2012-03-15T16:02:21-07:00 2011-04-30 CHADWICKSTEINKIRCHNERDAVIS & CO PC 225 NORTH 5TH STREET SUITE 401 GRAND JUNCTION CO 815012645 990 2010-05-01 840469270 COLORADO WEST HEALTHCARE SYSTEM DBA COMMUNITY HOSPITAL COLO 9702566321 2021 N 12TH STREET GRAND JUNCTION CO 815012980 WES WHITE 9702566321 2012-03-01 ORVILLE F PETERSEN CPA 9702453000 2010 2016-02-24 21:20:13Z CHRIS THOMAS 2021 N 12TH STREET GRAND JUNCTION CO 81501 71591641 false X WWW.YOURCOMMUNITYHOSPITAL.COM X 1956 CO THE MISSION OF COLORADO WEST HEALTHCARE SYSTEM AND COMMUNITY HOSPITAL IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE INDIVIDUALS AND COMMUNITIES WE SERVE. 12 12 671 103 111067 89096 53029 67698495 70616577 -6460 50438 812335 871597 68593466 71591641 0 0 31125971 30824918 0 0 38977107 38808076 70103078 69632994 -1509612 1958647 31936782 33692434 18185564 17731060 13751218 15961374 THE MISSION OF COLORADO WEST HEALTHCARE SYSTEM AND COMMUNITY HOSPITAL IS TO IMPROVE THE false false 54617041 71377107 COMMUNITY HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY, URGENT, PRIMARY AND HOME HEALTH CARE SERVICES TO COMMUNITIES IN WESTERN COLORADO. DURING FISCAL YEAR 2011, COMMUNITY HOSPITAL HAD 6,648 PATIENT DAYS, 14,775 EMERGENCY ROOM VISITS, 11,511 URGENT CARE VISITS, 10,327 PRIMARY CARE VISITS, AND PERFORMED 4,867 SURGERIES. 54617041 true true false false false false false false false true false true false true false true true false false false false false false false false true true false false true false false false true false false false false false false false false false true true true false true 136 0 true 671 true true true false false false false true true false false false false false false false X 12 12 false true false false false false false true true false false true true true true true true true true false CO X THE HOSPITAL 9702566321 2021 N 12TH STREET GRAND JUNCTION CO 81501 AMIR BESHAI MD 1.00 X 0 0 0 KELLY KING DO 1.00 X 0 0 75568 J DALE UTT DO 1.00 X 0 0 100 MONTY LANGSTON MD 1.00 X 0 0 114465 LARRY KENT 1.50 X 0 0 0 DAVID VARGO 1.50 X 0 0 0 SCOTT MERCIER 1.50 X 0 0 0 SAM STARRITT 1.00 X 0 0 0 DAVID PRICE 2.00 X 0 0 0 R CURT HATCH 1.50 X 0 0 0 MICHAEL DANIELS 1.50 X 0 0 0 KEVIN HOWELL DO 1.50 X 0 0 49950 CHRISTIAN THOMAS 40.00 X 328700 0 0 ELIZABETH BRICKER 40.00 X 131287 0 1332 WESLEY WHITE 40.00 X 165132 0 1651 DAVID MURRAY 40.00 X 129726 0 1297 DONALD NICOLAY 40.00 X 148540 0 1485 DEBORA RIGGLE 40 X 111760 1118 JOSEPH KUPETS 36 X 255026 5158 DAVID TERRY 36 X 254060 5149 JULIE MILLS 36 X 246677 3431 MARC BREEN 36 