SOUTHWEST HEALTH SYSTEM INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHWEST HEALTH SYSTEM INC (EIN 84-1337350)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201813199349303181
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-15T09:21:12-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4310 17th Ave S PO Box 2545 | AddressLine1Txt |
| City | Fargo | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 581082545 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 841337350 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southwest Health System Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 9705656666 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1311 North Mildred | AddressLine1Txt |
| City | Cortez | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81321 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Anthony Sudduth | PersonNm |
| Person Title | Interim CEO | PersonTitleTxt |
| Phone | 9705656666 | PhoneNum |
| Signature | 2018-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim C Hunwardsen | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 7012398500 | PhoneNum |
| Preparation | 2018-11-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 216.147.170.229 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-15 | IPDt |
| IP Tm | 08:30:56 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 66CC91E6B7F11C4783FFFA5645E675327CB67316 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B602D594AFD2B0B327E07A06F36CA6A7E42546D0 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Anthony Sudduth | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1311 North Mildred | AddressLine1Txt |
| City | Cortez | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81321 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $58,314,656 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.swhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | To provide quality healthcare to our community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 546 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,815,390 | PYContributionsGrantsAmt |
| CY Contributions Grants | $568,791 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $64,891,396 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $57,653,201 | CYProgramServiceRevenueAmt |
| PY Investment Income | $63,153 | PYInvestmentIncomeAmt |
| CY Investment Income | $82,834 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$565,552 | PYOtherRevenueAmt |
| CY Other Revenue | $9,830 | CYOtherRevenueAmt |
| PY Total Revenue | $69,204,387 | PYTotalRevenueAmt |
| CY Total Revenue | $58,314,656 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,158,946 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,893,325 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,325,555 | PYOtherExpensesAmt |
| CY Other Expenses | $28,360,979 | CYOtherExpensesAmt |
| PY Total Expenses | $58,484,501 | PYTotalExpensesAmt |
| CY Total Expenses | $65,254,304 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,719,886 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$6,939,648 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $55,063,464 | TotalAssetsBOYAmt |
| Total Assets EOY | $63,195,440 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,581,615 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,662,370 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,481,849 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,533,070 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide the highest quality health care to our community by bringing excellence and service together to promote, improve and restore health. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $49,939,734 | ExpenseAmt |
| Revenue | $57,653,201 | RevenueAmt |
| Desc | During 2017, Southwest Health Systems served approximately 40,597 inpatients and outpatients, 36,692 patients were served through our physician clinics, and 14,351 patients were seen in our emergency room. | Desc |
| Total Program Service Expenses | $49,939,734 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 546 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rick Schrader | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9705642153 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1311 North Mildred | AddressLine1Txt |
| City | Cortez | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81321 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Paul Deshayes | |||||||
| Chair | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Scott Steeves | |||||||
| Vice Chair/CRNA | 1.50 | Yes (X) | Yes (X) | $117,574 | $0 | $0 | |
| Steve Fusco | |||||||
| Sec/Treas (Jan-Aug)/Trustee (Aug-Dec) | 5.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Tom Rice | |||||||
| Sec/Treas (Aug-Dec) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Dan Valverde | |||||||
| Trustee (Jan-Aug) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Dolores Sheets | |||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| Terry Cook | |||||||
| Trustee/Podiatrist | 41.00 | Yes (X) | $320,743 | $0 | $30,500 | ||
| Kyle Cruzan | |||||||
| Trustee | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| William Kent Rogers | |||||||
| CEO | 40.00 | Yes (X) | $242,631 | $0 | $35,543 | ||
| Angela Kobel | |||||||
| CFO | 40.00 | Yes (X) | $149,545 | $0 | $14,174 | ||
