COLORADO WEST HEALTHCARE SYSTEM: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COLORADO WEST HEALTHCARE SYSTEM (EIN 84-0469270)
- Tax period
- 2012-05-01 to 2013-04-30
- Filed
- 2014-03-14
- IRS object ID
- 201420739349300507
- Schema version
- 2012v2.1
- 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 B
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-03-14T09:22:30-05:00 | Timestamp |
| Tax Period End Date | 2013-04-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450250958 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 554027033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-05-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840469270 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Colorado West Healthcare System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COLO | NameControl |
| Phone | 9702566201 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2021 N 12th Street | AddressLine1 |
| City | Grand Junction | City |
| State | CO | State |
| ZIP Code | 815012980 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Christian Thomas | Name |
| Title | CEO | Title |
| Phone | 9702566201 | Phone |
| Date Signed | 2014-03-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIM C HUNWARDSEN | Name |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | Phone |
| Date Prepared | 2014-03-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Hospital Grand Junction | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Christian Thomas | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2021 N 12th Street | AddressLine1 |
| City | Grand Junction | City |
| State | CO | State |
| ZIP Code | 815012980 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 81122163 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.yourcommunityhospital.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1956 | YearFormation |
| State Legal Domicile | CO | StateLegalDomicile |
| Activity Or Mission Description | The mission of Colorado West Healthcare System and Community Hospital is to improve the health and quality of life of the individuals and communities we serve. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 710 | TotalNbrEmployees |
| Total Nbr Volunteers | 92 | TotalNbrVolunteers |
| Total Gross UBI | 295152 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 280533 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 382462 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 70515 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 76640907 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 78967905 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 914062 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1048742 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 413835 | OtherRevenuePriorYear |
| Other Revenue Current Year | 323982 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 78351266 | TotalRevenuePriorYear |
| Total Revenue Current Year | 78313660 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 34723454 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 34543712 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 39272532 | OtherExpensePriorYear |
| Other Expenses Current Year | 41132834 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 73995986 | TotalExpensesPriorYear |
| Total Expenses Current Year | 75676546 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4355280 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2637114 | RevenuesLessExpensesCY |
| Total Assets BOY | 37977618 | TotalAssetsBOY |
| Total Assets EOY | 38511750 | TotalAssetsEOY |
| Total Liabilities BOY | 17412495 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15680568 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 20565123 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 22831182 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission of Colorado West Healthcare System and Community Hospital is to improve the health and quality of life of the individuals and communities we serve. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 69561422 | Expense |
| Revenue | 78994481 | Revenue |
| Description | Community Hospital provides inpatient, outpatient, emergency, urgent, primary and home health care services to communities in western Colorado. During fiscal year 2013, Community Hospital had 4,690 patient days, 15,228 emergency room visits, 15,433 urgent care visits, 20,559 primary care visits, and performed 4,214 surgeries. | Description |
| Total Program Service Expense | 69561422 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 135 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 710 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CO | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jon Hooker | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9702576295 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2021 N 12th Street | AddressLine1 |
| City | Grand Junction | City |
| State | CO | State |
| ZIP Code | 81501 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Scott R Mercier | ||||||||
| Chairman | 1.50 | 0.00 | X | X | 0 | 0 | 0 | |
| R Curt Hatch | ||||||||
| Vice Chairman | 1.50 | 0.00 | X | X | 0 | 0 | 0 | |
| Michael Daniels | ||||||||
