO THOSE WHO COULD NOT OTHERWISE AFFORD NECESSARY MEDICAL CARE. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT/OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 2,002,330 FOR CHARITY CARE, 111,746,645 FOR MEDICARE, 41,401,428 FOR MEDICAID, AND 59,615,616 FOR OTHER THIRD PARTY PAYORS. 111280548 true false false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false true true false false false false false true true true false false true 160 0 true 1061 true true true false false false false false false false false false X 10 9 false true false false false false false true true false false true true true true true true true true true false CO X JON HOOKER 9702576295 2351 G ROAD GRAND JUNCTION CO 81505 SAM STARRITT CHAIR 1.50 X X 0 0 0 JANET BRINK VICE CHAIR 1.50 X X 0 0 0 TAREK ARJA SECRETARY 1.50 X X 0 0 0 TODD YOUNG TREASURER 1.50 X X 0 0 0 JJ STROH BOARD MEMBER 1.50 X 0 0 0 DALE ROOKS BOARD MEMBER 1.50 0.80 X 0 0 0 DEAN HAVLIK BOARD MEMBER 1.50 X 0 0 0 DEEDRA COPELAND SHEAR BOARD MEMBER 1.50 X 0 0 0 MARK HARRINGTON BOARD MEMBER 1.50 X 0 0 0 TODD HEGSTROM BOARD MEMBER 1.50 X 0 0 0 LARRY KENT BOARD MEMBER 1.50 X 0 0 0 MIKE DANIELS BOARD MEMBER 1.50 X 0 0 0 DAVE VARGO BOARD MEMBER 1.50 X 0 0 0 DANNY MISTRY BOARD MEMBER 1.50 X 0 0 0 ED JOHLMAN CFO 40.00 X 201687 0 14984 CHRISTIAN THOMAS CEO 40.00 0.80 X 0 0 0 SCOT HOUSKA CCO 40.00 X 182146 0 9154 JOHN SKILLICORN EXEC DIR PHY 40.00 X 166637 0 17082 DAVID MURRAY CCO THRU JAN 40.00 X 155370 0 2110 BRENT WOODSON PHYSICIAN 36.00 X 499297 0 25814 JO ANNE VIRGILIO PHYSICIAN 36.00 X 487601 0 27715 JACK BAGLEY PHYSICIAN 36.00 X 430809 0 24996 WILLIAM MOELLER PHYSICIAN 36.00 X 430788 0 15077 JONATHAN KING PHYSICIAN 40.00 X 420461 0 23988 2974796 160920 78 false true false MEDICAL SOLUTIONS INC 1010 N 102ND ST SUITE 300 OMAHA NE 68114 NURSING STAFF 1849449 COMMUNITY ANESTHESIA CONSULTANTS IN 2754 COMPASS DRIVE SUITE 300 GRAND JUNCTION CO 81506 PHYSICIAN SERVI 1846746 MEDTRONIC USA 4642 COLLECTION CENTER DR CHICAGO IL 60693 HEALTHCARE PROF 816206 QUORUM HEALTH RESOURCES LLC 105 CONTINENTAL PLACE BRENTWOOD TN 37027 MANAGEMENT 740658 MAYO COLLABORATIVE SERVICES INC 200 1ST STREET SW ROCHESTER MN 55905 LAB SERVICES 530359 39 43120 76913 120033 NET PATIENT SERVICE REVENUE 621110 124142259 124142259 PHARMACY REVENUE 621110 2971705 2971705 127113964 445210 445210 34556 51191 -16635 -16635 -16635 73041 33917 39124 39124 CAFETERIA REVENUE 900099 493029 493029 HEALTHCARE MANAGEMENT, LLC 900099 343267 343267 OTHER REVENUE 900099 286457 286457 345818 345818 1468571 129170267 127113964 343267 1593003 X 749173 749173 48145018 42865039 5272202 7777 971043 867675 103211 157 8278420 7300930 976187 1303 3465001 3001948 461797 1256 740658 740658 297085 297085 112500 112500 13959545 12441429 1518116 322808 433 322375 4740833 4329952 410769 112 1959267 1959267 678481 585687 92412 382 170677 60197 110480 6318276 5477191 837609 3476 5185202 4439931 742191 3080 1139474 481270 658204 MEDICAL SUPPLIES & DRUGS 25003103 25003103 OTHER EXPENSE 5123080 283398 4839406 276 REPAIRS & MAINTENANCE 1947916 1884789 63127 LICENSES 336337 330459 5878 245389 1927117 -1683021 1293 129889286 111280548 18589626 19112 1377337 3131487 4613640 15762914 19491844 2253906 281519 2882538 2737393 682846 1075988 106502633 28787061 81616659 77715572 -187266 -471937 2282769 3373067 