2025-11-06T10:32:46-06:00 2024-12-31 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2024-01-01 841276376 Valley Citizens Foundation for Health Care Inc VALL 7196574105 310 County Rd 14 Del Norte CO 81132 Tyler Off Chairman 7196574105 2025-10-31 1 1 Lisa Chaffee CPA P00193453 7012551091 2025-10-31 2024 2025-03-06 01:10:19Z Rio Grande Hospital Arlene Harms 310 County Rd 14 Del Norte CO 81132 38448975 0 X www.rio-grande-hospital.org X 1994 CO To ensure the health care needs of the Western San Luis Valley community are met. 9 9 246 17 997631 0 2284265 4512290 29517781 32734276 852223 1170500 8031 18864 32662300 38435930 0 300713 0 0 15095456 16198059 0 0 0 16581960 18073073 31677416 34571845 984884 3864085 58308249 58060805 24243493 20689865 34064756 37370940 X Rio Grande Hospital is part of Valley Citizens Foundation for Health Care, Inc., a community nonprofit organization whose mission is to provide health care to the Western San Luis Valley. 1 0 28939336 300713 32734276 Rio Grande Hospital (RGH) is a licensed 17 bed critical access hospital located in Del Norte, Colorado. Rio Grande Hospital is a Level IV Trauma Center in the State of Colorado. Rio Grande Hospital has been a Level IV Trauma Center since 1999. We are actively involved with the San Luis Valley RETAC. Del Norte is located in the southwestern area of the state 225 miles southwest of Denver and 45 minutes west of Alamosa, Colorado in the San Luis Valley. 28939336 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 53 0 1 246 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X Greg Porter 7196574105 0310 County Road 14 Del Norte CO 81132 Tyler Off Chairman 0.50 0.00 X X 0 0 0 Emily Brown Vice Chair/Secretary 0.50 0.00 X X 0 0 0 Julie Sauvigne Director 0.50 0.50 X 0 0 0 Sharon Nash Director 0.50 0.00 X 0 0 0 Kazie Deacon Director 0.50 0.00 X 0 0 0 Gail Mattive Director 0.50 1.00 X 0 0 0 Starr Pearson Director 0.50 0.00 X 0 0 0 Tyler Hathorn Director 0.50 0.00 X 0 0 0 Paul Foster Director 0.50 0.00 X 0 0 0 Brenda Struder Director (Jan-Sept) 0.50 0.00 X 0 0 0 Arlene Harms CEO 40.00 0.50 X 176063 0 27877 Greg Porter CFO 40.00 0.00 X 128977 0 26342 Clifford Robins MD ER Physician 40.00 0.00 X 386612 0 19882 Patrick Thompson ER Physician 40.00 0.00 X 398539 0 45673 William Rose ER Physician 40.00 0.00 X 342217 0 29263 Daniel MacDougall ER Physician 40.00 0.00 X 369881 0 44796 James Ely Walker ER Physician 40.00 0.00 X 257900 0 54935 2060189 0 248768 24 0 1 0 Gerald H Phipps 5995 Greenwood Plaza Blvd Ste 100 Greenwood Village CO 80111 Construction 4143390 Aya Healthcare PO Box 674907 Dallas TX 75267 Temp Staffing Agency 947729 Amrita 10312 Crow Canyon Road Castro Valley CA 94522 Computer Services 700668 Titan Medical Group 17225 Burt Street Suite 300 Omaha NE 68118 Temp Staffing Agency 490463 Steel Line Construction PO Box 207 La Jara CO 81140 Construction 436600 10 12125 4726 3396704 1098735 137184 4512290 Net Patient Service Revenue 621400 29318448 29318448 Pharmacy Revenue 456110 3339214 2341583 997631 Supporting Revenue 900099 76614 76614 32734276 1170500 1170500 31909 12125 13045 18864 18864 38435930 31736645 997631 1189364 X 300713 300713 359259 359259 13014672 11369846 1644826 181120 162730 18390 1826469 1574261 252208 816539 695786 120753 9950 9950 87342 87342 5350063 3889471 1460592 18069 18069 6208877 5610519 598358 165362 165362 364735 364735 48617 48617 103644 103644 653098 653098 1646991 1646991 237140 237140 Medical supplies and eq 2272646 2272646 Provider Fee Expense 843691 843691 62848 62848 34571845 28939336 5632509 0 24445406 17068284 3002970 3728915 6821000 1356227 1359051 452835 430838 34367918 18932715 20877885 15435203 2664402 2634871 4800590 4862155 707934 5720488 58308249 58060805 3660012 2817201 1139171 0 11745234 18266135 1178175 6127430 24243493 20689865 X 32964756 37370940 1100000 0 34064756 37370940 58308249 58060805 X 3864085 365101 -923002 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 357926 357926 27496001 14469096 13026905 5952361 4420381 1531980 561630 43238 518392 15435203 Certificates of Deposit 4862155 C 4862155 Right of Use Asset - Operating 4483666 Right of Use Asset - Financing 1236822 5720488 Estimated Third Party Payor Settlement 394592 Lease Liability - Operating 4484957 Lease Liability - Financing 1247881 6127430 X 37889155 365101 -923002 -557901 38447056 -11126 -11126 38435930 34582971 11126 11126 34571845 0 34571845 Part X, Line 2: The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Loss on debt extinguishment recorded in other income in financial statements -923,002. Part XI, Line 4b - Other Adjustments: Fundraising expenses recorded in