| Kevin Matteson | |||||||
| General Surgery | 40.00 | $485,354 | $0 | $48,820 | Yes (X) | ||
| Randy Davidson | |||||||
| ER Physician | 48.60 | $402,271 | $0 | $33,559 | Yes (X) | ||
| Douglas Bagge | |||||||
| Orthopedic Surgeon | 40.00 | $508,791 | $0 | $36,249 | Yes (X) | ||
| David Buckwalter | |||||||
| ER Physician | 44.10 | $338,246 | $0 | $26,306 | Yes (X) | ||
| Peter Razma | |||||||
| Clinic Physician | 40.00 | $405,912 | $0 | $27,948 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,971,067 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $253,099 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 57 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Impact Advisors | |||||
| Box 379 | Naperville | IL | 605660379 | Business Consulting | $902,635 |
| Managing IT 4 U | |||||
| 125 S Yale | Villa Park | IL | 60181 | Business Consulting | $244,050 |
| QHR | |||||
| 1573 Mallory Lane Suite 200 | Brentwood | TN | 37027 | Business Consulting | $186,635 |
| Patrick McLaughlin | |||||
| 575 Rivergate Ln Ste 109 | Durango | CO | 81301 | Pain Management Physicians | $161,000 |
| Animas Spine | |||||
| 575 Rivergate Ln Ste 109 | Durango | CO | 81301 | Spine Care Clinic | $150,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $568,791 | GovernmentGrantsAmt |
| Total Contributions | $568,791 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621400 | $54,223,996 | $54,223,996 |
| Sales and Use Tax Revenue | 900099 | $1,345,270 | $1,345,270 |
| Pharmacy | 446110 | $1,222,366 | $1,222,366 |
| Meaningful Use Medicare | 621400 | $246,308 | $246,308 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $615,261 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $615,261 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $57,653,201 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,139 | TotalRevenueColumnAmt |
| Exclusion | $62,139 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,830 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,830 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,830 | TotalRevenueColumnAmt |
| Exclusion | $9,830 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,695 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,695 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,695 | TotalRevenueColumnAmt |
| Exclusion | $20,695 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,314,656 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $57,653,201 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $92,664 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $923,504 | TotalAmt |
| Program Services | $341,087 | ProgramServicesAmt |
| Management And General | $582,417 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,490,844 | TotalAmt |
| Program Services | $24,068,149 | ProgramServicesAmt |
| Management And General | $5,422,695 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,339 | TotalAmt |
| Program Services | $255,727 | ProgramServicesAmt |
| Management And General | $64,612 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,371,295 | TotalAmt |
| Program Services | $2,805,922 | ProgramServicesAmt |
| Management And General | $1,565,373 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,787,343 | TotalAmt |
| Program Services | $1,394,350 | ProgramServicesAmt |
| Management And General | $392,993 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,395 | TotalAmt |
| Management And General | $64,395 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,738 | TotalAmt |
| Management And General | $128,738 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,279,125 | TotalAmt |
| Program Services | $2,142,378 | ProgramServicesAmt |
| Management And General | $2,136,747 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,537,747 | TotalAmt |
| Program Services | $1,753,743 | ProgramServicesAmt |
| Management And General | $784,004 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,694 | TotalAmt |
| Program Services | $702,694 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,294 | TotalAmt |
| Program Services | $76,722 | ProgramServicesAmt |
| Management And General | $24,572 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,173 | TotalAmt |
| Program Services | $85,615 | ProgramServicesAmt |
| Management And General | $98,558 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,311 | TotalAmt |
| Program Services | $493,311 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,952,048 | TotalAmt |
| Program Services | $1,952,048 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provision for Bad Debts | $5,374,152 | $5,374,152 | |
| Medical Supplies | $3,962,979 | $3,962,979 | |
| Equipment Rental and Ma | $3,526,911 | $1,374,751 | $2,152,160 |
| Printing and Publicatio | $41,111 | $22,288 | $18,823 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,012,301 | TotalAmt |
| Program Services | $3,133,818 | ProgramServicesAmt |
| Management And General | $1,878,483 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,254,304 | TotalAmt |
| Program Services | $49,939,734 | ProgramServicesAmt |
| Management And General | $15,314,570 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,951,124 | BOYAmt |
| EOY | $974,156 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,300,000 | BOYAmt |
