Community Benefit Insight - Tax-exempt hospital

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Yampa Valley Medical Center

Yampa Valley Medical Center

1024 Central Park Drive
Steamboat Springs, CO 80487

Bed count	39	Medicare provider number	060049	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 840398876

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

5.8%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 549,221 0.47 %
Medicaid as % of operating expenses	$ 2,928,923 2.50 %
Costs of other means-tested government programs as % of operating expenses	$ 64,026 0.05 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 180,148 0.15 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 2,051,400 1.75 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 1,033,411 0.88 %
Community building* as % of operating expenses	$ 9,267 0.01 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 9,267 0.01 %
Physical improvements and housing as % of community building expenses	$ 147 1.59 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 9,120 98.41 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 4,396,428 3.75 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 88237874 including grants of $ 908682) (Revenue $ 121663582)
YVMC IS A 39-BED ACUTE CARE HOSPITAL PROVIDING SOPHISTICATED MEDICAL SERVICES TO MORE THAN 120,000 OUTPATIENTS ANNUALLY. FROM FAMILY MEDICINE AND OBSTETRICS TO EMERGENCY MEDICINE OR CHRONIC DISEASE CARE, YVMC PROVIDES HIGH-QUALITY CARE TO RESIDENTS AND VISITORS ALIKE. IT ALSO SERVES AS THE LEADING CENTER FOR ORTHOPEDIC CARE IN NORTHWEST COLORADO; OFFERING COMPREHENSIVE SERVICES SUCH AS ORTHOPEDIC TRAUMA CARE, JOINT REPLACEMENT, SPORTS MEDICINE AND GENERAL ORTHOPEDICS.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

YAMPA VALLEY MEDICAL CENTER
PART V, SECTION B, LINE 5: BETWEEN NOVEMBER 2021 AND MAY 2022, YVMC CONDUCTED A CHNA IN COLLABORATION WITH THE HEALTH PARTNERSHIP, WHICH CONSISTS OF COMMUNITY AND SAFETY NET ORGANIZATIONS, MEDICAL AND BEHAVIORAL HEALTH CARE PROVIDERS AND GOVERNMENT AGENCIES COVERING GRAND, JACKSON, MOFFAT, RIO BLANC, AND ROUTT COUNTIES. A MULTIPHASED APPROACH WAS USED TO IDENTIFY TOP HEALTH PRIORITIES FOR ACTION PLANNING AND IMPACT DURING 2022-2024. A COMPREHENSIVE ANALYSIS OF CURRENT, LOCAL POPULATION HEALTH INDICATORS WAS INITIALLY PERFORMED. USING A SUBSET OF THESE INDICATORS, A WEB-BASED SURVEY WAS ADMINISTERED TO SOLICIT LOCAL HEALTH CARE PROVIDERS' RANKING OF SIGNIFICANT HEALTH ISSUES AFFECTING THEIR PATIENTS. COMMUNITY INPUT WAS GAINED THROUGH A COLLABORATIVE OUTREACH EFFORT WITH MEMBER AGENCIES OF THE HEALTH PARTNERSHIP. THE NEXT PHASE CONSISTED OF CONVENING A SUBSET OF YVMC'S SENIOR MANAGEMENT GROUP TO REVIEW ALL INFORMATION OBTAINED FROM THE ACTIVITIES DESCRIBED ABOVE. PARTICIPANTS OF THIS INTERNAL ADVISORY GROUP (IAG) COMPLETED A HEALTHISSUE PRIORITIZATION IDENTIFICATION USING AN EVIDENCE-BASED, STRUCTURED PROCESS. DURING THEIR MAY 2002 MEETING, THE YVMC BOARD OF TRUESTEES, WHICH INCLUDES REPRESENTATIVES FROM THE SURROUNDING COMMUNITIES, REVIEWED, DISCUSSED, AND APPROVED THE INFORMATION CONTAINED WITH THIS REPORT.

