2014-08-15T19:02:23-07:00 2013-12-31 990 2013-01-01 840447998 LOWER VALLEY HOSPITAL ASSOCIATION LOWE 9708589871 228 North Cherry Fruita CO 81521 Jason McCormick CFO 9708582105 2014-07-31 2013 2015-11-30 17:44:51Z FAMILY HEALTH WEST Jason McCormick 228 N Cherry Fruita CO 81521 39738715 0 X www.familyhealthwest.org X 1949 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. 16 14 687 135 95538 0 1325206 325004 30744569 38944874 103350 96337 410347 218101 32583472 39584316 0 0 0 0 17633258 20568749 37285 0 45127 13951377 16832634 31621920 37401383 961552 2182933 36186065 40587802 36351867 38570670 -165802 2017132 Address the health care needs of the greater Fruita community and provide health care services without regard to race, color, age, handicap, creed or national origin. Provide those services to individuals of all income levels consistent with our ability to do so. 0 0 20905792 272828 27509951 Family Health West operates a 16 bed acute care 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. 7600736 0 7014217 The organization operates a Nursing Home providing unskilled nursing care and services. The facility does not limit the percentage of medicaid residents that are admitted to the facility. The total number of licensed beds is 120. 3284622 41412 3195698 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 116. One of the facilities is dedicated to residents with dimensia. The other provides cared with no cap on the percentage of medicaid residents. 0 0 The organization sponsors clinics to ensure access to primary and specialty care services in the community. These operations include are not limited to Anesthesia, Emergency providers, and Wound Care Clinic. 0 0 0 31791150 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 52 0 1 687 1 0 0 0 0 0 0 0 0 0 0 X 16 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CO X Jason McCormick 9708582166 228 North Cherry Fruita CO 81521 Christopher Wibblesman Director/Chief of Staff 1 X 0 0 0 Korrey Klein Director/Chief of Staff Designee 15 X 32347 0 0 William F Byers Trustee 1 X 0 0 0 Michael Hughes MD Trustee/ER Physician 18 X 61794 0 0 Jeffrey D Freeland Trustee 1 X 0 0 0 Kurtis M Holmes Trustee/ER Physician 21 X 52790 0 0 Kenneth Lewis Trustee/Physician 10 X 36025 0 0 Jerry Hamilton Trustee 1 X 0 0 0 Tom Oliver Trustee 1 X 0 0 0 Tim Sarmo Trustee 1 X 0 0 0 Kristi Pollard Treasurer 1 X 0 0 0 Stacey Mascarenas Vice Chair 1 0 X 0 0 0 Thomas Motz Chair/Physician 13 X 10500 0 0 Lori Henderson Senior Management 40 0 X 180807 0 0 Jason McCormick Assistant Secretary 40 0 X 184965 0 0 Linda Sperry Employee 40 X 114243 0 0 Sandra Horvath-Dori Employee 40 X 170212 0 0 Cheryl Dean Employee 40 X 113771 0 0 Melody White Employee 40 X 116273 0 0 Ronald Taylor Employee 40 X 112012 0 0 Joseph Kupets Doctor 40 X X 206427 0 0 Mark Francis Secretary 40 X X 234160 0 0 Rebecca Glasser Employee 40 0 X X 244168 0 0 Brian Belnap MD Anesthesiologist 20 X X 287222 0 0 David Kirch MD Anesthesiologist 8 X X 305263 0 0 Dennis E Ficklin Former Officer 0 0 X 160463 0 0 Errol Snider Former Officer 0 0 X 201839 0 0 2825281 0 0 14 1 1 0 Dr Fred Barbero MD 2205 Desert Varnish Court Grand Junction CO 81504 Emergency Room Physician 181871 Elizabeth Mensing 2279 Homestead Dr Grand Junction CO 81505 Contracted Doctor 117966 2 0 0 0 0 314240 10764 0 325004 Hospital Acute Care 622000 27114377 27114377 0 0 Nursing Home, Unskilled 623110 7008243 7008243 0 0 Assisted Living, Secured and Unsecured 623312 3067780 3067780 0 0 Physician Clinics and Offices 621110 1754474 1754474 0 0 0 0 0 0 38944874 1276 1276 0 0 95061 95061 0 0 0 0 0 0 218717 0 109465 0 109252 0 109252 109252 0 0 0 0 140472 0 44934 95538 95538 0 Hospital Rebates for supplies 622000 13311 13311 0 0 0 0 0 0 13311 39584316 39163774 95538 0 2269523 2269523 15443786 13373651 2070135 8389 7264 1125 1575379 1364210 211169 1271672 1101213 170459 86790 86790 303008 303008 2808761 2808761 300304 0 255177 45127 192210 192210 342353 342353 1264865 1264865 5510 5510 2372152 2372152 2542649 2542649 321965 321965 Supplies 4415261 4415261 0 0 Medical Contracted Services 203174 203174 0 0 Repairs/Maintenance 258529 258529 0 0 Food 874742 874742 0 0 540361 540361 0 0 37401383 31791150 5565106 45127 5183740 3961951 4447929 9963776 0 0 5393622 4738024 0 0 0 0 0 0 791975 1037871 594738 726797 37054983 17481692 19774061 19573291 586092 36186065 40587802 8233105 6885216 27500000 27500000 618762 1335125 2850329 36351867 