| Secretary | 1.50 | 0.00 | X | X | 0 | 0 | 0 | |
| David F Vargo | ||||||||
| Treasurer | 1.50 | 0.00 | X | X | 0 | 0 | 0 | |
| Monty Langston MD | ||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Sam Starritt | ||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Larry Kent | ||||||||
| Board Member | 1.50 | 0.00 | X | 0 | 0 | 0 | ||
| Amir Beshai MD | ||||||||
| Board Member | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| Tarek Arja DO | ||||||||
| Board Member | 1.50 | 0.00 | X | 0 | 0 | 0 | ||
| Jon Maraschin | ||||||||
| Board Member | 1.50 | 0.00 | X | 0 | 0 | 0 | ||
| William Moeller DO | ||||||||
| Board Member | 1.50 | 0.00 | X | 0 | 0 | 0 | ||
| Sally Gaglione MD Chief of Staff | ||||||||
| Board Member | 1.50 | 0.00 | X | 0 | 0 | 0 | ||
| Christian Thomas | ||||||||
| CEO | 40.00 | 0.80 | X | 0 | 0 | 0 | ||
| Wesley White | ||||||||
| CFO | 40.00 | 0.00 | X | 176141 | 0 | 4671 | ||
| David Murray | ||||||||
| CCO | 40.00 | 0.00 | X | 143387 | 0 | 5672 | ||
| Donald Nicolay | ||||||||
| Chief Medical Officer | 40.00 | 0.00 | X | 175677 | 0 | 4637 | ||
| Kristin Gundt | ||||||||
| Chief Nursing Officer | 40.00 | 0.00 | X | 116351 | 0 | 22688 | ||
| Scott Vincent | ||||||||
| ER Physician | 36.00 | 0.00 | 288541 | 0 | 7362 | X | ||
| Brian Kempton | ||||||||
| ER Physician | 36.00 | 0.00 | 337156 | 0 | 7842 | X | ||
| Marc Breen | ||||||||
| ER Physician | 36.00 | 0.00 | 267911 | 0 | 3870 | X | ||
| Rebecca Burton | ||||||||
| Hospitalist | 40.00 | 0.00 | 253524 | 0 | 5588 | X | ||
| William Gattis | ||||||||
| ER Physician | 36.00 | 0.00 | 258286 | 0 | 7057 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2016974 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 69387 | TotalOtherCompensation |
| Number Individuals GT100 K | 30 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Community Anesthesia Consultants | |||||
| 2754 Compass Dr | Grand Junction | CO | 81506 | Physician Services | 1148623 |
| Quorum Healthcare Resources | |||||
| 105 Continental Pl | Brentwood | TN | 37027 | Management Agreement | 935303 |
| HSS | |||||
| 900 S Broadway St | Denver | CO | 80209 | Security Services/Equip. Maint. | 573509 |
| Physicians Choice Real Estate | |||||
| 2021 N 12th St | Grand Junction | CO | 81501 | Medical Office Rental | 500208 |
| Western Slope Cardiology | |||||
| 2643 Patterson Rd | Grand Junction | CO | 81506 | Physician Services | 380862 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 35 | NumberOfContractorsGT100K |
| Related Organizations | 53310 | RelatedOrganizations |
| All Other Contributions | 17205 | AllOtherContributions |
| Total Contributions | 70515 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Service Revenue | 621110 | 76075463 | 76075463 |
| Other Revenue | 621110 | 2356666 | 2356666 |
| Equity in Subsidiary Income | 900099 | 272301 | 272301 |
| Cafeteria Revenue | 621110 | 263475 | 263475 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 78967905 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 93972 | TotalRevenueColumn |
| Exclusion | $93,972 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 522308 | Securities |
| Other | 1070666 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1327333 | Securities |
| Other | 1408355 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -805025 | Securities |
| Other | -337689 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1142714 | TotalRevenueColumn |
| Exclusion | -$1,142,714 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 31174 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 28920 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2254 | TotalRevenueColumn |
| Exclusion | $2,254 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 70471 | GrossSalesOfInventory |
| Cost Of Goods Sold | 43895 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 26576 | TotalRevenueColumn |
| Related Or Exempt Function Income | 26576 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Investment in LLC's | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 295152 | TotalRevenueColumn |
| Unrelated Business Revenue | 295152 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 295152 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 78313660 | TotalRevenueColumn |
| Related Or Exempt Function Income | 78994481 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 295152 | UnrelatedBusinessRevenue |
| Exclusion | -$1,046,488 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 658119 | Total |
| Management And General | 658119 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147985 | Total |
| Program Services | 147985 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27470674 | Total |
| Program Services | 26376533 | ProgramServices |
| Management And General | 1094141 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 257697 | Total |
| Program Services | 241728 | ProgramServices |
| Management And General | 15969 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4039675 | Total |
| Program Services | 3789344 | ProgramServices |
| Management And General | 250331 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1969562 | Total |
| Program Services | 1864203 | ProgramServices |
| Management And General | 105359 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 485715 | Total |