YAMPA VALLEY MEDICAL CENTER
PART V, SECTION B, LINE 6B: LIST OF OTHER ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES INCLUDED IN THE CHNA: YVMC CONDUCTED THE CHNA IN COLLABORATION WITH THE HEALTH PARTNERSHIP, WHICH FACILITATED THE WORK THROUGH THE YAMPA VALLEY WELL-BEING CONSORTIUM AND INCLUDES COMMUNITY AND SAFETY NET ORGANIZATIONS, MEDICAL AND BEHAVIORAL HEALTH CARE PROVIDERS AND GOVERNMENT AGENCIES COVERING ROUTT AND MOFFAT COUNTIES. QUANTITATIVE DATA FROM REGION 11 WAS ALSO USED AND REFLECTS DATA FROM JACKSON, MOFFAT, RIO BLANCO, AND ROUTT COUNTIES. SCHEDULE H, PART V, SECTION B, LINE 7A:DIRECT URL FOR CHNA:HTTPS://UCHEALTH-WP-UPLOADS.S3.AMAZONAWS.COM/WP-CONTENT/UPLOADS/2019/10/24083924/ABOUT-YVMC-CHNA-2019-IMPLEMENTATION-STRATEGY-REPORT.PDFSCHEDULE H, PART V, SECTION B, LINE 10ADIRECT URL FOR IMPLENTATION PLAN:HTTPS://UCHEALTH-WP-UPLOADS.S3.AMAZONAWS.COM/WP-CONTENT/UPLOADS/2019/10/24083924/ABOUT-YVMC-CHNA-2019-IMPLEMENTATION-STRATEGY-REPORT.PDF

YAMPA VALLEY MEDICAL CENTER
PART V, SECTION B, LINE 11: YVMC IS TAKING SEVERAL STEPS IN ORDER TO ADDRESS THE NEEDS IDENTIFIED IN THE FY 2022 CHNA. THE THREE PRIMARY HEALTH ISSUES FOUND WERE ACCESS TO CARE, MENTAL AND BEHAVIOR HEALTH, AND SUBSTANCE US DISORDERS WITH THE GOALS OF IMPROVING ACCESS TO PRIMARY AND BEHAVIOR HEALTH CARE SERVICES FOR VULNERABLE POPULATIONS, IMPROVING IDENTIFICATION AND TREATMENT OF MENTAL HEALTH ISSUES AMONG HIGH-RISK INDIVIDUALS, AND EXPANDING AND STRENGTHENING SUBSTANCE USE DISORDER PREVENTION AND TREATMENT SERVICES BEING THE GOALS OF THE IMPLEMENTATION STRATEGIES, RESPECTIVELY. CARDIOVASVULAR HEALTH, OBESITY, AND CANCER WAS ANOTHER IDENTIFIED HEALTH ISSUE FOUND IN THE CHNA WITH AN IMPLEMENTATION YAMPA VALLEY MEDICAL CENTER 84-0398876 STRATEGY TO PROVIDE LOW TO NO COST HEALTH SCREENINGS, HEALTH PROMOTION EDUCATION AS WELL AS COMMUNITY-BASED WELLNESS PROGRAMS.

SCHEDULE H, PART V, SECTION 22B
MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS. THE AMOUNTS BILLED FOR EMERGENCY AND MEDICALLY NECESSARY MEDICAL SERVICES TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE CALCULATED BASED ON THE LOOK-BACK METHOD AND WILL NOT BE MORE THAN AGB TO INDIVIDUALS WITH INSURANCE COVERING SUCH CARE. YVMC IS USING THE LOOK-BACK METHOD BASED ON ACTUAL PAST CLAIMS PAID TO THE HOSPITAL FACILITY BY MEDICARE FEE-FOR-SERVICE TOGETHER WITH ALL PRIVATE HEALTH INSURERS PAYING CLAIMS TO THE HOSPITAL FACILITY (INCLUDING, IN EACH CASE, ANY ASSOCIATED YAMPA VALLEY MEDICAL CENTER 84-0398876 PORTIONS OF THESE CLAIMS PAID BY MEDICARE BENEFICIARIES OR INSURED INDIVIDUALS). YVMC CALCULATES AN AGB PERCENTAGE FOR EACH FACILITY AND USES THE LOWEST PERCENTAGE FOR ALL FACILITIES, WHICH IS 71.8%.

