2026-01-16T09:51:10+00:00 2024-12-31 440160260 Forvis Mazars LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2024-01-01 846002707 MONTROSE MEMORIAL HOSPITAL INC MONT 9702492211 800 SOUTH THIRD STREET MONTROSE CO 81401 MARY VADER BOARD CHAIRPERSON 9702492211 2026-01-16 true false Brandon Schulze P02051564 7194714290 2026-01-16 2024 2025-03-06 01:10:19Z X MONTROSE REGIONAL HEALTH JEFF MENGENHAUSEN CEO 800 SOUTH THIRD STREET MONTROSE CO 81401 203654417 false X WWW.MONTROSEHEALTH.COM X 2010 CO IT IS THE MISSION OF MONTROSE MEMORIAL HOSPITAL TO PROVIDE HEALTHCARE SERVICES TO OUR COMMUNITIES WITH EXCELLENT SERVICE, COMPASSION AND FISCAL RESPONSIBILITY. 9 9 867 55 0 522414 856283 171268823 193192459 1849851 2398777 1180626 980987 174821714 197428506 54332 73048 0 67872402 82787552 0 0 94008245 115939884 161934979 198800484 12886735 -1371978 185527723 212571376 55464477 82863698 130063246 129707678 X IT IS THE MISSION OF MONTROSE MEMORIAL HOSPITAL TO PROVIDE HEALTHCARE SERVICES TO OUR COMMUNITIES WITH EXCELLENT SERVICE, COMPASSION AND FISCAL RESPONSIBILITY. true false 123840912 58438 154553967 MONTROSE MEMORIAL HOSPITAL PROVIDES A WIDE VARIETY OF OUTPATIENT SERVICES INCLUDING EMERGENCY ROOM, MEDICAL IMAGING, CARDIOLOGY, PULMONOLOGY, ONCOLOGY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, CARDIO-PULMONARY REHAB AND LABORATORY. MONTROSE MEMORIAL HAS A LEVEL III TRAUMA DESIGNATION AND WE HAVE HELICOPTER TRANSPORT SERVICES ON CAMPUS. OUR EMERGENCY ROOM IS STAFFED 24/7 WITH ER BOARD CERTIFIED PHYSICIANS. FOR THE YEAR ENDING DECEMBER 31, 2024, THE HOSPITAL HAD 143,028 OUTPATIENT VISITS. 26316194 12418 30910793 MONTROSE MEMORIAL HOSPITAL IS LICENSED FOR 75 BEDS AND PROVIDES INPATIENT SERVICES INCLUDING ICU, MEDICAL SURGICAL, JOINT REPLACEMENT CENTER AND FAMILY CENTER. THE PRIMARY SERVICE AREA IS MONTROSE, OURAY AND SAN MIGUEL COUNTIES. MONTROSE MEMORIAL HAD 9,063 INPATIENT DAYS FOR THE YEAR ENDING DECEMBER 31, 2024. MONTROSE MEMORIAL PROVIDES A SIGNIFICANT AMOUNT OF CHARITY CARE AN WROTE OFF $1,468,000 IN CHARGES FOR THE YEAR ENDING DECEMBER 31, 2024. 4644034 2192 7727699 MONTROSE MEMORIAL OPERATES AN ACUTE REHABILITATION UNIT THAT PROVIDES SERVICES AS A CONTINUUM OF CARE FOR PATIENTS THAT NEED ADDITIONAL TIME AND REHABILITATION AFTER A HOSPITAL STAY BEFORE THEY CAN GO TO A LOWER LEVEL OF CARE OR HOME. OUR GOAL, AT MONTROSE MEMORIAL HOSPITAL, IS TO HELP PATIENTS GET BACK TO LIFE, FAMILY AND FRIENDS AS QUICKLY AS POSSIBLE. WORKING WITH EACH PATIENT AND THEIR FAMILY, THE REHABILITATION TEAM DESIGNS A HIGHLY INDIVIDUALIZED TREATMENT PLAN THAT FOCUSES ON POTENTIAL, NOT ON LIMITATIONS. THIS PROGRESSIVE APPROACH STRIVES TO MEET THE NEEDS OF THE PATIENT AND THEIR FAMILY INVOLVED IN THE REHABILITATION PROCESS. 154801140 true true false true false false false false false false true false false true true false true false false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true false false false false true 197 0 867 true false false false false false false false false false false false false X 9 9 false true false false false false false true false false false false true true true true true true false true true true X X THE CORPORATION 9702492211 800 S 3RD STREET MONTROSE CO 81401 BARB JUDD SECRETARY END 10/24 V CHAIR BEG 10/24 3.0 0.0 X X 0 0 0 MARY VADER DO CHAIRPERSON 3.0 0.0 X X 0 0 0 MICHAEL BREZINSKY MD DIRECTOR 3.0 0.0 X X 30155 0 0 JACK JOHNSTON DIRECTOR 3.0 0.0 X 0 0 0 KAYE HOTSENPILLER DIRECTOR 3.0 0.0 X 0 0 0 KJERSTEN DAVIS MD DIRECTOR 3.0 0.0 X 0 0 0 REID FISHERING DIRECTOR 3.0 0.0 X 0 0 0 SELVIN SANDOVAL DIRECTOR 3.0 0.0 X 0 0 0 ZANDER PARKER DIRECTOR 3.0 0.0 X 0 0 0 JEFF MENGENHAUSEN CEO (DEEMED OFFICER) 40.0 0.0 X 0 0 0 PAUL PERROTTI CFO 40.0 0.0 X 359920 0 23309 ADDISON WOOD MD PHYSICIAN 40.0 0.0 X 958115 0 72528 MOJGAN ARASHVAND MD PHYSICIAN 40.0 0.0 X 421180 0 17871 RHONDA PARKER MD CHIEF MEDICAL OFFICER 40.0 0.0 X 455171 0 60053 SAMUEL HOLMES MD PHYSICIAN 40.0 0.0 X 470005 0 378 STEVEN EMMONS MD PHYSICIAN 40.0 0.0 X 611906 0 74770 3306452 0 248909 152 false true false INTERMOUNTAIN HEALTH 36 SOUTH STATE ST SALT LAKE CITY UT 84111 RADIATION SERVICES 6580122 HEALTHTRUST WORKFORCE SOLUTIONS CHERRY CREEK PLAZA 1 600 S CHERRY ST STE 600 DENVER CO 80246 WORKFORCE SOLUTIONS 3386183 MEDEFIS 10826 OLD MILLRD STE 101 OMAHA NE 681542660 WORKFORCE SYSTEM 1901471 COMMUNITY HOSPITAL CORPORATION 7950 LEGACY DR STE 1000 PLANO TX 75024 CONSULTING 1122716 HOSPITAL SHARED SERVICES 990 SOUTH BROADWAY STE 420 DENVER CO 80209 SECURITY 868213 13 175867 680416 856283 NET PATIENT