ST MARYS HOSPITAL AND MEDICAL CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS HOSPITAL AND MEDICAL CENTER INC (EIN 84-0425720)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-16
- IRS object ID
- 201203219349300535
- Schema version
- 2011v1.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-16T11:10:20-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRUCE E BERNSTIEN & ASSOC PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10440 N CENTRAL EXPRESSWAY STE 1040 | AddressLine1 |
| City | DALLAS | City |
| State | TX | State |
| ZIP Code | 75231 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840425720 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HOSPITAL & MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % FOREST BINDER | InCareOfName |
| Name Control | STMA | NameControl |
| Phone | 9702982273 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2635 N 7th St | AddressLine1 |
| City | Grand Junction | City |
| State | CO | State |
| ZIP Code | 81502 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | FOREST BINDER | Name |
| Title | CFO/VP FINANCE | Title |
| Date Signed | 2012-11-12 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRUCE E BERNSTIEN | Name |
| Phone | 2147060840 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HOSP THE REGNL MED CTR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | forest binder | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2635 N 7TH ST | AddressLine1 |
| City | GRAND JUNCTION | City |
| State | CO | State |
| ZIP Code | 81502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 387711148 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.stmarygj.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1975 | YearFormation |
| State Legal Domicile | CO | StateLegalDomicile |
| Activity Or Mission Description | WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2342 | TotalNbrEmployees |
| Total Nbr Volunteers | 631 | TotalNbrVolunteers |
| Total Gross UBI | 3362491 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 1198409 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3677454 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3502814 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 359933296 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 366833371 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5074085 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1805906 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 12172883 | OtherRevenuePriorYear |
| Other Revenue Current Year | 13038393 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 380857718 | TotalRevenuePriorYear |
| Total Revenue Current Year | 385180484 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2455315 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2177258 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 145173976 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 141167243 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 501149 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 206914170 | OtherExpensePriorYear |
| Other Expenses Current Year | 212261782 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 354543461 | TotalExpensesPriorYear |
| Total Expenses Current Year | 355606283 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 26314257 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 29574201 | RevenuesLessExpensesCY |
| Total Assets BOY | 497743813 | TotalAssetsBOY |
| Total Assets EOY | 511222492 | TotalAssetsEOY |
| Total Liabilities BOY | 69644115 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 63783529 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 428099698 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 447438963 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 137914512 | Expense |
| Revenue | 180311313 | Revenue |
| Description | INPATIENT HEALTHCARE - ST. MARY'S HOSPITAL & MEDICAL CENTER, INC, DBA ST. MARY'S HOSPITAL THE REGIONAL MEDICAL CENTER IS A FULL-SERVICE HOSPITAL PROVIDING QUALITY HEALTHCARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS THE LARGEST HEALTHCARE FACILITY IN A 250-MILE RADIUS, ST. MARY'S PROVIDES MANY ADVANCED HEALTHCARE SERVICES NOT OFFERED BY ANY OTHER FACILITIES IN WESTERN COLORADO AND EASTERN UTAH, INCLUDING COMPREHENSIVE CARDIAC SERVICES, OPEN HEART SURGERY, COMPREHENSIVE CANCER CARE, A NEWBORN INTENSIVE CARE, AND LEVEL II TRAUMA SERVICES. ST. MARY'S IS LICENSED FOR 346 BEDS, 313 OF WHICH WERE STAFFED BY YEAR END 2011. 2011 ACUTE ADULT AND PEDIATRIC ADMISSIONS NUMBERED 12,187; 2,190 BIRTHS; SUB-ACUTE ADMISSIONS 309. MEDICARE REPRESENTS 41.6% OF THE PAYOR MIX; MEDICAID REPRESENTS 13.1% OF THE PAYOR MIX THE HOSPITAL PERFORMED 4,858 INPATIENT SURGERIES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 63194503 | Expense |
| Revenue | 52782781 | Revenue |
| Description | OUTPATIENT HEALTHCARE - MOST OF ST. MARY'S OUTPATIENT HEALTHCARE SERVICES ARE DELIVERED IN CLINIC FACILITIES CONVENIENTLY LOCATED NEAR BUT SEPARATE FROM THE MAIN HOSPITAL CAMPUS. WITH THEIR OWN ENTRANCES AND PARKING LOTS, THESE FACILITIES KEEP PATIENTS OUT OF THE TRAFFIC AND ACTIVITY FLOW OF THE HOSPITAL BUT CLOSE TO THE MAJOR CONCENTRATION OF MEDICAL SERVICES AND PHYSICIAN OFFICES IN THE COUNTY. ST. MARY'S ADVANCED MEDICINE PAVILION HOUSES OUT-PATIENT MEDICAL AND RADIOLOGY CANCER CARE, IMAGING, BLOOD DONATION, AND LABORATORY SERVICES. ST. MARY'S LIFE CENTER CONTAINS REHABILITATION, WELLNESS, AND WEIGHT LOSS/MANAGEMENT SERVICES. A THIRD FREE-STANDING FACILITY HOUSES ST. MARY'S FAMILY MEDICINE RESIDENCY PROGRAM, WHICH TRAINS PHYSICIANS TO CARE FOR FAMILIES IN SMALL TOWNS AND RURAL AREAS; ST. MARY'S FAMILY MEDICINE CENTER, A MEDICAL CLINIC SPECIALIZING IN PRE-NATAL, OBSTETRICAL, PEDIATRIC, FAMILY, AND GERIATRIC CARE; AND ST. MARY'S WOUND CLINIC. ST. MARY'S 2011 OUTPATIENT SERVICES INCLUDED: 364,899 PATIENT VISITS (INCLUDING EMERGENCY ROOM VISITS), 70,064 CLINIC VISITS, AND 2,619 OUTPATIENT SURGERIES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 21000549 | Expense |
| Revenue | 54154048 | Revenue |
| Description | EMERGENCY & TRAUMA SERVICES - ST. MARY'S OPERATES THE ONLY LEVEL II TRAUMA CENTER BETWEEN DENVER, CO AND SALT LAKE CITY, UT. WITH A 24-7 EMERGENCY DEPARTMENT STAFFED WITH EXPERIENCED EMERGENCY MEDICINE-TRAINED PHYSICIANS AND NURSES, TRAUMA AND NEUROSURGEONS ALWAYS AVAILABLE, AND AIR MEDICAL TRANSPORT SERVICES, ST. MARY'S CARES FOR SERIOUSLY ILL AND INJURED PATIENTS. THE TRANSPORT HELICOPTER ALSO ASSISTS IN RESCUE OR EVACUATION EFFORTS. DURING 2011 ST. MARY'S HELICOPTER MADE 370 TRANSPORT FLIGHTS. THE FIXED-WING AIRCRAFT FLEW 312 TRANSPORTS. OF ST. MARY'S 39,564 EMERGENCY DEPARTMENT VISITS DURING 2011, 6,226 PATIENTS WERE ADMITTED AND 33,338 WERE TREATED AS OUTPATIENTS. | Description |
Activity Other ActivityOther (12 entries)
| ExpenseExpense | RevenueRevenue | DescriptionDescription | GrantsGrants |
|---|---|---|---|
| 15946584 | 47741562 | OUTPATIENT RADIOLOGY | |
| 18267631 | 31048618 | REHABILITATION | |
| 1603494 | 384532 | WELLNESS CENTER | |
| 6112214 | RESIDENCY PROGRAM | ||
| 852432 | collaborative clinic | ||
| 792331 | 45735 | RESEARCH | |
| 2103319 | 226339 | COMMUNITY BENEFIT PROGRAMS | |
| 1378185 | 80299 | BLOOD BANK | |
| 121721 | tumor registry | ||
| 58144 | EDUCATION | ||
| 2177258 | OTHER CHARITABLE CONTRIBUTIONS | 2177258 | |
| 1279040 | JOINT VENTURE OUTPATIENT INCOME |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 49355169 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 2177258 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 80864269 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 271464733 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 330 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2342 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | FOREST BINDER | NamePerson |
| Telephone Number | 9702442273 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2635 N 7TH ST | AddressLine1 |
| City | Grand Junction | City |
| State | CO | State |
| ZIP Code | 81502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Roy Cromer | ||||||||
| Chair | 1.0 | X | X | 0 | 0 | 0 | ||
| Gregg Kampf | ||||||||
| Vice Chair | 1.0 | X | X | 0 | 0 | 0 | ||
| Rob Bickley | ||||||||
| Treasurer | 1.0 | X | X | 0 | 0 | 0 | ||