| EOY | $1,091,524 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,601,418 | BOYAmt |
| EOY | $12,074,242 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $7,517 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,370,969 | BOYAmt |
| EOY | $1,427,110 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,041,564 | BOYAmt |
| EOY | $1,384,455 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $74,219,493 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $35,740,560 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,727,648 | BOYAmt |
| EOY | $38,478,933 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,924,350 | BOYAmt |
| EOY | $5,797,876 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,146,391 | BOYAmt |
| EOY | $1,959,627 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,063,464 | BOYAmt |
| EOY | $63,195,440 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,838,996 | BOYAmt |
| EOY | $11,096,630 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,208,861 | BOYAmt |
| EOY | $25,804,187 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $562,557 | BOYAmt |
| EOY | $283,970 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $200,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $971,201 | BOYAmt |
| EOY | $1,277,583 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,581,615 | BOYAmt |
| EOY | $38,662,370 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,978,889 | BOYAmt |
| EOY | $24,282,665 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,502,960 | BOYAmt |
| EOY | $250,405 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,481,849 | BOYAmt |
| EOY | $24,533,070 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,063,464 | BOYAmt |
| EOY | $63,195,440 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$6,939,648 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$9,131 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,915 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,915 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The lobbying expense is the allocable portion of dues paid to CHA and AHA disclosed as lobbying activity. The organizations provide the percentage to use for allocation purposes. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,500 | OtherCostOrOtherBasisAmt |
| Book Value | $83,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,105,643 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,611,774 | DepreciationAmt |
| Book Value | $11,493,869 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,871,023 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,711,291 | DepreciationAmt |
| Book Value | $3,159,732 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,159,327 | OtherCostOrOtherBasisAmt |
| Depreciation | $417,495 | DepreciationAmt |
| Book Value | $23,741,832 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $38,478,933 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third Party Payor Settlements | $999,533 |
| Deferred Compensation Liability | $278,050 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,277,583 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $52,931,373 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$9,131 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$5,374,152 | OtherRevenueAmt |
| Revenue Not Reported | -$5,383,283 | RevenueNotReportedAmt |
| Revenue Subtotal | $58,314,656 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $58,314,656 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $59,880,152 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $59,880,152 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $5,374,152 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $5,374,152 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $65,254,304 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Health System is organized as a nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Health System is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Hospital is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Health System believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Health System would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 2d - Other Adjustments: | Provision for Bad Debts Reported in Expenses for Tax Purposes -5,374,152. |
| Part XII, Line 4b - Other Adjustments: | Provision for Bad Debts Reported in Expenses for Tax Purposes 5,374,152. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $133,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $133,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,915,662 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,238,254 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,677,408 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04470 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,048,662 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,238,254 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,810,408 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04690 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,384 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,384 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,518,877 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,832,314 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,686,563 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11170 