108425853 110194423 10807224 14280665 116399 71515733 62255407 1137347 9295422 83460304 85947893 X 24965549 24246530 24965549 24246530 108425853 110194423 -719019 X false true X true false X false false false false false false false false true 2402 2402 false SCHEDULE C, PART II-B, LINE 1 THE HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. THE HOSPITAL PAYS MEMBERSHIP DUES TO COLORADO HOSPITAL ASSOCIATION. THE ASSOCIATION USES A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 4041532 4041532 60908926 5245788 55663138 4978947 323374 4655573 36479796 23217899 13261897 93432 93432 77715572 CAPITAL LEASE OBLIGATIONS 7684678 DEFERRED COMPENSATION 1344608 ESTIMATED THIRD-PARTY PAYOR SETTLEME 266136 9295422 X SCHEDULE D, PAGE 3, PART X THE HOSPITAL AND FOUNDATION ARE ORGANIZED AS COLORADO NONPROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). THE HOSPITAL AND FOUNDATION ARE ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THEY ARE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. SIMILARLY, THE HOSPITAL AND FOUNDATION ARE EXEMPT FROM STATE INCOME TAXES UNDER SIMILAR PROVISIONS OF STATE LAWS. THE HOSPITAL FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. INCOME TAX EXPENSE, IF ANY, IS INCLUDED IN OTHER EXPENSES IN THE CONSOLIDATED STATEMENT OF OPERATIONS. THE HOSPITAL AND FOUNDATION BELIEVE THAT THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING THEIR ANNUAL FILING REQUIREMENTS, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. true true true X true X 1.500000000000 true true false true true 744245 744245 0.00570 33732969 19471586 14261383 0.10980 962468 581256 381212 0.00290 35439682 20052842 15386840 0.11850 278468 278468 0.00210 278468 278468 0.00210 35718150 20052842 15665308 0.12060 true 2483879 24228960 32438918 -8209958 X true true GRAND JUNCTION MEDIC PROPERTY RENTAL 0.10000 0.40000 CANYON VIEW ASC LLC AMBULATORY SURGERY CENTER 0.51000 0.49000 PHYSICIANS CHOICE RE PROPERTY RENTAL 0.63000 0.37000 COMMUNITY HEALTH PRO INSURANCE LIAISON 0.50000 0.50000 1 1 COMMUNITY HOSPITAL 2351 G ROAD GRAND JUNCTION CO 81505 YOURCOMMUNITYHOSPITAL.COM 011119 X X X COMMUNITY HOSPITAL 1 false false true X X X X X X X X X X 15 true true true true X YOURCOMMUNITYHOSPITAL.COM X SEE PART V LINE 7D X X true 15 true SEE PART V LINE 7D false false true X 100.000000000000 150.000000000000 X X X X X true true X X X true X YOURCOMMUNITYHOSPITAL.COM/BILLING.CFM X YOURCOMMUNITYHOSPITAL.COM/BILLING.CFM X YOURCOMMUNITYHOSPITAL.COM/BILLING.CFM X X X X X true X false X X X X true X false true FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 5 COMMUNITY HOSPITAL WAS AN ACTIVE PARTICIPANT IN THE CHNA IN COLLABORATION WITH THE MESA COUNTY HEALTH DEPARTMENT AND A NUMBER OF OTHER LOCAL HOSPITALS AND ORGANIZATIONS IN MESA COUNTY. PRIMARY DATA WAS COLLECTED FROM SUBJECT MATTER EXPERTS AND COMMUNITY MEMBERS THROUGH FOCUS GROUPS, INFORMAL INTERVIEWS, AND ELECTRONIC SURVEYS. FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 6A THE CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: FAMILY HEALTH WEST HOSPITAL, ST. MARYS HOSPITAL & REGIONAL MEDICAL CENTER, AND MIND SPRINGS HOSPITAL, INC. FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 6B THE CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER ORGANIZATIONS: MESA COUNTY HEALTH DEPARTMENT, HILLTOP, AND MARILLAC