| Kristine Ruess | ||||||||
| Secretary | 1.0 | X | X | 0 | 0 | 0 | ||
| Michael McBride | ||||||||
| CEO/President | 54.0 | X | X | 0 | 421837 | 63997 | ||
| Sister Catrina Ann Bones | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Bruce Hill | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Mark Luker | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| SISTER JEAN ANNE PANISKO | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| David James | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Daniel M Roberts | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Monique Serra | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Sister Phyllis Stowell | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| LAUREL BARTHOLOMAY | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Douglas Aden | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Cherie Gorby | ||||||||
| COO | 55.0 | X | 0 | 560263 | 308477 | |||
| Forest Binder | ||||||||
| CFO/VP Finance | 54.0 | X | 0 | 301425 | 30246 | |||
| John Beeson | ||||||||
| Medical Director | 45.0 | 0 | 404536 | 34654 | X | |||
| Susan Hemley | ||||||||
| Physician | 45.0 | 741250 | 0 | 19600 | X | |||
| John Lopez | ||||||||
| Physician | 45.0 | 734311 | 0 | 19600 | X | |||
| Brian Witwer | ||||||||
| Physician | 45.0 | 725057 | 0 | 19450 | X | |||
| James Narrod | ||||||||
| Physician | 45.0 | 708109 | 0 | 19600 | X | |||
| Sara Pereira | ||||||||
| Physician | 45.0 | 708037 | 0 | 19600 | X | |||
| JERRY SPICER | ||||||||
| VP NURSING | 0.0 | 0 | 198141 | 15776 | X | |||
| ROBERT LADENBURGER | ||||||||
| CEO PRESIDENT | 0.0 | 0 | 1086761 | 84694 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3616764 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2972963 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 635694 | TotalOtherCompensation |
| Number Individuals GT100 K | 114 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Anesthesia Consultants of Western C | |||||
| 1120 Wellington Suite 206 | GRAND JUNCTION | CO | 81501 | anesthesia svcs | 4891334 |
| Petroleum Helicopters Inc | |||||
| 2001 SE Evangeline Thruway | LAFAYETTE | LA | 70508 | Helicopter Service | 3182851 |
| Aramark Corporation | |||||
| 4420 East 142 St | GRAND VIEW | MO | 64030 | Food Service Mgt | 2580754 |
| fci mccarthy | |||||
| 2339 north 7th st | GRAND JUNCTION | CO | 81502 | construction | 1645203 |
| general surgeons of western co | |||||
| 1001 Wellington ave | GRAND JUNCTION | CO | 81501 | physician svcs | 1519926 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 61 | NumberOfContractorsGT100K |
| Related Organizations | 1608800 | RelatedOrganizations |
| Government Grants | 1893791 | GovernmentGrants |
| All Other Contributions | 223 | AllOtherContributions |
| Total Contributions | 3502814 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| INPATIENT REVENUE | 900099 | 180311313 | 180311313 |
| OUTPATIENT REVENUE | 621400 | 52782781 | 52782781 |
| OUTPATIENT RADIOLOGY | 621990 | 47741562 | 47741562 |
| EMERGENCY SERVICES | 900099 | 54154048 | 54154048 |
| REHABILITATION | 621400 | 31048618 | 31048618 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 795049 | TotalRevenueColumn |
| Related Or Exempt Function Income | 795049 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 366833371 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3078624 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1279040 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,799,584 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1793819 | Real |
| Personal | 462984 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1063010 | Real |
| Personal | 31253 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 730809 | Real |
| Personal | 431731 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1162540 | TotalRevenueColumn |
| Unrelated Business Revenue | 442631 | UnrelatedBusinessRevenue |
| Exclusion | $719,909 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1259458 | Securities |
| Other | 13260 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -1259458 | Securities |
| Other | -13260 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1272718 | TotalRevenueColumn |
| Exclusion | -$1,272,718 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 242297 | GrossSalesOfInventory |
| Cost Of Goods Sold | 163683 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 78614 | TotalRevenueColumn |
| Unrelated Business Revenue | 291 | UnrelatedBusinessRevenue |
| Exclusion | $78,323 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| REFERENCE LAB | 541380 | 2204514 | 2204514 | |
| CAFETERIA SALES | 722210 | 1454417 | $1,454,417 | |
| MANAGEMENT SERVICES | 541610 | 633778 | 514986 | $118,792 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7504530 | TotalRevenueColumn |
| Unrelated Business Revenue | 200069 | UnrelatedBusinessRevenue |
| Exclusion | $7,304,461 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 11797239 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 385180484 | TotalRevenueColumn |
| Related Or Exempt Function Income | 368112411 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3362491 | UnrelatedBusinessRevenue |
| Exclusion | $10,202,768 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2122626 | Total |
| Program Services | 2122626 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54632 | Total |
| Program Services | 54632 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1759965 | Total |
| Program Services | 563189 | ProgramServices |
| Management And General | 1196776 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111376904 | Total |
| Program Services | 102024731 | ProgramServices |
| Management And General | 8958048 | ManagementAndGeneral |
| Fundraising | 394125 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6756345 | Total |
| Program Services | 5442598 | ProgramServices |
| Management And General | 1313747 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11916378 | Total |
| Program Services | 10558542 | ProgramServices |
| Management And General | 1275662 | ManagementAndGeneral |
| Fundraising | 82174 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9357651 | Total |
| Program Services | 8328726 | ProgramServices |
| Management And General | 1004075 | ManagementAndGeneral |
| Fundraising | 24850 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5034651 | Total |
| Program Services | 4873680 | ProgramServices |
| Management And General | 160971 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91053 | Total |
| Management And General | 91053 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29800 | Total |
| Management And General | 29800 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74580 | Total |
| Management And General | 74580 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 229163 | Total |
| Management And General | 229163 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46350434 | Total |
| Program Services | 38695312 | ProgramServices |
| Management And General | 7655122 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 353108 | Total |
| Program Services | 9848 | ProgramServices |
| Management And General | 343260 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9292026 | Total |
| Program Services | 7186150 | ProgramServices |
| Management And General | 2105876 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36980 | Total |
| Program Services | 36914 | ProgramServices |
| Management And General | 66 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3330738 | Total |
| Program Services | 2587171 | ProgramServices |
| Management And General | 743567 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 818910 | Total |
| Program Services | 786158 | ProgramServices |
| Management And General | 32752 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 345566 | Total |
| Program Services | 333133 | ProgramServices |
| Management And General | 12433 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1759533 | Total |
| Management And General | 1759533 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31404326 | Total |
| Program Services | 27814383 | ProgramServices |
| Management And General | 3589943 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2916246 | Total |