revenues on Form 990 -11,126. Part XII, Line 2d - Other Adjustments: Fundraising expenses recorded in revenues on Form 990 11,126. Keeping Dream Alive 44034 12125 31909 13045 44034 12125 31909 13045 13045 18864 1 1 X 1 X 1 X 1 1 0 0 528000 528000 0.01530 528000 528000 0.01530 25190 3045 22145 0.00060 147600 147600 0.00430 7109138 4808335 2300803 0.06660 7281928 4811380 2470548 0.07150 7809928 4811380 2998548 0.08680 1 2505317 1252659 6013632 6027929 -14297 X 1 1 1 1 Rio Grande Hospital 0310 County Road 14 Del Norte CO 81132 www.rio-grande-hospital.org 251011 X X X X 2 RHC and 2 provider-based clinics Rio Grande Hospital 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X https://riograndehospital.org/chna/ X 1 24 1 https://riograndehospital.org/chna/ 0 1 X 100.000000000000 200.000000000000 X 1 1 X X X X 1 X https://riograndehospital.org/financial-assistance/ X https://riograndehospital.org/financial-assistance/ X https://riograndehospital.org/financial-assistance/ X X X X X X X 1 X 0 X X X X 1 X 0 0 Rio Grande Hospital Part V, Section B, Line 5: Three methods were used to collect primary data: three community meetings, a smaller community focus group meeting, and an online survey between October 2024 and December 2024. The process for this CHNA began with planning in September 2024 through completion at the end of December 2024. An eight-person planning team coordinated the process, but input was received from RGH staff, community members, and partners. An online survey was distributed throughout the service area and three community meetings were held to collect primary qualitative and quantitative data. Many agencies representing vulnerable and underrepresented populations were present to provide input. Additional data sources, including a broad range of primary and secondary data collected by the San Luis Valley Public Health Partnership (SLV PHP) for their most current (2023) five-year regional Community Health Assessment were examined for trends and key focus areas. Rio Grande Hospital Part V, Section B, Line 11: The Organization completed the most recent CHNA and Implementation Strategy in 2024. The following needs and strategies were identified.Rio Grande Hospital and Clinics Strategic Priorities:Excellence in Care Delivery- Strive to exceed industry standards to ensure RGH remains both a provider and employer of choice.- Deliver consistent, high-quality care across all clinics, regardless of provider or location.- Promote a full spectrum of care options, including same-day appointments, telehealth services, and specialty care.- Improve transitions of care through enhanced warm hand-offs and strengthened referral processes.- Refine systems to reduce paperwork duplication and simplify client documentation.- Implement automated reminders to encourage annual wellness and preventive visits.- Enhance the patient portal by aligning hospital and clinic systems, and by introducing a client-facing mobile application.- Continuously improve the billing experience to ensure transparency, clarity, and patient satisfaction.- Assess and investigate opportunities for additional service lines that meet community needs.Community Health and Wellness- Re-establish the annual Health Fair as a cornerstone community health event.- Expand and diversify wellness programs, ensuring variety, consistency, and accessibility for all community members.- Identify and support community wellness activities that align with RGH's mission.- Promote and connect clients to wellness resources available through both RGH and community partners.- Collaborate with outside individuals and organizations to expand wellness offerings at RGH facilities.Partnerships and Collaboration- Strengthen coordination with other San Luis Valley (SLV) healthcare entities to sustain high-quality healthcare within the region.- Identify existing community partnerships where RGH can become a more active and consistent participant.- Establish new collaborations that enhance healthcare and wellness services across the SLV.- Continue to leverage the expertise of the Health and Wellness Board and the Patient and Family Advisory Council to guide community engagement strategies.Community Engagement and Outreach- Provide targeted outreach and services for key populations, including seniors, youth, non-English speakers, agricultural workers, and veterans.- Explore creation of a community outreach ambassador role to improve communication and strengthen connections.- Pilot in-person community gatherings to provide updates, enhance transparency, and improve the feedback process.