CLINIC. FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 7D CHNA AND IMPLEMENTATION STRATEGY ON HOSPITAL WEBSITE AS FOLLOWS: HTTPS://YOURCOMMUNITYHOSPITAL.COM/COMMUNITY_HEALTH_NEEDS_ASSESSMENT.CFM CHNA ON OTHER WEBSITE AS FOLLOWS: HTTP://HEALTH.MESACOUNTY.US/SERVICES/COMMUNITY/DATA-REPORTS/ FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 11 COMMUNITY HOSPITAL WAS AN ACTIVE PARTICIPANT IN PREVIOUS CHNA IN COLLABORATION WITH THE MESA COUNTY HEALTH DEPARTMENT AND A NUMBER OF OTHER LOCAL HOSPITALS AND ORGANIZATIONS IN MESA COUNTY. THIS COLLABORATIVE APPROACH ENABLED THE GROUP TO IDENTIFY AREAS WHERE THE VARIOUS ORGANIZATIONS MIGHT WORK TOGETHER TO ACHIEVE NEEDED IMPROVEMENTS. COMMUNITY HOSPITAL HAS BEEN UTILIZING THIS ASSESSMENT AS A GUIDE FOR PROVIDING PROGRAMS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS IN SUPPORT OF THE COLLABORATORS AND WITH THE MISSION OF OUR ORGANIZATION "TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE." WE DO NOT HAVE ADEQUATE RESOURCES TO SOLVE ALL PROBLEMS IDENTIFIED. SOME ISSUES IDENTIFIED ARE BEYOND THE MISSION OF THE HEALTH SYSTEM 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 PLAN AS PROVIDING GUIDANCE AROUND HOW WE, ALONG WITH OTHER AREA ORGANIZATIONS AND AGENCIES, CAN COLLABORATE TO MAKE THE BEST MEDICAL CARE AVAILABLE TO THE CITIZENS OF OUR COMMUNITY. ACCESS TO HEALTH CARE - COMMUNITY HOSPITAL HAS BEEN VERY SUCCESSFUL IN ITS MISSION TO RECRUIT NEW PRIMARY CARE PROVIDERS IN THIS SERVICE AREA. WE HAVE GROWN THE NUMBER OF PROVIDERS IN OUR EMPLOYMENT MODEL AND WE HAVE ASSISTED OUR COMMUNITY PARTNER PRACTICES BY RECRUITING PROVIDERS INTO THEIR BUSINESSES. IN ADDITION, WE HAVE PROVIDED PRACTICE MANAGEMENT SERVICES AND AN ELECTRONIC MEDICAL RECORDS SYSTEM TO ENHANCE THE OPERATIONS OF OUR LOCAL HEALTH DEPARTMENTS SAFETY NET CLINIC TO IMPROVE ACCESS TO UNINSURED AND UNDERINSURED COMMUNITY MEMBERS. WE HAVE ALSO EXPANDED OUR DIRECT CONTRACT RELATIONSHIPS WITH EMPLOYER GROUPS IN THE COMMUNITY TO PROVIDE 24/7 PRIMARY CARE SERVICES AT A MINIMAL COST TO THE EMPLOYEES AND HEALTH PLAN MEMBERS WITHIN THEIR POPULATIONS. COMMUNITY HOSPITAL CONTINUES TO ADD MORE EMPLOYED PROVIDERS IN THE FORM OF PRIMARY CARE, URGENT CARE, OBSTETRICS, GYNECOLOGY AND MIDWIFERY. FOR IMPROVED CUSTOMER SERVICE, WEVE LAUNCHED A PRIMARY CARE CALL CENTER TO ASSIST PATIENTS WITH HEALTHCARE NEEDS AND TO STREAMLINE THE COMMUNICATION PROCESS BETWEEN PATIENT AND PROVIDER. OVER THE PAST YEAR, WEVE EXPANDED OUR COMMUNITY HEALTH PARTNERSHIP EMPLOYER INITIATIVE TO INCLUDE A NARROW FACILITY NETWORK ALONG WITH THE PRIMARY CARE MEDICAL CLINIC DIRECT ARRANGEMENTS. THIS ENHANCEMENT INCREASES ACCESS AND LOWERS THE COST OF HEALTHCARE FOR EMPLOYERS WITH WHICH WE PARTNER. IN ADDITION, WEVE EXPANDED THE PRIMARY CARE ACCESS FOR OUR DIRECT CONTRACT EMPLOYER GROUPS TO INCLUDE OTHER PRIVATE PRACTICES IN THE SERVICE AREA. TO THIS END, WEVE EXTENDED OUR CURRENT EMPLOYER GROUP PARTNERSHIPS FOR ADDITIONAL PLAN YEARS AND ADDED A NEW EMPLOYER PARTNER WHO HAS ALSO AGREED TO A MULTI-YEAR AGREEMENT. THE CHP PARTNERS HOTLINE, CREATED TO ASSIST EMPLOYER HEALTH PLAN MEMBERS WITH QUESTIONS AND HELP THEM NAVIGATE THE HEALTH CARE SYSTEM, CONTINUES TO GROW WITH THE VOLUME OF PHONE CALLS. THE PRIMARY CARE PRACTICES ARE ENGAGED IN THE PROCESS TO BECOME PATIENT CENTERED MEDICAL HOMES. ADDITIONALLY, COMMUNITY