Supplemental Information

Schedule H (Form 990) Part VI

SCHEDULE H, PART III, SECTION A, LINE 2
THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.

SCHEDULE H, PART III, SECTION A, LINE 3
THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.

SCHEDULE H, PART III, SECTION B, LINE 8
THE ORGANIZATION IS A SOLE COMMUNITY HOSPITAL THAT PROVIDES HEALTHCARE SERVICES TO COMMUNITY RESIDENTS AND VISITORS. ACCESSIBLE, HIGH-QUALITY HEALTHCARE SERVICE IS IMPORTANT FOR THE OVERALL HEALTH OF ALL RESIDENTS, EVEN THOUGH THE MEDICARE PAYMENTS DO NOT MEET THE COSTS OF PROVIDING CARE. THE MEDICARE SHORTFALL REFLECTS THE EXCESS OF COSTS OVER PAYMENTS RECEIVED FOR PARTICIPANTS IN THE MEDICARE PROGRAM. COSTS ARE BASED ON MEDICARE COST REPORT ALLOCATIONS. THE COST REPORT WAS USED TO DETERMINE THE ALLOWABLE COSTS REPORTED ON LINE 6.

SCHEDULE H, PART III, SECTION C, LINE 9B
STATEMENTS AND LETTERS ARE SENT AND PHONE CALLS ARE PLACED TO ATTEMPT TO COLLECT THE REMAINING BALANCE. CO-PAY OR SLIDING FEE BALANCES MAY BE REFERRED FOR FURTHER COLLECTION ACTIVITY 120 DAYS FROM FIRST POST-DISCHARGE BILLING STATEMENT FOR THE CARE IS PROVIDED IF THE BALANCE IS NOT PAID IN FULL OR IF A MUTUALLY AGREED-UPON PAYMENT PLAN IS NOT PUT IN PLACE.

SCHEDULE H, PART VI, LINE 2
THE ORGANIZATION USES FEEDBACK FROM SEVERAL SOURCES TO DETERMINE COMMUNITY NEEDS. SOURCES INCLUDE FEEDBACK FROM PHYSICIANS, HOSPITAL AND YAMPA VALLEY MEDICAL CENTER 84-0398876 FOUNDATION BOARD MEMBERS, AND COMMUNITY LEADERS. INFORMATION RECEIVED FROM PATIENT AND RESIDENT INQUIRIES AND SUGGESTIONS AND VARIOUS NON-PROFIT COMMUNITY ORGANIZATIONS IS ALSO USED TO ASSESS COMMUNITY HEALTH CARE NEEDS.

SCHEDULE H, PART VI, LINE 3
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:THE ORGANIZATION EMPLOYS FINANCIAL COUNSELORS ON A FULL-TIME BASIS TO ASSIST PATIENTS IN COMPLETING APPLICATIONS THAT DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. INFORMATION IS ALSO IN PRINTED FORM ON PATIENT CORRESPONDENCE SUCH AS LETTERS AND STATEMENTS, AS WELL AS AVAILABLE ONLINE ON THE ORGANIZATIONAL WEBSITE. PATIENTS ARE ALSO REFERRED TO THE DEPARTMENT OF SOCIAL SERVICES FOR MEDICAID ELIGIBILITY.

SCHEDULE H, PART VI, LINE 4
COMMUNITY INFORMATION:YVMC IS GEOGRAPHICALLY LOCATED IN A LARGELY RURAL AND REMOTE AREA IN THE NORTHWEST COLORADO REGION, SERVING ROUTT COUNTY AND THE SURROUNDING COUNTIES OF GRAND, MOFFAT, JACKSON, AND RIO BLANCO. YVMC IS LOCATED IN STEAMBOAT SPRINGS WITH A LARGE SKI RESORT WITHIN THE CITY LIMITS. SEASONAL POPULATIONS PLACE INTERMITTENT DEMANDS ON LOCAL HEALTH CARE RESOURCES DUE TO RESORT TRAVELERS AND SECOND HOMEOWNERS IN BOTH WINTER AND SUMMER SEASONS. IN WINTER, PATIENT TRAVEL TO LARGER METROPOLITAN HOSPITALS CAN BE DIFFICULT DUE TO SEVERE WINTER WEATHER.