- Expand outreach efforts to ensure RGH services and activities are widely and consistently communicated.- Erect updated signage at the hospital entrance to improve visibility and navigation.- Explore the development of an official marketing and advertising plan to strategically share RGH's mission, services, and impact.- Enhance digital platforms to improve ease of navigation and expand access to current information.Rio Grande Hospital will not address OB services due to market needs to consolidate services with other medical providers to ensure continued services provided in valley.Rio Grande Hospital - Community Health Initiatives and Service ExpansionRio Grande Hospital (RGH) remains fully committed to advancing the health and well-being of the San Luis Valley through implementation of Community Health Needs Assessment (CHNA) action items and continuous evaluation of services. Multiple committees and staff are actively engaged in these efforts, ensuring that community needs remain at the center of hospital operations.Service Expansion and Enhancements- Specialty and Primary Care: RGH is assessing opportunities to broaden both primary and specialty care offerings within existing facilities.- Pain Management: In 2024, RGH successfully expanded into comprehensive pain management, including both clinic-based services and surgical interventions.- Wellness and Preventive Care: Clinics continue to encourage wellness visits, providing proactive outreach and notifications for immunizations, well-child visits, annual checkups, and adult preventive screenings.- Pediatric Care: The hospital is evaluating its pediatric service line to enhance care options for children within the community.- Telehealth: Virtual care services are evolving to meet the changing needs of patients, improving access and convenience.Patient-Centered Programs- Opioid Alternatives and Treatment: RGH maintains strong educational and clinical programs in ALTO (Alternatives to Opioids) and MAT (Medication-Assisted Treatment), with regular team reviews of medical services provided.- Recovery Clinic: Supported by a state grant, the Recovery Clinic continues to provide vital services, with funding expected to sustain operations into the future.- Language Access: New electronic interpretation equipment has been deployed across the hospital, emergency department, and clinics to improve language accessibility for patients.- Billing Improvements: Patient billing practices are continually reviewed and updated to enhance clarity and fairness.- Patient Communication: Ongoing monitoring of provider and nurse follow-up ensures patients receive responsive, high-quality care.- Digital Engagement: A chatbot has been added to the RGH website to provide timely information on COVID-19 and vaccination resources.Community and Wellness Initiatives- Wellness Center Expansion: In June 2024, RGH celebrated the opening of an $8 million wellness expansion, including a state-of-the-art wellness center, greenhouse, and eight tiny-home housing units.- Health Fairs: Community health fairs are being redesigned and relaunched in 2024 to better serve residents.- Community Partnerships: RGH continues to cultivate partnerships across the valley, with a strategic emphasis on expanding the scope of the Health Wellness Board and community engagement.- Spanish Outreach: Targeted outreach is underway to support farm workers and their families, who play a vital role in the region's agricultural economy.- Medical Tourism Awareness: With an estimated 30,000 visitors annually, RGH is attentive to the impact of medical tourism on the region and continues to adapt its services accordingly.Commitment to the FutureThrough these initiatives, Rio Grande Hospital reaffirms its commitment to innovation, accessibility, and excellence in patient care. By aligning service growth with community health needs, RGH remains a cornerstone of health and wellness for the San Luis Valley.In 2024, the organization continued to work toward addressing the needs identified in 2021.RGH identified the following in 2021:1) Improve referral system for patients needing specialist2) Create a reminder system for preventative and wellness visits3) Provide community education on ALTO (alternatives to opiods)4) Continue to expand Telehealth services5) Explore other potential specialty services6) Expand medical tourismRio Grande Hospital has multiple committees and staff working on the list of CHNA action items. RGH is looking at additional services to be operated out of the current facilities. These include primary and specialists. Example is dermatology. This requires working with another hospital to share a dermatologist. RGH