X 245798 3422 SCOTT VINCENT 36 X 240638 6262 2257344 270388 11 false true false COMMUNITY ANESTHESIA CONSULTANTS 2754 COMPASS DR STE 300 GRAND JUNCTION CO 81506 PHYSICIAN SERVICES 915719 QUORUM HEALTH RESOURCES 105 CONTINENTAL PL BRENTWOOD TN 37027 MANAGEMENT 791778 COLORADO DEPT OF HEALTH CARE POLICY 1570 GRANT ST DENVER CO 80203 587958 CARDINAL HEALTH PHARMACEUTICAL DIST 7000 CARDINAL PL DUBLIN OH 43017 PHARMACEUTICAL SUPPLY 1327909 CARDINAL HEALTH MEDICAL PRODUCTS 7000 CARDINAL PL DUBLIN OH 43017 HEALTH-CARE PRODUCTS 1899394 71 53029 53029 PATIENT REVENUE 622000 70616577 70616577 50438 50438 OTHER REVENUE 622000 760530 760530 INVESTMENT IN LLC 561490 111067 111067 871597 71591641 71377107 111067 50438 588510 0 588510 0 24690824 17947281 6743543 0 187482 187482 0 0 3579607 3555392 24215 0 1778495 1518860 259635 0 791778 0 791778 0 158282 0 158282 0 69600 0 69600 0 3380669 2638950 741719 0 389847 0 389847 0 15507558 14425492 1082066 0 505527 496515 9012 0 135434 27598 107836 0 600910 344315 256595 0 2524552 2524552 0 0 665238 0 665238 0 COLLECTION FEES 440943 0 440943 0 LICENSES & TAXES 369917 56045 313872 0 RECRUITMENT COSTS 269006 269006 0 0 PHYSICIAN FEES 3226768 3226768 0 0 BAD DEBTS 7298269 7298269 0 0 2473778 100516 2373262 0 69632994 54617041 15015953 0 2140165 4942506 697758 815152 8058807 8264880 102811 1176 87411 2952013 2785941 284288 344714 42929103 29120522 15070794 13808581 2613350 2434862 118431 105576 31936782 33692434 6389735 7398301 2101764 1104101 102811 8408530 8946214 1182724 282444 18185564 17731060 X 13751218 15961374 13751218 15961374 31936782 33692434 1958647 251509 X false true true X false X 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6795630 6795630 10531813 7965086 2566727 362866 339938 22928 25238794 20815498 4423296 13808581 INVESTMENT IN DOCTOR'S CLINIC BUILDING 1687076 C INVESTMENT IN COMMUNITY HEALTH PROVIDERS ORG 19746 C INVESTMENT IN FCSDCS LLC 805018 C INVESTMENT IN PHYSICIAN'S CHOICE REAL ESTATE -86978 C OTHER INVESTMENTS 10000 C 2434862 ESTIMATED THIRD PARTY SETTLEMENT PAYABLE 282444 282444 71591641 69632994 1958647 1958647 71843150 15617 235892 251509 71591641 71591641 69632994 69632994 69632994 true true true X 0.40000 true X true true true false true true 2821102 1033987 1787115 0.02570 8096518 5624765 2471753 0.03550 2387061 344572 2042489 0.02930 13304681 7003324 6301357 0.09050 36127 3130 32997 0.00050 47665 47665 0.00070 83792 3130 80662 0.00120 13388473 7006454 6382019 0.09170 true 7298269 13127546 15993312 -2865766 X true true 1 1 COMMUNITY HOSPITAL