SERVICE REVENUE 621110 187227513 187227513 INCOME ON EQUITY INVESTEES 900003 2700106 2700106 OTHER PROGRAM SERVICE REVENUE 900099 3264840 3264840 0 0 0 0 193192459 1716773 1716773 132759 0 132759 0 132759 132759 6900215 7700 6225911 0 674304 7700 682004 682004 CAFETERIA & VENDING REVENUE 722514 920624 920624 OTHER INCOME 900099 -72396 -72396 0 0 0 0 848228 197428506 193192459 0 3379764 X 73048 73048 413384 413384 69109916 53567609 15542307 1491257 866235 625022 6607172 3859828 2747344 5165823 2999938 2165885 1930107 1930107 300683 300683 97723 97723 3904 3904 44011866 37040859 6971007 0 341811 4783 337028 2667891 185262 2482629 21621 4352 17269 4072015 2939598 1132417 98297 56014 42283 24740 19702 5038 1076256 577177 499079 5946591 3446472 2500119 1391189 455606 935583 Medical Supplies 34141823 34141823 Repairs & Maintenance 9482288 5216751 4265537 Provider Fee 7939010 7939010 Dues & Licenses 1845492 1036073 809419 546577 371000 175577 0 198800484 154801140 43999344 0 28952619 12708340 15196120 14722184 29947717 32676381 0 0 0 0 1183434 2096356 4489194 5721345 1974078 2841069 165196032 90025407 52485812 75170625 39953364 42560692 0 5961399 5542960 5383986 18531424 185527723 212571376 21972856 26430009 29117641 36939019 0 0 4373980 19494670 55464477 82863698 X 129642783 128795874 420463 911804 130063246 129707678 185527723 212571376 X -1371978 1148843 -132433 X false true true true true X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0.0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2640 2640 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE LOBBYING EXPENSE IS THE ALLOCABLE PORTION OF DUES PAID TO CHA DISCLOSED AS LOBBYING ACTIVITY. THE ORGANIZATIONS PROVIDE THE PERCENTAGE TO USE FOR ALLOCATION PURPOSES. 2384169 2384169 66186733 43899299 22287434 8492902 224874 8268028 66613869 44194730 22419139 21518359 1706504 19811855 75170625 OPERATING LEASE 12957183 BOND ISSUE 3472772 DUE FROM RLSC 2101469 18531424 Federal Income Taxes LEASE LIABILITY 17059918 GLOBUS FINANCING LEASE 2434752 19494670 197630344 1148843 0 0 0 1148843 196481501 0 455664 455664 196937165 198477253 0 0 0 0 0 198477253 0 323231 323231 198800484 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements CHA TRUST INCOME - 233921 RESTRICTED CONTRIBUTIONS IN EXPENSES - 100504 OTHER REVENUE IN EXPENSES - 57448 HEALTHCARE EXPENSES IN REVENUE - 56091 GAIN FROM DISPOSAL OF PPE - 7700 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements CHA TRUST EXPENSES - 101488 RESTRICTED CONTRIBUTIONS IN EXPENSES - 100504 OTHER REVENUE IN EXPENSES - 57448 HEALTHCARE EXPENSES IN REVENUE - 56091 GAIN FROM DISPOSAL OF PPE - 7700 true true X true X 40 true X 0 0 1978753 0 1978753 0.00958 0 0 34854001 11559175 23294826 0.11283 0 0 0 0 0 0.0 0 0 36832754 11559175 25273579 0.12241 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 4842837 3885839 956998 0.00464 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 4842837 3885839 956998 0.00464 0 0 41675591 15445014 26230577 0.12704 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 true 8863455 0 57612926 45735139 11877787 X true false SAN JUAN CANCER CENTER CANCER CENTER 0.33 0 0.33 BLACK CANYON SURGICAL AMBULATORY SURGERY 0.51 0 0.49 1 1 MONTROSE MEMORIAL HOSPITAL 800 S 3RD STREET MONTROSE CO 81401 WWW.MONTROSEHEALTH.COM 011165 X X X A A 1 false false true X X X X X X X X X 22 true false false true X https://montrosehealth.com/news-community/community-health-needs-assessment/ X true 22 true https://montrosehealth.com/news-community/community-health-needs-assessment/ false true X 40.0 400.0 X X X true true X X X true X https://montrosehealth.com/patients-visitors/patient-financial-billing/ X https://montrosehealth.com/patients-visitors/patient-financial-billing/ X https://montrosehealth.com/patients-visitors/patient-financial-billing/ X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - MONTROSE MEMORIAL HOSPITAL, INC.. MRH AND DELTA HEALTH (DH) WORKED WITH CHC CONSULTING IN THE DEVELOPMENT OF THEIR CHNA. MRH PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITAL'S STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. BACKGROUND INFORMATION ABOUT MRH, INCLUDING THE MISSION, VISION, VALUES AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INFORMATION WAS COLLECTED BY CHC CONSULTING USING SOURCES WHICH INCLUDED STRATASAN, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE ROBERT WOOD JOHNSON FOUNDATION, TEXAS DEPARTMENT OF HEALTH AND HUMAN SERVICES, SPARKMAP, THE UNITED STATES CENSUS BUREAU AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER TOOL. MRH AND DELTA HEALTH (DH) PROVIDED CHC CONSULTING WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN MONTROSE AND DELTA COUNTIES, INCLUDING PUBLIC HEALTH REPRESENTATIVES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, 39 IN DEPTH PHONE INTERVIEWS WERE CONDUCTED USING A STRUCTURED INTERVIEW GUIDE WITH THE TWO GROUPS OUTLINED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 24, 2014. DISCUSSED WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 66.7% OF THOSE PROVIDING INPUT ARE MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATION IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. 