2012-08-15T17:03:44-07:00 2011-12-31 990 2011-01-01 840447998 LOWER VALLEY HOSPITAL ASSOCIATION LOWE 9708589871 228 North Cherry Fruita CO 81521 Dennis Ficklin 9708582105 2012-08-14 2011 2016-02-24 21:20:13Z FAMILY HEALTH WEST Lower Valley Hospital Association dba Family Health West P O Box 130 228 North Cherry Street Fruita CO 81521 31542949 0 X www.familyhealthwest.org X 1949 CO Address the health care needs of the greater Fruita community and provide healthcare services without regard to race, age, handicap, creed or national origin. Provide those services to individuals of all income levels consistent with our financial ability to do so. 12 11 608 250 -2473 0 183814 141678 25296741 30988157 8479 466 110512 377881 25599546 31508182 0 0 0 0 13886005 16321205 0 0 36823 13090866 14962100 26976871 31283305 -1377325 224877 31948330 32477852 33300561 33605206 -1352231 -1127354 Address the health care needs of the greater Fruita community and provide health care services without regard to race, color, age, handicap, creed or national origin. Provide those services to individuals of all income levels consistent with our ability to do so. 0 0 18646432 0 21104925 The Hospital provided 663 days of acute care. Of those days, 408 days were to Medicare patients, 53 days were to private pay patients, and the remaining 202 days were to insured patients. The hospital provided 3,220 days of swing bed or hospital based skilled nursing care. Of those days, 2,664 or 83% were to Medicare patients and 13 days were to Medicaid patients. The remaining 543 days were provided to self pay and insured patients. Ancillary Gross Revenue was 48% Medicare and Medicaid. The provision of 24 hour emergency medical care to residents regardless of ability to pay is a primary responsibility of the organization. In 2011 emergency and urgent care visits increased by 831 visits to 5,613 visits. 7606326 0 7052889 The Nursing Home provided 38,478 days of care in 2011. Of those days, 29,550 or 77% were provided to Medicaid clients, 1,147 days or 3% were for VA clients, and the remaining 7,781 days or 20% were for private pay clients. By virtue of the community we serve, we provide care for a large number of Medicaid recipients. In colorado Medicaid for Long Term Care is cost based reimbursed with certain caps. We make no distinction or separation of nursing home residents or any other patient with respect to their ability to pay. The same services are provided across the spectrum, and acre giving staff are unaware of the pay source of our residents and patients. Half of the 120 nursing home beds are dedicated to Alzheimer's care, provided in a setting geared toward a social model of care which has been acclaimed locally and state-wide. This approach requires additional services and higher staffing levels. The nursing home's performance continues to reflect the Lower Valley Hospital Association's mission. 2504863 0 2830343 The two assisted living facilities owned and operated by the Lower Valley Hospital Associatio provided 37,230 days of care to the low to moderate income frail elderly in 2011. Of the total revenue for assisted living services, 56% was from Medicaid clients under the Colorado Home and Community Based Services program. The Lower Valley Hospital Association owns two assisted living facilities. The Willows is a secure, wander-free, 26 bed facility for early Alheimer's clients. It was funded under a pilot initiative from the Colorado Housing and Finance Authority to make assisted living affordable for low to moderate income clientele. The facility address a continuing need for Alzheimer's care in Mesa County. The Oaks is a 90 bed assisted living facility primarily for the low-income frail elderly. Over 70% of its clientele are Medicaid recipients, many of whom come from HUD 202 or similar environments. Assisted living continues to reflect the mission of the Lower Valley Hospital Association. 