| Management And General | 2916246 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 59383141 | 59383141 | |
| BAD DEBTS | 29059710 | 29059710 | |
| PROVIDER TAXES | 20220545 | 20220545 | |
| MISCELLANEOUS | 1166673 | 663799 | 502874 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 364599 | Total |
| Management And General | 364599 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 355606283 | Total |
| Program Services | 271464733 | ProgramServices |
| Management And General | 83640401 | ManagementAndGeneral |
| Fundraising | 501149 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 869173 | BOY |
| EOY | 428235 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7231856 | BOY |
| EOY | 3670318 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51108592 | BOY |
| EOY | 52155700 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7539706 | BOY |
| EOY | 6608501 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3756890 | BOY |
| EOY | 3886943 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 593946280 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 261886494 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 356007069 | BOY |
| EOY | 332059786 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66524498 | BOY |
| EOY | 109947481 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2635159 | BOY |
| EOY | 2500646 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2070870 | BOY |
| EOY | -35118 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 497743813 | BOY |
| EOY | 511222492 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23824505 | BOY |
| EOY | 25851305 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45819610 | BOY |
| EOY | 37932224 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69644115 | BOY |
| EOY | 63783529 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 428099698 | BOY |
| EOY | 447438963 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 428099698 | BOY |
| EOY | 447438963 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 497743813 | BOY |
| EOY | 511222492 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 29574201 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -10234936 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $58,863 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $15,717 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 74580 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RURAL REFERRAL CENTER | form 990, sch c, PART II-B, LINE 1F: | $58,863 PAYMENT TO capstone lobbying group for promotion of health related legislation in colorado. |
| LOBBYING PORTION OF MEMBERSHIP DUES REPORTED BY ASSOCIATIONS | form 990, SCH C, PART II-B, line 1i: | LOBBYING PORTION OF DUES REPORTED ON ASSOCIATION MEMBERSHIP INVOICES, $15,717. ST. MARY'S HOSPITAL HAS NO CONTROL OVER HOW THE FUNDS ARE SPENT OR DIRECTED. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6462683 | BeginningOfYearBalance |
| Contributions | 168214 | Contributions |
| Investment Earnings Or Losses | 50698 | InvestmentEarningsOrLosses |
| Other Expenditures | 261967 | OtherExpenditures |
| End Of Year Balance | 6419628 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5949382 | BeginningOfYearBalance |
| Contributions | 25481 | Contributions |
| Investment Earnings Or Losses | 771583 | InvestmentEarningsOrLosses |
| Other Expenditures | 283763 | OtherExpenditures |
| End Of Year Balance | 6462683 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4225092 | BeginningOfYearBalance |
| Contributions | 2619 | Contributions |
| Investment Earnings Or Losses | 1722549 | InvestmentEarningsOrLosses |
| Other Expenditures | 878 | OtherExpenditures |
| End Of Year Balance | 5949382 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6828227 | BeginningOfYearBalance |
| Contributions | 24377 | Contributions |
| Investment Earnings Or Losses | -2535754 | InvestmentEarningsOrLosses |
| Other Expenditures | 91758 | OtherExpenditures |
| End Of Year Balance | 4225092 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.98000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.02000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9904921 | OtherCostOrOtherBasis |
| Book Value | 9904921 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3971891003 | OtherCostOrOtherBasis |
| Depreciation | 142226952 | Depreciation |
| Book Value | 276504791 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 312960 | OtherCostOrOtherBasis |
| Depreciation | 305544 | Depreciation |
| Book Value | 9918 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 164642925 | OtherCostOrOtherBasis |
| Depreciation | 137463416 | Depreciation |
| Book Value | 35715582 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21896471 | OtherCostOrOtherBasis |
| Depreciation | 13137762 | Depreciation |
| Book Value | 9924575 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 332059787 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (11 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PROPERTY TAXES | $248,662 |
| ACCRUED SALES TAXES | $12,435 |
| ACCRUED CONSTRUCTION CONTRACTS | $317,507 |
| OTHER DEFERRALS | -$210,663 |
| SR PROGRAMS - MEALS | $27,908 |
| REIMB SETTLEMENT DUE - MCARE | $2,424,356 |
| MINORITY INTEREST | $0 |
| STATE INCOME TAX | $27,404 |
| FEDERAL INCOME TAX | -$39,396 |
| CAPITAL STRUCTURE | $35,065,288 |
| ACCRUED EXPENSES & LIABILITIES | $58,723 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 37932224 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Endowment Funds | Identifier |
| Return Reference | form 990, Sch D, Part V, Line 4: | ReturnReference |
| Explanation | BOARD ENDOWMENT - QUASI ENDOWMENT USED FOR AREAS OF GREATEST NEED. BRUCE E. DIXSON PULMONARY REHABILITATION ENDOWMENT - ASSIST LOW INCOME PULMONARY PATIENTS CUMMINGS FAMILY ENDOWMENT - QUASI ENDOWMENT TO ASSIST LOW INCOME CANCER PATIENTS WORLEY FAMILY INFECTION CONTROL ENDOWMENT - INFECTION CONTROL education dr. lynn james pulmonary endowment fund - assist low income pulmonary patients ENDOWMENT FUNDS ARE HELD BY THE ST. MARY'S HOSPITAL FOUNDATION. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 46. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23812366 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6715551 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17096815 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05240 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 56106646 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 48560939 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7545707 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02310 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 79919012 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55276490 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24642522 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07550 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7452036 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 161249 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7290787 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02230 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 681735 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 681735 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 792331 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 792331 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2161165 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2161165 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00660 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11087267 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 161249 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10926018 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03340 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 91006279 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55437739 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35568540 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10890 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1602 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1602 | NetCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1932061 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 226338 | DirectOffsettingRevenue |