17.9% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY) WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INTERVIEWEES INCLUDED: JOSIE ANDERS-MIZE: DIRECTOR OF REGIONAL SERVICES, HILLTOP FAMILY RESOURCE CENTER JIM AUSTIN: PUBLIC HEALTH DIRECTOR, MONTROSE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES LYNN BORUP: EXECUTIVE DIRECTOR, TRI COUNTY HEALTH NETWORK MIKE BREZINSKY, MD: INTERNAL MEDICINE, MONTROSE REGIONAL HEALTH; BOARD MEMBER, MONTROSE REGIONAL HEALTH BARBARA BYNUM: CITY COUNCILOR, CITY OF MONTROSE JEAN CERIANI: BOARD MEMBER, DELTA HEALTH KURT CLAY: ASSISTANT SUPERINTENDENT OF SCHOOL, DELTA COUNTY SCHOOL DISTRICT 50J KJERSTEN DAVIS: BOARD CHAIR, MONTROSE REGIONAL HEALTH HOLLY DUENSING: CLINICAL MANAGER, HOPEWEST HOSPICE REBECCA ELA, LCSW: BEHAVIORAL HEALTH DIRECTOR, DELTA HEALTH CARYN GIBSON: SUPERINTENDENT, DELTA COUNTY SCHOOL DISTRICT 50J SUE HANSEN: COUNTY COMMISSIONER, MONTROSE COUNTY MICHELLE HAYNES: EXECUTIVE DIRECTOR, COLORADO REGION 10 CARA HELMICK: DELTA COUNTY DIRECTOR, VOANS SENIOR COMMUNITY CARE MATT HEYN: CHIEF EXECUTIVE OFFICER, DELTA HEALTH KAYE HOTSENPILLER: CHIEF EXECUTIVE OFFICER, RIVER VALLEY HEALTH CENTER WENDELL KOONTZ: COUNTY COMMISSIONER, DELTA COUNTY LAURA LENIHAN: REGISTERED NURSE, MONTROSE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES ROBBIE LEVALLEY: COUNTY ADMINISTRATOR, DELTA COUNTY GARY MARTINEZ: PRESIDENT, THE SHEPHERD'S HAND ANGEL MENDEZ: REPRESENTATIVE, WESTERN COLORADO MIGRANT AND RURAL COALITION JEFF MENGENHAUSEN: CHIEF EXECUTIVE OFFICER, MONTROSE REGIONAL HEALTH KAREN O'BRIEN: DIRECTOR, DELTA COUNTY HEALTH DEPARTMENT SALLY O'CONNOR: CASE MANAGEMENT DIRECTOR, MONTROSE REGIONAL HEALTH CHERYL OELTJENBRUNS: EXECUTIVE DIRECTOR, THE ABRAHAM CONNECTION DOROTHY PEW: DELTA PROGRAM DIRECTOR, HOPEWEST HOSPICE COREY PHILLIPS: CHIEF EXECUTIVE OFFICER, CEDAR POINT HEALTH GREG RAJNOWSKI: DIRECTOR OF ENVIRONMENTAL HEALTH, DELTA COUNTY HEALTH DEPARTMENT PAT RIDDELL: INDIVIDUAL PRACTICE ASSOCIATION/PHYSICIAN HOSPITAL ORGANIZATION DIRECTOR, WESTERN COLORADO INDIVIDUAL PRACTICE ASSOCIATION TAD ROWAN: CHIEF, MONTROSE FIRE DEPARTMENT KATHERINE SMITH: READINESS & RESPONSE COORDINATOR, WEST REGION HEALTHCARE COALITION CARRIE STEPHENSON, PHD: SUPERINTENDENT, MONTROSE COUNTY SCHOOL DISTRICT JENNIFER SUCHON: NURSE PRACTITIONER, NORTHSIDE CHILD HEALTH CENTER GREG SUCHON, MD: PEDIATRICIAN, THE PEDIATRIC ASSOCIATES MARK TAYLOR: SHERIFF, DELTA COUNTY KELLY THOMPSON: DIRECTOR, HOPEWEST HOSPICE MARY VADER, MD: PEDIATRICIAN, MONTROSE REGIONAL HEALTH, BOARD MEMBER, MONTROSE REGIONAL HEALTH EVA VEITCH: AREA AGENCY ON AGING DIRECTOR, COLORADO REGION 10 SANDY WALKER: OMBUDSMAN, COLORADO REGION 10 POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: ELDERLY, PEDIATRIC, TEENAGER/ADOLESCENT, HOMELESS, LOW INCOME/WORKING POOR, RACIAL/ETHNIC AND VETERANS. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: ELDERLY: STAFFING OF SENIOR CARE FACILITIES (NURSING HOMES/ASSISTED LIVING FACILITIES) FOOD INSECURITY TRANSPORTATION (LIMITED OPTIONS, LIMITED HOURS) EDUCATION ON TELEHEALTH SERVICES AND BENEFITS ACCESS TO INTERNET SERVICES AFFORDABLE DENTAL CARE COMPREHENSIVE HOME HEALTH AFFORDABLE HOUSING OPTIONS MEDICAL/INSURANCE EDUCATION MENTAL AND BEHAVIORAL HEALTH SERVICES AFFORDABILITY OF CARE EQUIPMENT/RESOURCE NEEDS, PARTICULARLY OXYGEN TANK REFILLS (DELTA COUNTY) PEDIATRIC: LIMITED AVAILABILITY OF CHILD DAY CARE LANGUAGE BARRIERS BETWEEN PARENTS AND PROVIDERS (DELTA COUNTY) TEENAGER/ADOLESCENT: LIMITED TRANSPORTATION OPTIONS HESITANCY TO GO TO THE DOCTOR (I.E. WHAT'S BOTHERING THEM PHYSICALLY, MENTALLY, ETC.) NEED FOR MENTAL HEALTH SERVICES, PARTICULARLY PSYCHOLOGIST NEED FOR LOCAL PROVIDERS WITH ABILITY TO PRESCRIBE APPROPRIATE MENTAL AND BEHAVIORAL HEALTH MEDICATIONS SUBSTANCE AND DRUG MISUSE/ABUSE VAPING, E-CIGARETTE USE SUICIDE RATE NEED FOR YOUNGER PARENT FAMILY PLANNING/EDUCATION/PLANNED PARENTHOOD