0 0 0 28757621 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 608 1 0 0 0 0 0 1 1 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 1 1 0 0 CO X Jason McCormick 9708582166 228 North Cherry Fruita CO 81521 Thomas Motz 8.00 X X 32045 0 0 Stacey Mascarenas 1 X X 0 0 0 Michael Hughes MD 18 X 83705 0 0 Jeffrey D Freeland 1 X 0 0 0 Michael Dohm MD 1 X 0 0 0 Dennis E Ficklin 40 X X X X 182270 0 0 Kurtis M Holmes 18 X 83994 0 0 Sue Brown 1 X 0 0 0 Kenneth Lewis 6.5 X 27510 0 0 Kristi Pollard 1 X 0 0 0 Jill Rimmey 1 X 0 0 0 Tim Sarmo 1 X 0 0 0 Errol Snider 40 X X 149942 0 0 Mark Francis 40 X X 139989 0 0 Lori Henderson 40 X X 121615 0 0 David Kirch MD 40 X X 278106 0 0 Brian Nelnap MD 40 X X 278782 0 0 Jason McCormick 40 X X 141255 0 0 1519213 0 0 9 0 1 0 Dr Fred Barbero MD 300 West Ottley Fruita CO 81521 Director of Emergency Dpt 134501 1 0 0 95535 0 0 46143 0 141678 Hosp Medicare, Medicaid and VA 622000 11225024 11225024 0 0 Hospital Commercial Insurance 622210 8970154 8970154 0 0 Hospital Private Pay 622000 896129 896129 0 0 Long Term Care Medicaid and VA 623000 6370058 6370058 0 0 Long Term Care Private Pay 623000 3526792 3526792 0 0 0 0 0 0 30988157 466 466 0 0 0 0 0 0 0 0 0 0 300618 0 0 0 300618 0 300618 300618 0 0 0 0 32294 95535 34767 -2473 -2473 0 79736 79736 0 0 79736 31508182 31368977 -2473 0 0 0 0 0 0 0 0 0 1288719 698143 590576 0 0 0 0 0 12617540 11324932 1260120 32488 0 0 0 0 1417302 1227579 188620 1103 997644 861642 132770 3232 0 0 0 0 6750 0 6750 0 51687 0 51687 0 0 0 0 0 0 0 0 0 0 0 82464 82464 0 0 53825 0 53825 0 191271 0 191271 279883 279883 0 0 0 0 0 0 1149619 1149619 0 0 2751 0 2751 0 0 0 0 0 37742 27251 10491 0 2232676 2232676 0 0 0 0 0 0 2044219 2044219 0 0 211270 211270 0 0 Supplies 4276664 4276664 0 0 Medical Contracted Services 1540129 1540129 0 0 Repairs/Maintenance 520014 520014 0 0 Food 1032493 1032493 0 0 1248643 1248643 0 0 31283305 28757621 2488861 36823 1083754 1024755 3734083 3764081 41950 0 3237267 5543416 0 0 0 0 0 0 611978 678151 689802 598600 33777661 12908812 22549496 20868849 0 0 0 0 0 0 0 0 0 0 31948330 32477852 4501343 5215151 0 0 0 0 28000000 27875000 0 0 0 0 799218 515055 0 0 0 33300561 33605206 X -1352231 -1127354 0 0 0 0 -1352231 -1127354 31948330 32477852 224877 0 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 106997 0 106997 23023240 0 8564157 14459083 617505 0 246190 371315 6279620 0 3816849 2462771 3750299 0 281616 3468683 20868849 31508182 31283305 224877 0 0 0 0 0 0 224877 31508182 0 0 0 0 0 31508182 0 0 0 31508182 31283305 0 0 0 0 0 31283305 0 0 0 31283305 Red Baron Ball 127829 95535 32294 0 8021 4895 15122 1518 5211 0 0 127829 95535 32294 0 8021 4895 15122 1518 5211 34767 -2473 1 1 1 X 1 X 1 1 1 0 0 95030 0 95030 0.003 389536 0 389536 0.0125 0 0 484566 0 484566 0.0155 2834675 0 0 0.09 47783 0.0015 0 0 2882458 0 0 0.0915 0 0 3367024 0 484566 0.1070 1 463532 115883 4256263 4256263 0 X 1 1 1 1 Family Health West Hospital