HOSPITAL HAS PARTNERED WITH BOTH THE UNIVERSITY OF UTAH HEALTH PLANS AND ANTHEM BLUE CROSS BLUE SHIELD TO OFFER AN INSURANCE PRODUCT SPECIFICALLY FOR SMALL EMPLOYER GROUPS (2+ EMPLOYEES). THESE GROUPS PREVIOUSLY DID NOT HAVE ACCESS TO HEALTH CARE, OR IT WAS COST PROHIBITIVE. THE ADDITION OF THESE PRODUCTS IN OUR MARKETS IMPROVES ACCESS TO AFFORDABLE HEALTHCARE. TOBACCO USE - COMMUNITY HOSPITAL CONTINUES TO PARTNER WITH LOCAL AGENCIES TO PROVIDE SERVICES WHERE THERE ARE GAPS WITH TOBACCO CESSATION RESOURCES. WEVE OFFERED CLASSES TO THE COMMUNITY AND TO OUR EMPLOYER GROUP PARTNERS. WE CONTINUE TO OFFER CLASSES, WHEN REQUESTED, TO THE EMPLOYER GROUPS AND HAVE INCREASED ATTENTION TO INDIVIDUALS THROUGH ONE-ON-ONE INTERACTIONS WITH OUR HEALTH CARE TEAM, ESPECIALLY OUR HEALTH COACH/HEALTH PROMOTION TEAM. ALTHOUGH WE HAVE INDIVIDUALS CERTIFIED TO TEACH THESE CLASSES, THEY ARE NOT WELL UTILIZED AT THIS TIME. WE WILL CONTINUE TO PROMOTE THIS SERVICE OFFERING TO OUR COMMUNITY HEALTH PARTNERSHIP EMPLOYER GROUPS. OBESITY - WE HAVE FORMED A COMMUNITY HOSPITAL INTERDISCIPLINARY POPULATION HEALTH MANAGEMENT TEAM THAT IS FOCUSING ON DIABETES. WERE DEVELOPING AUTOMATED COMMUNICATION PLATFORMS IN THE AREAS OF OUR EMERGENCY DEPARTMENT, URGENT CARE FACILITIES, PRIMARY CARE FACILITIES AND IN THE TRANSITION PHASES WHEN A PATIENT IS ADMITTED AND WHEN THE PATIENT IS DISCHARGED; TRANSITIONING THE CARE AND APPROPRIATE CLINICAL INFORMATION TO THE APPROPRIATE OUTPATIENT PROVIDER/SERVICE. OUR TARGET POPULATION PILOT GROUPS ARE OUR EMPLOYER GROUPS WHO HAVE CONTRACTED WITH US FOR PRIMARY CARE SERVICES AS WELL AS PATIENTS WHO UTILIZE OUR SYSTEM. WE HAVE HIRED RN CARE COORDINATORS WHO QUARTERBACK THE TEAM OF PROVIDERS; WHICH NOW INCLUDES OUR HEALTH COACH/CARE COORDINATORS AS EXTENDERS. WE HAVE SUPPORTED THE LOCAL DIABETES COUNTS PROGRAM FOR YOUNG DIABETICS AND HAVE COORDINATED EFFORTS WITH OTHER LOCAL INITIATIVES. CREATED AND SUPPORTED BY AN INTERDISCIPLINARY TEAM, WEVE ALSO LAUNCHED A NEW WEIGHT MANAGEMENT PROGRAM, PROJECT U, FOR COMMUNITY MEMBERS. WE WILL CONTINUE TO WORK WITH OTHER COMMUNITY AGENCIES. COMMUNITY HOSPITAL IS PROGRESSING TOWARD A DIABETES CENTER OF EXCELLENCE AND A BARIATRIC CENTER OF EXCELLENCE. THE TWO DEPARTMENTS ARE NOW CO-LOCATED WITH THE HEALTH COACHING TEAM, WHICH PROVIDES STRENGTH IN PROMOTION OF DEPARTMENT SPECIFIC PROGRAMS TO TARGET AUDIENCES, PREVENTION OF DUPLICATION OF PROGRAMS AND OPPORTUNITIES TO COLLABORATE ON MORE EFFECTIVE PROGRAM DEVELOPMENT. COMMUNITY PROVIDES OUTREACH TO EMPLOYER GROUPS FOR WELLNESS AND LIFESTYLE PROGRAMS, PERFORMS AND HOSTS COMMUNITY WIDE COOKING CLASSES, SELF-MANAGEMENT PROGRAMS, HEALTH EDUCATION PROGRAMS AS WELL AS DIABETES SPECIFIC SUPPORT GROUPS AND EDUCATION, SKILL-BUILDING SESSIONS. WELLNESS CHALLENGES ARE ALSO PROVIDED THROUGH EMPLOYER GROUP WELLNESS COMMITTEES AND INCLUDE A VARIETY OF WELLNESS TOPICS AND INCENTIVES FOR PARTICIPANTS THROUGHOUT THE YEAR. WE CONTINUED TO WORK WITH OUR CHP EMPLOYER GROUP PARTNERS TO REMOVE THE FINANCIAL BARRIERS FOR UTILIZING OUTPATIENT NUTRITION AND DIABETES SERVICES. THESE RESOURCES ARE NOW COVERED THROUGH THE MEMBERS HEALTH PLAN AT EITHER A ZERO COPAY OR LOW COPAY, ALLOWING INCREASED ACCESS FOR NUTRITION AND DIABETES EDUCATION. COMMUNITY HAS ALSO PARTNERED WITH OTHER AGENCIES ON A GRANT FUNDED DIABETES PREVENTION PROGRAM