continued exploring expansion into pain management clinic and surgery. RGH continued its expanded services through an infectious diseases with collaboration of Denver Health. RGH is collaborating with Denver Sweetish hospital for Stroke and Psych.In the clinics, we continued projects of family notification for immunizations, well child visits, annual visits, preventative visits for adults. The hospital has ALTO (Alternatives to Opioids) and MAT (medication assisted treatment) education and team review of medical services provided. Billing continues to review and implement revised patient billing practices. RGH clinics continue to monitor patient communication of provider and nurse follow-up. RGH continues to examine services provided for treatment of children. Telehealth services continue to evolve. RGH continues to examine expansion of services. RGH is aware of the Medical Tourism impact on the community as an estimated 30,000 visitors come through our service area. RGH is fully involved in Wellness and has built an $8,000,000 expansion of wellness center, housing and greenhouse, which opened in June 2024. Health fairs are being redesigned and continued to be reimplemented in 2024. Community partnerships continue to develop with key push to expand the health wellness board scope and community involvement. The hospital is involved in Spanish outreach to the farm workers that make the family farms of the valley thrive. Rio Grande Hospital Part V, Section B, Line 13b: The Rio Grande Hospital has two specific policies that affect patients who qualify for charity care. The first policy is the State's Colorado Indigent Care Program (CICP) which has specific rules the State requires for participation. The second is a policy which offers discounts for patients who do not qualify for the State's CICP program listed above.The Colorado Indigent Care Program offers a sliding fee scale to residents of the State of Colorado based upon 250% of the federal poverty guidelines. The program requirements can be seen at any admission desk of the Rio Grande Hospital and on the website for Colorado Indigent Care Program. The Admission Clerks and Financial Counselor of the Hospital can provide more information to anyone interested.The Hospital offers an additional charity care program for those not qualifying for the State's program based upon 200% of the federal poverty guidelines with a sliding scale which offers up to 100% discount on services provided. The Admission Clerks and Financial Counselor of the Hospital can provide more information to anyone interested.The Hospital's complete charity care policy is posted at all locations within the Hospital that provide services.Presumptive eligibility may be used as a last resort. Rio Grande Hospital Part V, Section B, Line 16j: Information is available on the website in both English and Spanish. Paper copies are available at all hospital and clinic admission offices. Part I, Line 3c: The Rio Grande Hospital has two specific policies that affect patients who qualify for charity care. The first policy is the State's Colorado Indigent Care Program (CICP) that has specific rules the State requires for participation. The second is a policy that offers discounts for patients who do not qualify for the State's CICP program listed above.The Colorado Indigent Care Program offers a sliding fee scale to residents of the State of Colorado based upon 250% of the federal poverty guidelines. The program requirements can be seen at any admission desk of the Rio Grande Hospital and on the website for Colorado Indigent Care Program. The Admission Clerks and Financial Counselor of the Hospital can provide more information to anyone interested.The Hospital offers an additional charity care program for those not qualifying for the State's program based upon 200% of the federal poverty guidelines with a sliding scale that offers up to 100% discount on services provided. The Admission Clerks and Financial Counselor of the Hospital can provide more information to anyone interested.The Hospital's complete charity care policy is posted at all locations within the Hospital that provide services.Presumptive eligibility may be used as a last resort. Part I, Line 7: Line 7a Financial Assistance was converted to cost based on an average ratio of costs to gross charges.Line 7g Subsidized Health Services was determined using the Medicare Cost Report.Lines 7e and 7f are based on actual expenses. Part III, Line 2: The amount reported on line 2 represents implicit price concessions. The hospital determines its estimate of implicit price concessions based on its historical