2013-03-13T14:10:30-07:00 2012-04-30 CHADWICKSTEINKIRCHNERDAVIS & CO PC 225 NORTH 5TH STREET SUITE 401 GRAND JUNCTION CO 815012645 990 2011-05-01 840469270 COLORADO WEST HEALTHCARE SYSTEM COLO 9702566321 2021 N 12TH STREET GRAND JUNCTION CO 815012980 WESLEY WHITE 9702566321 2013-01-21 true ORVILLE F PETERSEN CPA 9702453000 2011 2016-02-25 16:41:14Z CHRIS THOMAS 2021 N 12TH STREET GRAND JUNCTION CO 81501 79278133 false X WWW.YOURCOMMUNITYHOSPITAL.COM X 1956 CO 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. 12 12 680 122 168554 53029 382462 70616577 76640907 50438 914062 871597 413835 71591641 78351266 0 0 30824918 34723454 0 0 38808076 39272532 69632994 73995986 1958647 4355280 33692434 37977618 17731060 17412495 15961374 20565123 THE MISSION OF COLORADO WEST HEALTHCARE SYSTEM AND COMMUNITY HOSPITAL IS TO IMPROVE THE false false 49273152 78341508 COMMUNITY HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY, URGENT, PRIMARY AND HOME HEALTH CARE SERVICES TO COMMUNITIES IN WESTERN COLORADO. DURING FISCAL YEAR 2012, COMMUNITY HOSPITAL HAD 5,953 PATIENT DAYS, 15,262 EMERGENCY ROOM VISITS, 12,308 URGENT CARE VISITS, 16,129 PRIMARY CARE VISITS, AND PERFORMED 4,717 SURGERIES. 49273152 true true false false false false false false false false true false true false true false true true false false false false false false true false true true false false true false false false true false true true true false false false false false true true true false true 136 0 true 680 true true true false false false false false false false false false false false false X 12 12 false true false false false false false true true false false true true true true true true true true true false CO X THE HOSPITAL 9702566321 2021 N 12TH STREET GRAND JUNCTION CO 81501 AMIR BESHAI MD 1.00 X 0 0 0 MONTY LANGSTON MD 1.00 X 0 0 0 LARRY KENT 1.50 X 0 0 0 DAVID VARGO 1.50 X 0 0 0 SCOTT MERCIER 1.50 X 0 0 0 SAM STARRITT 1.00 X 0 0 0 TAREK ARJA 1.50 X 0 0 0 JON MARASCHIN 1.50 X 0 0 0 WILLIAM MOELLER 1.50 X 0 0 0 R CURT HATCH 1.50 X 0 0 0 MICHAEL DANIELS 1.50 X 0 0 0 SALLY GAGLIONE 1.50 X 0 0 0 CHRISTIAN THOMAS 40.00 X 510476 0 0 ELIZABETH BRICKER 40.00 X 144078 0 6318 WESLEY WHITE 40 X 171232 6846 DAVID MURRAY 40 X 135404 7380 DONALD NICOLAY 40 X 177078 7452 DEBORA RIGGLE 40 X 117903 6131 CONNIE MACK 40 X 82918 6185 JULIE MILLS 36 X 239136 6030 MARC BREEN 36 X 254431 4807 SCOTT VINCENT 36 X 248087 7311 FILIP BABNIC 40 X 233543 6142 DEBRA J SMITH 36 X 233414 5401 2547700 70003 11 false true true COMMUNITY ANESTHESIA CONSULTANTS 2754 COMPASS DR STE 170 GRAND JUNCTION CO 81506 PHYSICIAN SERVICES 983695 QUORUM HEALTH RESOURCES 105 CONTINENTAL PL BRENTWOOD TN 37027 MANAGEMENT 799195 SIEMENS MEDICAL SOLUTIONS 51 VALLEY STREAM PKWY MALVERN PA 19355 HEALTHCARE PRODUCTS 967111 