AIMED TO PROVIDE EDUCATION TO COMMUNITY MEMBERS IDENTIFIED AS PRE-DIABETIC. WE REFER MEMBERS TO THIS NO-COST PROGRAM AND PROVIDE SPACE FOR PROGRAM CLASSES TO TAKE PLACE. OUR LIFESTYLE MEDICINE PROGRAM WAS INTRODUCED AS A PILOT IN 2016, AND RESULTS HAVE PROVED SIGNIFICANT FOR TWO PARTICIPATING CHP EMPLOYER PARTNERS. OUTCOMES INCLUDE WEIGHT LOSS, INCREASED MEDICATION COMPLIANCE, DECREASED MEDICATION DOSAGE/DEPENDENCE, DECREASED A1C, AS WELL AS INCREASED CONFIDENCE/BELIEF THAT HEALTH IS A SKILL. WE WILL CONTINUE TO OFFER THIS PROGRAM AT A REDUCED COST, WHICH IS PAID FOR BY THE EMPLOYER. AS AN INITIATIVE THROUGH OUR PRACTICES, STEPS ARE BEING TAKEN TO PERFORM POPULATION HEALTH MANAGEMENT FOR PATIENTS AND EMPLOYER GROUPS IN OUR SYSTEM. EFFORTS TO ALIGN REPORTS FROM OUR MEDICAL RECORD SYSTEM AND OTHER DATA RESOURCES CONTINUE TO EVOLVE, BUT CONTINUE TO PRESENT CHALLENGES FOR OUTCOMES MEASUREMENT. WE HAVE CREATED A PILOT PROGRAM WITH MESA COUNTY VALLEY SCHOOL DISTRICT 51 TO EFFECTIVELY MANAGE THEIR DIABETIC POPULATION. FOLLOWING HEDIS MEASURES, IF DIABETICS SEE THEIR PRIMARY CARE PROVIDER AND DIABETIC EDUCATOR ON A QUARTERLY BASIS, THE DISTRICT WILL PAY FOR ALL DIABETIC MEDICATIONS. ADDITIONALLY, THEY WILL EARN A 150 QUARTERLY STIPEND TO HELP OFFSET THE EXPENSE OF DIABETIC SUPPLIES. THIS PROGRAM HAS PROVEN SUCCESSFUL WITH 58 PARTICIPANTS SUCCESSFULLY MANAGING THEIR DIABETES. OUTCOMES INCLUDE WEIGHT LOSS, DECREASED A1C, DECREASED MEDICATION DOSAGE/DEPENDENCE, AND INCREASED MEDICATION COMPLIANCE. SCREENING AND EARLY DETECTION - WITH OUR COMMUNITY HEALTH PARTNERSHIP WORKSITE WELLNESS PROGRAM, WE HAVE CONTINUED TO IMPROVE THE NUMBER OF PARTICIPANTS IN OUR ONSITE HEALTH SCREENINGS. WE HAVE ALSO REMOVED FINANCIAL BARRIERS FOR ANNUAL SCREENING AND EARLY DETECTION OPPORTUNITIES THROUGH OUR PLAN DESIGN FOR OUR OWN HEALTH PLAN MEMBERS. OUR ENHANCEMENT WITH THE HEALTH DEPARTMENT CLINIC HAS ALSO INCREASED THIS CAPACITY IN OUR COMMUNITY AS WELL. THROUGH THE CHP EMPLOYER GROUPS SUITE OF SERVICES, COMMUNITY HOSPITAL OFFERS AND CONDUCTS LOW COST COMPREHENSIVE ONSITE HEALTH SCREENINGS AND WORKSITE WELLNESS SERVICES TO ASSIST EMPLOYERS IN REDUCING THEIR HEALTHCARE COSTS, PROMOTE EDUCATION AND KNOWLEDGE ON NAVIGATING THE HEALTH CARE SYSTEM AND PROVIDE BASELINE HEALTH INFORMATION SO MEMBERS HAVE THE RESOURCES TO TAKE APPROPRIATE STEPS TO IMPROVE THEIR HEALTH. THE EMPLOYERS ALSO PAY FOR COMMUNITYS HEALTH COACH SERVICE WHICH ALLOWS ANY EMPLOYER PARTNERS HEALTH PLAN MEMBER VISITS UP TO TWELVE TIMES PER YEAR FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 13H COMMUNITY HOSPITAL MAY MAKE A PRESUMPTION OF ELIGIBILITY ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE HOMELESSNESS, PATIENT DECEASED WITH NO KNOWN ESTATE, AND OTHER CIRCUMSTANCES. THE FACILITY MAY USE OUTSIDE AGENCIES IN DETERMINING ESTIMATED INCOME AMOUNTS FOR PRESUMPTIVE CHARITY CARE ELIGIBILITY. FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 16J SUMMARY ON WEBSITE, POSTED IN ER AND WAITING ROOMS, POSTED IN ADMISSIONS OFFICES, AND PROVIDED ON ADMISSION. FAP APPLICATION WEBSITE: HTTPS://YOURCOMMUNITYHOSPITAL.COM/BILLING.CFM FACILITY 1, COMMUNITY HOSPITAL - PART V, LINE 24 ALL INDIVIDUALS ELIGIBLE UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY ARE PROVIDED A DISCOUNT FOR MEDICALLY NECESSARY CARE. THE FINANCIAL ASSISTANCE POLICY DOES NOT APPLY TO CERTAIN ELECTIVE PROCEDURES. THEREFORE, FAP- ELIGIBLE PATIENTS WITHOUT INSURANCE MAY BE CHARGED GROSS CHARGES ON ELECTIVE PROCEDURES. 