collection experience with this class of patients. Part III, Line 3: The estimated amount of the organization's implicit price concessions attributable to patients that would be eligible under the organization's charity care policy was calculated as a percentage of the accounts sent to collections that were identified as being eligible for charity care if the patient would have applied for assistence. In 2022, after review of the accounts recommended for collections, 50.0% of the accounts were marked charity care assistance regardless of patients applying for assistance. The accounts included many patients who lapse their Medicaid or financial assistance programs. Part III, Line 4: The footnote to the Organization's financial statements that describes implicit price concessions can be found on page 12 and 13 of the attached audited financial statements. Part III, Line 8: Services are provided to patients under the Medicare program knowing that not all costs associated with providing these services will be recovered. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, if there is a Medicare shortfall the entire Medicare shortfall is considered a community benefit.Medicare allowable costs of care are based on the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by CMS.Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the Hospital would have a greater loss from Medicare services of $69,631.Medicare fee schedule revenue $667,048Medicare estimated costs of care relating to payments $736,679Net (Shortage) ($69,631) Part III, Line 9b: The Organization requires payment in full upon receipt of the bill. If payment in full is not plausible the patient must establish a payment plan within 120 days from the date of the invoice for the services provided or it will be released to a collection agency to recover these payments. The Hospital does not charge interest on the accounts with payment plans that extend beyond 12 months. For patients that are known to qualify for charity care or financial assistance the State of Colorado requires them to complete a form to apply under one of the two policies offered: Colorado's Indigient Care (CICP) program for state residents or the alternative policy for patients that do not qualify under the CICP program. Patients have 90 days upon the day of service to complete the application. If the remaining patient balance on accounts that qualify under these charity care policies is greater than $25 it will fall under the hospital collection policy guidelines. Balances under $25 can be written off as an administrative adjustment. The Hospital staff discusses these options with these patients, as well as the Business Office that handles the collection of payments. These policies are also posted throughout the Hospital. The Hospital has the administrative authority to write off any amounts they deem will be charity care, such as those that are medically indigent and those amounts under the $25 threshold. The policy states accounts eligible for financial assistance are to be addressed within 240 days of the first bill. If, during the collection process, it is determined that an account in collection belongs to a patient who is eligible for financial assistance, the account will be removed from collection and returned to the hospital for resolution. Part VI, Line 2: Rio Grande Hospital uses the executive team to review progress on the CHNA implementation strategy. In addition, the hospital sponsors the Health and Wellness Board which meets monthly at the hospital or on-line via zoom. This is a collaboration of agencies, organizations and individuals serving our community. It includes Rio Grande County (RGC) Public Health, RGC Social Services for Rio Grande an Mineral Counties, RGC Jail Nurse, Colorado Employment Division, School Nurses, School Principals, Behavior Health, San Luis Valley Transportation. The Health and Wellness Board covers a multitude of community services which include physical health, mental health, housing, jobs, schools, youth, seniors, jails, vulnerable populations, chronic diseases, and community threats such as Covid and Opioid addiction.Rio Grande Hospital continues to use the Hospital's Patient Family Advisory Committee (PFAC) on a quarterly basis. Part VI, Line 3: Rio Grande Hospital posts signs at admissions and at all intake sites informing the patients of programs available for financial assistance. The Hospital has a Financial Counselor available during business hours Monday thru Friday to assist and educate patients in providing information and filing forms for financial assistance. The Hospital reviews