LIMITED LOCAL OB/GYN SERVICES HOMELESS: LIMITED OPERATIONAL HOURS FOR LOCAL SHELTERS GROWING POPULATION MENTAL AND BEHAVIORAL HEALTH CONCERNS SUBSTANCE MISUSE/ABUSE NEED FOR SAFE/AFFORDABLE HOUSING (DELTA COUNTY) LOW INCOME/WORKING POOR: COST BARRIERS TO CARE TRANSPORTATION BARRIERS LIMITED INTERNET ACCESS HEALTHY LIFESTYLE EDUCATION AFFORDABLE HOUSING RACIAL/ETHNIC: LANGUAGE BARRIERS INSURANCE/AFFORDABILITY ISSUES HESITANCY TO SEEK CARE (DOCUMENTATION CONCERNS (MONTROSE COUNTY), CULTURAL MISTRUST (DELTA COUNTY)) VETERAN: LIMITED LOCAL VA SERVICES LIMITED ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES ACCESS TO DENTAL CARE (MONTROSE COUNTY) AFFORDABLE HOUSING Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - MONTROSE MEMORIAL HOSPITAL, INC.. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED SIX SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY MONTROSE REGIONAL HEALTH AND DELTA HEALTH. THE NEEDS WERE IDENTIFIED BY ASSESSING THE PREVALENCE OF THE ISSUES FOUND WITHIN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS IN COMMUNITY INPUT. HOSPITAL LEADERSHIP MET WITH CHC CONSULTING TO REVIEW THE RESEARCH FINDINGS AND PRIORITIZE THE COMMUNITY HEALTH NEEDS. THE FINAL LIST OF PRIORITIZED NEEDS IS AS FOLLOWS: 1. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 2. ACCESS TO PRIMARY & SPECIALTY CARE SERVICES AND PROVIDERS 3. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 4. CONTINUED FOCUS ON THE AGING POPULATION & SERVICES 5. PREVENTION, EDUCATION & SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES THE CHNA TEAM PARTICIPATED IN A PRIORITIZATION PROCESS USING A STRUCTURED MATRIX TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THEIR CAPACITY TO ADDRESS THE NEED. BASED ON THE UNIQUE CAPABILITIES OF THE FACILITIES, MRH PRIORITIZED SEPARATELY FROM DH IN ORDER TO TAILOR THEIR LIST OF IDENTIFIED NEEDS TO THEIR SPECIFIC PATIENT POPULATION AND RESOURCES. ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, MRH LEADERSHIP VOTED ON WHAT NEEDS TO ADDRESS AND DECIDED TO ADDRESS FIVE OF THE SIX PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE A POINT OF ACCESS FOR MENTAL HEALTH SERVICES IN THE COMMUNITY 1.A. MRH WILL CONTINUE TO EDUCATE THE COMMUNITY ON OPIOID PREVENTION, TREATMENT AND RECOVERY. MRH PROVIDES TRAINING FOR EMERGENCY DEPARTMENT PERSONNEL AND OTHER PARTNERS ON SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT). 1.B. MRH WILL CONTINUE TO UTILIZE THE ALTO PROJECT THROUGH THE COLORADO HOSPITAL ASSOCIATION TO REDUCE OPIOID USE IN THE EMERGENCY DEPARTMENT. 1.C. MRH'S MEDICAL STAFF RECEIVES CONTINUING EDUCATION ON OPIOIDS AND SAFE DOSING OF OPIOIDS AND BENZODIAZEPINES. 1.D. THROUGH COLLABORATION WITH THE CENTER FOR MENTAL HEALTH, MRH WILL REFER PATIENTS WHO ENTER INTO THE EMERGENCY DEPARTMENT PRESENTING WITH SEVERE BEHAVIORAL HEALTH SYMPTOMS TO THE CENTER FOR MENTAL HEALTH'S CRISIS WALK-IN CENTER. 1.E. MRH WILL CONTINUE TO HIRE CERTIFIED NURSING ASSISTANTS TO BECOME MENTAL HEALTH PATIENT SITTERS AS APPROPRIATE. 1.F. MRH WILL CONTINUE TO EMPLOY CASE MANAGERS AND SOCIAL WORKERS TO ASSIST PATIENTS IN OBTAINING THE SERVICES THEY NEED FOR RECOVERY. ADDITIONALLY, MRH SENDS A DATA FEED TO THE REGIONAL ACCOUNTABLE ENTITY (RAE) TO ENSURE CONTINUITY OF CARE. 1.G. MRH WILL CONTINUE TO ASSESS AND RECRUIT MENTAL HEALTH CARE WORKFORCE TO MEET THE NEEDS OF THE COMMUNITY. 1.H. MRH PARTNERS WITH THE COLORADO PERINATAL CARE QUALITY COLLABORATIVE(CPCQC) ON A QUALITY IMPROVEMENT INITIATIVE CALLED THE COLORADO HOSPITAL SUBSTANCE EXPOSED NEWBORNS (CHOSEN) COLLABORATIVE IN AN EFFORT TO INCREASE CONSISTENCY IN IMPLEMENTATION OF BEST PRACTICE APPROACHES IN THE IDENTIFICATION OF AND RESPONSE TO NEWBORNS PRENATALLY EXPOSED TO SUBSTANCES AT THE TIME OF BIRTH ACROSS COLORADO. 1.I. MRH PARTNERS WITH THE FQHC RIVER VALLEY HEALTH ON THE MOM GRANT WHICH IS A PROGRAM THAT WORKS IN COMBINATION WITH THE COAIM:SUD PROGRAM. PATIENTS ARE SCREENED ON THE INITIAL VISIT OR ON ADMIT TO THE FAMILY CENTER AT MRH AND THEN REFERRED FOR MEDICATION ASSISTED TREATMENT (MAT). 1.J. MRH PARTICIPATES IN THE COLORADO AIM PROGRAM: SUBSTANCE USE DISORDER (CO AIM:SUD) FOR OBSTETRICAL PATIENTS. THIS PROGRAM FOCUSES ON ESTABLISHING HOSPITAL GUIDELINES AND PROTOCOLS FOR SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRD) FOR SUBSTANCE USE DISORDER (SUD) AND PERINATAL MOOD AND ANXIETY DISORDERS IN THE PERINATAL HEALTHCARE SETTING. 1.K. MRH WILL CONTINUE TO EMPLOY PHYSICAL THERAPISTS TO WORK IN EMERGENCY DEPARTMENT TO ASSIST WITH ALTERNATIVE PAIN TREATMENTS. 