2018-05-28T11:45:24-07:00 2017-12-31 990 2017-01-01 840447998 LOWER VALLEY HOSPITAL ASSOCIATION LOWE 9708582228 228 N Cherry Street / PO Box 130 Fruita CO 81521 Diane Miller CFO 9708582228 2018-05-29 2017 2022-09-23 18:48:47Z FAMILY HEALTH WEST MARK FRANCIS 228 N Cherry Street PO Box 130 Fruita CO 81521 53221407 0 X FHW.ORG X 1946 CO ADDRESS THE HEALTH CARE NEEDS OF THE GREATER FRUITA COMMUNITY AND PROVIDE HEALTHCARE SERVICES WITHOUT REGARD TO RACE, AGE, HANDICAP, CREED OR NATIONAL ORIGIN. PROVIDE THOSE SERVICES TO INDIVIDUALS OF ALL INCOME LEVELS CONSISTENT WITH OUR FINANCIAL ABILITY TO DO SO. 12 12 690 31 0 0 339816 346792 49360482 52272708 222375 151140 362684 450767 50285357 53221407 0 0 0 0 27100093 28053688 0 0 0 21800193 23562416 48900286 51616104 1385071 1605303 49303469 61535950 37973987 48601165 11329482 12934785 X ADDRESS THE HEALTHCARE NEEDS OF THE GREATER FRUITA COMMUNITY AND PROVIDE HEALTHCARE SERVICES WITHOUT REGARD TO RACE, AGE, HANDICAP, CREED OR NATIONAL ORIGIN. PROVIDE THOSE SERVICES TO INDIVIDUALS OF ALL INCOME LEVELS CONSISTENT WITH OUR FINANCIAL ABILITY TO DO SO. 1 1 30239179 48960 39582245 LOWER VALLEY HOSPITAL ASSOCIATION OPERATES COLORADO CANYONS HOSPITAL AND MEDICAL CENTER A 16 BED SWING AND ACUTE CARE CRITICAL ACCESS HOSPITAL. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, PROVIDES CHARITY CARE AND OTHER ASSISTANCE TO ENSURE ACCESS TO THESE SERVICES IN OUR COMMUNITY. OUR INPATIENT SERVICES ARE 70% TO 80% MEDICARE. THIS FACILITY SUPPORTS OUR MEDICAID BASED NURSING HOME AND ASSISTED LIVING FACILITY. OUTPATIENT SUPPORT INCLUDES 59% MEDICAID PEDIATRIC OUTPATIENT THERAPY. 4968328 12213 4718526 THE ORGANIZATION OPERATES A NURSING HOME PROVIDING UNSKILLED NURSING CARE AND SERVICES. THE FACILITY DOES NOT LIMIT THE PERCENTAGE OF MEDICAID THAT ARE ADMITTED TO THE FACILITY. THE TOTAL NUMBER OF LICENSED BEDS IS 60. THE FACILITY OPERATES WITH AN 80% TO 90% MEDICAID PAYOR MIX. THIS FACILITY OPERATES AT A LOSS AND IS SUPPORTED BY THE HOSPITAL. 3124497 0 3222788 THE ORGANIZATION OPERATES TWO ASSISTED LIVING FACILITIES THAT PROVIDE RESIDENTIAL ACCOMMODATIONS AND LIMITED HEALTHCARE SERVICES TO THE ELDERLY AND DISABLED FOR A TOTAL BED COUNT OF 96. THE WILLOWS IS DEDICATED TO RESIDENTS WITH DEMENTIA AND IS A SECURED FACILITY. THE OAKS ASSISTED LIVING OPERATES ON A 70% + MEDICAID PAY MIX AND IS SUPPORTED THROUGH THE HOSPITAL. 7021730 0 4859282 THE ORGANIZATION SPONSORS CLINICS TO ENSURE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY. THESE OPERATIONS ARE NOT LIMITED TO ANESTHESIA, EMERGENCY PROVIDERS, HOSPITALIST AND RADIOLOGIST. 123466 285619 285619 THE MISSION OF THE FAMILY HEALTH FOUNDATION IS TO PROVIDE SUSTAINABLE FUNDING TO ENSURE THE ORGANIZATION'S ABILITY TO CONTINUOUSLY PROVIDE COMPREHENSIVE HEALTHCARE SERVICES TO OUR COMMUNITY. 7145196 285619 5144901 45477200 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 86 0 1 690 1 0 0 0 0 0 1 1 0 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CO X Diane Miller 9708582228 228 N Cherry Street / PO Box 130 Fruita CO 81521 Randy Brown Trustee 2 0 X 0 0 0 Lindsay Gray Trustee 2 0 X 0 0 0 Tim Sarmo Trustee 2 0 X 0 0 0 Vanessa McClellan DO Trustee Physician 2 0 X 0 0 0 Korrey Klein MD Director Inpatient Trustee 4 0 X 18000 0 0 Errol Snider Trustee Former Officer 40 0 X 47335 0 0 Michael Neste MD Chief of Medical Staff 40 0 X X 384197 0 0 Troy Griffiths DPM Trustee Director of Wound Center 40 0 X X 385412 0 0 Blaine Buck