| Net Community Building Expense | 1705723 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00520 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4983 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4983 | NetCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2812 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2812 | NetCommunityBuildingExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 250 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 250 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1941708 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 226338 | DirectOffsettingRevenue |
| Net Community Building Expense | 1715370 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00520 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $12,542,171 | BadDebtExpenseAmount |
| Amount Attributable To | 877952 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 87806001 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 101944765 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -14138764 | 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 | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| PAVILION IMAGING | ||
| OUTPATIENT RADIOLOGY | 0.75000 | 0.25000 |
| GRAND VALLEY SURG | ||
| OUTPATIENT SURGERY | 0.50000 | 0.50000 |
| SAN JUAN CANCER CNT | ||
| OUPATIENT CANCER TREATMENT | 0.33330 | 0.33330 |
| 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 | ST MARY'S HOSPITAL & MEDICAL Ctr INc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2635 N 7TH ST | AddressLine1 |
| City | GRAND JUNCTION | City |
| State | CO | State |
| ZIP Code | 81502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Research Facility | X | ResearchFacility |
| 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 | ST MARY'S HOSPITAL & MEDICAL Ctr INc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 46. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | 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 |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Grand Valley Surgical Center LLC | ||||
| 710 Wellington | Grand Junction | CO | 81501 | outpatient surgery |
| San Juan Cancer Center LLC | ||||
| 600 SOUTH 5TH STREET | MONTROSE | CO | 81401 | outpatient cancer treatment |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FEDERAL POVERTY GUIDELINES | form 990, SCHE H, PART I, LINE 3C: | N/A |
| COST TO CHARGE RATIO | SCH H PART I, LINE 7: | COST TO CHARGE RATIO. DERIVED FROM WORKSHEET 2 BAD DEBT EXPENSE SUBTRACTED BEFORE CALCULATING PERCENTAGES IN COLUMN (F) WAS $29,059,710. |
| BAD DEBT FOOTNOTE | PART ii, LINE 4: | COST-TO-CHARGE RATIO. DERIVED FROM WORKSHEET 2. THE HOSPITAL DOES NOT TAKE INTO ACCOUNT DISCOUNTS ON PATIENT ACCOUNTS WHEN DETERMINING BAD DEBT. PATIENT PAYMENTS ON ACCOUNTS WRITTEN OFF TO BAD DEBT DECREASE BAD DEBT EXPENSE. |
| MEDICARE | form 990, sch h, PART III, section b, LINE 8: | ST. MARY'S HOSPITAL DOES NOT CONSIDER THE UNREIMBURSED PORTION OF MEDICARE TO BE COMMUNITY BENEFIT. AS THE HOSPITAL IS ATTEMPTING TO MAKE MEDICARE COST EFFECTIVE, THE MEDICARE DEFICIENCIES ARE VIEWED AS MOSTLY INEFFICIENCIES IN OPERATIONS, NOT COMMUNITY BENEFIT. MEDICARE PART III, LINE 8, MEDICARE ALLOWABLE COSTS ARE DETERMINED BASED ON APPLICABLE MEDICARE RULES AND REGULATIONS. NONALLOWABLE EXPENSES ARE REMOVED VIA AN ADJUSTMENT, AS SHOWN ON WORKSHEET A-8 OF THE MEDICARE COST REPORT. |
| COLLECTIONS | PART III, LINE 9B: | AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST, AND TO ENSURE THAT WE MANAGE OUR RESOURCES SO THAT WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. ST. MARY'S HOSPITAL & MEDICAL CENTER NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION, DISCHARGE AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. |
| NEEDS ASSESSMENT | PART VI, QUESTION 2: | AS PART OF OUR CORE VALUE OF RESPONSE TO NEED, WE TAKE STEPS TO DETERMINE WHERE THERE IS THE MOST NEED IN ORDER TO PROVIDE THE GREATEST GOOD. ST. MARY'S HOSPITAL & MEDICAL CENTER HAS REGULARLY PARTICIPATED IN NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. THIS ASSESSMENT STUDIES A DEFINED COMMUNITY SERVED BY ST. MARY'S HOSPITAL & MEDICAL CENTER, AND IS DONE BY PARTNERING WITH LOCAL GOVERNMENT AND SOCIAL AGENCIES; COMBINING EFFORTS WITH OTHER LOCAL HOSPITALS AND HEALTH CARE ORGANIZATIONS; AND CONDUCTING SURVEYS AND ASSESSMENTS WITH THE ASSISTANCE OF OUTSIDE CONSULTANTS. WE ALSO CONTINUOUSLY ASSESS THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY, AND BY EVALUATING STATE AND COUNTY HEALTH STATISTICS. SURVEYS WERE ALSO CONDUCTED IN 1998 AND 2005. THE MOST RECENT SURVEY WAS CONDUCTED IN 2009 ANOTHER WILL BE CONDUCTED IN 2012. AS PART OF OUR CORE VALUE OF RESPONSE TO NEED, ST. MARY'S TAKES STEPS TO DETERMINE WHERE THERE IS THE MOST NEED TO PROVIDE THE GREATEST GOOD. ST. MARY'S HOSPITAL & MEDICAL CENTER, IN CONJUNCTION WITH THESE OTHER ORGANIZATIONS, MARILLAC CLINIC, MESA COUNTY HEALTH DEPARTMENT, UNITED WAY OFF MESA COUNTY, ROCKY MOUNTAIN HEALTH PLANS, COLORADO WEST REGIONAL MENTAL HEALTH, MESA COUNTY SCHOOL DISTRICT 51, WESTERN COLORADO AREA HEALTH EDUCATION CENTER, WESTERN HEALTHCARE ALLIANCE, COUNSELING AND EDUCATION CENTER, MESA COUNTY METH TASK FORCE, COMPLETED THE 2009 SURVEY. THIS 2009 COMMUNITY HEALTH & QUALITY OF LIFE SURVEY, A FOLLOW-UP TO SIMILAR SURVEYS CONDUCTED LOCALLY SINCE 1994, IS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS, PERCEPTIONS AND NEEDS OF RESIDENTS IN MESA COUNTY. SUBSEQUENTLY, THIS INFORMATION MAY BE USED TO FORMULATE STRATEGIES TO IMPROVE COMMUNITY HEALTH AND WELLNESS. A PRC COMMUNITY HEALTH & QUALITY OF LIFE SURVEY PROVIDES THE INFORMATION SO THAT COMMUNITIES MAY IDENTIFY ISSUES OF GREATEST CONCERN AND DECIDE TO COMMIT RESOURCES TO THOSE AREAS, THEREBY MAKING THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. THIS COMMUNITY HEALTH & QUALITY OF LIFE SURVEY WILL SERVE AS A TOOL TOWARD REACHING THREE BASIC GOALS: 1. TO IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE. A HEALTHY COMMUNITY IS NOT ONLY ONE WHERE ITS RESIDENTS SUFFER LITTLE FROM PHYSICAL AND MENTAL ILLNESS, BUT ALSO ONE WHERE ITS RESIDENTS ENJOY A HIGH QUALITY OF LIFE. 2. TO REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS BY GATHERING DEMOGRAPHIC INFORMATION ALONG WITH HEALTH STATUS AND BEHAVIOR DATA, IT WILL BE POSSIBLE TO IDENTIFY POPULATION SEGMENTS THAT ARE MOST AT-RISK FOR VARIOUS DISEASES AND INJURIES. INTERVENTION PLANS AIMED AT TARGETING THESE INDIVIDUALS MAY THEN BE DEVELOPED TO COMBAT SOME OF THE SOCIO-ECONOMIC FACTORS WHICH HAVE HISTORICALLY HAD A NEGATIVE IMPACT ON RESIDENTS' HEALTH. 3. TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. MORE ACCESSIBLE PREVENTIVE SERVICES WILL PROVE BENEFICIAL IN ACCOMPLISHING THE FIRST GOAL (IMPROVING HEALTH STATUS, INCREASING LIFE SPANS, AND ELEVATING THE QUALITY OF LIFE), AS WELL AS LOWERING THE COSTS ASSOCIATED WITH CARING FOR LATE-STAGE DISEASES RESULTING FROM LACK OF PREVENTIVE CARE. THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO NATIONAL HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. IT IS VERY SIMILAR TO SURVEYS ADMINISTERED BY PRC IN MESA COUNTY IN 1994, 1997, 2001 AND 2005. THE STUDY AREA FOR THIS EFFORT IS DEFINED AS MESA COUNTY, COLORADO, SEGMENTED INTO THE TWO SUB-AREAS OF GRAND JUNCTION AND THE REMAINDER OF THE COUNTY. A PRECISE AND CAREFULLY EXECUTED METHODOLOGY IS CRITICAL IN ASSERTING THE VALIDITY OF THE RESULTS GATHERED IN THE 2009 PRC COMMUNITYHEALTH SURVEY. THUS, TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A TELEPHONE INTERVIEW METHODOLOGY WAS EMPLOYED. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A RANDOM SAMPLE OF 1,000 INDIVIDUALS AGED 18 AND OLDER IN THE DEFINED COMMUNITIES. ONCE THE DATA WAS COLLECTED, THE SAMPLE WAS WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION AT THE ZIP CODE LEVEL SO THAT OUR ESTIMATES REFLECT THE AREA AS A WHOLE. POPULATION ESTIMATES WERE BASED ON CENSUS PROJECTIONS OF ADULTS AGED 18 AND OVER PROVIDED IN THE LATEST ESRI BIS DEMOGRAPHIC PORTFOLIO. A FULL TEXT OF THE NEEDS ASSESSMENT IS AVAILABLE AT HTTP://HEALTH .MESACOUNTY.US/ WE ALSO CONTINUOUSLY ASSESS THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY, AND BY EVALUATING STATE AND COUNTY HEALTH STATISTICS. ST. MARY'S UTILIZES THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY TO HELP PRIORITIZE THE ALLOCATION OF RESOURCES. THE ST. MARY'S BOARD, LEADERSHIP AND SERVICE MANAGERS WILL DEVELOP PROGRAMS, ALTER CURRENT OPERATIONS OR SPONSOR LOCAL EFFORTS TO RESPOND TO THE NEEDS IDENTIFIED IN THE SURVEY. IN ADDITION TO ST. MARY'S USE OF THE DATA, LOCAL AGENCIES AND ORGANIZATION WILL USE THE PUBLICLY AVAILABLE SURVEY RESULTS TO APPLY FOR GRANTS AND DEVELOP OR ADJUST CURRENT SERVICE TO BETTER MEET THE NEEDS OF THEIR CLIENTS. |