2021 N 12TH STREET GRAND JUNCTION CO 815012980

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

2596 F ROAD GRAND JUNCTION CO 81505

OUT-PATIENT SURGICAL SERVICES GRAND VALLEY PRIMARY CARE

603 28 1/4 ROAD GRAND JUNCTION CO 81506

PRIMARY PHYSICIAN CARE THERAPY WORKS AT COMMUNITY HOSPITAL

2004 N 12TH STREET GRAND JUNCTION CO 81501

REHABILITATION PROGRAMS OCCUPATIONAL HEALTH

2004 N 12TH STREET GRAND JUNCTION CO 81501

EMPLOYMENT RELATED EXAM SERVICES GRAND VALLEY URGENT CARE

1060 ORCHARD SUITE N GRAND JUNCTION CO 81501

URGENT MEDICAL SERVICES EAPBEHAVIORAL HEALTH SERVICES

1300 N 7TH STREET SUITE 4 GRAND JUNCTION CO 81501

COUNSELING SERVICES HOME HEALTH

2021 N 12TH GRAND JUNCTION CO 81501

HOME CARE SERVICES ORCHARD PHARMACY

1060 ORCHARD GRAND JUNCTION CO 81501

PHARMACY COLORADO MESA UNIVERSITY STUDENT HEALTH CENTER

1060 ORCHARD SUITE N GRAND JUNCTION CO 81501

STUDENT MEDICAL SERVICES Pt III Line 4 THE HOSPITAL ESTABLISHES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON FACTORS SURROUNDING THE CREDIT RISK OF SPECIFIC CUSTOMERS, HISTORICAL TRENDS AND OTHER INFORMATION. Pt III Line 8 APPROXIMATELY 75% OR $2,149,325 OF THE MEDICARE SHORTAGE SHOULD BE TREATED AS COMMUNITY BENEFIT. Pt III Line 9b PART OF THE HOSPITAL'S FINANCIAL ASSISTANCE AND CHARITY CARE WRITTEN POLICY PROVIDES FOR A FINANCIAL COUNSELOR TO MEET WITH ALL UNINSURED PATIENTS PRIOR TO DISCHARGE FROM THE HOSPITAL. Pt V Sec B 17e ALL PATIENTS RECEIVE A MINIMUM OF THREE BILLING STATEMENTS, A MINIMUM OF ONE PHONE CALL. Pt V Sec B 19d ALL PATIENTS ARE BILLED FROM A UNIVERSAL CHARGEMASTER LISTS ARE OFFERED SELF PAY DISCOUNTS. ELECTIVE PREPAY RECEIVES A 70% DISCOUNT, BILLINGS PAID WITHIN 30 DAYS RECEIVE A 40% DISCOUNT, AND BILLINGS PAID AFTER 30 DAYS RECEIVE A 15% DISCOUNT. Pt V Sec B 21 ALL PATIENTS ARE CHARGED THE GROSS AMOUNT FOR SERVICES. Pt VI Line 2 COMMUNITY HOSPITAL USES THE STRATEGIC PLAN PROVIDED BY QUORUM HEALTH RESOURCES TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES. THIS PLAN INCLUDES MARKET ASSESSMENT OF THE SERVICE AREA AND LOCAL DEMOGRAPHIC CHARACTERISTICS. Pt VI Line 3 PART OF THE HOSPITAL'S WRITTEN FINANCIAL ASSISTANCE AND CHARITY CARE POLICY PROVIDES FOR FINANCIAL COUNSELORS TO MEET WITH ALL UNINSURED PATIENTS PRIOR TO DISCHARGE. THE HOSPITAL'S BILLING TEAM MAY ALSO INFORM PATIENTS OF THE HOSPITAL'S FINANCIAL ASSISTANCE AND CHARITY CARE PROGRAM. Pt VI Line 4 THE HOSPITAL'S PRIMARY SERVICE AREA IS WESTERN COLORADO AND THE RESIDENTS OF MESA COUNTY. MESA COUNTY'S POPULATION IS APPROXIMATELY 150,000 WITH 15% OF THE POPULATION BEING OVER THE AGE OF 65. COMMUNITY HOSPITAL CAPTURES 12% OF THE AREA'S HEALTHCARE MARKET FOR THOSE PATIENTS REQUIRING INPATIENT STAYS. Pt VI Line 5 COMMUNITY HOSPITAL EXPANDED ITS SERVICES TO MEET COMMUNITY NEEDS WITH THE OPENING OF GRAND VALLEY URGENT CARE AND GRAND VALLEY PRIMARY CARE. DURING THE 2010 FISCAL YEAR, THREE PRIMARY PHYSICIANS WERE RECRUITED TO HELP MEET THE SHORTAGE OF PRIMARY CARE PHYSICIANS IN MESA COUNTY. THE HOSPITAL ALSO CREATED PROGRAMS WITH SEVERAL MEDICAL SCHOOLS, UNIVERSITIES, COLLEGES AND TRADE SCHOOLS TO PROVIDE CLINICAL ROTATION EXPERIENCE WITH THEIR STUDENTS INCLUDING; PHYSICIANS, NURSES, AND ANCILLARY SUPPORT