12 GRAND VALLEY MEDICAL ONCOLOGY 2596 F ROAD GRAND JUNCTION CO 81505 OUTPATIENT MEDICAL INFUSION GRAND VALLEY PRIMARY CARE 603 28 1/4 ROAD GRAND JUNCTION CO 81506 PRIMARY PHYSICIAN CARE THERAPY WORKS AT COMMUNITY HOSPITAL 2004 N 12TH STREET GRAND JUNCTION CO 81501 REHABILITATION PROGRAMS OCCUPANTIONAL HEALTH 2004 N 12TH STREET GRAND JUNCTION CO 81501 EMPLOYMENT RELATED EXAM SERVICES GRAND VALLEY URGENT CARE 1060 ORCHARD AVE SUITE N GRAND JUNCTION CO 81501 URGENT MEDICAL SERVICES EAP BEHAVORIAL HEALTH SERVICES 605 AB 28 1/4 ROAD GRAND JUNCTION CO 81501 COUNSELING SERVICES COLORADO MESA UNIVERSITY STUDENT HE 1060 ORCHARD AVE SUITE N GRAND JUNCTION CO 81501 STUDENT MEDICAL SERVICES COLORADO WEST WOMAN CARE OF THE GRA 603 28 1/4 ROAD GRAND JUNCTION CO 81506 OBSTETRICS & GYNECOLOGY INTERNAL MEDICINE ASSOC OF THE GRAN 607 28 1/4 ROAD GRAND JUNCTION CO 81506 INTERNAL MEDICINE FRUITA FAMILY MEDICINE GRAND VALLEY 551 KOKOPELLI DR SUITE F GRAND JUNCTION CO 81501 OUTPATIENT PHYSICIAN PRACTICE GRAND VALLEY ENT & FACIAL 2373 G ROAD SUITE 270 GRAND JUNCTION CO 81505 ENT & FACIAL GRAND VALLEY PEDIATRICS 601 B 28 1/4 ROAD GRAND JUNCTION CO 81506 PEDIATRICS PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE IN ADDITION TO FPL, THE ORGANIZATION USED AN ASSET TEST IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THE ORGANIZATION ALSO TOOK INSURANCE STATUS AND MEDICAL INDIGENCY INTO CONSIDERATION. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. LINE 7B WAS DETERMINED USING THE OVERALL COST TO CHARGE RATIO. LINES 7F AND 7I ARE ACTUAL EXPENSES FROM THE GENERAL LEDGER. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COST-TO-CHARGES FOR AMOUNTS REPORTED IN THE TABLE (TOTAL OPERATING EXPENSES, LESS NON-PATIENT CARE ACTIVITIES AND TOTAL COMMUNITY BENEFIT EXPENSES) FOR LINES 7A AND 7B. THE COSTS ON LINE 7E, 7F AND 7I INCLUDE THE DIRECT AND INDIRECT COSTS AS ALLOWED FOR IN WORKSHEETS 4, 5 AND 8. LINE 7G UTILIZED A COST-TO-CHARGE RATIO USING THE MEDICARE COST REPORT AS FILED. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE BAD DEBT DOES NOT INCLUDE AMOUNTS THAT WOULD BE ATTRIBUTABLE TO CHARITY CARE. BAD DEBT ON LINE 2 IS REPORTED AT CHARGES. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS AND ALSO INCLUDES THE PROVISION FOR BAD DEBTS. PART III, LINE 8 - MEDICARE EXPLANATION THE MEDICARE COST REPORT FOR THE YEAR WAS USED TO DETERMINE THE AMOUNT OF THE MEDICARE SHORTFALL. THE HOSPITAL ESTIMATES 100% SHOULD BE CONSIDERED A COMMUNITY BENEFIT. IF THESE INDIVIDUALS DID NOT QUALIFY FOR MEDICARE, THEY WOULD QUALIFY FOR FINANCIAL ASSISTANCE, BASED ON THE DEMOGRAPHICS OF THE COMMUNITY IN WHICH WE OPERATE. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION PART OF THE HOSPITALS FINANCIAL ASSISTANCE AND CHARITY CARE POLICY PROVIDES FOR A FINANCIAL COUNSELOR TO MEET WITH ALL UNINSURED PATIENTS PRIOR TO DISCHARGE FROM THE HOSPITAL. EVERY EFFORT IS MADE TO WORK WITH SELF-PAY PATIENTS TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY. COLLECTIONS ACTIONS ARE NOT TAKEN UNTIL ELIGIBILITY IS DETERMINED. PART VI, LINE 2 - NEEDS ASSESSMENT COMMUNITY HOSPITAL DEVELOPS ITS STRATEGIC PLAN BOTH INTERNALLY AND SUPPORTED BY QUORUM HEALTH