38570670 X -165802 2017132 0 0 0 0 -165802 2017132 36186065 40587802 X 2182933 0 0 0 0 1 X 1 X 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 352047 0 352047 26263009 0 11667282 14595727 1853480 0 516504 1336976 206019 0 12680 193339 8380428 0 5285226 3095202 19573291 0 Interest Payable 1100400 Cerner Software Committment 1749929 2850329 39584316 0 0 0 0 0 39584316 0 0 0 39584316 37401383 0 0 0 0 0 37401383 0 0 0 37401383 Red Barron Ball 128681 69917 58764 0 0 0 13132 2009 31620 0 0 128681 69917 58764 0 0 0 13132 2009 31620 46761 12003 1 1 X 1 X 1 X 1 1 0 1 1 219856 3964010 0 0 4183866 0 0 0 1218119 40751 0 0 1258870 0 0 0 0 0 5442736 0 0 0 2 19200 0 1 1200 0 3 0 20400 0 0 0 1 666482 499026 12944236 7410342 5533894 X 1 1 1 1 Family Health West Hospital 300 West Ottley Fruita CO 81521 X X X Swing bed Services Family Health West Hospital 1 1 X X X X X X X X X 13 1 0 1 X familyhealthwest.org X X X X X X X X X 1 0 1 1 1 0 0 0 0 0 1 0 0 Schedule H, Part V, Section B, Line 3-Family Health West Hospital The assessment process consisted of a survey of local Fruita residents. Data from the 79 participants was compiled with the help of the Colorado Rural Health Center and a local certified public accounting and advisory firm. Data was also retreived from the CDPHE, Census Bureau, CDC and HRSA. This informatin was presented at a public meeting held in Fruita. 4 Family Health West Nursing Home 228 North Cherry Street Fruita CO 81521 Long Term Care Facility. No Medicare Part A beds. Oaks Assisted Living Facility 805 West Ottley Fruita CO 81521 State licensed Assisted Living Facility that accepts unlimited number of Medicaid clients. 90 beds Willows Assisted Living 243 North Cherry Fruita CO 81521 State Licensed Secure Assisted Living facility with 25 beds. Practice Management 551 Kokopelli Blvd Fruita CO 81521 Physician Clinics and Support Services Schedule H, Part I, Line 7 The expense related to a subsidy for long term care services calculated from the Medicare Cost Report. The next subsidy is for the operation of the Emergency Department and is based on the Medicare Cost report plus the cost for Professional Providers. Schedule H, Part II Provide free transportation to and from the Hospital and Dr. Offices for the community. Provide free building for SDT testing and access clinic to the communitiy. Provide free building for ESL classes in the community. Schedule H, Part III, Section A, Line 4 No note is stated by the auditors in the audit report. Schedule H, Part III, Section B, Line 8 The Hospital is recognized by Medicare as a Critical Access Hospital. Cost based reimbursement is received. Schedule H, Part III, Section C, Line 9b Attempts are made to inform patients of programs that provide charitale assistance. Without income information is not possible to determine potential elegibility. Schedule H, Part VI, Line 2 Survey completed 2013 Schedule H, Part VI, Line 3 Survey completed in 2013 Schedule H, Part VI, Line 4 Survey completed in 2013 Schedule H, Part VI, Line 5 Survey completed in 2013 Schedule H, Part VI, Line 6 Survey completed in 2013 Schedule H, Part VI, Line 7 Survey completed in 2013 X X X X 0 0 0 0 0 0 0 0 0 Mark Francis Secretary 234160 0 0 0 0 0 0 0 0 0 234160 0 0 0 Errol Snider Former Officer 201839 0 0 0 0 0 0 0 0 0 201839 0 0 A City of Fruita 846000669 359428AC3 2008-04-10 28000000 Replacement Hospital and Debt Consolidation 0 0 0 A 0 0 28000000 377150 0 0 697500 0 0 19681459 0 0 2009 0 0 0 1 A 0 0 0 0 0 0 0 1 0 1 A 0 0 0 0 0 0 1 Citigroup Financial Partners .215 1 0 1 Form 990, Part VI, Section B, Line 11b Form 990 is reviewed with the Governing Board. Answers and explanations are provided. Direction and feedback is acted upon. Form 990, Part VI, Section B, Line 12c Potential Conflicts are discussed with the Board. Form 990, Part VI, Section B, Line 15 The compensation committee establishes goals and reviews performance. The Board acts on the recommendation of the committee. Salaries are determined in comparison with state wide surveys of like facilities. Form 990, Part VI, Section C, Line 19 The organization holds an annual meeting once a year to review the audited financial statements, governing documents and other information with the community at large. In the interim the information is available by request and on public websites. Form 990, Part XI, Line 9 Rounding error Waited until our audited financial statements and cost reports were approved and filed.