CARDINAL HEALTH PHARMACEUTICAL DIST 4875 FLORENCE ST DENVER CO 80239 PHARMACEUTICAL SUPPLY 1175692 CARDINAL HEALTH MEDICAL PRODUCTS 525 W MONROE 7TH FLR CHICAGO IL 60661 HEALTHCARE PRODUCTS 1516522 65 382462 382462 PATIENT REVENUE 622000 76640907 76640907 117720 117720 1704000 907658 796342 796342 796342 28967 19209 9758 9758 OTHER REVENUE 622000 -211 -211 INVESTMENT IN LLC 561490 168554 168554 EQUITY IN SUBSIDIARIES INCOME 561440 235734 235734 404077 78351266 76876430 168554 923820 643755 0 643755 0 26763559 19512570 7250989 0 254424 254424 0 0 5093233 5067617 25616 0 1968483 1676729 291754 0 799194 0 799194 0 134720 0 134720 0 118300 0 118300 0 3498641 2462600 1036041 0 381114 0 381114 0 3367054 1740633 1626421 0 1902515 1894978 7537 0 156924 42356 114568 0 585333 365835 219498 0 1726766 1726766 0 0 735642 -6937 742579 0 BAD DEBTS 7539396 0 7539396 0 COLLECTION COSTS 534050 0 534050 0 EQUIPMENT LEASE/RENT 641577 641577 0 0 MEDICAL SUPPLIES 10364906 10364906 0 0 6786400 3529098 3257302 0 73995986 49273152 24722834 0 4942506 6857812 815152 815061 8264880 9224161 102811 102811 87411 1226033 2785941 2569862 344714 326381 40638316 26730455 13808581 13907861 2434862 2581682 105576 365954 33692434 37977618 7398301 8287275 1104101 718924 8123882 8946214 282444 282414 17731060 17412495 X 15961374 20565123 15961374 20565123 33692434 37977618 X 4355280 248469 X false true true X false X 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6338909 6338909 10422350 8248057 2174293 22953889 18178675 4775214 923168 303723 619445 13907861 INVESTMENT IN DOCTOR'S CLINIC BUILDING 1862454 C INVESTMENT IN COMMUNITY HEALTH PROVIDERS ORG 10226 C INVESTMENT IN FCSDCS LLC 805018 C INVESTMENT IN PHYSICIAN'S CHOICE REAL ESTATE -106016 C OTHER INVESTMENTS 10000 C 2581682 CURRENT RELATED COMPANY PAYABLE 282414 282414 78351266 73995986 4355280 -120332 -120332 4234948 70685606 70685606 7665660 7665660 78351266 66450656 66450656 7545330 7545330 73995986 Pt XI Line 8 BOOK-TAX DIFFERENCE IN SUBSIDIARIES INCOME (116,506) NET FUNDRAISING INCOME (9,758) FUNDRAISING INCOME RECLASSIFIED 5,934 Pt XII Line 4b BOOK-TAX DIFFERENCE IN SUBSIDIARIES INCOME 116,506 BAD DEBT EXPENSE 7,539,396 NET FUNDRAISING INCOME 9,758 Pt XIII Line 4b BAD DEBT EXPENSE 7,539,396 FUNDRAISING INCOME RECLASSIFIED 5,934 TOUR OF THE VALLEY 23887 23887 4608 6917 2387 2954 MAGNET 5K 5080 5080 1311 46 986 28967 28967 5919 6917 2433 3940 19209 9758 true true true X true X true true false true true 2051448 1209439 842009 0.01140 9124169 6296633 2827536 0.03820 2029961 415035 1614926 0.02180 13205578 7921107 5284471 0.07140 35050 3730 31320 0.00040 1861 1861 0.00000 217341 217341 0.00290 254252 3730 250522 0.00330 13459830 7924837 5534993 0.07470 true 2914384 13327649 16928977 -3601328 X true true 1 1 COMMUNITY HOSPITAL