RESOURCES TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES. THIS PLAN INCLUDES MARKET ASSESSMENT OF THE SERVICE AREA AND LOCAL DEMOGRAPHIC CHARACTERISTICS, CLINICAL SERVICE LINE UTILIZATION AND PROJECTIONS FOR INPATIENT, AMBULATORY, AND PROVIDER PRACTICES. CLINICAL FOCI RESULTING FROM THE SAME ARE DIABETES, OBESITY, AND PRIMARY CARE ACCESS. A LINK TO THE MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL: HTTPS://YOURCOMMUNITYHOSPITAL.COM/COMMUNITY_HEALTH_NEEDS_ASSESSMENT.CFM PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART OF THE HOSPITALS WRITTEN FINANCIAL ASSISTANCE AND CHARITY CARE POLICY PROVIDES FOR FINANCIAL COUNSELORS TO MEET WITH ALL UNINSURED PATIENTS PRIOR TO DISCHARGE. THE HOSPITALS BILLING TEAM MAY ALSO INFORM PATIENTS OF THE HOSPITALS FINANCIAL ASSISTANCE AND CHARITY CARE PROGRAM. PART VI, LINE 4 - COMMUNITY INFORMATION THE HOSPITALS PRIMARY SERVICE AREA IS WESTERN COLORADO AND THE RESIDENTS OF MESA COUNTY. MESA COUNTYS POPULATION IS APPROXIMATELY 150,000 WITH 15% OF THE POPULATION BEING OVER THE AGE OF 65. COMMUNITY HOSPITAL CAPTURES 15.9% OF THE AREAS HEALTHCARE MARKET FOR THOSE PATIENTS REQUIRING INPATIENT STAYS. MESA COUNTY AND THE SURROUNDING LOCAL AREA HAS BEEN IDENTIFIED AS A PHYSICIAN SHORTAGE AREA. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE HOSPITAL IS GOVERNED BY A 12-MEMBER BOARD OF TRUSTEES COMPOSED OF SEVEN MESA COUNTY, COLORADO, COMMUNITY MEMBERS AND FIVE MEMBERS OF THE HOSPITAL STAFF WHO ARE ALL COMMITTED TO FULFILLING THE FOLLOWING MISSION STATEMENT: COMMUNITY HOSPITAL WILL IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. THE COMMUNITY MEMBERS USE THEIR UNIQUE EXPERIENCE AND ABILITIES TO LEAD THE HOSPITAL IN DIRECTIONS THAT SUPPORT THE NEEDS OF THE COMMUNITY. false false false false false false false true false ED JOHLMAN CFO 201687 6155 8829 216671 SCOT HOUSKA CCO 182146 5197 3957 191300 JOHN SKILLICORN EXEC DIR PHYS SRVS 166637 5271 11811 183719 DAVID MURRAY CCO THRU JAN 2017 155370 1172 938 157480 BRENT WOODSON PHYSICIAN 499297 13286 12528 525111 JO ANNE VIRGILIO PHYSICIAN 487601 14934 12781 515316 JACK BAGLEY PHYSICIAN 430809 12438 12558 455805 WILLIAM MOELLER PHYSICIAN 430788 9491 5586 445865 JONATHAN KING PHYSICIAN 420461 11430 12558 444449 SCHEDULE J, PAGE 1, PART I, LINE 3 THE CEO IS AN EMPLOYEE OF QUORUM HEALTH RESOURCES. THE BOARD OF DIRECTORS OF COLORADO WEST HEALTHCARE SYSTEM UTILIZES THE METHODS DESCRIBED ON LINE 3 IN NEGOTIATING THE CONTRACT FOR CEO SERVICES WITH QUORUM. SCHEDULE J, PAGE 1, PART I, LINE 7 QUORUM HEALTH RESOURCES, A MANAGEMENT COMPANY, COMPENSATES THE CEO. HIS COMPENSATION INCLUDES A SET AMOUNT PLUS A BONUS IF CERTAIN CRITERIA ARE MET. THE BONUS ELIGIBILITY IS BASED ON A SCORECARD OF THIRTEEN METRICS, FOCUSED AROUND THE PILLARS OF EXCELLENCE - QUALITY, SERVICE, FINANCIAL, GROWTH, AND PEOPLE. KELLY MISTRY MD BOARD FAMILY 228581 EMPLOYMENT false THE PATHOLOGY GROUP PC BOARD OWNED 136329 PATHOLOGY CONTRACT false FORM 990, PAGE 2, PART III, LINE 4A OF PROVIDING CARE TO THESE PATIENTS WAS 2,002,330 FOR CHARITY CARE, 111,746,645 FOR MEDICARE, 41,401,428 FOR MEDICAID, AND 59,615,616 FOR OTHER THIRD PARTY PAYORS. FORM 990, PAGE 6, PART VI, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIRPERSON, VICE CHAIRPERSON, TREASURER, SECRETARY, CHIEF OF STAFF, AND THE PRESIDENT/CEO. THE EXECUTIVE