| Management And General | 485715 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 199309 | Total |
| Management And General | 199309 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111600 | Total |
| Management And General | 111600 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7226052 | Total |
| Program Services | 6648478 | ProgramServices |
| Management And General | 577574 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 297969 | Total |
| Program Services | 297969 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2649873 | Total |
| Program Services | 2551748 | ProgramServices |
| Management And General | 98125 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3630279 | Total |
| Program Services | 2854940 | ProgramServices |
| Management And General | 775339 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 228341 | Total |
| Program Services | 80681 | ProgramServices |
| Management And General | 147660 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85797 | Total |
| Program Services | 85797 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 506153 | Total |
| Program Services | 506153 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1761068 | Total |
| Program Services | 1761068 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 497311 | Total |
| Program Services | 6940 | ProgramServices |
| Management And General | 490371 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Bad Debt | 8983152 | 8983152 |
| Medical Supplies | 8682664 | 8682664 |
| Provider Taxes | 3222132 | 3222132 |
| Equipment Lease/Rent | 663247 | 663247 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1902172 | Total |
| Program Services | 796660 | ProgramServices |
| Management And General | 1105512 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75676546 | Total |
| Program Services | 69561422 | ProgramServices |
| Management And General | 6115124 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6857812 | BOY |
| EOY | 7477439 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9224161 | BOY |
| EOY | 7175922 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102811 | BOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1226033 | BOY |
| EOY | 936793 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2569862 | BOY |
| EOY | 2592126 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 326381 | BOY |
| EOY | 522439 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 44166690 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 28310864 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13907861 | BOY |
| EOY | 15855826 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 815061 | BOY |
| EOY | 1292750 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2581682 | BOY |
| EOY | 2461391 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 365954 | BOY |
| EOY | 197064 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37977618 | BOY |
| EOY | 38511750 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8287275 | BOY |
| EOY | 6650265 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 718924 | BOY |
| EOY | 313733 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8123882 | BOY |
| EOY | 8251473 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 282414 | BOY |
| EOY | 465097 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17412495 | BOY |
| EOY | 15680568 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20565123 | BOY |
| EOY | 22831182 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20565123 | BOY |
| EOY | 22831182 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37977618 | BOY |
| EOY | 38511750 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2637114 | ReconcilationRevenueExpenses |
| Reconcilation Prior Adjustment | -368801 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | -2254 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 3876915 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1602374 | OtherCostOrOtherBasis |
| Book Value | 5479289 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12129851 | OtherCostOrOtherBasis |
| Depreciation | 8600733 | Depreciation |
| Book Value | 3529118 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24848306 | OtherCostOrOtherBasis |
| Depreciation | 19402781 | Depreciation |
| Book Value | 5445525 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1709244 | OtherCostOrOtherBasis |
| Depreciation | 307350 | Depreciation |
| Book Value | 1401894 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 15855826 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| Investment in Doctor's Clinic Building, Inc. | 2034978 | C |
| Investment in Community Health Providers | 28918 | C |
| Investment in Physicians Choice Real Estate | -112501 | C |
| Other Investments | 9996 | C |
| Investment in Grand Junction Med Ctr | 500000 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 2461391 | TotalOfBookValueProgramRelated |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Intercompany Payable | $3,910 |
| Estimated Third-Party Payor Settlement | $461,187 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 465097 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 69372149 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -8983152 | OtherRevenues |