300 West Ottley Fruita CO 81521

X X X Swing bed Services Family Health West Hospital 1 3 Family Health West Nursing Home

228 North Cherry Street Fruita CO 81521

Long Term Care Facility. No Medicare Part A beds. Oaks Assisted Living Facility

805 West Ottley Fruita CO 81521

State licensed Assisted Living Facility that accepts unlimited number of Medicaid clients. 90 beds Willows Assisted Living

243 North Cherry Fruita CO 81521

State Licensed Secure Assisted Living facility with 25 beds. SchH_P01_S00_L07 Schedule H, Part I, Line 7 The expense relates to a subsidy for longterm care services calculated from the Medicare Cost Report. This subsidy is $1,359,844. The next subsidy is for the operation of the Emergency Department. The calculation is based on the Medicare Cost Report plus the cost for Professional Providers. The amount is $1,474,831. The organization also condtibuted to several communty benefit organizations such as the Boy Scouts of America, other non-for-profit healthcare organization and so for. The actual amount of contribution is listed. SchH_P01_S00_L072f Schedule H, Part I, Line 7, Column f Effective in 2011 Bad Debt expense is reported as an offset to revenue and not as an expense. SchH_P01_S00_L07g Schedule H, Part I, Line 7g For 2011 there were no subsdies of physician clinics reported in the 990 schedule H. SchH_P03_S0A_L04 Schedule H, Part III, Section A, Line 4 No note is stated by the auditors in the audit report. SchH_P03_S0B_L08 Schedule H, Part III, Section B, Line 8 The Hospital is recognized by medicare as a Critical Access Hospital. Cost based reimbursment is recieved. SchH_P03_S0C_L09b Schedule H, Part III, Section C, Line 9b Attempts are made to inform patient of programs that provide charitable assistance. Without income information it is not possible to determine potential eligibility. SchH_P06_S00_L02 Schedule H, Part VI, Line 2 To be completed in 2013 SchH_P06_S00_L03 Schedule H, Part VI, Line 3 Notices of programs and contact information is posted at points of registration. Information is posted on internet and periodicaly in local news papers. Employees screen individuals at time of scheduling, registration, and billing for potential eligiblility for programs. SchH_P06_S00_L04 Schedule H, Part VI, Line 4 The hospital serves the residents of the Lower Grand Valley on the Western Slope of the Colorado Rockies. This includes the communities of Fruita, Loma, Mack, North west Grand Junction, North half of the Redlands and travels along I-80. We estimate the population to be 15,000. Ages range from child to elder. SchH_P06_S00_L05 Schedule H, Part VI, Line 5 The organization has an open medical staff with DO, MD and Peditrist practicing at the facility. The Board is a community board that is self appointing. About 4 tenths of the board members are physicians. All funds are reinvested into the organization with focus on services not otherwise proveded in the community. There is no limit or restriction on patients with government payer sources. All patients are treated regarless of pay source or no pay source. X X X 0 0 0 1 0 0 0 0 0 Dennis E Ficklin 181430 0 0 0 0 0 0 0 1440 0 182870 0 0 0 Errol Snider 149942 0 0 0 0 0 0 0 0 0 149942 0 0 0 Mark Francis 139989 0 0 0 0 0 0 0 0 0 139989 0 0 0 Lori Henderson 119215 0 0 0 0 0 0 0 2400 0 121615 0 0 0 David Kirch MD 238106 0 40000 0 0 0 0 0 0 0 278106 0 0 0 Brian Nelnap MD 238782 0 40000 0 0 0 0 0 0 0 278782 0 0 0 Jason McCormick 141255 0 0 0 0 0 0 0 0 0 141255 0 0 0 SchJ_P01_S00_L05 Schedule J, Part I, Line 5 The Anesthesiologists, Dr. Kirsch and Dr. Belnap were paid an incentive bonus based on the numer of surgical cases. City of Fruita 846000669 359428AC3 2008-04-10 28000000 Replacement Hospital and Debt Consolidation 0 0 0 0 0 28000000 3709014 0 0 697500 0 0 19431806 0 0 2009 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 Citigroup Financial Partners .215 1 0 0 F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The 990 is reviewed with the Governing Board. Answers and explanations are provided. Direction and feed back is acted upon. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The compensation committee establishes goals and reviews performance to the goals. The Board acts on the recommendation of the committee. Salaries are determined in comparison with stae wide surveys of like facilities. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The referenced documents are available upon request and are available in the administrative offices. Extension was filed and accepted.