Chair 4 X 0 0 0 Kenneth Palmer CPA Vice Chair 2 0 X 0 0 0 Mark Francis Secretary 40 0 X 312972 0 0 Lori Randall Assistant Secretary 40 0 X 191609 0 0 Tom Oliver Treasurer 2 0 X 0 0 0 Larry Tice Physician Director of Surgery 40 0 X 309213 0 0 Brian Belnap Anesthesiologist 40 0 X 320784 0 0 Peter Scheffel Physician Director of Orthopedics 40 0 X 494027 0 0 2463549 0 0 28 0 1 0 Western Valley Family Practice 281 N Plum Fruita CO 81521 Hospitalist Contractor 514234 Brownstein Hyatt Farber Schreck LL 410 17th Street Suite 2200 Denver CO 80202 Legal Services 338983 Fusion Medical Staffing LLC PO Box 82674 Lincoln NE 68501 Contracted Employees 187802 Jaws LLC PO Box 1401 Grand Junction CO 81502 Rental Property Services 182529 GCC MFE West LLC CO Wells Fargo Bank 359 Main Street Grand Junction CO 81501 Property Rental 137663 8 0 0 157987 0 0 188805 0 346792 Hospital Acute Care 622000 39484325 39484325 0 0 Nursing Home 623110 4706313 4706313 0 0 Assisted Living 623312 3222788 3222788 0 0 Physician Clinics and Offices 621110 4859282 4859282 0 0 0 0 0 0 52272708 57367 57367 0 0 93773 93773 0 0 450767 450767 0 0 0 0 0 0 0 0 0 0 0 0 0 0 157987 0 53221407 52874615 0 0 0 0 0 0 0 0 0 0 2284763 1710962 573801 0 0 0 0 0 20160967 16331000 3829967 0 581628 439221 142407 0 3466631 2617853 848778 0 1559699 1177819 381880 0 508506 508506 0 69411 69411 0 362071 362071 0 0 0 0 0 0 0 0 0 0 0 0 0 455372 455372 0 0 205761 205761 0 0 191759 191759 0 0 0 0 0 0 1368946 1368946 0 0 3845 3845 0 0 0 0 0 0 0 0 0 2467620 2467620 0 0 0 0 0 0 3696307 3696307 0 0 537031 537031 0 0 Supplies 8681964 8681964 0 0 Medical Contracted Services 3319893 3319893 0 0 Equipment Rental 92114 92114 0 0 Repairs and Maintenance 1439151 1439151 0 0 162665 162665 51616104 45477200 6138904 0 12940506 20035537 4672781 4338844 0 0 7499658 11016520 0 0 0 0 0 0 1223701 1231316 788786 2964500 49919420 28036893 22111331 21882527 0 0 0 0 0 0 0 0 66706 66706 49303469 61535950 6335653 5479354 0 0 0 0 26740000 41400000 0 0 0 0 4898334 1721811 0 37973987 48601165 X 11329482 12934785 0 0 0 0 11329482 12934785 49303469 61535950 1605303 0 0 0 0 0 X 1 X 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 315742 0 315742 24208920 0 13147855 11061065 8207660 0 4657552 3550108 14050589 0 10138085 3912504 3136509 0 93401 3043108 21882527 53070269 0 0 0 450770 450770 52619499 0 601908 601908 53221407 49151141 0 0 0 2515981 2515981 46635160 0 4980944 4980944 51616104 Schedule D, Part XI, Line 2d Bond interest, rebates, cafeteria, beauty shop, miscellaneous reveneu. Schedule D, Part XI, Line 4b Bond interest, rebates, cafeteria, beauty shop, miscellaneous reveneu. Schedule D, Part XII, Line 2d Bond interest, rebates, cafeteria, beauty shop, miscellaneous revenue. Schedule D, Part XII, Line 4b Bond interest, rebates, cafeteria, beauty shop, miscellaneous revenue. Red Barron Ball 85000 85000 0 0 0 0 0 0 0 0 0 85000 85000 0 0 0 0 0 0 0 0 0 1 1 1 X 1 X 1 1 0 1 1 225400 1266889 0 0 1492289 0 0 0 40000 3557044 0 0 0 3597044 0 0 0 0 0 5089333 0 0 0 1 1266889 190033 5340643 6175933 -835290 X 1 1 1 1 Colorado Canyons Hospital & Medical Center 300 W Ottley Fruita CO 81521 FHW.ORG 2511OC X X X X Colorado Canyons Hospital & Medical Center 1 0 0 1 X X X X X X X X X 17 1 1 1 1 X FHW.ORG X htpp://http://health.mesacounty.us/services/community/data-reports/ 1 17 1 FHW.ORG 0 0 1 X 200 399 X X X X X 1 1 X X X X 1 X FHW.ORG X FHW.ORG X FHW.ORG X X X X X 1 X 0 X 1 X 0 0 Schedule H, Part