| COLLECTION PRACTICES | PART VI, QUESTION 3: | ST. MARY'S HOSPITAL & MEDICAL CENTER TREATS PATIENTS WITH RESPECT AND DIGNITY REGARDLESS OF THEIR ABILITY TO PAY. ST. MARY'S HOSPITAL & MEDICAL CENTER HAS A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINS ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE AT VARIOUS LEVELS, INCLUDING A 100% DISCOUNT, AND IS BASED ON FEDERAL POVERTY GUIDELINES. WE WORK WITH PATIENTS TO HELP THEM UNDERSTAND THEIR FINANCIAL RESPONSIBILITY FOR CARE RECEIVED, FINANCIAL ASSISTANCE AVAILABLE TO THEM, AND TO ESTABLISH PAYMENT PROGRAMS IN DEMONSTRATION OF OUR CORE VALUE OF RESPECT. AS PART OF OUR RESPONSIBILITY TO EDUCATE, WHEN POSSIBLE, WE INFORM OUR PATIENTS AND THEIR FAMILIES OF THE AVAILABILITY OF ASSISTANCE, INCLUDING GOVERNMENT PROGRAMS. WE COMMUNICATE THIS IN A VARIETY OF WAYS TO ENSURE THAT MESSAGES REACH MULTIPLE AUDIENCES. BEFORE, DURING AND/OR AFTER ADMISSION, WE ENCOURAGE OUR SELF PAY PATIENTS TO VISIT WITH A FINANCIAL COUNSELOR TO DISCUSS QUALIFICATIONS FOR FINANCIAL ASSISTANCE. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT TO COMPLETE A FINANCIAL ASSISTANCE FORM TO DETERMINE THE LEVEL OF DISCOUNT FOR WHICH THE PATIENT MAY BE ELIGIBLE. WE POST FINANCIAL ASSISTANCE INFORMATION IN EMERGENCY AND ADMISSIONS AREAS, ON BILLINGS INVOICES, IN VARIOUS AREAS AROUND THE HOSPITAL AND CLINIC SITES AND ON THE HOSPITAL WEBSITE. WE PROVIDE WRITTEN MATERIALS TO PATIENTS THAT DETAIL OUR FINANCIAL ASSISTANCE POLICY AND HOW IT IS ADMINISTERED. THIS COVERS ELIGIBILITY, STEPS TO FOLLOW TO DETERMINE IF A PATIENT QUALIFIES FOR ASSISTANCE, TYPICAL CHARGES A PATIENT MAY EXPECT FOR ROUTINE PROCEDURES, AND ASSISTANCE AVAILABLE BASED ON A PATIENT'S INCOME LEVEL. WE PROVIDE, WHEN POSSIBLE, MATERIALS AND EDUCATION WHEN PATIENTS ARE DISCHARGED, AND INCLUDE INFORMATION IN BILLING STATEMENTS, INCLUDING PHONE NUMBERS AND OTHER METHODS TO CONTACT US WITH QUESTIONS. WE ENSURE THAT OUR FINANCIAL COUNSELORS, ADMISSION EMPLOYEES, SOCIAL WORKERS AND OTHER EMPLOYEES UNDERSTAND OUR POLICIES TO BE ABLE TO ASSIST PATIENTS IN THE MOST APPROPRIATE WAY. |
| COMMUNITY INFORMATION | PART VI, QUESTION 4: | ST. MARY'S IS THE LEADING PROVIDER OF COMMUNITY BENEFIT FOR RESIDENTS OF WESTERN COLORADO AND EASTERN UTAH. THE HOSPITAL IS LOCATED IN GRAND JUNCTION, CO THE LARGEST CITY BETWEEN SALT LAKE CITY, UTAH AND DENVER, COLORADO; THEREFORE, IT SERVES AS A REGIONAL HUB FOR SERVICES AND MEDICAL TECHNOLOGIES. MESA COUNTY LIES ON THE WESTERN BORDER OF COLORADO AND COVERS 3,309 SQUARE MILES. ACCORDING TO THE COLORADO STATE DEMOGRAPHY OFFICE THE ESTIMATED 2009 POPULATION OF MESA COUNTY WAS 144,452. MESA COUNTY HAS EXPERIENCED VERY HEALTHY POPULATION GROWTH RATES AND IS EXPECTING THIS TREND TO CONTINUE. HISTORICALLY, THE AREA HAS GROWN AT 2%, ANNUALLY, AND WAS RECENTLY PROJECTED TO CONTINUE TO GROW AT 2.3%, ANNUALLY, THROUGH 2013. THESE PROJECTIONS WERE PROVIDED PRIOR TO SOME OF THE ECONOMIC DOWNTURN. HOW THE RECESSIONARY INFLUENCES WILL AFFECT POPULATION GROWTH AND MOVEMENT WILL BE AN INDICATOR WE WILL INVESTIGATE EACH YEAR AS THE PROJECTIONS ARE MADE AVAILABLE. THE 'BABY-BOOMER' COHORT IS PROJECTED TO BE ONE OF THE FASTEST GROWING POPULATION SEGMENTS AND HISTORICALLY HAS BEEN PROVIDED THE MONIKER FOR BEING THE MOST SIGNIFICANT MARKET FORCE DRIVING DEMAND GROWTH AND CHANGES IN HOW CONSUMERS ENGAGE THE HEALTH CARE DELIVERY SYSTEM. ST. MARY'S WILL CONTINUE STRIVING TO PROVIDE HIGH QUALITY CARE OFFERING A FAVORABLE CONSUMER VALUE PROPOSITION TO MATCH THE COMMUNITY'S RISING EXPECTATIONS. IN CORRELATION WITH ST. MARY'S TREMENDOUS GROWTH IN BIRTHS, TODAY'S GENERATION Z (0-14) NOW REPRESENTS A SUBSTANTIALLY LARGE AND FAST GROWING AGE COHORT. POPULATION BY AGE 2008 2013 % GROWTH CAGR PRIMARY SERVICE AREA 0 TO 14 28,514 33,699 18.2% 3.4% 15 TO 44 59,595 66,061 10.8% 2.1% 45 TO 44 36,769 39,084 6.3% 1.2% 65 TO 74 10,559 12,318 16.7% 3.1% 75 TO 90+ 10,234 11,952 16.8% 3.2% TOTAL 145,671 163,114 12.0% 2.3% SECONDARY SERVICE AREA 0 TO 14 29,353 37,210 26.8% 4.9% 15 TO 44 54,501 69,192 27.0% 4.9% 45 TO 44 37,191 41,997 12.9% 2.5% 65 TO 74 9,398 12,404 32.0% 5.7% 75 TO 90+ 8,685 10,297 18.6% 3.5% TOTAL 139,128 171,100 23.0% 4.2% TERTIARY SERVICE AREA 0 TO 14 44,328 53,038 19.6% 3.7% 15 TO 44 101,855 14,891 12.8% 2.4% 45 TO 44 68,287 75,678 10.8% 2.1% 65 TO 74 12,626 18,778 48.7% 8.3% 75 TO 90+ 8,710 11,289 29.6% 5.3% TOTAL 235,806 273,674 16.1% 3.0% GRAND TOTAL 520,605 607,888 16.8% 3.1% 2007 HH INCOME PRIMARY SERVICE COLORADO STATE USA SEGMENT AREA <$15K 13.5% 9.6% 13.1% $15-25K 13.2% 9.0% 10.9% $25-50K 32.3% 26.1% 26.8% $50-75K 20.0% 20.8% 19.5% $75-100K 9.6% 13.4% 11.9% OVER $1OOK 11.3% 21.1% 17.9% 2007 RACE/ETHNICITY PRIMARY COLORADO USA SERVICE AREA STATE WHITE NON-HISPANIC 85.7% 71.1% 65.9% BLACK NON-HISPANIC 0.6% 3.7% 12.1% HISPANIC 11.2% 20.0% 14.9% ASIAN & PACIFIC NON-HISPANIC 0.6% 2.6% 4.4% ALL OTHERS 2.0% 2.7% 2.8% FOR ADDITIONAL COMMUNITY STATISTICAL INFORMATION INCLUDING UNINSURANCE RATES (18%), SPECIAL HEALTH RELATED ISSUES, COMMUNITY RISK FACTORS AND OTHER HEALTH RELATED INDICATORS PLEASE REFER TO THE MOST RECENT COMMUNITY HEALTH ASSESSMENT SURVEY AT HTTP://HEALTH .MESACOUNTY.US/ PROMOTION OF COMMUNITY HEALTH. |
| PROMOTION OF COMMUNITY HEALTH | PART VI, QUESTION 5: | WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS IN ORDER TO IMPROVE THE HEALTH OF OUR COMMUNITY. OUR COMMUNITY BUILDING ACTIVITIES DEMONSTRATE THIS COMMITMENT. OUR COMMUNITY BUILDING ACTIVITIES TOTALED $1,715,370 IN 2011 AND INCLUDED EFFORTS IN SIX DIFFERENT CATEGORIES REPORTED IN THE 990: ECONOMIC DEVELOPMENT; COMMUNITY SUPPORT; ENVIRONMENTAL IMPROVEMENTS; COALITION BUILDING; COMMUNITY HEALTH IMPROVEMENT ADVOCACY; AND WORKFORCE DEVELOPMENT. ST. MARY'S LARGEST AREA OF COMMUNITY BUILDING WAS IN THE AREA OF COMMUNITY SUPPORT FOR A TOTAL OF $1,705,723 OR 99.44%. DURING THIS YEAR OUR COMMUNITY SUPPORT ACTIVITIES INCLUDED ST. MARY'S SENIOR PROGRAMS - SENIOR COMPANION, FOSTER GRANDPARENT AND GRAY GOURMET FEDERALLY SUPPORTED PROGRAMS SPONSORED BY ST. MARY'S. ORIGINALLY SPONSORED BY MESA COUNTY, ST. MARY'S ASSUMED SPONSORSHIP AND SUPPORT OF THESE PROGRAMS DURING THE ECONOMIC DOWNTURN OF THE 1980'S WHEN THE COUNTY SUFFERED SEVERE BUDGET CONSTRAINTS FROM THE LOSS OF ENERGY-RELATED REVENUES. ST. MARY'S HAS CONTINUED TO SPONSOR AND SUPPORT THESE PROGRAMS BECAUSE OF THE UNIQUE SERVICES THEY PROVIDE TO THE SENIORS IN NEED IN MESA COUNTY. LIKE SENIOR COMPANION PROGRAMS ACROSS THE COUNTRY, ST. MARY'S SENIOR COMPANION PROGRAM HELPS OLDER ADULTS REMAIN HEALTHY, INDEPENDENT, AND IN THEIR OWN HOMES. THE NEED FOR THIS PROGRAM GROWS OUT OF THE PROBLEMS FACED BY SENIORS WHEN THEY OR THEIR PARTNER DEVELOPS MOBILITY ISSUES AND NEED HELP WITH EVERYDAY TASKS. VOLUNTEER COMPANIONS HELP SENIORS WITH DAILY ACTIVITIES, SUCH AS GROCERY SHOPPING, BILL PAYING, AND SIMPLE HOUSEHOLD TASKS. WITHOUT HELP OF SENIOR COMPANIONS, MANY OLDER ADULTS WOULD BE FORCED TO LEAVE THEIR HOMES FOR ASSISTED LIVING FACILITIES OR NURSING HOMES. MANY WOULD NEED TO RELY ON PUBLIC SUPPORT SUCH AS MEDICAID TO PAY FOR THESE SERVICES. BY PROVIDING LOW-COST, PERSONAL INTERACTION WITH AT-RISK SENIORS, THE PROGRAM HELPS ENSURE SENIORS ARE TAKING THEIR MEDICATION AND DOCTORS OR FAMILY ARE ALERTED TO ANY POTENTIAL HEALTH PROBLEMS. THE PROGRAM BENEFITS MORE THAN ST. MARY'S BECAUSE THE GOAL OF THE PROGRAM IS TO KEEP SENIORS LIVING INDEPENDENTLY OUTSIDE OF ASSISTED LIVING AND TO REDUCE THE RISK OF ILLNESS OR ACCIDENT THAT WOULD REQUIRE A HOSPITAL STAY. IN ADDITION TO MAJOR SUPPORT PROVIDED BY ST. MARY'S, THE COMMUNITY PROVIDES ADDITIONAL FINANCIAL SUPPORT THROUGH CONTRIBUTIONS TO ENHANCE THE SERVICES PROVIDED. FOSTER GRANDPARENT PROGRAM ST. MARY'S FOSTER GRANDPARENT PROGRAM PROVIDES TWO TYPES OF SUPPORT IN THE COMMUNITY: 1) ASSISTANCE FOR AT-RISK YOUTH, AND 2) SOURCE OF INCOME FOR LOW-INCOME SENIORS. QUALIFIED SENIOR VOLUNTEERS RECEIVE