1.L. MRH IS COLLABORATING WITH THE DELTA COUNTY AMBULANCE DISTRICT (DCAD) TO GUARANTEE TRANSPORTS OF BEHAVIORAL HEALTH PATIENTS TO HIGHER LEVELS OF CARE. 1.M. MRH WILL CONTINUE TO STAFF SANE (SEXUAL ASSAULT NURSE EXAMINER) WHO ARE TRAINED SPECIFICALLY TO EXAMINE AND TREAT SURVIVORS OF SEXUAL ASSAULT. 1.N. MRH CONTRACTS WITH FIRSTSTOP HEALTH TELE-COUNSELING AS PART OF OUR EMPLOYEE HEALTH BENEFIT PLAN. 1.O. MRH CONTINUES TO WORK WITH TRIAD EMPLOYEE ASSISTANCE PROGRAM TO ASSIST EMPLOYEES AND PROVIDERS. PRIORITY #2: ACCESS TO PRIMARY & SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: PROVIDE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY 2.A. FOLLOWING THE MRH PHYSICIAN RECRUITMENT PLAN, WE WILL CONTINUE TO ASSESS & RECRUIT PHYSICIANS BASED ON COMMUNITY NEED. 2.B. MRH WILL CONTINUE TO INCREASE ACCESS TO CARDIOLOGY & GYNECOLOGICAL SERVICES THROUGH THE OUTREACH CLINIC IN DELTA. 2.C. MRH HOSTS A MOBILE PET SCANNER 1X/WEEK. THIS SERVICE WILL MOVE TO THE ACC IN 2023. 2.D. MRH PROVIDES A PROVIDER REFERRAL PHONE LINE. 2.E. MRH STRIVES TO MEET THE GOAL OF 2 WEEKS (OR LESS) FOR THE 3RD NEXT AVAILABLE APPOINTMENT. 2.F. MRH MEDICAL STAFF PROVIDES CLINICAL ROTATIONS. 2.G. MRH COLLABORATES WITH COLORADO MESA UNIVERSITY - MONTROSE AND GRAND JUNCTION CAMPUSES TO HIGHLIGHT NEEDS AND TO PROVIDE CLINICAL SITES FOR HEALTH PROFESSIONAL STUDENTS (I.E. NURSING, RADIOLOGY, THERAPIES, ETC.). 2.H. MRH OFFERS AN ANNUAL HEALTH FAIR WITH LOW COST BLOOD DRAWS & HEALTH SCREENINGS. 2.I. MRH COLLABORATES WITH MONTROSE COUNTY TO OFFER A NO COST FLU VACCINATION CLINIC. 2.J. MRH SHARES PHYSICIAN PODCASTS AND OTHER HEALTH RELATED INFORMATION ON SOCIAL MEDIA. 2.K. MRH HOSTS AN EXTENSIVE WEBSITE WITH HEALTH RESOURCES. 2.L. INCREASED CARDIOLOGY ACCESS IN GUNNISON THROUGH AN OUTREACH CLINIC STAFFED BY A CARDIOLOGIST 3 DAYS PER WEEK. 2.M. MRH WORKS WITH LOCAL HIGH SCHOOL STUDENTS TO OFFER CAREER OPTION SEMINARS. PRIORITY #3: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE HEALTH DISPARITIES BY TARGETING SPECIFIC POPULATIONS 3.A. THROUGH GRANT DOLLARS, MRH OFFERS NAVIGATION SERVICES FOR WOMEN TO ACCESS BREAST CANCER AND CERVICAL SCREENING FOR PATIENTS WITH LIMITED OR NO HEALTH INSURANCE. 3.B. MRH WILL WORK WITH BOSOM BUDDIES TO PROVIDE FINANCIAL ASSISTANCE FOR MAMMOGRAMS AND OTHER BREAST CANCER RELATED MEDICAL EXPENSES TO UNDERSERVED WOMEN AND MEN IN SOUTHWESTERN COLORADO. 3.C. MRH OFFERS A SLIDING FEE SCALE PROGRAMS TO PATIENTS AS APPROPRIATE. 3.D. MRH CONDUCTS DAILY EVALUATIONS OF SELF-PAY PATIENTS AND WILL OFFER ASSISTANCE TO GET THE PATIENT SET UP WITH CONNECT FOR COLORADO OR FINANCIAL ASSISTANCE BEFORE LEAVING THE HOSPITAL. 3.E. MRH EMPLOYS A FINANCIAL ASSISTANCE COORDINATOR WHO IS CERTIFIED TO ASSIST PATIENTS WITH FINANCIAL AID ENROLLMENT. 3.F. MRH OFFERS A LOAN PROGRAM THROUGH THE BANK OF COLORADO. 3.G. MRH WILL CONTINUE TO NEGOTIATE WITH INSURANCE PLANS THAT AREN'T CONTRACTED WITH MRH AS OPPORTUNITIES ARISE. 3.H. MRH CONTINUES TO OFFER NO-INTEREST PAYMENT PLANS TO OUR PATIENTS. ADDITIONALLY, MRH WILL CONTINUE TO OFFER A 25% CASH DISCOUNT TO PATIENTS WHO ARE SELF-PAY. 3.I. MRH OFFERS THE COLORADO INDIGENT CARE PROGRAM (CICP), WHICH PROVIDES DISCOUNTED HEALTH CARE SERVICES TO LOW- INCOME PEOPLE AND FAMILIES. 3.J. MRH CONTINUES TO OFFER CASH PAYMENT OPTIONS FOR SEVERAL SERVICES. 3.K. MRH PROVIDES CASH PRICE LIST ON WEBSITE FOR MOST COMMON PROCEDURES THROUGH THEIR WEBSITE: WWW.MONTROSEHOSPITAL.COM. MRH PROVIDES INFORMATION AND BILLING STATEMENTS ABOUT MRH'S FINANCIAL ASSISTANCE POLICY ONLINE AND WORKS WITH MARKETING TO ENSURE THE MRH OFFERINGS/SERVICES ARE TRANSPARENT ON THE WEBSITE/SOCIAL MEDIA. 3.L. MRH PROVIDES CLINICAL TRIALS AT THE CANCER CENTER WHICH WILL BE FREE FOR PATIENTS WHO PARTICIPATE AS APPROPRIATE. 3.M. AMBULATORY CARE CENTER (OPENING 2023) WILL DECREASE COST OF AND IMPROVE PATIENT EXPERIENCE AND EASE OF NAVIGATING THE BUILDING TO RECEIVE CARE. 3.N. MRH REHABILITATION SERVICES FINANCIALLY SUPPORTS ALL POINTS TRANSIT WHICH PROVIDES FREE TRANSPORTATION TO REHAB PATIENTS UTILIZING MRH SERVICES. Schedule H, Part V, Section B, Line 11 Facility A, 2 Facility A, 2 - MONTROSE MEMORIAL HOSPITAL, CONTINUED. PRIORITY #4: CONTINUED FOCUS ON THE AGING POPULATION & SERVICES OBJECTIVE: PLACE INCREASED FOCUS AND EMPHASIS ON THE NEEDS OF THE AGING POPULATION WITHIN THE COMMUNITY 4.A. MRH PROVIDES EXERCISE CLASSES FOR THE ELDERLY AND AGING POPULATION. 4.B. MRH PROVIDES EDUCATION ON THE IMPORTANCE OF BREAST AND CERVICAL SCREENINGS. 