V, Section B, Line 5-Colorado Canyons Hospital & Medical Center Mesa County Health Department Schedule H, Part V, Section B, Line 6a-Colorado Canyons Hospital & Medical Center Mesa County created a community needs assessment for St. Mary's Hospital, Community Hospital and Colorado Canyons Hospital & Medical Center. Schedule H, Part V, Section B, Line 6b-Colorado Canyons Hospital & Medical Center Mesa County created a needs assessment and updates for years 2015 through 2017. Schedule H, Part V, Section B, Line 11-Colorado Canyons Hospital & Medical Center We have continued to support a campus wide no smoking policy and offer help to current smokers with a stop smoking program. We have started exercise programs and incentives to employees to focus on long term disease prevention. We provide space in our building free of charge to the Mesa County Department of Health and Human Services to help with family planning and vaccinations. We provide free space to a mental health agency for suicide prevention. We provide space free of charge to Hospice for mental and physical health care. Mesa County job placement, food stamps and WIC are provided space free of charge in our building. Our Access Clinic provides quick and low cost access to a physician for the un- and under- insured community. We do not limit the number of Medicare or Medicaid patients we take care of providing low cost healthcare to our community. We provide free education to the community by hosting seminars on health care topics led by physicians in the community. Schedule H, Part V, Section B, Line 22d-Colorado Canyons Hospital & Medical Center The Hospital used the charge master and discounted according to income level eligible discounting guidelines. 4 Physician Services 551 Kokopelli Blvd Fruita CO 81521 Physician Clinics and supporting services. Courtyard Care Center 228 N Cherry Street Fruita CO 81521 Long Term Care Nursing Facility. No Medicare Part A beds. Oaks Assisted Living 805 West Ottley Fruita CO 81521 State Licensed Assisted Living Facility for 70 beds that accepts unlimited number of Medicaid. Willows Assisted Living 243 North Cherry Street Fruita CO 81521 State Licensed Secure Assisted Living Facility with 26 memory care beds. Schedule H, Part I, Line 6a Mesa County Health Department conducted a health needs assessment in conjunction with St Mary's, Community and Colorado Canyons Hospitals. Schedule H, Part I, Line 7 From audited financial statements and cost report. The loss of the eldercare facilities and physician clinics. Schedule H, Part I, Line 7g The loss of the physician clinic is 2,068,489 Schedule H, Part III, Section A, Line 4 Bad Debt cost obtainable for cost reprot. Schedule H, Part III, Section B, Line 8 We do not limit the number of Medicare patients we see. We accept the lower payment rate for our communitiy. Schedule H, Part III, Section C, Line 9b Debt collection efforts follow the allowable practices. Schedule H, Part VI, Line 2 The Community Needs assessment was gathered through the Mesa County Health Department. Schedule H, Part VI, Line 3 Patient financial assistance is part of our discharge process and given to the patients at time of discharge. Payment arrangements and assistance are offered to all patients. These forms and policies are available on our website and in the hospital at time of service. Schedule H, Part VI, Line 4 Quality home-town health care is provided in our rural community