2021 N 12TH STREET GRAND JUNCTION CO 815012980

X X X COMMUNITY HOSPITAL 1 false true true 40 true 250 true X X X X X X X true true X X X X X true X X X true X X X X X X X X true X false true 9 FIRST CHOICE SAME DAY SURGICAL CENTER

2596 F ROAD GRAND JUNCTION CO 81505

OUT-PATIENT 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 STREET GRAND JUNCTION CO 81501

REHABILITATION PROGRAMS OCCUPATIONAL HEALTH

2004 N 12TH STREET GRAND JUNCTION CO 81501

EMPLOYMENT RELATED EXAM SERVICES GRAND VALLEY URGENT CARE

1060 ORCHARD SUITE N GRAND JUNCTION CO 81501

URGENT MEDICAL SERVICES EAPBEHAVIORAL HEALTH SERVICES

1300 N 7TH STREET SUITE 4 GRAND JUNCTION CO 81501

COUNSELING SERVICES HOME HEALTH

2021 N 12TH GRAND JUNCTION CO 81501

HOME CARE SERVICES ORCHARD PHARMACY

1060 ORCHARD AVE GRAND JUNCTION CO 81501

PHARMACY COLORADO MESA UNIVERSITY STUDENT HEALTH CENTER

1060 ORCHARD AVE SUITE N GRAND JUNCTION CO 81501

STUDENT MEDICAL SERVICES Pt III Line 4 THE HOSPITAL ESTABLISHES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON FACTORS SURROUNDING THE CREDIT RISK OF SPECIFIC CUSTOMERS, HISTORICAL TRENDS AND OTHER INFORMATION. Pt III Line 8 APPROXIMATELY 75% OR $2,700,996 OF THE MEDICARE SHORTAGE SHOULD BE TREATED AS COMMUNITY BENEFIT. Pt III Line 9b PART OF THE HOSPITAL'S FINANCIAL ASSISTANCE AND CHARITY CARE WRITTEN POLICY PROVIDES FOR A FINANCIAL COUNSELOR TO MEET WITH ALL UNINSURED PATIENTS PRIOR TO DISCHARGE FROM THE HOSPITAL. Pt VI Line 2 COMMUNITY HOSPITAL USES THE STRATEGIC PLAN PROVIDED 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. Pt 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. Pt 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. Pt 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. X X X false false false false false true false false false CHRISTIAN THOMAS 510476 510476 ELIZABETH BRICKER 144078 1747 145825 WESLEY WHITE 171232 1755 172987 DONALD NICOLAY 177078 2410 3620 183108 JULIE MILLS 239136 2550 1044 242730 MARC BREEN 254431 2516 3936 260883 SCOTT VINCENT 248087 2443 3936 254466 FILIP BABNIC 233543 2410 1044 236997 DEBRA J SMITH 233414 2340 5401 241155 Pt I Line 6a THE CEO'S COMPENSATION INCLUDES AN ELIGIBLE BONUS BASED ON A SCORECARD OF THIRTEEN METRICS, ONLY ONE OF WHICH IS BASED ON THE EARNINGS OF THE ORGANIZATION. DR LOU BAIR LEGAL SETTLEMENT X 164110 102811 true true true 102811 MARY THIBAULT SISTER OF CCO 500 HONORARIUM TO SPEAK AT FUNCTION false WESTERN ORTHOPEDICS & SPORTS MEDICINE PARTNER FORMER BOARD MEMBER 146000 PAYMENTS FOR PHYSICIAN SERVICES false SURGICAL ASSOCIATES PARTNER FORMER BOARD MEMBER 108800 PAYMENTS FOR PHYSICIAN SERVICES false MESA WOMEN'S HEALTH CARE PARTNER FORMER BOARD MEMBER 54900 PAYMENTS FOR PHYSICIAN SERVICES false ASPEN LEAR INTERNAL MEDICINE PARTNER FORMER BOARD MEMBER 37005 PAYMENTS FOR PHYSICIAN SERVICES false COMMUNITY ANESTHESIA PARTNER BOARD MEMBER 914948 PAYMENTS FOR PHYSICIAN SERVICES false Pt VI, Line 3 THE HOSPITAL HAS A MANAGEMENT AGREEMENT WITH QUORUM HEALTH RESOURCES. Pt VI, Line 11a THE 990 IS PREPARED BY THE HOSPITAL'S INDEPENDENT CPA FIRM AND REVIEWED BY THE HOSPITAL'S ACCOUNTING STAFF AND ADMINISTRATION, INCLUDING THE CEO, CFO, 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. Pt VI, 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. Pt VI, Line 15 COMMUNITY HOSPITAL IS A QUORUM HEALTH RESOURCES MANAGED HOSPITAL WHEREBY THE CEO IS AN EMPLOYEE OF THE MANAGMENT 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. Pt VI, Line 19 GOVERNING DOCUMENTS, POLICIES AND PROCEDURES, AND AUDITED FINANCIAL Form 990, Part IX, Line 24f PHYSICIAN FEES 2716388. 2716388. OTHER EXPENSES 4070012. 812710. 3257302. STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST ON A CASE BY CASE BASIS. Pt XI PRIOR PERIOD ADJUSTMENT FOR INVESTMENT IN HEALTHCARE MANAGEMENT LLC 213,759 PRIOR PERIOD ADJUSTMENT FOR FUNDRAISING CLEARING ACCOUNTS 34,710 COMMUNITY HOSPITAL FOUNDATION 2021 N 12TH STREET GRAND JUNCTION CO 815012980 742576856 FUNDRAISING CO 501(C)(3) I COLORADO WEST HEALTHCARE SYSTEM false PHYSICIANS CHOICE REAL ESTATE LLC 2012 N 12TH STREET GRAND JUNCTION CO 815012980 841601063 REAL ESTATE COMMERCIAL RENTAL CO COLORADO WEST HEALTHCARE SYSTEM RELATED 64558 1902854 false false 0.54710 DOCTOR'S CLINIC BUILDING INC 1060 ORCHARD AVE GRAND JUNCTION CO 81501 840507943 REAL ESTATE RENTAL CO COLORADO WEST HEALTHCARE SYSTEM C 1210048 2084713 1.00000 COMMUNITY HEALTH PROVIDERS ORGANIZATION INC 2021 N 12TH ST GRAND JUNCTION CO 81501 841081855 INSURANCE CO COLORADO WEST HEALTHCARE SYSTEM C 300 31189 0.50000 false false true false false false false false false true false false true true true true false true COMMUNITY HOSPITAL FOUNDATION c 292123 CASH PAID DOCTORS CLINIC BUILDING INC j 272527 CASH PAID PHYSICIANS CHOICE REAL ESTATE LLC j 493756 CASH PAID COMMUNITY HOSPITAL FOUNDATION m DOCTORS CLINIC BUILDING INC n 471324 CASH PAID DOCTORS CLINIC BUILDING INC o 1910 COMMUNITY HOSPITAL FOUNDATION p 1162 PHYSICIANS CHOICE REAL ESTATE LLC r 191906