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Lower Valley Hospital Association
Fruita, CO 81521
| Bed count | 25 | Medicare provider number | 061302 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
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.
Operating expenses $ 74,016,411 Total amount spent on community benefits as % of operating expenses$ 9,382,283 12.68 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 46,269 0.06 %Medicaid as % of operating expenses$ 2,295,901 3.10 %Costs of other means-tested government programs as % of operating expenses$ 17,677 0.02 %Health professions education as % of operating expenses$ 353,435 0.48 %Subsidized health services as % of operating expenses$ 6,669,001 9.01 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available 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$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 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$ 980,289 1.32 %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$ 17,553 1.79 %- 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:
Reported to credit agency Not available 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.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES 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.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available 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.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
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
- 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 $ 43333033 including grants of $ 0) (Revenue $ 64330943) LOWER VALLEY HOSPITAL ASSOCIATION OPERATES COLORADO CANYONS HOSPITAL AND MEDICAL CENTER A 25-BED SWING AND ACUTE CARE CRITICAL ACCESS HOSPITAL. THE HOSPITAL PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS, PROVIDES CHARITY CARE AND OTHER ASSISTANCE TO ENSURE ACCESS TO THESE SERVICES IN OUR COMMUNITY. OUR HOSPITAL SERVICES ARE 52% MEDICARE. WE OFFER LABS FOR THE GOOD SAMARITAN PROGRAM, ROCK STEADY BOXING AND THE SENIOR STEP ON PROGRAM FOR OUR COMMUNITY. IN 2021, WE ADMINISTERED COVID VACCINE TO OUR COMMUNITY PARTNERS AT NO COST.
4B (Expenses $ 16737628 including grants of $ 0) (Revenue $ 10338636) THE ORGANIZATION SPONSORS CLINICS TO ENSURE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY. THESE OPERATIONS ARE NOT LIMITED TO ANESTHESIA, EMERGENCY PROVIDERS, HOSPITALIST, RADIOLOGIST, ORTHOPEDIC SPECIALISTS, PODIATRY, RHEUMATOLOGY, NEUROSURGERY AND PHYSIATRY. AN ATHLETIC TRAINER IS DONATED TO THE LOCAL SCHOOLS DURING SPORTS TRAINING AND GAMES.
4C (Expenses $ 2796805 including grants of $ 0) (Revenue $ 2284095) THE ORGANIZATION OPERATES A MEMORY CARE FACILITY THAT PROVIDE RESIDENTIAL ACCOMMODATIONS AND LIMITED HEALTHCARE SERVICES TO THE ELDERLY AND DISABLED FOR A TOTAL BED COUNT OF 26. THE WILLOWS IS DEDICATED TO RESIDENTS WITH DEMENTIA AND IS A SECURED FACILITY. DURING 2021, THE ORGANIZATION CLOSED THE OAKS ASSISTED LIVING FACILITY.
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Supplemental Information
PART I, LINE 6A: COMMUNITY REPORT PREPARED IN CONJUNCTION WITH MESA COUNTY COLORADO HOSPITALS AND HEALTHCARE FACILITIES.
PART I, LN 7 COL(F): THE ORGANIZATION HAS REPORTED BAD DEBT EXPENSE IN THE AMOUNT OF $2,170,864 ON FORM 990, PART IX, LINE 24.
PART III, LINE 3: BAD DEBT IS CALCULATED AFTER ALL PATIENTS HAVE BEEN ASSESSED FOR CHARITY AND GOVERNMENTAL ASSISTANCE PROGRAMS. UNPAID BALANCE IS CALCULATED AS BED DEBT.
PART III, LINE 8: MEDICARE HAS UNDERPAID THE HOSPITAL FOR SERVICES PROVIDED TO THE COMMUNITY. WITH THE INCREASE IN SUPPLIES, PHARMACY PRICES AND LABOR WAGE HIKES THE MEDICARE RATE DOES NOT COVER THE COST OF THE EXCELLENT HEALTHCARE WE PROVIDE TO OUR COMMUNITY.
PART III, LINE 9B: PATIENTS ARE PROVIDED ALL PAPERWORK AND ACCESS TO WEB INFORMATION TO APPLY FOR FINANCIAL ASSISTANCE. OUR PAYMENT RESOLUTION CENTER ATTEMPTS TWO PHONE CALLS FOR ANY UNPAID BALANCE.
PART VI, LINE 2: SURVEY INFORMATION IS SENT TO THE COMMUNITY. ATTENDANCE AT THE LOCAL FARMER'S MARKETS PROVIDES FEEDBACK FROM THE LOCAL COMMUNITY.
PART VI, LINE 3: PATIENT FINANCIAL ASSISTANCE POLICIES ARE AVAILABLE ON OUR WEBSITE IN PLAIN LANGUAGE SUMMARY FORM AND IN PAPER TO ALL PATIENTS. PATIENT FINANCIAL REPRESENTATIVES ARE AVAILABLE IN THE HOSPITAL AT THE TIME OF REGISTRATION AND DISCHARGE TO WORK WITH PATIENTS TO ENSURE THEY ARE AWARE OF FINANCIAL ASSISTANCE. ALL PATIENT STATEMENTS HAVE INFORMATION ABOUT FINANCIAL ASSISTANCE WRITTEN AT THE BOTTOM. WE HAVE CREATED A PATIENT RESOLUTION CENTER TO REACH OUT TO PATIENTS WITH OVERDUE BALANCES FOR ASSISTANCE IN APPLICATION FOR CHARITABLE SERVICES OR HARDSHIP DEFERMENT OF PAYMENT PLANS.
PART VI, LINE 4: WE SERVE THE LOWER VALLEY COMMUNITY WITH FRUITA COLORADO AS OUR HOME BASE. THIS IS A RURAL COMMUNITY LOCATED NEXT TO THE URBAN POPULATION OF GRAND JUNCTION COLORADO. THE COMMUNITY IS MADE UP OF FARMERS, RANCHERS, RETIRED FAMILIES, AND A BEDROOM COMMUNITY TO THE MANY RESIDENTS WHO WORK IN GRAND JUNCTION. OUR HOSPITAL IS THE FARTHEST WEST HOSPITAL IN THE AREA. WE ARE 19 MILES FROM THE UTAH BORDER RIGHT OFF INTERSTATE 7 WHICH RUNS FROM SALT LAKE CITY UTAH TO DENVER COLORADO.