| Revenue Not Rptd F990 | -8983152 | RevenueNotRptdF990 |
| Revenue Subtotal | 78355301 | RevenueSubtotal |
| Other Revenues Not Included | -41641 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -41641 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 78313660 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 66737289 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 43895 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 43895 | ExpensesNotRptdF990 |
| Expenses Subtotal | 66693394 | ExpensesSubtotal |
| Other Expenses Not Included | 8983152 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 8983152 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 75676546 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X, Line 2: | The Hospital is organized as a Colorado nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Interal Revenue Code Section 501(c)(3). The Hospital 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 Hospital files an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS to report its unrelated business taxable income. Income tax expense, if any, is included in other expenses in the consolidated statements of operations. The Hospital 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 Hospital 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. The Hospital's federal Form 990-T filings are no longer subject to federal tax examinations by tax authorities for years before 2010. |
| Part XI, Line 2d - Other Adjustments: | Provision for Uncollectible Accounts -8,983,152. | |
| Part XI, Line 4b - Other Adjustments: | Gift Shop Merchandise for Sale recorded as Expenses for Financial Statements -43,895. Net Fundraising Revenue 2,254. | |
| Part XII, Line 2d - Other Adjustments: | Gift Shop Merchandise for Sale recorded as Expenses for Financial Statements 43,895. | |
| Part XII, Line 4b - Other Adjustments: | Provision for Uncollectible Accounts 8,983,152. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Tour of the Valley | NameOfEvent1 |
| Gross Receipts Event1 | 22538 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 22538 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 26236 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Magnet 5K | NameOfEvent2 |
| Gross Receipts Event2 | 8636 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 8636 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 2684 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 31174 | GrossReceiptsTotal |
| Gross Revenue Total Events | 31174 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 28920 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 28920 | DirectExpenseSummaryEvents |
| Net Income Summary | 2254 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1693000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1601407 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 91593 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8698514 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5852013 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2846501 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04270 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1575242 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 426645 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1148597 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01720 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11966756 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7880065 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4086691 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06130 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 153492 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 153492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12761 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 12761 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 238264 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 238264 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 404517 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 404517 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00610 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12371273 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7880065 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4491208 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06740 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $8,983,152 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 11746131 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 16416406 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4670275 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 1 Grand Junction Medical Center | |||
| Property Rental | 0.09080 | 0.00000 | 0.40200 |
| 2 Canyon View ASC LLC | |||
| Ambulatory Surgery Center | 0.51000 | 0.00000 | 0.49000 |
| 3 Community Health Providers Organization Inc | |||
| Liaison between Insurance Comanies and the Physicians | 0.50000 | 0.50000 | |
| 4 Physicians Choice Real Estate LLC | |||
| Property Rental | 0.55900 | 0.44100 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2021 N 12th St | AddressLine1 |
| City | Grand Junction | City |
| State | CO | State |