4.C. MRH COLLABORATES WITH REGION 10, HILLTOP, MONTROSE LIBRARY AND OTHER COMMUNITY GROUPS TO SET UP AND PARTICIPATE IN A COMMUNITY LECTURE SERIES FOCUSING ON EDUCATIONAL SEMINARS FOR THE AGING POPULATION. 4.D. CASE MANAGEMENT TEAM COLLABORATES DAILY WITH LOCAL LONG TERM CARE FACILITIES. 4.F. MRH PARTICIPATES IN THE WEST REGION HEALTH CARE COALITION THAT MEETS WITH LOCAL NURSING HOMES, ASSISTED LIVING FACILITIES, HOME HEALTH AND OTHER HEALTHCARE PARTNERS TO DISCUSS EMERGENCY ISSUES FOR DISASTER RESPONSE FOR THE AGING AND FUNCTIONAL NEEDS WITH SPECIAL POPULATIONS. PRIORITY #5: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: IMPLEMENT PROGRAMS AND PROVIDE EDUCATIONAL OPPORTUNITIES THAT SEEK TO ADDRESS UNHEALTHY LIFESTYLES AND BEHAVIORS IN THE COMMUNITY 5.A. MRH WILL CONTINUE TO CONNECT PATIENTS TO EXISTING COMMUNITY RESOURCES IN ORDER TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY. 5.B. MRH VOLUNTEERS AT LOCAL COMMUNITY EVENTS TO HELP THE COMMUNITY FOCUS ON HEALTH AND WELLNESS AS OPPORTUNITIES ARISE. 5.C. MRH WILL CONTINUE TO HOST AND/OR PARTICIPATE IN COMMUNITY EVENTS AND HEALTH FAIRS THROUGHOUT THE YEAR AS APPROPRIATE. 5.D. MRH WILL CONTINUE TO EDUCATE THE COMMUNITY ON HEALTH-RELATED TOPICS THROUGH VARIOUS MEDIA OUTLETS. 5.E. MRH WILL CONTINUE TO OFFER A VARIETY OF HEALTH SAFETY AND EDUCATIONAL CLASSES TO THE COMMUNITY. 5.F. MRH STAFF IS AVAILABLE FOR COMMUNITY LECTURES, CLASSROOM EDUCATION AND OTHER GUEST SPEAKING OPPORTUNITIES. 5.G. MRH PROVIDES DIABETES PREVENTION, EXERCISE AND OTHER HEALTH RELATED CLASSES. 5.H. MRH PARTICIPATES IN AN ANNUAL FOOD DRIVE FOR THE SHARING MINISTRIES FOOD BANK. 5.I. MRH COLLABORATES WITH AND SUPPORTS THE LOCAL CAREGIVER SUPPORT GROUP. 5.J. MRH COLLABORATES WITH MONTROSE COUNTY TO OFFER A NO COST FLU VACCINATION CLINIC. PRIORITIES NOT ADDRESSED: MRH DECIDED NOT TO SPECIFICALLY ADDRESS "NEED FOR INCREASED EMPHASIS ON HOUSING & TRANSPORTATION" LARGELY DUE TO THE HOSPITAL'S CAPACITY TO ADDRESS THIS NEED. WHILE MRH ACKNOWLEDGES THAT THIS IS A SIGNIFICANT NEED IN THE COMMUNITY "NEED FOR INCREASED EMPHASIS ON HOUSING & TRANSPORTATION" IS NOT ADDRESSED LARGELY DUE TO THE FACT THAT IT IS NOT A CORE BUSINESS FUNCTION OF THE FACILITY AND THE LIMITED CAPACITY OF THE HOSPITAL TO ADDRESS THIS NEED. MRH WILL CONTINUE TO SUPPORT LOCAL ORGANIZATIONS AND EFFORTS TO ADDRESS THIS NEED IN THE COMMUNITY. 15 SAN JUAN CANCER CENTER 600 S 5TH STREET MONTROSE CO 81401 CANCER CENTER ALPINE WOMEN'S CENTER 3330 S RIO GRAND AVE Montrose CO 81401 OBSTETRICS AND GYNECOLOGY MONTROSE LUNG & SLEEP CENTER 715 S 3RD STREET MONTROSE CO 81401 LUNG CARE MOUNTAIN VIEW THERAPY 801 S 4TH ST MONTROSE CO 81401 PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY CENTER FOR WELLNESS 820 S 4TH ST MONTROSE CO 81401 WOUND CARE, LYMPHEDEMA, OSTOMY CARE, CARDIOPULMONARY REHABILITAITON, PELVIC CLINIC PEDIATRIC CLINIC 645 S 5TH ST MONTROSE CO 81401 SPEECH THERAPY, OCCUPATIONAL THERAPY, PHYSCIAL THERAPY FOR INFANTS TO TEENS RIDGWAY CLINIC 185 SHERMAN ST UNIT 103 MONTROSE CO 81401 PHYSICAL THERAPY FOR ORTHOPEDIC AND NEUROLOGICAL, DRY NEEDLING, PELVIC HEALTH MONTROSE RECREATIONAL CENTER CLINIC 16350 WOODGATE ROAD 100 MONTROSE CO 81401 PHYSCIAL AND AQUATIC THERAPY, SPORTS MEDICINE, INJURY RECOVERY PELVIC HEALTH CENTER 421 S NEVADA AVE MONTROSE CO 81401 HELP DECREASE PELVIC PAIN AND ALSO REDUCE SYMPTOMS OF OTHER CONDITIONS Alpine Women's Center Delta 311 Palmer St Delta CO 81416 OBGYN Spine and Pain Clinic 3330 S RIO GRAND AVE Montrose CO 81401 Spine and Pain Clinic Cardiology Clinic 300 S NEVADA montrose CO 81401 Cardiology CARDIOLOGY CLINIC DELTA 311 PALMER DELTA CO 81416 CARDIOLOGY MOUNTAIN VIEW THERAPY PEAK PERFORMANCE 300 W COLORADO AVE 2B TELLURIDE CO 81435 REHABILITATION MRH CARDIOLOGY CLINIC AT GUNNISON VALLEY HOSPITAL 711 N TAYLOR STREET GUNNISON CO 81230 CARDIOLOGY SERVICES Schedule H, Part I, Line 3c DESCRIPTION OF OTHER FACTORS USED TO DETERMINE FINANCIAL ASSISTANCE MONTROSE MEMORIAL HOPSITAL ALSO USES A PATIENT'S ASSET LEVEL, INSURANCE, AND RESIDENCY TO DETERMINE THE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. Schedule H, Part V, Section B, Line 17 FINANCIAL ASSISTANCE POLICY (FAP) PLEASE FIND ACCESS TO THE FINANCIAL ASSISTANCE POLICY AT: https://montrosehealth.com/patients-visitors/patient-financial-billing/ Schedule H, Part V INADVERTENT AND MINOR ERRORS RELATED TO 501(R) COMPLIANCE DURING THE PREPARATION OF THE 2024 FORM 990, THE ORGANIZATION WAS ALERTED TO AN INADVERTENT AND MINOR ERROR OF NOT HAVING UPDATED THE PROVIDER LISTING ON A QUARTERLY BASIS. PRIOR TO FILING THE 2024 FORM 990, THE ORGANIZATION HAS RESOLVED THE