OCCUPATIONS. X X X false false false false false true false false false CHRISTIAN THOMAS 307561 21139 838 329538 WESLEY WHITE 165132 1651 166783 DONALD NICOLAY 148540 1485 150025 JOSEPH KUPETS 255026 2550 2608 260184 DAVID TERRY 254060 2540 2608 259208 JULIE MILLS 246677 2467 964 250108 MARC BREEN 245798 2458 964 249220 SCOTT VINCENT 240638 2406 3856 246900 Pt I Line 6a THE CEO'S COMPENSATION INCLUDES AN ELIGIBLE BONUS BASED ON A SCORECARD OF THIRTEEN METRICS, ONLY ONE OF WHICH IS BASED ON THE EARNINGS OF THE ORGANIZATION. DR LOU BAIR LEGAL SETTLEMENT X 164110 102811 true true true 102811 Pt VI-A, Line 3 THE HOSPITAL HAS A MANAGEMENT AGREEMENT WITH QUORUM HEALTH RESOURCES. Pt VI-B, Line 11a THE 990 IS PREPARED BY THE HOSPITAL'S INDEPENDENT CPA FIRM AND REVIEWED BY THE HOSPITAL'S ACCOUNTING STAFF AND ADMINISTRATION, INCLUDING THE CEO, CFO, AND COMPLIANCE OFFICER. A PRELIMINARY DRAFT IS PRESENTED TO THE EXECUTIVE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR DETAILED REVIEW AND APPROVAL. A FINAL COPY OF THE 990 IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO THE FINAL FILING WITH THE IRS. Pt VI-B, Line 12c THE HOSPITAL'S CONFLICT OF INTEREST POLICY IS MAINTAINED AND MANAGED BY THE CHIEF COMPLIANCE OFFICER. ON AN ANNUAL BASIS, ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM AND SUBMIT IT TO THE COMPLIANCE DEPARTMENT. THAT DOCUMENTATION IS REVIEWED BY AND RETAINED BY THE COMPLIANCE OFFICER. ANY CONFLICTS OF INTEREST THAT ARISE ARE ADDRESSED BY THE COMPLIANCE DEPARTMENT AND THE BOARD OF TRUSTEES. Pt VI-B, Line 15 COMMUNITY HOSPITAL IS A QUORUM HEALTH RESOURCES MANAGED HOSPITAL WHEREBY THE CEO IS AN EMPLOYEE OF THE MANAGMENT COMPANY. SALARY AND BENEFITS FOR THE CEO ARE BASED ON THE MANAGEMENT COMPANY'S SALARY SURVEY DATA FOR HOSPITALS OF COMPARABLE SIZE AND IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. SALARIES AND BENEFITS FOR OTHER MEMBERS OF SENIOR MANAGEMENT ARE BASED ON SALARY SURVEY DATA COMPILED BY THE HOSPITAL'S HR DEPARTMENT AND ARE APPROVED BY THE BOARD OF DIRECTORS THROUGH THE ANNUAL BUDGET PROCESS. . Form 990, Part IX, Line 24f DUES & SUBSCRIPTIONS 171860. 53514. 118346. OTHER EXPENSES 2287671. 47002. 2240669. 0. UNAMORTIZED BOND ISSUE COST 14247. 14247. Pt VI-C, Line 19 GOVERNING DOCUMENTS, POLICIES AND PROCEDURES, AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST ON A CASE BY CASE BASIS. COMMUNITY HOSPITAL FOUNDATION 2021 N 12TH STREET GRAND JUNCTION CO 815012980 742576856 FUNDRAISING CO 501(C)(3) I COLORADO WEST HEALTHCARE SYSTEM PHYSICIANS CHOICE REAL ESTATE LLC 2012 N 12TH STREET GRAND JUNCTION CO 815012980 841601063 REAL ESTATE CO NA 43886 1550147 DOCTOR'S CLINIC BUILDING INC 1060 ORCHARD AVE GRAND JUNCTION CO 81501 840507943 REAL ESTATE CO NA C 1022955 1808003 1.00000 COMMUNITY HEALTH PROVIDERS ORGANIZATION INC 2021 N 12TH ST GRAND JUNCTION CO 81501 841081855 INSURANCE CO NA C 3450 31950 0.50000 false false false true true false false false false true false true false false false false false false DOCTOR'S CLINIC BUILDING d 35785 CASH COMMUNITY HEALTH PROVIDERS' ORGANIZATION INC d 26555 CASH COMMUNITY HOSPITAL FOUNDATION e 398 CASH DOCTOR'S CLINIC BUILDING j 547336 CASH PHYSICIAN'S CHOICE REAL ESTATE j 478548 CASH