A TAX-FREE HOURLY STIPEND. PROVIDING INVALUABLE COMPANIONSHIP AND EDUCATIONAL SUPPORT FOR AT-RISK CHILDREN, THE PROGRAM WORKS IN COLLABORATION WITH A BROAD RANGE OF COMMUNITY AGENCIES INCLUDING: MESA COUNTY SCHOOL DISTRICT; DELTA COUNTY SCHOOL DISTRICT; MONTROSE COUNTY SCHOOL DISTRICT; ROCKY MOUNTAIN HEAD START, GRAND JUNCTION REGIONAL CENTER, MIGRANT HEAD START, HILLTOP'S SAFE HOUSE, KIDS OF THE KINGDOM, CHILD QUEST, KIDDIN' AROUND, LIL'MAVERICKS,GRAND MESA YOUTH SERVICES, AND COLLBRAN JOB CORPS. WITHOUT THE PROGRAM, MORE YOUTH WOULD LIKELY DROP OUT OF SCHOOL AND REQUIRE PUBLICLY SUPPORTED INTERVENTION, AND SENIORS WOULD RELY MORE HEAVILY ON PUBLICLY AND PRIVATELY SUPPORTED FINANCIAL ASSISTANCE PROGRAMS. THE PRIMARY BENEFICIARIES OF THIS PROGRAM ARE THE PARTICIPATING SENIORS AND STUDENTS AND COMMUNITY AND GOVERNMENT-SUPPORT PROGRAMS, AS THE BENEFITS ACHIEVED ARE OUTSIDE THE REALM OF ST. MARY'S HOSPITAL'S SERVICES. IN ADDITION TO MAJOR SUPPORT PROVIDED BY ST. MARY'S, THE COMMUNITY PROVIDES ADDITIONAL FINANCIAL SUPPORT THROUGH CONTRIBUTIONS TO ENHANCE THE SERVICES PROVIDED. ST. MARY'S GRAY GOURMET PROGRAM GOOD NUTRITION IS HEALTHY FOOD, GOOD COMPANY, AND AN ENJOYABLE DINING EXPERIENCE. GRAY GOURMET, A NUTRITIONAL MEAL PROGRAM FOR SENIORS SPONSORED BY ST. MARY'S HOSPITAL, DELIVERS ALL THREE. WITH DINING SITES, HOME-DELIVERED MEALS, AND OTHER NUTRITION-RELATED SERVICES, GRAY GOURMET IS DEDICATED TO THE GOOD HEALTH OF MESA COUNTY SENIORS. SENIORS CURRENTLY GET HOT, NUTRITIOUS MEALS IN FRIENDLY COMPANY AT EIGHT MEAL SITES; 108,051 MEALS WERE SERVED IN 2011. HOMEBOUND SENIORS 60 YEARS OF AGE AND OLDER CAN ARRANGE FOR HOME-DELIVERY SERVICE. WEEKEND, AND FROZEN MEALS ARE AVAILABLE DEPENDING ON THE SENIOR'S LOCATION. A GRAY GOURMET REGISTERED DIETITIAN ASSURES MEALS MEET RECOMMENDED DIETARY STANDARDS. THE DIETITIAN MAKES SURE MEALS MEET ANY DOCTOR-PRESCRIBED DIET RESTRICTIONS. AS A GRAY GOURMET PARTICIPANT, SENIORS WITH A DOCTOR'S PRESCRIPTION MAY ALSO BE ELIGIBLE TO RECEIVE MEDICAL NUTRITIONALS. ALL DIETARY COUNSELING IS FREE. WITHOUT THE NUTRITIONAL SUPPORT PROVIDED BY GRAY GOURMET, MORE SENIORS WOULD BE PLACED IN ASSISTED LIVING FACILITIES, RELYING ON PUBLIC SUPPORT SUCH AS MEDICAID TO PAY FOR THESE SERVICES. THIS PROGRAM HELPS SENIORS TO CONTINUE TO LIVE INDEPENDENTLY AND REDUCES THE RISK OF A HOSPITAL STAY BECAUSE OF POOR NUTRITION. ROSE HILL HOSPITALITY HOUSE ST. MARY'S ROSE HILL HOSPITALITY HOUSE PROVIDES SAFE, TEMPORARY HOUSING CLOSE TO THE HOSPITAL CAMPUS FOR THOSE WHO HAVE TRAVELED TO ST. MARY'S HOSPITAL & REGIONAL MEDICAL CENTER FROM OUTSIDE MESA COUNTY WHILE A LOVED ONE IS HOSPITALIZED AND PATIENTS WHO COME FOR LONG-TERM OUTPATIENT TREATMENT. THE ACCOMMODATIONS INCLUDE COMFORTABLE GUESTROOMS, FAMILY BEDROOMS, AND HANDICAPPED ACCESSIBLE ROOMS. ALL ROOMS HAVE PRIVATE BATHROOMS, QUEEN SIZE BEDS, TELEPHONE, AND TELEVISION. THE USE OF ROSE HILL HOSPITAL HOUSE ROOMS IS DETERMINED BY ESTABLISHING CRITERIA. THERE IS NO CHARGE, BUT DONATIONS ARE ACCEPTED. THE PROGRAM ALSO RECEIVES ADDITIONAL COMMUNITY SUPPORT TO ENHANCE THE SERVICES. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. WHEN ST. MARY'S HOSPITAL & MEDICAL CENTER HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE'LL BE HERE TO CARE FOR FUTURE GENERATIONS. WE ALSO SUPPORT OUR EMPLOYEES IN VOLUNTEERING FOR COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS, AND PROVIDE OPPORTUNITIES FOR THEM TO SUPPORT CAUSES THROUGH HOSPITAL EVENTS SUCH AS UNITED WAY CAMPAIGNS AND FOOD AND CLOTHING DRIVES. WE ARE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY. ST. MARY'S HOSPITAL OR ITS REPRESENTATIVES ARE MEMBERS OF THE CHAMBERS OF COMMERCE, ROTARY CLUB, AND CLUB 20. WE PROVIDE FINANCIAL SUPPORT FOR THE AMERICAN RED CROSS, MARCH OF DIMES, ALTRUSA, AMERICAN CANCER SOCIETY, GRAND JUNCTION ECONOMIC PARTNERSHIP AND THE DOWNTOWN DEVELOPMENT AUTHORITY, CATHOLIC OUTREACH, GRAND JUNCITON COMMUNITY HOMELESS SHELTER, HOSPICE AND PALLIATIVE CARE OF WESTERN COLORADO, HILLTOP COMMUNITY RESOURCES, MESA STATE COLLEGE, AND COLORADO REGIONAL WEST MENTAL HEALTH. WE PROVIDE FOCUSED SUPPORT FOR MARILLAC CLINIC, THE COMMUNITY'S HEALTH CLINIC FOR THE UNINSURED. WE WORK CLOSELY TOGETHER TO PROVIDE INTEGRATED CARE FOR THOSE WHO COME TO EITHER FACILITY FOR THEIR HEALTH NEEDS. MARILLAC CLINIC PROVIDES QUALITY PRIMARY HEALTH CARE SERVICES FOR UNINSURED, LOW-INCOME PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE CLINIC IS COMMITTED TO PROVIDING ACCESS TO COMPASSIONATE AND TRUSTWORTHY CARE FOR THE UNINSURED POOR. SERVICES THE CLINIC PROVIDES INCLUDE PRIMARY CARE, ONGOING MANAGEMENT OF CHRONIC DISEASES, MEDICATION, OPTICAL, AND DENTAL ASSISTANCE. IN ADDITION TO FINANCIAL SUPPORT, ST. MARY'S HOSPITAlL ASSISTS THE CLINIC IN MANY OTHER WAYS INCLUDING STRATEGY AND OPERATIONS GUIDANCE, DONATING SUPPLIES, AND PROVIDING IT AND FINANCIAL SYSTEMS MANAGEMENT. |
| AFFILIATED HEALTH CARE SYSTEM | PART VI, QUESTION 6: | COMMUNITY BENEFITS PROVIDED IN 2011 THROUGHOUT SCLHS TOTALED $204.8 MILLION. AS PART OF SCLHS, WE PROMOTE THE SHARED MISSION THAT "WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE." |
| STATE FILING OF COMMUNITY BENEFIT REPORT | PART VI, QUESTION 7: | Montana California and Kansas State filing is not required in Colorado |
| individuals eligibility | form 990, sch h, part v, line 19d: | The Hospital uses a sliding scale for patients that are under 400% of the FPG. The greatest percentage charged to a qualifying patient is less than the lowest negotiated rate. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Recipient Table RecipientTable (15 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Colorado West Mental Health | |||||||||||
| 858 Grand Ave | Grand Junction | CO | 81501 | 840625890 | 501(c)(3) | 450000 | OPERATIONAL SUPPORT | ||||
| Marillac Clinic | |||||||||||
| 2333 N 6th St | Grand Junction | CO | 81501 | 841085822 | 501(C)(3) | SUPPORT FOR OPERATIONS | 583382 | Cost | Supplies, services | ||
| Colorado Mesa University | |||||||||||
| 1100 North Ave | Grand Junction | CO | 81051 | 846037667 | 501(C)(3) | 80500 | NURSING SCHOLARSHIPS | ||||
| Hilltop Community Resources | |||||||||||
| 1331 Hermosa | Grand Junction | CO | 81501 | 742321009 | 501(C)(3) | 55000 | prenatal education | ||||
| Marillac Clinc | |||||||||||
| 2333 N 6th St | Grand Junction | CO | 81501 | 131846366 | 501(C)(3) | 400000 | OPERATIONAL SUPPORT | ||||
| Hospice & Palliative Care of Western CO | |||||||||||
| 3090b n 12th st | Grand Junction | CO | 81506 | 841207388 | 501(C)(3) | 5150 | OPERATIONAL SUPPORT | ||||
| American Cancer Society | |||||||||||
| 2754 Compass Dr | Grand Junction | CO | 81506 | 841316555 | 501(c)(3) | 10000 | cancer prevention | ||||
| Quality Health Network | |||||||||||
| 2764 Compass Drive | Grand Junction | CO | 81506 | 201632384 | 501(C)(3) | 400000 | HEALTH RECORD NETWORKING | Suite 203 | |||
| Colorado Physicians Health | |||||||||||
| 899 Logan St | Denver | CO | 80210 | 742425019 | 501(c)(3) | 10000 | PHYSICIAN HEALTHCARE | ||||
| March of Dimes | |||||||||||
| 634 Main St | Grand Junction | CO | 81501 | 131846366 | 501(c)(3) | 12500 | prevention of childhood diseases | ||||
| Western Healthcare Alliance | |||||||||||
| 715 Horizon 485 | Grand Junction | CO | 81506 | 841159443 | 501(c)(3) | 6800 | NURSING SCHOLARSHIPS | ||||
| Grand Junction Community Homeless Shelter | |||||||||||
| 2853 North Avenue | Grand Junction | CO | 81501 | 981621600 | 501(c)(3) | linen svcs | 27631 | Cost | Laundry Services | ||
| GRAND VALLEY CATHOLIC OUTREACH | |||||||||||
| 245 S 1ST ST | GRAND JUNCTION | CO | 81501 | 200064007 | 501(c)(3) | 12500 | assist needy | ||||
| HOLY FAMILY CATHOLIC SCHOOL | |||||||||||
| 786 26 1/2 RD | GRAND JUNCTION | CO | 81506 | 860297730 | 501(c)(3) | 15100 | operations support | ||||
| counseling & education center | |||||||||||
| 2708 patterson rd | grand junction | CO | 81506 | 742232416 | 501(c)(3) | 11000 | education for elderly | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 14 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|
| ambulance services | 16 | 7571 | |
| pharmacueticals | 517 | 26591 | TRANSP PAYMENT |
| transportation for indigents | 310 | 6037 | Medicines & Supplies |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCESS FOR MONITORING GRANTS AND AWARDS | Identifier |