| ZIP Code | 815012980 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 250.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Lowest Negotiated Rates | X | LowestNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| First Choice Same Day Surgical Center | ||||
| 2596 F Road | Grand Junction | CO | 81505 | Outpatient Surgical Services |
| Grand Valley Primary Care | ||||
| 603 28 1/4 Road | Grand Junction | CO | 81506 | Primary Physician Care |
| Therapy Works at Community Hospital | ||||
| 2004 N 12th St | Grand Junction | CO | 81501 | Rehabilitation Programs |
| Occupational Health | ||||
| 2004 N 12th St | Grand Junction | CO | 81501 | Employment-related Exam Services |
| Grand Valley Urgent Care | ||||
| 1060 Orchard Ave Suite N | Grand Junction | CO | 81501 | Urgent Medical Services |
| EAP Behavioral Health Services | ||||
| 2021 N 12th St | Grand Junction | CO | 81501 | Counseling Services |
| Home Health | ||||
| 2021 N 12th St | Grand Junction | CO | 81501 | Home Care Services |
| Orchard Pharmacy | ||||
| 1060 Orchard Ave Suite N | Grand Junction | CO | 81501 | Pharmacy |
| Colorado Mesa University Student Health | ||||
| 1060 Orchard Ave Suite N | Grand Junction | CO | 81501 | Student Medical Services |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| Part I, Line 6a: The community benefit report is available upon request. | |
| Part I, Line 7: Lines 7a-7c were determined using the overall cost to charge ratio. Lines 7e, 7f, and 7i are actual expenses from the general ledger. | |
| Part I, L7 Col(f): The Bad Debt expense included in Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $8,983,152. | |
| Part III, Line 4: Community Hospital follows Healthcare Financial Management Association Statement No. 15, and therefore bad debt does not include amounts that would be attributable to charity care. Bad debt on line 2 is reported at charges.Footnote from organization's financial statements: The footnote that describes bad debt expense is found on page 10 of the attached audit report. | |
| Part III, Line 8: The organization estimates 75% should be considered a community benefit. If these individuals did not qualify for Medicare, they would qualify for financial assistance, based on the demographics of the community in which we operate. | |
| Part III, Line 9b: Part of the Hospital's financial assistance and charity care policy provides for a financial counselor to meet with all uninsured patients prior to discharge from the Hospital. Every effort is made to work with self-pay patients to determine financial assistance eligibility. Collections actions are not taken until eligibility is determined. | |
| Part V, Section B, Line 3: Community Hospital worked with the Mesa County Health Department and a number of other local hospitals and organizations in Mesa County. This collaborative approach enabled the group to identify areas where the various organizations might work together to achieve needed improvements. Throughout the process members of the community were included in discussions to ensure views of the entire community were heard. | Community Hospital |
| Part V, Section B, Line 4: The CHNA was conducted with the following other hospital facilities: Family Health West Hospital, St. Mary's Hospital & Regional Medical Center, Colorado West Mental Health. | Community Hospital |
| Part V, Section B, Line 5c: The CHNA Report is available at the facility's website: http://www.yourcommunityhospital.com/index.cfm | Community Hospital |
| Part V, Section B, Line 6i: Community Hospital was an active participant in this CHNA in collaboration with the Mesa County Health Department and a number of other local hospitals and organizations in Mesa County. This collaborative approach enabled the group to identify areas where the various organizations might work together to achieve needed improvements. Community Hospital has been utilizing this assessment as a guide for providing programs to address identified community health needs in support of the collaborators and with the mission of our organization..."to improve the health and quality of life of the individuals and communities we serve."Access to Health Care - Community Hospital has been very successful in its mission to recruit new primary care providers in this service area. We have grown the number of providers in our employment model and we have assisted our community partner practices by recruiting providers into their businesses. In addition, we have provided practice management services and an electronic medical records system to enhance the operations of our local health department's safety net clinic to improve access to uninsured and underinsured community members. We have also expanded our direct contract relationships with employer groups in the community to provide 24/7 primary care services at a minimal cost to the employees and health plan members within their populations.Tobacco Use - Community Hospital continues to partner with local agencies to provide services where there are gaps with tobacco cessation resources. We've offered classes to the community and to our employer group partners.Obesity - We have formed a Community Hospital interdisciplinary population health management team that is focusing on