patient status and contacts patients it believes are eligible for financial assistance. The Hospital offers copies of their assistance programs upon request. The Hospital offers payment programs based upon patients providing essential personal financial data. Part VI, Line 4: Rio Grande Hospital (RGH) is a licensed 17 bed critical access hospital located in Del Norte, Colorado. Rio Grande Hospital is a Level IV Trauma Center in the State of Colorado. Rio Grande Hospital has been a Level IV Trauma Center since 1999. We are actively involved with the San Luis Valley RETAC.Del Norte is located in the southwestern area of the state 225 miles southwest of Denver and 45 minutes west of Alamosa, Colorado in the San Luis Valley. Rio Grande Hospital serves a catchment area of approximately 100 miles with elevations ranging from 7,814 feet in Del Norte to 11,800 feet at the Summitville Mines to 9,800 feet at Brown Lakes above Creede, Colorado. Our economy thrives from agriculture and tourism. The San Luis Valley is known for farming of potatoes, wheat, barley and canola which increases the risk of job related trauma. The nearest Level IV Trauma Center is Pagosa Springs Medical Center 1.25 hours west of Del Norte. The closest Level II Trauma Center is located in Pueblo. The closest Level III Trauma Center is located in San Luis Valley Regional Medical Center in Alamosa, which is approximately 45 minutes east of Del Norte. The 2024 population base for Rio Grande County is 11,132. Mingeral County has a population of 933 residents. During the months of June, July, and August the population of this area increases by three times. Rio Grande County has 38% of residents living below 250% of the federal poverty level.Rio Grande Hospital sees tourists who have been hunting, skiing, hiking, fishing, camping, and riding ATVs in the mountains. They also treat tourists who visit the San Luis Valley for the warm summer temperatures. With the San Juan Mountains of the Continental Divide bordering the San Luis Valley on the west side, tourism is an all year round industry. RGH has a five bed Emergency Department. Medical emergencies consist of chest pain, acute myocardial infractions, shortness of breath, nausea, vomiting, dehydration, and altitude illnesses.Rio Grande Hospital has four satellite clinics located in Monte Vista, Del Norte, South Fork and Creede. Part VI, Line 5: The Organization's governing body is comprised of persons who reside in the Organization's primary service area who are neither employees nor contractors of the Organization, nor family members thereof. The Organization also extends medical staff privileges to other qualified physicians in the community.Rio Grande Hospital is involved in a number of community health activities. The Hospital is a major provider in the annual health fair offering multiple health tests at discounts to the general public. It annually provides flu shots to the general public for a discounted price. The Hospital provides a women's workshop on reducing risk factors for heart disease and breast cancer at South Fork. The RGH is instrumental in providing health fair services in Del Norte, South Fork and assisting in Center, Creede and the Rural Electric Cooperative. The Hospital offers school physicals free or at a reduced cost to all the kids at schools in the Hospital service area. The discount is dependent upon school programs. It serves Del Norte, Monte Vista, and Creede High Schools and Grade Schools.The Rio Grande Hospital would not exist or be able to operate without the assistance of grants and donations. The Hospital, through volunteer hours of the Board and employees, annually puts on a dinner and fund raising night. In addition we receive support from the South Fork Ladies Golf Association, the South Fork Kiwanis Club, and multiple smaller organizations and church groups. The Hospital provides four clinics in four communities. These clinics are unable to operate without the support subsidies provided by the Hospital. The Hospital utilizes the key staff from the Hospital to support each clinic. The key supporting staff include technical staff from nursing, radiology and laboratory in addition to the administrative support staff of billing and accounting. The clinics are up to 45 miles in distance from the main campus. Our primary clinic is located on our main campus. The clinics offer open house days annually to allow the community to meet the staff and examine the facilities.The Hospital and its staff are involved in many community events including the Monte Vista Stampede Parade, the Del Norte Covered Wagon Parade and Parade of Lights.The Hospital is in its seventh year of the Wound Care services which include the hyperbaric chamber for advance wound care. The Hospital is in its sixth year for Cardiac Rehab. Rio Grande Hospital has been a community partner in testing and providing vaccine to the communities it serves. The Hospital has been offering wound care services, cardiac rehab services, and is advancing towards community dermatology services and pain management services. We additionally offer Physical Therapy staff to schools for their sport programs. 