COMMITEE SHALL MEET UPON THE CALL OF THE CHAIRPERSON TO: A. REVIEW UPCOMING BOARD OF TRUSTEE MEETINGS. B. ACT ON BEHALF OF THE BOARD OF TRUSTEES BETWEEN REGULAR OR SPECIAL MEETINGS OF THE BOARD AND THEN REPORT ACTIONS TO THE BOARD OF TRUSTEES. C. COMMUNICATE TO KEEP THE BOARD OF TRUSTEES, MEDICAL STAFF AND ADMINISTRATION OF THE HOSPITAL AWARE OF PERTINENT ACTIONS TAKEN OR CONTEMPLATED BY ONE OR THE OTHER, AND TO MAKE RECOMMENDATIONS TO THE BOARD OF TRUSTEES ON MAJOR EXPENDITURES. D. CONSIDER ISSUES AFFECTING MEDICAL CARE THAT ARISE IN THE OPERATION AND AFFAIRS OF THE HOSPITAL. E. PERFORM THE ANNUAL EVALUATION OF THE PRESIDENT/CEO. F. PERFORM ANY OTHER ACTIONS THE BOARD OF TRUSTEES DEEMS NECESSARY, AS INSTRUCTED BY THE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 3 THE HOSPITAL HAS A MANAGEMENT AGREEMENT WITH QUORUM HEALTH RESOURCES. CHRISTIAN THOMAS, CEO, IS COMPENSATED BY QUORUM HEALTH RESOURCES. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE HOSPITALS ACCOUNTING STAFF AND ADMINISTRATION, INCLUDING THE CEO, CONTROLLER, AND COMPLIANCE OFFICER WHO REVIEW THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A REVISED DRAFT IS THEN REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS OFF ON THE FORM 8879-EO BEFORE THE RETURN IS E-FILED BY THE PREPARER. FORM 990, PAGE 6, PART VI, LINE 12C THE HOSPITALS CONFLICT OF INTEREST POLICY IS MAINTAINED AND MANAGED BY THE CHIEF COMPLIANCE OFFICER ON AN ANNUAL BASIS. ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM AND SUBMIT IT TO THE COMPLIANCE DEPARTMENT. THAT DOCUMENTATION IS REVIEWED BY AND RETAINED BY THE COMPLIANCE OFFICER. ANY CONFLICTS OF INTEREST THAT ARISE ARE ADDRESSED BY THE COMPLIANCE DEPARTMENT AND THE BOARD OF TRUSTEES. ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO NOTIFY THE FACILITY OF ANY CHANGES DURING THE YEAR. FORM 990, PAGE 6, PART VI, LINE 15A COMMUNITY HOSPITAL IS A QUORUM HEALTH RESOURCES MANAGED HOSPITAL WHEREBY THE CEO IS AN EMPLOYEE OF THE MANAGEMENT COMPANY. QUORUM CONDUCTS NATIONAL WAGE SURVEYS TO SUGGEST MARKET RATES FOR CEO AND CFO SALARIES BASED ON HOSPITAL REVENUE. THE FINAL SALARY IS DETERMINED BY THE BOARD BASED ON THIS INFORMATION AND LOCAL MARKET CONDITIONS. FORM 990, PAGE 6, PART VI, LINE 15B SEE FORM 990, PART VI, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS, POLICIES AND PROCEDURES, AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST ON A CASE BY CASE BASIS. FORM 990, PART IX, LINE 11G OTHER FEES 12,441,429 1,518,116 0 COMMUNITY HOSPITAL FOUNDATION 2351 G ROAD GRAND JUNCTION CO 81505 742576856 FUNDRAISE CO 501C3 12C COLORADO WEST HEALTHCARE SYSTEM true PHYSICIANS CHOICE REAL ESTATE LLC 2012 N 12TH ST GRAND JUNCTION CO 815012980 841601063 REAL ESTAT CO COLORADO WEST HEALTHCARE SYSTEM RELATED 102175 1546945 false true 0.62940 CANYON VIEW ASC 2373 G ROAD SUITE 180 GRAND JUNCTION CO 81505 455352976 AMBULATORY CO COLORADO WEST HEALTHCARE SYSTEM RELATED -248054 1535118 false true 0.51000 DOCTOR'S CLINIC BUILDING INC 2351 G ROAD GRAND JUNCTION CO 81505 840507943 REAL ESTAT CO COLORADO WEST HEALTHCARE SYSTEM C CORP 201159 419263 1.00000 true false false false true true false false false false false true false false true true true true false false CANYON VIEW ASC LLC D 1997057 FMV PHYSICIANS CHOICE REAL ESTATE LLC K 391617 CASH DOCTOR'S CLINIC BUILDING INC K 201159 CASH