diabetes. We're developing automated communication platforms in the areas of our emergency department, urgent care facilities, primary care facilities and in the transition phases when a patient is admitted and when the patient is discharged; transitioning the care and appropriate clinical information to the appropriate outpatient provider/service. Our target population pilot groups are our employer groups who have contracted with us for primary care services as well as patients who utilize our system. We have hired RN Care Coordinators who quarterback the team of providers; which now includes our health coach/care coordinators as extenders. We have supported the local Diabetes Counts program for young diabetics and have coordinated efforts with other local initiatives. Created and supported by an interdisciplinary team, we've also launched a new weight management program, Project U, for community members. We will continue to work with other community agencies.Screening and Early Detection - With our Community Health Partnership worksite wellness program, we have continued to improve the number of participants in our onsite health screenings. We have also removed financial barriers for annual screening and early detection opportunities through our plan design for our own health plan members. Our enhancement with the health department clinic has also increased this capacity in our community as well.Built Environment - We have participated in the planning efforts of our goals to promote health through advocacy for a well-constructed and inclusive built environment. And we have plans to implement these plans when we build our new hospital facility. Building a Sense of Community - Community Hospital feels very strongly about being involved in our community. We encourage active participation and service on community committees and boards as volunteers and organizational support for collaborative initiatives that benefit the overall health of our community. We are and continue to be strong players and often times are the leaders in this effort.Parenting - Community Hospital certainly supports efforts in the community and while we do this by engaging with our patients and our patients' families on a daily basis, we utilize the expertise of our community partners and resources that are available to address this community need.Emotional and Social Well-Being - Community Hospital is an active participant in the community-wide effort to address specific mental health issues that continue to plague us. We have several teams of clinicians that work with other clinicians from other agencies and institutions; identifying processes to fill the gaps.In addition to the above, we have expanded our service lines with adding an Internal Medicine group of physicians and staff as employees; increasing our access and capacity for serving a broader clientele. | Community Hospital |
| Part V, Section B, Line 14g: Summary on website, posted in ER and waiting rooms, posted in admissions offices, and provided on admission. | Community Hospital |
| Part VI, Line 2: Community Hospital develops its strategic plan supported by Quorum Health Resources to assess the healthcare needs of the community it serves. This plan includes market assessment of the service area and local demographic characteristics. | |
| Part VI, Line 3: Part of the Hospital's written financial assistance and charity care policy provides for financial counselors to meet with all uninsured patients prior to discharge. The Hospital's billing team may also inform patients of the Hospital's financial assistance and charity care program. | |
| Part VI, Line 4: The Hospital's primary service area is western Colorado and the residents of Mesa County. Mesa County's population is approximately 150,000 with 15% of the population being over the age of 65. Community Hospital captures 12% of the area's healthcare market for those patients requiring inpatient stays. | |
| Part VI, Line 5: Community Hospital expanded its services to meet community needs with the opening of Grand Valley Urgent Care and Grand Valley Primary Care during the 2010 fiscal year. Three primary physicians were recruited to help meet the shortage of primary care physicians in Mesa County. The Hospital also created programs with several medical schools, universities, colleges and trade schools to provide clinical rotation experience with their students including physicians, nurses and ancillary support occupations. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Wesley White | ||||||||||||||
| CFO | 176141 | 0 | 0 | 0 | 0 | 0 | 1791 | 0 | 5460 | 0 | 183392 | 0 | 0 | 0 |
| David Murray | ||||||||||||||
| CCO | 143387 | 0 | 0 | 0 | 0 | 0 | 1476 | 0 | 6307 | 0 | 151170 | 0 | 0 | 0 |
| Donald Nicolay | ||||||||||||||
| Chief Medical Officer | 175677 | 0 | 0 | 0 | 0 | 0 | 1757 | 0 | 6116 | 0 | 183550 | 0 | 0 | 0 |
| Scott Vincent | ||||||||||||||
| ER Physician | 288541 | 0 | 0 | 0 | 0 | 0 | 2926 | 0 | 7660 | 0 | 299127 | 0 | 0 | 0 |
| Brian Kempton | ||||||||||||||
| ER Physician | 337156 | 0 | 0 | 0 | 0 | 0 | 3406 | 0 | 7660 | 0 | 348222 | 0 | 0 | 0 |
| Marc Breen | ||||||||||||||
| ER Physician | 267911 | 0 | 0 | 0 | 0 | 0 | 2686 | 0 | 4238 | 0 | 274835 | 0 | 0 | 0 |
| Rebecca Burton | ||||||||||||||