| Return Reference | SCHEDULE I, PART 1, LINE 2: | ReturnReference |
| Explanation | The hospital has no mechanisms in place to monitor the use of grant funds. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michael McBride | |||||||||||||
| 0 | 378860 | 0 | 22528 | 0 | 20449 | 0 | 48904 | 0 | 15093 | 0 | 485834 | 0 | 0 |
| Cherie Gorby | |||||||||||||
| 0 | 276361 | 0 | 41545 | 0 | 242357 | 0 | 298052 | 0 | 10425 | 0 | 868740 | 0 | 145948 |
| Forest Binder | |||||||||||||
| 0 | 234354 | 0 | 31882 | 0 | 35189 | 0 | 19563 | 0 | 10683 | 0 | 331671 | 0 | 0 |
| John Beeson | |||||||||||||
| 0 | 320947 | 0 | 43646 | 0 | 39943 | 0 | 19600 | 0 | 15054 | 0 | 439190 | 0 | 0 |
| Susan Hemley | |||||||||||||
| 541540 | 0 | 0 | 0 | 199710 | 0 | 19600 | 0 | 0 | 0 | 760850 | 0 | 0 | 0 |
| John Lopez | |||||||||||||
| 520384 | 0 | 0 | 0 | 213927 | 0 | 19600 | 0 | 0 | 0 | 753911 | 0 | 0 | 0 |
| Brian Witwer | |||||||||||||
| 543693 | 0 | 0 | 0 | 181364 | 0 | 19450 | 0 | 0 | 0 | 744507 | 0 | 0 | 0 |
| James Narrod | |||||||||||||
| 607040 | 0 | 3091 | 0 | 97978 | 0 | 19600 | 0 | 0 | 0 | 727709 | 0 | 0 | 0 |
| Sara Pereira | |||||||||||||
| 465787 | 0 | 41584 | 0 | 200666 | 0 | 19600 | 0 | 0 | 0 | 727637 | 0 | 0 | 0 |
| JERRY SPICER | |||||||||||||
| 0 | 148365 | 0 | 24255 | 0 | 25521 | 0 | 11633 | 0 | 4143 | 0 | 213917 | 0 | 0 |
| ROBERT LADENBURGER | |||||||||||||
| 0 | 607673 | 0 | 144615 | 0 | 334473 | 0 | 73845 | 0 | 10849 | 0 | 1171455 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| FORM 990, SCHEDULE J, PART I, LINE 3: | SEE FORM 990, SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, LINES 15A & B REGARDING THE PROCESS USED BY SCLHS TO DETERMINE EXECUTIVE COMPENSATION WHICH IS RELIED UPON BY THIS ORGANIZATION. |
| Form 990, Schedule J, Part I, Line 4b: | OTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS FOR EXECUTIVES TO COMPENSATE FOR IRS IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON THE ADVICE OF COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2011 WERE: ROBERT W. LADENBURGER-$116,293 FOREST C. BINDER-$9,439 JOHN C. BEESON-$13,583 IN ADDITION, VESTED AMOUNTS ARE PAYABLE UPON END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN, NOT PREVIOUSLY TAXED, FOR THIS TYPE OF PAYMENT IN 2011 WERE: CHERI L. GORBY-$145,948 JERRY SPICER-$21,028 |
| Form 990, Schedule J, Part II | THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND THREE CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. MARY'S HOSPITAL AND MEDICAL CENTER (ST. MARY'S) IN GRAND JUNCTION, COLORADO. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. ROBERT W. LADENBURGER IS EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IN DENVER, COLORADO. HE IS A FORMER PRESIDENT & CHIEF EXECUTIVE OFFICER OF ST. MARY'S. THE COMPENSATION REFLECTED IS THAT OF MR. LADENBURGER'S POSITION AS AN SCLHS EXECUTIVE AND NOT AS A ST. MARY'S EXECUTIVE. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. |
| FORM 990, SCHEDULE J, PART I, LINE 4A: | THE AMOUNTS PAID TO LISTED INDIVIDUALS FOR SEVERANCE IN 2011 WERE: CHERI L GORBY-$94,735 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| WESTERN COLORADO LUNG CENTER | |||
| DRCTR,>5% WEST CO LUNG | 5680951 | FEES PAID TO CO WEST ER PHYSIC | false |
| COLORADO WEST EMERGENCY PHYSICIANS | |||
| DRCTR,>5% WST CO EMERG PH | 332123 | MED DIR FEES FEES TO PHY GROUP | false |
| ROCKY MTN ORTHO ASSOC | |||
| DRCTR,>5% WMN HC OF W CO | 295245 | FEES TO PHYS GRP | false |
| ROCKY MTN ORTHO ASSOC | |||
| DRCTR,>5% WEST CO LUNG | 19920 | FEES PAID FOR IMAGE STORAGE | false |
| ROCKY MTN ORTHO ASSOC | |||
| DRCTR,>5% WST CO EMERG PH | 16068 | FEES PAID FOR ANSWERING SVCS | false |
| WESTERN COLORADO LUNG CENTER | |||
| DRCTR,>5% WMN HC OF W CO | 5836 | FEES PAID FOR ANSWERING SVCS | false |
| WESTERN COLORADO LUNG CENTER | |||
| DRCTR,>5% WMN HC OF W CO | 5640 | FEES PAID FOR IMAGE STORAGE | false |
| COLORADO WEST EMERGENCY PHYSICIANS | |||
| DRCTR,>5% WMN HC OF W CO | 1683 | fees paid for catering | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DELEGATE CONTROL OVER MANAGEMENT DUTIES | FORM 990, PART VI SECTION A LINE 3 | ALTHOUGH THESE SERVICES MAY NOT ALL RISE TO THE LEVEL OF MANAGEMENT CONTROL AS DEFINED IN THE 990 INSTRUCTIONs, WE HAVE IN THE SPIRIT OF FULL TRANSPARENCY PROVIDED THE FOLLOWING DISCLOSURE. AS A MEMBER OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, THIS PROVIDER MAY HAVE INDIVIDUAL AND/OR SYSTEM CONTRACT(S) THAT HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES IN SOME OR ALL OF THE FOLLOWING AREAS: DIETARY AND FOOD SERVICE HOUSEKEEPING SUPPLY CHAIN REVENUE CYCLE SECURITY |
| BOARD MEMBER | PART VI LINE 6 | THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE CORPORATE MEMBER OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. MARY'S HOSPITAL IN GRAND JUNCTION, COLORADO. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. THROUGHOUT THE YEAR MICHAEL MCBRIDE WAS PRESIDENT & CHIEF EXECUTIVE OFFICER AND FOREST C. BINDER was VICE PRESIDENT & CHIEF FINANCIAL OFFICER FOR ST. MARY'S HOSPITAL AND MEDICAL CENTER (ST. MARY'S). IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. |
| MEMBERS | FORM 990 PART VI LINES 7A & 7B | AS THE SOLE CORPORATE MEMBER THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM HAS THE AUTHORITY TO APPOINT BOARD MEMBERS. CERTAIN DECISIONS MADE BY THE COMMUNITY BOARD ARE SUBJECT TO APPROVAL BY THE CORPORATE MEMBER. THESE DECISIONS ARE PRIMARILY THOSE REGARDING DISSOLUTION. |
| BOARD REVIEW OF FORM 990 | FORM 990 PART VI LINE 11b | PRIOR TO SUBMISSION OF THE 990, THE 990 IS REVIEWED EXTERNALLY BY bruce e. bernstien & associates, p.c. AND THE SYSTEM OFFICE. THE BOARD MEMBERS ARE THEN PRESENTED WITH COPIES OF THE FORM 990. AT A SUBSEQUENT BOARD MEETING, MEMBERS ARE ENCOURAGED TO ASK QUESTIONS REGARDING CLARIFICATION OR EXPRESS OPINIONS ON THE INFORMATION PROVIDED. |
| CONFLICT OF INTEREST | FORM 990 PART VI SECTION B LINE 12c | SENIOR LEADERSHIP OF ST. MARY'S HOSPITAL AND THE SISTERS OF CHARITY REGULARLY MONITOR AND REVIEW THE CONFLICT OF INTEREST STATEMENTS. WHEN CONFLICTS ARISE, BOARD MEMBERS WITH CONFLICTS RECUSE THEMSELVES FROM DISCUSSIONS AND VOTING ON ACTIONS. |
| JOINT VENTURES | PART VI SECTION B LINE 16b | JOINT VENTURE ARRANGEMENTS ARE REVIEWED WITH INTERNAL AND EXTERNAL LEGAL COUNSEL AT THE LOCAL AND SYSTEM OFFICE LEVELS PRIOR TO ENTERING INTO THE AGREEMENTS. |
| PUBLIC INSPECTION OF DOCUMENTS | PART VI SECTION C LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST FROM ADMINISTRATIVE OFFICES OF ST. MARY'S HOSPITAL. |
| RECONCILIATION OF NET ASSETS | FORM 990, PART XI, LINE 5: | EQUITY TRANSFERS (TO)/FROM SCLHS (7,273,387) EQUITY TRANSFER (TO)/FROM FOUNDATION (1,775,120) UBI INCOME FROM JOINT VENTURE-ELIMINATED IN CONSOLIDATION (1,072,469) IMAGE STORAGE ADDBACK FOR CONSOLIDATED JOINT VENTURE (41,533) WOODEN HORSE GIFT SHOP (72,073) ROUNDING (354) TOTAL: (10,234,936) |
| AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS | FORM 990, PART VII, COLUMN B | NAME & TITLE HOURS PER WEEK ORGANIZATION MICHAEL MCBRIDE 1 ST. MARY'S HOSPITAL FOUNDATION PRESIDENT.CEO CHERIE GORBY 1 SAN JUAN CANCER CENTER, LLC CHIEF OPERATING OFFICER CHERIE GORBY 2 PAVILION IMAGING, LLC CHIEF OPERATING OFFICER FOREST BINDER 1 ST. MARY'S HOSPITAL FOUNDATION CHIEF FINANCIAL OFFICER |
| THE PROCESS FOR DETERMINING COMPENSATION: | FORM 990, PART VI, LINE 15A & 15B: | SCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACTS -COMPENSATION SURVEYS AND STUDIES -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY AT THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED IN SIMILAR, NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS. |
| STATEMENT OF CONTROLLED FOREIGN CORPORATION | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC., PARTICIPATION CORPORATION EIN: 84-0425720 FOR THE TAX YEAR ENDED DECEMBER 31, 2011 THIS STATEMENT IS BEING FILED PURSUANT TO TREAS. REG. 1.6038-2(J)(3). ST. MARY'S HOSPITAL & MEDICAL CENTER, INC.'S FILING REQUIREMENT FOR FORM 5471 FOR THE CONTROLLED FOREIGN CORPORATIONS LISTED BELOW HAS BEEN SATISFIED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (FEIN:23-7379161). SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM HAS INCLUDED THE FORM 5471 WITH ITS FORM 990 WHICH WAS FILED ELECTRONICALLY. LEAVEN INSURANCE COMPANY, LTD. 98-0370522 23 LIMETREE BAY AVE., PO BOX 1051 GEORGETOWN, GRAND CAYMAN KY1-1102 CJ RIVERVIEW MULTI-SERIES FUND SPC, LTD. 510 THORNALL STREET, SUITE 220 EDISON, NJ 08837 JP MORGAN HEDGE FUND SPC-ACCESS MAR09 SEGREGATED 98-0680591 %INT'L FUND SVCS LTD, 78 SIR JOHN ROGERSON'S QUAY DUBLIN, IRELAND 2 EI JP MORGAN HEDGE FUND SPC-ACCESS JUN09 SEGREGATED 98-0680582 %INT'L FUND SVCS LTD, 78 SIR JOHN ROGERSON'S QUAY DUBLIN, IRELAND 2 EI |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| SISTERS OF CHARITY LEAVENWORTH HLTH SYST | ||||||||||