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,185 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,543,446 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,832,314 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,711,132 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11220 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,592,108 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,070,568 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,521,540 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15910 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,374,152 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $16,012,599 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $16,071,980 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$59,381 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 Southwest Healthnet | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | PHO Insurance Contract Management | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.51000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.49000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southwest Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1311 North Mildred | AddressLine1Txt |
| City | Cortez | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81321 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.swhealth.org | WebsiteAddressTxt |
| State License | 012206 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southwest Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.swhealth.org/about/chna | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.swhealth.org/about/chna | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.swhealth.org/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.swhealth.org/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.swhealth.org/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Southwest Memorial Hospital | Part V, Section B, Line 5: Southwest Health System conducted online surveys, paper surveys, in-person interviews, and collected information through heavy community engagement. Surveys were conducted by the marketing department, law enforcement, the public health department, and community ambassadors.For the Community Health Needs Assessment Survey, Southwest Health System received community input from 223 area residents; survey responses started October 24, 2016 and ended with the last response on Friday, November 4th, 2016. Southwest Health System also conducted a separate survey regarding obstetrics and pediatrics from April 1st, 2016 to April 28th, 2016 with a total of 144 respondents for feedback and opinions about service availability and needs for the community. This survey was conducted online through the SHS Marketing Department, Rocky Mountain Medicaid Care Coordinators, and sent through numerous community coalitions and distribution groups for community related information. The terms of gaining input stipulated each respondent would remain anonymous; the internet based survey was promoted through email lists of health coalitions, law enforcement, public health, and community advocacy groups, paid advertisement through social media, and distributed to local civic and health organizations with a request for participation. Low-Income/Medically Underserved/Minority Representation Groups: Nurse Family Partnership- Spanish speaking client and administrator, Southwest Open School Parents, Women Infant Children Program Administrator and clients, Montezuma County Veterans Services Administrator and clients, Bridge Homeless Shelter Administration and Day labor client, Behavioral Health counselor at Axis, Montezuma County School District, Montezuma County Employee, Pinon Project, Mancos Food Share, Good Samaritan, Ute Mountain Ute Tribal Leadership, Ute Mountain Ute Tribal HR, School-Based Health Center Clinical Staff, Dove Creek Clinic, Recovery Center Administrator. Other: Dolores Fire, TeamUP, Aflac Insurance, Montezuma County Commissioner, City of Cortez Mayor, Montezuma County Sheriff's Office, Cortez Police Department, Osprey Packs, Montezuma County Health Department, Southwest Health System Staff, Cortez Fire, Cortez Chamber of Commerce. |
| Southwest Memorial Hospital | Part V, Section B, Line 11: The items with the most significant needs or issues included healthcare cost, maternal and child health, diabetes, alcohol and substance abuse and cancer. Healthcare Cost: Southwest Health System provides Patient Financial Counseling to all community members, regardless of income level. We support state and federal initiatives to address uninsured and under insured population groups and have recently changed our internal financial assistance plan (FAP) from 250% FPL to 400% FPL. Our facility partners with the Pinon Project in Montezuma County to provide additional financial resources to navigate insurance in the service area. We participate in Southwest HealthNet, a Physician Hospital Organization (PHO) to provide additional access to healthcare resources with partner healthcare practices and also assists with workers compensation in the service area. We will continue to participate in all managed care plans that help us improve access for members of communities we serve, and reduce financial burdens of healthcare needs to consumers.Maternal and Child Health: Southwest Health