DEFICIENCIES THROUGH THE FOLLOWING ACTION ITEMS: - PROVIDER LIST, INCLUDING THOSE COVERED AND NOT COVERED BY THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY HAS BEEN COMPLETED AND IS AVAILABLE ON THEIR WEBSITE AT THE FOLLOWING LOCATION: HTTPS://MONTROSEHEALTH.COM/PATIENTS-VISITORS/PATIENT-FINANCIAL-BILLING/ - A PAPER COPY OF THE LISTING IS ALSO AVAILABLE AT THE HOSPITAL'S REGISTRATION DESK. THE PROVIDER LIST IS REVIEWED AND UPDATED ON A QUARTERLY BASIS. IN ORDER TO ENSURE COMPLIANCE IN THE FUTURE, THE ORGANIZATION HAS IMPLEMENTED THE FOLLOWING PROCEDURES: - DURING QUARTER FINANCIAL CLOSE, STAFF WILL REVIEW WEBSITE LOCATIONS AND MATERIALS AT THE REGISTRATION DESK TO ENSURE ALL REQUIRED DOCUMENTS, APPLICATIONS, AND POLICIES ARE AVAILABLE ELECTRONICALLY AND IN PAPER FORMAT. - DURING QUARTER FINANCIAL CLOSE, THE PROVIDER LISTING WILL BE REVIEW AND UPDATED, INCLUDING AN UPDATED TIME AND DATE STAMP. - THE ORGANIZATION WILL CONTINUE TO IMPROVE LINES OF COMMUNICATIONS WITH THOSE RESPONSIBLE FOR WEBSITE MAINTENANCE AND PATIENT ACCOUNTS TO ENSURE THAT STAFF UNDERSTAND THE REQUIREMENTS OUTLINED IN THE 501(R) REGULATIONS Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINES 7A AND 7B. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. MONTROSE MEMORIAL HOSPITAL USED THE SAME COST-TO-CHARGE RATIO THROUGHOUT THE ENTIRE SCHEDULE TO DETERMINE THE COST OF THOSE ACTIVITIES. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2024. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE AMOUNT OF BAD DEBT EXPENSE ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED BASED ON EXPERIENCE AND COMMUNITY/INDUSTRY KNOWLEDGE APPLIED TO VARIOUS FINANCIAL CLASSES. THE LARGEST FINANCIAL CLASS WAS SELF-PAY, WHICH WAS ESTIMATED AT 32% THAT MAY HAVE BEEN ELIGIBLE IF PAPERWORK WOULD HAVE BEEN COMPLETED AND SUBMITTED. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote ACCOUNTING STANDARD CODIFICATION TOPIC 606, REVENUE FROM CONTRACTS WITH CUSTOMERS HAS CHANGED HOW MONTROSE MEMORIAL HOSPITAL RECOGNIZES REVENUE. THE NEW STANDARD REMOVES THE BAD DEBT EXPENSE FROM BEING REPORTED ON THE AUDITED FINANCIAL STATEMENTS. DUE TO THE CHANGE IN REVENUE RECOGNITION MONTROSE MEMORIAL HOSPITAL DOES NOT HAVE A BAD DEBT EXPENSE LISTED IN THE AUDITED FINANCIAL STATEMENTS. Schedule H, Part V, Section B, Line 16a FAP website A - MONTROSE MEMORIAL HOSPITAL: Line 16a URL: https://montrosehealth.com/patients-visitors/patient-financial-billing/; Schedule H, Part V, Section B, Line 16b FAP Application website A - MONTROSE MEMORIAL HOSPITAL: Line 16b URL: https://montrosehealth.com/patients-visitors/patient-financial-billing/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - MONTROSE MEMORIAL HOSPITAL: Line 16c URL: https://montrosehealth.com/patients-visitors/patient-financial-billing/; Schedule H, Part VI, Line 2 Needs assessment MONTROSE REGIONAL HEALTH HAS ONGOING MEETINGS WITH KEY STAKEHOLDERS IN OUR COMMUNITY REGARDING CARE FOR OUR PATIENT POPULATION. STAKEHOLDERS INCLUDE REPRESENTATIVES FROM LAW ENFORCEMENT, EMS, BEHAVIORAL HEALTH, SCHOOL DISTRICT, OPIOID EXPERTS, EXTENDED CARE FACILITIES, COUNTY AND CITY REPRESENTATIVES AND OTHERS. OUR COMMUNITY IS SMALL AND WE COOPERATE AND COORDINATE WITH LOCAL AND REGIONAL ENTITIES AS APPROPRIATE. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE HOSPITAL FINANCIAL ASSISTANCE POLICIES CAN BE FOUND ON THE HOSPITAL WEB SITE. THE HOSPITAL ALSO HAS SIGNS IN WAITING AREAS THAT INFORM PATIENTS OF FINANCIAL ASSISTANCE AND REFER THEM TO VISIT OUR FINANCIAL COUNSELORS. Schedule H, Part VI, Line 4 Community information OUR PRIMARY SERVICE AREA IS MONTROSE COUNTY, COLORADO AS WELL AS SAN MIGUEL AND OURAY COUNTIES. MRH DETERMINED THE COMMUNITY WOULD BE DEFINED BY PRIMARY SERVICES AREA IN ZIP CODES 81401, 81403, 81411, 81422, 81424, 81425 AND 81431 (ZIP CODES INCLUDED ONLY RESIDENCES AND EXCLUDES ZIP CODES WITH ONLY POST OFFICE BOXES AS THOSE PATIENTS ARE INCLUDED IN THE ZIP CODES REFLECTING RESIDENCES.) THE TEAM ALSO DECIDED SECONDARILY, WE WOULD LIKE TO IMPACT OUR SECONDARY SERVICE AREA AS WE TOOK A REGIONAL APPROACH TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS BY ENGAGING DELTA AND GUNNISON IN OUR COMMUNITY EFFORTS. THE SECONDARY SERVICE AREA WAS DEFINED AS ZIP CODES 81210, 81224, 81230, 81231, 81239, 81241, 81243, 81410, 81415, 81416, 81419, 81428, 81434, 81225, 81414, 81418, 81420, AND 81433. AS OF JULY 1, 2021, PER WWW.CENSUS.GOV/ RACE/ETHNICITY: 75.4% OF THE POPULATION IS WHITE NON-HISPANIC, 21.1% OF THE POPULATION IS HISPANIC, BLACK NON-HISPANIC IS 