| Hospitalist | 253524 | 0 | 0 | 0 | 0 | 0 | 2564 | 0 | 5868 | 0 | 261956 | 0 | 0 | 0 |
| William Gattis | ||||||||||||||
| ER Physician | 258286 | 0 | 0 | 0 | 0 | 0 | 2621 | 0 | 7280 | 0 | 268187 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 7 | ReturnReference |
| Explanation | Quorum Health Resources, a management company, compensates the CEO. His compensation includes an eligible bonus based on a scorecard of thirteen metrics, focused around the Pillars of Excellence - quality, service, financial, growth, and people. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Community Anesthesia Consultants | |||
| Board Member Monty Langston is a partner | 1304312 | Payments for Physician Services | 0 |
| Western Therapeutics LLC | |||
| Board Member Amir Beshai is a partner | 158950 | Payments for Physician Services | 0 |
| Kathleen Maraschin | |||
| Wife of Board Member Jon Maraschin | 43910 | Compensation | 0 |
| Jana Thomas | |||
| Wife of CEO Christian Thomas | 29850 | Compensation | 0 |
| Mary Thibault | |||
| Sister of CCO David Murray | 49302 | Compensation | 0 |
| Lynn Nicolay | |||
| Wife of Chief Medical Officer Donald Nicolay | 24923 | Compensation | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 3 | The Hospital has a management agreement with Quorum Health Resources. Christian Thomas, CEO, is compensated by Quorum Health Resources. His compensation for calendar year 2012 was $374,911. | |
| Form 990, Part VI, Section A, line 8b | There are no committees with the authority to act on behalf of the board. | |
| Form 990, Part VI, Section B, line 11 | The 990 is prepared by the Hospital's independent CPA firm and reviewed by the Hospital's accounting staff and Administration, including the CEO, Controller, and Compliance Officer. A preliminary draft is presented to the Executive Finance Committee of the Board of Directors for detailed review and approval. A final copy of the 990 is provided to all board members prior to the final filing with the IRS. | |
| Form 990, Part VI, Section B, line 12c | The Hospital's conflict of interest policy is maintained and managed by the Chief Compliance Officer on an annual basis. All board members, officers, and key employees are required to complete a conflict of interest disclosure form and submit it to the compliance department. That documentation is reviewed by and retained by the compliance officer. Any conflicts of interest that arise are addressed by the compliance department and the Board of Trustees. | |
| Form 990, Part VI, Section B, line 15 | Community Hospital is a Quorum Health Resources managed hospital whereby the CEO is an employee of the management company. Salary and benefits for the CEO are based on the management company's salary survey data for hospitals of comparable size and is approved by the Executive Committee of the Board of Trustees. Salaries and benefits for other members of senior management are based on salary survey data compiled by the Hospital's HR department and are approved by the Board of Directors through the annual budget process. | |
| Form 990, Part VI, Section C, line 19 | Governing documents, policies and procedures, and audited financial statements are made available to the public upon request on a case by case basis. | |
| Form 990, Part XI, line 9: | Net Fundraising Revenue -2,254. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Hospital Foundation | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2021 N 12th St | AddressLine1 |
| City | Grand Junction | City |
| State | CO | State |
| ZIP Code | 815042980 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742576856 | EIN |
| Primary Activities | Fundraising | PrimaryActivities |
| Legal Domicile State | CO | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | Line 11a, I | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Colorado West Healthcare System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Physicians Choice Real Estate LLC | |||||||||||||
| 2012 N 12th St | Grand Junction | CO | 815012980 | 841601063 | Real Estate Commercial Rental | CO | Colorado West Healthcare System | Related | 97555 | 1773645 | 0 | 0 | 0.55900 |
| Canyon View ASC | |||||||||||||
| 2373 G Road Ste 180 | Grand Junction | CO | 81505 | 455352976 | Ambulatory Surgery Center | CO | Colorado West Healthcare System | Related | 0 | 0 | 0.51000 | ||
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Doctor's Clinic Building Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1060 Orchard Ave | AddressLine1 |
| City | Grand Junction | City |
| State | CO | State |
| ZIP Code | 81501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840507943 | EIN |
| Primary Activity | Real Estate Rental | PrimaryActivity |
| Legal Domicile State | CO | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Colorado West Healthcare System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 2853761 | ShareOfTotalIncome |
| Share Of EOY Assets | 2132689 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Community Hospital Foundation | ||
| C | 53310 | Accrual |
| Physicians Choice Real Estate LLC | ||
| K | 502812 | Accrual |
| Doctor's Clinic Building Inc | ||
| K | 272527 | Accrual |
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