System added 1 Obstetrics provider in 2016 for a total of 3 in the Southwest Medical Group family and partners with Hope Barkhurst, MD as an additional provider of obstetric services in the service area. Southwest Health System has engaged with a family practice obstetrics provider which will bring us to 4 full-time OB providers by December of 2017. We will also add another location to address a large gap in services in Dolores, Colorado. We also provide in-school healthcare services including family planning services to help curb the teen birth numbers in our community.Diabetes: Southwest Health System Diabetes Education provides individual sessions where patients can meet with a diabetes educator. Educational sessions can be tailored to meet the specific needs of the individual. A referral from the patient's provider is required. Diabetes Education provides group sessions which includes a free six week class to learn about diabetes. The class topics include: Understanding diabetes and monitoring blood sugars, healthy eating and carbohydrate counting, medications and physical activity, high and low blood sugar management, understanding diabetes related complications, living with diabetes. Anyone can attend. We also provide pre-diabetes classes in a group setting in which participants discuss risk factors and healthy behaviors needed to manage prediabetes and possibly prevent or delay the onset of Type 2 diabetes. Classes are held at the hospital campus. Diabetes Education provides a diabetes support group that meets on the first Wednesday each month at 3:30 pm at the hospital. The class provides an opportunity for people with any type of diabetes to learn new information and share their experiences to help them manage living with diabetes. A participant does not need a referral from their provider. Nutrition Education works closely with diabetes education and is led by a Registered Dietitian and Nutritionist who provides nutrition counseling and education including but not limited to: weight loss, childhood obesity, diabetes, celiac disease, cancer, Crohn's and Ulcerative Colitis, heart disease, IBS, kidney disease, and weight gain. The Nutrition Education Department at SHS also provides family counseling, meal planning, grocery store tours, and classroom education for community members including youth, and cooking tutorials. They also host a Weight Loss Surgery support group on the first Thursday of each month.Alcohol and Substance Abuse: Southwest Health System partners with Axis Health System to provide mental and behavioral health crisis services in the Emergency Department as needed. We employ medical social workers who support physicians and patients for an integrated health care model. Southwest Health System is a part of the Axis Intergovernmental Detox Facility agreement and provides payment on behalf of the Montezuma County Sheriff's Office and Cortez Police Department to support the detox center operated in Durango, Colorado. We work closely with other agencies to actively monitor mental and behavioral health trends, policy, and community needs so we can quickly respond to better serve our community. We plan to engage in mental and behavioral health telemedicine in the ER to improve initial assessment time for crisis services, which include assessment to those dealing with substance abuse. This service will start to improve care coordination and should eventually lower the cost of care for alcohol, substance, and crisis related interventions. Southwest Health System supports the Bridge Shelter both with tangible and monetary donations to ensure proper care for homeless community members.Cancer: Southwest Health System is developing an arrangement to offer oncology services at Southwest Medical Group Specialty Clinic one day per week and to consult with the Infusion Clinic located on the Southwest Memorial Hospital Campus. Southwest Health System collaborates with the Women's Wellness Connection to provide free and low cost preventative screenings and treatment for breast and cervical cancers to women who meet certain criteria. Southwest Health System purchased a 3D mammography system in 2016, also referred to as Digital Breast Tomosynthesis (DBT) Southwest Health System hosts an Infusion Clinic on the Mildred Road campus. Our foundation provides emergency assistance to cancer patients to help with expenses incurred while undergoing cancer treatment.In 2017 Southwest Health System continued the construction on the New Patient Wing and Medical Office Building to help address the needs above.We were not able to address the following needs identified in the comments section of the 2016 Community Health Needs Assessment because they were out of our scope of work; we were unable to provide personnel to meet those needs; we were unable to recruit to fill the need; another organization currently fulfills that need; and we were unable to expand our line of services to fill that particular need. The needs identified were providing programs for stress management, hosting and managing a smoking cessation program, refocusing on population health and creating a community-wide preventative health program, hiring a rheumatologist, and building an inpatient drug rehab and detox center within Montezuma County. |