covering people through every stage of life. Schedule H, Part VI, Line 5 Our community organization may use our meeting facilities for meetings. We provide health education and support at local farmer's markets and town events. We sponsor fitness activities for the community. X X X 0 0 0 0 0 0 0 0 0 Michael Neste MD Chief of Medical Staff 384197 0 0 0 0 0 0 0 0 0 384197 0 0 0 Troy Griffiths DPM Trustee Director of Wound Center 385412 0 0 0 0 0 0 0 0 0 385412 0 0 0 Mark Francis Secretary 312972 0 0 0 0 0 0 0 0 0 312972 0 0 0 Lori Randall Assistant Secretary 191609 0 0 0 0 0 0 0 0 0 191609 0 0 0 Larry Tice Physician Director of Surgery 309213 0 0 0 0 0 0 0 0 0 309213 0 0 0 Brian Belnap Anesthesiologist 320784 0 0 0 0 0 0 0 0 0 320784 0 0 0 Peter Scheffel Physician Director of Orthopedics 494027 0 0 0 0 0 0 0 0 0 494027 0 0 0 A City of Fruita 846000669 359428AC3 2008-04-10 28000000 Replacement Hospital and Debt Consolidation 1 0 0 B City Of Fruita 846000669 00359427A 2017-12-19 33600000 Healthcare Hospital Expansion 0 0 0 A 0 28000000 28000000 0 29359164 697500 0 1961459 0 2009 0 0 0 1 B 0 0 33600000 2310912 0 24331029 680000 0 0 1974353 0 4303706 2019 0 1 0 1 A 0 0 0 0 0 0 0 1 0 1 B 0 0 0 0 0 0 0 0 0 1 A 0 0 0 0 0 0 1 Citigroup Financial Partner .215 1 0 1 B 0 1 0 0 0 0 1 Citigroup Financial .215 1 0 1 A 1 B 1 Form 990, Part III, Line 2 ESTABLISHED A WELLNESS PROGRAM FOR EMPLOYEES AND SENIORS IN THE COMMUNITY. ESTABLISHED A PROGRAM FOR BALANCE CONTROL IN THE SENIOR COMMUNITY. STARTED FIRST PRACTICE FOR ORTHOPEDIC SPORTS MEDICINE IN THE FRUITA COMMUNITY AND HIGH SCHOOL. PLACED AN ATHLETIC TRAINER AT THE HIGH SCHOOL AND SPORTS GAMES. SPONSORED A PROJECT IN CONJUNCTION WITH ENGINEERING STUDENTS AT LOCAL UNIVERSITY TO RETROFIT SMALL ELECTRIC CARS FOR PEDIATRIC PATIENTS THROUGH OUR THERAPY DEPARTMENT. Form 990, Part III, Line 3 STOPPED PROVIDING OB/GYN OFFICE CARE THROUGH PHYSICIAN PRACTICE. Form 990, Part III, Line 4d The mission of the Family Health Foundation is to provide sustainable funding to ensure the organization's ability to continuously provide comprehensive healthcare services to our community. Form 990, Part VI, Section A, Line 2 There are two physicians who work in the same family practice on our board. There are two physicians who work for the same hospital on our board. We have a bank account at the bank one of our board members works at. Two of the family physicians on our board cover hospitalist shifts at our hospital. Five of the board members work for the same organization. Form 990, Part VI, Section B, Line 11b Reviewed by the Finance Committee and approved by the board. Form 990, Part VI, Section B, Line 12c Any discussion that would involve a member who may have a conflict was performed with the member not present and their vote was not administered. Form 990, Part VI, Section B, Line 15 The CEO is selected and reviewed annually by the board. Compensation is determined by the board. Wage analysis is performed for all key positions and reviewed by the executive leadership team. Form 990, Part VI, Section C, Line 19 Annual financial statements are available to the public in our annual report which is mailed to the community and posted on our web page. Our Governing board is provided with the 990 and monthly financial statements along with conflict of interest statements. These are also provided upon request. Filing could not be completed until Cost Report audit was performed.