1 RGH Support Corporation 0310 Country Road 14 Del Norte CO 81132 993288660 501(c)(3) 300713 0 General Support 1 0 Part I, Line 2: The sole beneficiary of grants funds is RGH Support Corporation. RGH Support Corporation is a Colorado nonprofit corporation and has been organized in 2024 for the benefit of Valley Citizens' Foundation for Health Care, Inc. RGH Support Corporation's operations are exclusively for the benefit of, to perform the functions of, to support, and to carry out the purposes of Valley Citizens' Foundation for Health Care, Inc. X X X 0 0 0 0 0 0 0 0 0 Patrick Thompson ER Physician 398539 0 0 0 0 0 11350 0 35187 0 445076 0 0 0 Daniel MacDougall ER Physician 369881 0 0 0 0 0 10350 0 35310 0 415541 0 0 0 Clifford Robins MD ER Physician 386612 0 0 0 0 0 7601 0 13144 0 407357 0 0 0 William Rose ER Physician 342217 0 0 0 0 0 6900 0 23227 0 372344 0 0 0 James Ely Walker ER Physician 257900 0 0 0 0 0 8355 0 47444 0 313699 0 0 0 Arlene Harms CEO 176063 0 0 0 0 0 5634 0 22243 0 203940 0 0 0 Greg Porter CFO 128977 0 0 0 0 0 4218 0 22124 0 155319 0 0 0 A Town of Del Norte Colorado 846000652 245256AD4 2024-12-16 12180000 Refund bond issued 4/10/2019 0 0 0 A 12180000 839645 213150 11127205 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 X 1 137184 Appraisal 0 0 0 0 Form 990, Part III, line 2 Wellness Village and Tiny Homes: In June 2024, RGH celebrated the opening of an $8 million wellness expansion, including a state-of-the-art wellness center, greenhouse, and eight tiny-home housing units. Form 990, Part VI, Section A, line 8b There are no committees with authority to act on behalf of the Board. Form 990, Part VI, Section B, line 11b The CFO reviewed the Form 990. Upon his review, a copy of the Form 990 was provided to the Board electronically before it was filed with the IRS. Form 990, Part VI, Section B, line 12c Each Board Member fills out an affidavit annually. The CEO and Chair of the Board review the affidavits. The Compliance Officer of the Hospital also separately reviews the affidavits from the CEO and Chair of the Board. Board Members that have a conflict abstain from voting on the issue. Form 990, Part VI, Section B, line 15a A committee is formed to review the compensation of the CEO. During the review process comparison data from other hospitals is used. The committee makes a recommendation to the Board of Directors. The Board of Directors then approves the compensation according to the policy and substantiates the deliberation and decision in the Board minutes. This process is reviewed annually in December. CFO compensation is reviewed by the CEO. The CEO uses the Colorado Hospital Association Wage and Salary report to determine the CFO compensation. A formal evaluation is completed at that time. This process is reviewed annually in April. There are no other officers or key employees. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Form 990, Part IX, line 11g Purchased Services: Program service expenses 3,042,782. Management and general expenses 1,415,088. Fundraising expenses 0. Total expenses 4,457,870. Professional Fees: Program service expenses 846,689. Management and general expenses 0. Fundraising expenses 0. Total expenses 846,689. Acct Collection Agency Fees: Program service expenses 0. Management and general expenses 44,991. Fundraising expenses 0. Total expenses 44,991. Admin Professional Fee: Program service expenses 0. Management and general expenses 513. Fundraising expenses 0. Total expenses 513. Form 990, Part XI, line 9: Loss on debt extinguishment -923,002. Rio Grande Hospital Foundation Inc 0310 County Road 14 Del Norte CO 81132 272624064 Fundraising for Hospital CO 501(c)(3) Line 12a, I Valley Citizens Foundation for Health Care Inc 1 RGH Support Corporation (as of 53024) 0310 County Road 14 Del Norte CO 81132 993288660 Lease of Rio Grande Wellness Center CO 501(c)(3) Line 12a, I Valley Citizens Foundation for Health Care Inc 1 0 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 RGH Support Corporation B 300713 Accrual Accounting RGH Support Corporation D 6821000 Accrual Accounting