| Southwest Memorial Hospital | Part V, Section B, Line 16j: Policy communication is included in the quarterly newsletter. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Southwest Memorial Primary Care | ||||
| 33 North Elm | Cortez | CO | 81321 | Rural Health Clinic |
| 2 - Cortez Primary Care | ||||
| 118 North Chestnut | Cortez | CO | 81321 | Rural Health Clinic |
| 3 - Cortez Orthopedics | ||||
| 33 South Market | Cortez | CO | 81321 | Orthopedic Physician Office |
| 4 - Southwest Walk-In Clinic | ||||
| 2095 Dolores Road | Cortez | CO | 81321 | Rural Health Clinic |
| 5 - SW Memorial Hospital Draw Station | ||||
| 111 North Park | Cortez | CO | 81321 | Lab Draw Station |
| 6 - Mancos Valley Clinic | ||||
| 111 Railroad Ave | Mancos | CO | 81328 | Rural Health Clinic |
| 7 - SW Memorial Physicians | ||||
| 33 South Market | Cortez | CO | 81321 | Physician Office |
| 8 - Red Rock Podiatry | ||||
| 1280 N Mildred Rd | Cortez | CO | 81321 | Clinic |
| 9 - Four Corners Surgical | ||||
| 111 North Park | Cortez | CO | 81321 | Surgical Center |
| 10 - Southwest School-Based Health Center | ||||
| 418 South Sligo Street | Cortez | CO | 81321 | Rural Health Clinic |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | In addition to the FPG, the Organization considers medical indigency when determining eligibility for financial assistance. |
| Part I, Line 7: | The organization used a cost-to-charge ratio for lines 7a. Unreimbursed Medicaid was calculated using the cost report and analyzing the Medicare ratio of cost to charge for the respective cost centers. The information for lines 7e and 7i was derived from information in the general ledger and other financial data related specifically to the various types of community benefits. |
| Part I, Line 7g: | The amounts reported in Subsidized Health Services includes costs of $6,505,261 for a rural health clinic. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 5,374,152. |
| Part III, Line 2: | The bad debt on line 2 is reported at charges. The Health System reports patient accounts receivable for services rendered at net realizable amounts from third party payers, patients, and others. The Health System provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. |
| Part III, Line 4: | The footnote to the organization's financial statements that describes bad debt expenses can be found on page eight of the attached audited financial statements. |
| Part III, Line 8: | One hundred percent of any shortfall should be treated as community benefit. A facility must be able to recover its costs in order to continue to provide quality care to Medicare patients and the community as a whole. Services are provided to patients under the Medicare program knowing that not all costs associated with providing these services will be recovered. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall is considered a community benefit.Medicare allowable costs of care are based on the Medicare cost report. The Medicare cost report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. |
| Part III, Line 9b: | The Organization refrains from sending patient accounts to collection until 120 days after the date of the first post-discharge billing statement. If a patient applies for financial assistance within 240 days of the date of the first post-discharge billings statement the Organization will pull the accounts from collections. |
| Part VI, Line 2: | The Community Health Needs Assessment (CHNA) is done at least every three years. The CHNA serves as the foundation for developing strategic priorities and goals. In addition to the CHNA data collection and analysis, input is received from medical staff, hospital leadership, and the board. All data is then consolidated into a strategic plan. A CHNA was conducted in 2016, adopted by the board in February 2016. |
| Part VI, Line 3: | Patients are sent letters describing the programs available to assist with their medical bills. The letter explains the process and the documents needed to complete the assistance applications(s). The letter also encourages the patient to check their eligibility with their state Medicaid office. Follow-up appointments are scheduled with financial counselors to complete the assistance applications. |
| Part VI, Line 4: | Geographically, the primary service area (PSA) of SWMH is comprised of seven zip codes within Montezuma County in southwest Colorado. The PSA is situated between the mountains to the east and deserts to the west. Montezuma County is rural and heavily agricultural and very dependent upon tourism. The 2013 population for Montezuma County is estimated to be 26,015 and is expected to increase at a rate of 4.1%, which is in contrast to the 3.9% national rate of growth and the Colorado growth rate of 6.1%. Montezuma County in 2017 anticipates a population of 27,088. According to the population estimates utilized by Truven, provided by the Neilson Company, the 2013 median age for the county is 41.9 years, older than the Colorado median age (36.4 years) and older than the national median age (36.8 years). The 2013 median household income for the area is $41,025, which is lower than the Colorado median income of $55,085 and the national median income of $49,559. Median household wealth value is above the national but below the Colorado value. Median home values show the same pattern as household wealth. Montezuma's unemployment rate as of October 2013 was 7.6%, which is slightly better than the 7.9% statewide and the national civilian unemployment rate. The portion of the population in the county over 65 is 15.2%, well above the Colorado average of 10.8%. The portion of the population of women of childbearing age is 17.1%, considerably below the Colorado average of 20.1%. |