| 9801 RENNER BLVD STE 100 | LENEXA | KS | 66219 | 237379161 | SUPPORT MMBRS | KS | 501(C)(3) | 11B-TYPE II | NA | false |
| CARITAS CLINICS INC | ||||||||||
| 818 NORTH 7TH STREET | LEAVENWORTH | KS | 66048 | 481009910 | CLINIC SVCS | KS | 501(C)(3) | 3 | SCLHS | true |
| MARIAN CLINIC INC | ||||||||||
| 1001 SW GARFIELD | TOPEKA | KS | 66604 | 481046905 | CLINIC SVCS | KS | 501(C)(3) | 3 | SCLHS | true |
| MARILLAC CLINIC INC | ||||||||||
| 2333 N 6TH STREET | GRAND JUNCTION | CO | 81501 | 841085822 | CLINIC SVCS | CO | 501(C)(3) | 3 | SCLHS | true |
| PROVIDENCE MEDICAL CENTER | ||||||||||
| 8929 PARALLEL PARKWAY | KANSAS CITY | KS | 66112 | 480784446 | HEALTHCARE | KS | 501(C)(3) | 3 | SCLHS | true |
| ST JOHN HOSPITAL INC | ||||||||||
| 3500 SOUTH FOURTH STREET | LEAVENWORTH | KS | 66048 | 480543768 | HEALTHCARE | KS | 501(C)(3) | 3 | PMC | true |
| BETHANY COMMUNITY PLAZA INC | ||||||||||
| 15 NORTH 12TH STREET | KANSAS CITY | KS | 66102 | 481207407 | HEALTHCARE | KS | 501(C)(3) | 3 | PMC | true |
| PROVIDENCEST JOHN FOUNDATION INC | ||||||||||
| 8929 PARALLEL PARKWAY | KANSAS CITY | KS | 66112 | 480925688 | SUPPORT 501C3 | KS | 501(C)(3) | 7 | PMC | true |
| ST FRANCIS HEALTH CENTER INC | ||||||||||
| 1700 SW 7TH STREET | TOPEKA | KS | 66606 | 480547719 | HEALTHCARE | KS | 501(C)(3) | 3 | SCLHS | true |
| ST FRANCIS HEALTH CENTER FOUNDATION | ||||||||||
| 1700 SW 7TH STREET | TOPEKA | KS | 66606 | 481092520 | SUPPORT 501C3 | KS | 501(C)(3) | 11A-TYPE I | SFHC | true |
| ST MARYS HOSPITAL FOUNDATION | ||||||||||
| 2635 N 7TH STREET | GRAND JUNCTION | CO | 81502 | 237001007 | SUPPORT 501C3 | CO | 501(C)(3) | 11A-TYPE I | SMHMC | true |
| SAINT JOSEPH HOSPITAL FOUNDATION | ||||||||||
| 1835 FRANKLIN STREET | DENVER | CO | 80218 | 840735096 | SUPPORT 501C3 | CO | 501(C)(3) | 11A-TYPE I | SJH | true |
| HOLY ROSARY HEALTHCARE | ||||||||||
| 2600 WILSON | MILES CITY | MT | 59301 | 810231792 | HEALTHCARE | MT | 501(C)(3) | 3 | SCLHS | true |
| HOLY ROSARY HEALTHCARE FOUNDATION INC | ||||||||||
| 2600 WILSON | MILES CITY | MT | 59301 | 202270238 | SUPPORT 501C3 | MT | 501(C)(3) | 11A-TYPE I | HRHC | true |
| ST VINCENT HEALTHCARE | ||||||||||
| 1233 NORTH 30TH | BILLINGS | MT | 59101 | 810232124 | HEALTHCARE | MT | 501(C)(3) | 3 | SCLHS | true |
| ST VINCENT HEALTHCARE FOUNDATION | ||||||||||
| PO BOX 35200 | BILLINGS | MT | 59107 | 810468034 | SUPPORT 501C3 | MT | 501(C)(3) | 7 | SVHC | true |
| NORTHWEST RESEARCH & EDUCATION INSTITUTE | ||||||||||
| 315 NORTH 25TH STREET | BILLINGS | MT | 59101 | 201343024 | COMM HLTH RES | MT | 501(C)(3) | 9 | SVHC | true |
| ST JAMES HEALTHCARE | ||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 810231785 | HEALTHCARE | MT | 501(C)(3) | 3 | SCLHS | true |
| ST JAMES HEALTHCARE FOUNDATION | ||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 651202190 | SUPPORT 501C3 | MT | 501(C)(3) | 11A-TYPE I | SJHC | true |
| SAINT JOHNS HEALTH CENTER | ||||||||||
| 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 951684082 | HEALTHCARE | CA | 501(C)(3) | 3 | SCLHS | true |
| JOHN WAYNE CANCER INSTITUTE | ||||||||||
| 2000 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 954291515 | CANCER R&D | CA | 501(C)(3) | 4 | SJHHC | true |
| SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN | ||||||||||
| 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 956100079 | SUPPORT 501C3 | CA | 501(C)(3) | 11A-TYPE I | SJHHC | true |
| EXEMPLA INC FKA LUTHERAN HOSPITAL | ||||||||||
| 2420 W 26TH AVE SUITE 100D | DENVER | CO | 80211 | 841103606 | HEALTHCARE | CO | 501(C)(3) | 3 | SCLHS | true |
| EXEMPLA LUTHERAN MEDICAL CENTER FNDTN | ||||||||||
| 2480 W 26TH AVESUITE 360B | DENVER | CO | 80211 | 208846152 | SUPPORT 501C3 | CO | 501(C)(3) | 7 | EXEMPLA INC | true |
| EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN | ||||||||||
| 200 EXEMPLA CIRCLE | LAFAYETTE | CO | 80026 | 841649162 | SUPPORT 501C3 | CO | 501(C)(3) | 7 | EXEMPLA INC | true |
| LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST | ||||||||||
| 2480 W 26TH AVESUITE 360B | DENVER | CO | 80211 | 742571584 | INSURANCE | CO | 501(C)(3) | 11A-TYPE I | EXEMPLA INC | true |
| SAINT JOSEPH HOSPITAL | ||||||||||
| 1835 FRANKLIN STREET | DENVER | CO | 80218 | 840417134 | HEALTHCARE | CO | 501(C)(3) | 3 | SCLHS | true |
| MOUNT ST VINCENT HOME INC | ||||||||||
| 4159 LOWELL BLVD | DENVER | CO | 80211 | 840405260 | RES CARE | CO | 501(C)(3) | 11A-TYPE I | SCLHS | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (7 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 | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAVILION IMAGING LL | |||||||||||||||
| 750 WELLINGTON | GRAND JUNCTION | CO | 81501 | 030516198 | RADIOLOGY | CO | ST MARY'S HOSP | RELATED | 6363829 | 5281236 | false | $0 | true | 0.75000 | |
| GRAND VALLEY SURGICAL CANTER LLC | |||||||||||||||
| 710 WELLINGTON | GRAND JUNCTION | CO | 81501 | 841505075 | OP SURGERY | CO | ST MARY'S HOSP | RELATED | 746672 | 1358075 | false | $291 | true | 0.50000 | |
| SAN JUAN CANCER CENTER LLC | |||||||||||||||
| 600 SOUTH 5TH STREET | MONTROSE | CO | 81401 | 202856331 | OP CANCER | CO | ST MARY'S HOSP | RELATED | 354680 | 1612056 | false | $0 | true | 0.33330 | |
| BILLINGS MRI CENTER LLC | |||||||||||||||
| 1041 NORTH 29TH STREET | BILLINGS | MT | 59101 | 810450943 | MRI-PET SCAN | MT | N/A | ||||||||
| LUTHERAN CAMPUS ASC LLC | |||||||||||||||
| 3455 LUTHRN PKW SUITE 150 | WHEATRIDGE | CO | 800336028 | 020749532 | OP SURGERY | CO | N/A | ||||||||
| COLORADO SURGICAL VENTURES LLC | |||||||||||||||
| 30 S WACKER DR SUITE 2302 | CHICAGO | IL | 60605 | 208038915 | OP SURGERY | CO | N/A | ||||||||
| COLORADO SURGICAL HOSPITAL LLC | |||||||||||||||
| 30 S WACKER DR SUITE 2302 | CHICAGO | IL | 60605 | 208038977 | OP SURGERY | CO | N/A | ||||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARITAS INC AND SUBSIDIARIES | |||||||||||||
| 9801 RENNER BOULEVARD SUITE 100 | LENEXA | KS | 66219 | 480941069 | OTHER MEDICAL | KS | C CORP | ||||||
| LEAVEN INSURANCE COMPANY LTD | |||||||||||||
| 980370522 | INSURANCE | 23 LIME TREE BAY AVE PO BOX 1051 | GEORGETOWN | GRAND CAYMAN | CJ | KY1-1102 | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | true | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (26 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| GRAND VALLEY SURGICAL CENTER LLC | ||
| a | 554389 | cost |
| Pavilion Imaging LLC | ||
| a | 2444947 | cost |
| MARILLAC CLINIC | ||
| b | 983382 | COST |
| ST MARY'S HOSPITAL FOUNDATION | ||
| b | 1442473 | COST |
| ST MARY'S HOSPITAL FOUNDATION | ||
| c | 1608800 | COST |
| grand valley surgical center llc | ||
| f | 5063 | cost |
| PAVILION IMAGING LLC | ||
| i | 2444947 | FMV |
| grand valley surgical center llc | ||
| i | 554389 | fmv |
| GRAND VALLEY SURGICAL CENTER LLC | ||
| k | 168637 | FMV |
| PAVILION IMAGING LLC | ||
| k | 2053505 | FMV |
| MARILLAC CLINIC | ||
| k | 583382 | COST |
| SAN JUAN CANCER CENTER LLC | ||
| k | 72000 | FMV |
| ST MARY'S HOSPITAL FOUNDATION | ||
| l | 1608800 | COST |
| st mary's hospital foundation | ||
| m | 83206 | cost |
| marillac clinic | ||
| m | 477990 | cost |
| GRAND VALLEY SURGICAL CENTER LLC | ||
| n | 2589257 | COST |
| PAVILION IMAGING LLC | ||
| n | 2887952 | COST |
| san juan cancer center llc | ||
| n | 366524 | COST |
| ST MARY'S HOSPITAL FOUNDATION | ||
| n | 1933052 | COST |
| ST MARY'S HOSPITAL FOUNDATION | ||
| p | 364686 | COST |
| pavillion imaging llc | ||
| p | 2098459 | cost |
| san juan cancer center llc | ||
| p | 319266 | cost |
| marillac clinic | ||
| p | 21113 | cost |
| GRAND VALLEY SURGICAL CENTER LLC | ||
| r | 800550 | CASH |
| PAVILION IMAGING LLC | ||
| r | 6787500 | CASH |
| SAN JUAN CANCER CENTER LLC | ||
| r | 364548 | CASH |