SCHEDULE H, PART VI, LINE 5
PROMOTION OF COMMUNITY HEALTH:YAMPA VALLEY MEDICAL CENTER 84-0398876 YVMC SPONSORS COMMUNITY HEALTH EDUCATION THROUGH NEWSPAPER ARTICLES, FACE-TO-FACE EDUCATION COURSES AT ITS FACILITIES, CORPORATE AND COMMUNITY WELLNESS PROGRAMS, AND A COMMUNITY HEALTH FAIR. IN ADDITION TO PROGRAMS WITHIN THE FACILITY, YVMC OFFERS THE COMMUNITY HEALTH RESOURCE CENTER (CHRC) WHERE THE COMMUNITY CAN ACCESS BOTH HARD COPY AND ELECTRONIC MEDICAL PUBLICATIONS AND MULTIMEDIA MATERIALS. THE CHRC IS STAFFED WITH VOLUNTEERS TO ASSIST COMMUNITY MEMBERS WITH QUESTIONS ON MEDICAL TOPICS. THE ORGANIZATION MAKES FINANCIAL CONTRIBUTIONS TO COMMUNITY NON-PROFIT ORGANIZATIONS FOR PRENATAL CARE FOR UNINSURED PATIENTS, SCHOOL-BASED MENTAL HEALTH PROGRAMS, AND OTHER PROGRAMS THAT BENEFIT VARIOUS MEMBERS OF THE COMMUNITY. YVMC ENJOYS A HIGHLY ENGAGED VOLUNTEER COMMUNITY BOARD OF TRUSTEES. USE OF NET OPERATING REVENUE IS RESERVED FOR INVESTMENT IN CAPITAL AND EXPANSION OF THE CHARITY CARE PROGRAM, HOSPITAL PROGRAMS AND SERVICES TO THE COMMUNITY. THERE IS OPEN MEDICAL STAFF EXCEPT FOR HOSPITAL-BASED SPECIALTIES. SEVERAL MEMBERS OF THE YVMC MANAGEMENT STAFF ARE ENGAGED IN BOARDS OF LOCAL AND REGIONAL NON-PROFIT COMMUNITY SERVICE ORGANIZATIONS. COMMUNITY BENEFIT INFORMATION IS INCLUDED ON THE YVMC ANNUAL REPORT.

SCHEDULE H, PART VI, LINE 6
YAMPA VALLEY MEDICAL CENTER IS PART OF UCHEALTH, A COLORADO-BASED HEALTH SYSTEM THAT OFFERS THE MOST ADVANCED CARE THROUGHOUT THE ROCKY MOUNTAIN REGION, EXTENDING FROM COLORADO TO WYOMING AND WESTERN NEBRASKA. AS COLORADO'S ONLY INTEGRATED COMMUNITY AND ACADEMIC HEALTH SYSTEM, WE ARE DEDICATED TO IMPROVING LIVES AND PROVIDING THE HIGHEST QUALITY MEDICAL CARE WITH AN EXCEPTIONAL PATIENT EXPERIENCE. WITH MORE THAN 150 LOCATIONS THROUGHOUT THE REGION, UCHEALTH PUSHES THE BOUNDARIES OF MEDICINE, PROVIDING ADVANCED TREATMENTS AND CLINICAL TRIALS TO ENSURE EXCELLENT CARE AND OUTCOMES FOR 2.3 MILLION PATIENTS EACH AND EVERY YEAR. UCHEALTH IS ALSO THE LARGEST PROVIDER OF MEDICAID SERVICES IN COLORADO, WITH NEARLY 836,000 INPATIENT ADMISSIONS AND OUTPATIENT VISITS FOR MEDICAID PATIENTS DURING FISCAL YEAR 2021, AN INCREASE OF 310% SINCE FISCAL YEAR 2013.

Operating expenses	$ 117,332,915
Total amount spent on community benefits as % of operating expenses	$ 6,807,129 5.80 %