| Part VI, Line 5: | SHS's Board of Directors is comprised of persons who reside in the primary service area (PSA) and are neither employees nor independent contractors of SHS, with the exception of one board member who is a Podiatrist at SHS and one member who is an independent contractor as a CRNA. Medical staff privileges are open to all qualified physicians. Surplus funds are used to improve the care of patients. SHS holds education health seminars, open at no charge to community members, and participates in health fairs with free and low cost screening exams. The partnership with Livewell Colorado was designed to promote healthy lifestyles by assisting with programs that encourage healthy eating and exercise. In 2017, the program continued to assist with the farm to school program which introduces students to farming and eventually leads to students growing their own vegetables in school gardens. In addition, there was also support for the cooking matters program, which teaches health shopping and cooking. There was also a heavy emphasis on eat local eat healthy (ELEH), which promotes eating locally grown products which will benefit the local economy and the general health of the community. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Terry Cook | ||||||||||||||
| Trustee/Podiatrist | $257,295 | $0 | $18,152 | $0 | $45,296 | $0 | $0 | $0 | $30,506 | $0 | $351,249 | $0 | $0 | $0 |
| William Kent Rogers | ||||||||||||||
| CEO | $232,611 | $0 | $0 | $0 | $10,020 | $0 | $5,050 | $0 | $30,498 | $0 | $278,179 | $0 | $0 | $0 |
| Angela Kobel | ||||||||||||||
| CFO | $130,772 | $0 | $0 | $0 | $18,773 | $0 | $3,075 | $0 | $11,104 | $0 | $163,724 | $0 | $0 | $0 |
| Kevin Matteson | ||||||||||||||
| General Surgery | $485,354 | $0 | $0 | $0 | $0 | $0 | $24,000 | $0 | $24,820 | $0 | $534,174 | $0 | $0 | $0 |
| Randy Davidson | ||||||||||||||
| ER Physician | $360,194 | $0 | $0 | $0 | $42,077 | $0 | $16,338 | $0 | $17,226 | $0 | $435,835 | $0 | $0 | $0 |
| Douglas Bagge | ||||||||||||||
| Orthopedic Surgeon | $437,890 | $0 | $0 | $0 | $70,901 | $0 | $5,400 | $0 | $30,855 | $0 | $545,046 | $0 | $0 | $0 |
| David Buckwalter | ||||||||||||||
| ER Physician | $292,430 | $0 | $0 | $0 | $45,816 | $0 | $0 | $0 | $26,311 | $0 | $364,557 | $0 | $0 | $0 |
| Peter Razma | ||||||||||||||
| Clinic Physician | $366,082 | $0 | $20,000 | $0 | $19,830 | $0 | $0 | $0 | $27,953 | $0 | $433,865 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | W. Kent Rogers, CEO, participated in a 457(f) retirement plan. He contributed $10,896 in 2017. There were no employer contributions. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Montezuma County Colorado | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 846000786 | BondIssuerEIN |
| Bond Issued | 2016-11-15 | BondIssuedDt |
| Issue Price | $39,261,315 | IssuePriceAmt |
| Purpose | Construct EMS facility & hospital improvements & refund bond issued 9/27/07 | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $39,261,315 | TotalProceedsAmt |
| Capitalized Interest | $456,933 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $791,139 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $19,200,198 | CapitalExpendituresAmt |
| Other Spent Proceeds | $8,564,261 | OtherSpentProceedsAmt |
| Unspent | $10,248,784 | UnspentAmt |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | 0 | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Terry Cook | PersonNm |
| Relationship With Org | Board Member | RelationshipWithOrgTxt |
| Loan Purpose | Business Loan | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $89,493 | OriginalPrincipalAmt |
| Balance Due | $7,517 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $7,517 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 8b | There are no committees that are able to act on behalf of the board. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is prepared by a third party, reviewed in detail by the Chief Financial Officer, and then submitted to the governing board for review. It is approved by the Board of Directors prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | Conflict of interest policies cover the Board of Directors, senior leadership, department directors, all employees, and volunteers. Potential conflicts are reviewed annually at the level above the individual involved and prohibits or requires disclosure of any conflict. |
| Form 990, Part VI, Section B, line 15a | Annually the Board of Directors review the CEO compensation using regional and national data. Additionally, there was a review of all hospital salaries in November 2017 utilizing data from the Colorado Hospital Association. Annually the CEO reviews the compensation for the CFO and key employees. |
| Form 990, Part VI, Section C, line 19 | Governing documents, conflict of interest policies, and financial statements are all made available to the public upon request. |
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