0.8%, ASIAN IS 0.9, ALL OTHERS MAKE UP APPROXIMATELY 1.8%. (SOURCE: WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/MONTROSECOUNTYCOLORADO/PST045 221) AGE: MRH PRIMARY SERVICE AREA IS SEEING AN EXPANSION IN OUR MEDICARE POPULATION AND THIS EXPANSION IS PROJECTED TO INCREASE. THE MEDIAN AGE IS 45.2. IN 2022 MRH EXPECTS TO SEE IN OUR PRIMARY SERVICES AREA AN AGE DISTRIBUTION BY PERCENTAGE OF THE POPULATION: 0-14=17.6%; 15-19=5.8%; 20-24=4.9%; 25-34=10.1%; 35-54=23.0%; 55-64=14.8%; 65+=23.8%. (SOURCE: WWW.MONTROSEEDC.ORG/DOCUMENTCENTER/VIEW/267/AGE-PERCENTAGE?BIDID=) Schedule H, Part VI, Line 5 Promotion of community health N ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, MMH CONDUCTED SEVERAL COMMUNITY MEETINGS TO RECEIVE FEEDBACK ON PRIORITY AREAS. MMH FELT IT IMPORTANT TO ENGAGE STAKEHOLDER AND COMMUNITY LEADERS TO DETERMINE WHAT INITIATIVES MMH SHOULD LEAD AND WHICH INITIATIVES MMH SHOULD PLAY A SUPPORTING ROLE. Schedule H, Part VI, Line 7 State filing of community benefit report CO X X X false false false false false false false true false PAUL PERROTTI CFO 250000 0 109920 0 0 0 0 0 23309 0 383229 0 0 0 STEVEN EMMONS MD PHYSICIAN 588075 0 10739 0 13092 0 13770 0 61000 0 686676 0 0 0 SAMUEL HOLMES MD PHYSICIAN 460380 0 9000 0 625 0 0 0 378 0 470383 0 0 0 RHONDA PARKER MD CHIEF MEDICAL OFFICER 352741 0 101870 0 560 0 6553 0 53500 0 515224 0 0 0 ADDISON WOOD MD PHYSICIAN 873571 0 70556 0 13988 0 7338 0 65190 0 1030643 0 0 0 MOJGAN ARASHVAND MD PHYSICIAN 408680 0 12500 0 0 0 0 0 17871 0 439051 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation MONTROSE MEMORIAL HOSPITAL Utilized compensation surveys, including Gallagher and Willis Towers Watson, to determine executive compensation. CHC is the CEO employer and they determine the pay. Schedule J, Part I, Line 7 Non-fixed payments THE CEO IS ELIGIBLE FOR A BONUS FOR UP TO 30% OF HIS BASE SALARY. THE BOARD ESTABLISHES ACCOUNTABILITY GOALS FOR THE CEO. THE INCENTIVE COMPENSATION IS AT THE SOLE DISCRETION OF THE BOARD. Schedule J, Part I, Line 3 CEO Compensation Determination Written employment contract Compensation survey or study Approval by the board or compensation committee Schedule J, Part I, Line 7 Any Non-Fixed Payments THE CEO IS ELIGIBLE FOR A BONUS FOR UP TO 30% OF HIS BASE SALARY. THE BOARD ESTABLISHES ACCOUNTABILITY GOALS FOR THE CEO. THE INCENTIVE COMPENSATION IS AT THE SOLE DISCRETION OF THE BOARD. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 2020-11-12 19110000 REFUND 2017 BOND ISS. false false false B Colorado Health Facilities Authority 840752932 2023-09-12 15000000 Series 2023 Revenue Bond false false false C Colorado Health Facilities Authority 840752932 2024-09-01 10000000 SERIES 2024 REVENUE BOND false false false A 5394487 19110000 19110000 2020 true false true true B 965000 15000000 404790 11035676 3559534 2023 false false false true C 0 10000000 155737 6362869 3481394 2024 false false false true A false false false false false false 0 0 0.0 false false 0 false true B false false false false false false 0.0 0.0 0.0 false false 0 false true C false false false false false false 0 0 0.0 false false 0 false true A false false true false false false 0 false false false 0 false false true B false false false false false false 0 false false false 0 false false true C false false false false false false 0 false false false 0 false false false A true B true C true Form 990, Part III, Line 2 New program services In 2024, the hospital opened a new general surgery clinic. The San Juan Cancer Center moved to a newly remodeled clinic location. Started a new Pulmonary Clinic in Gunnison. The Cardiology Cliniic in Montrose moved to a larger space. The Pulmonary Clinic in Montrose moved to a larger space. AWC Spine and Pain Clinic moved to the Ambulatory Care Clinic. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH CEO COMPENSATION CHC PROVIDES THE BOARD OF DIRECTORS WITH CEO COMPENSATION DATA AND CHC GUIDES THEM ON HOW TO SET THE CEO'S COMPENSATION, PAY INCREASES, AND BONUS POTENTIAL. Form 990, Part VI, Line 3 Delegation of management duties MONTROSE MEMORIAL HOSPITAL (MMH) ENGAGED COMMUNITY HOSPITAL CONSULTING (CHC) TO PROVIDE EXECUTIVE FINANCIALS MANAGEMENT SERVICES WITH THE ROLE OF CEO. MONTROSE MEMORIAL HOSPITAL PAID CHC $370,800 FOR THE SERVICES PROVIDED IN 2024. CHC PAID THE FOLLOWING PEOPLE IN 2024 FOR SERVICES PROVIDED TO MMH. - JEFFEREY MENGENHAUSEN - CEO - $624,482. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS VIA E-MAIL FOR THEIR REVIEW. THE CPA FIRM WHICH PREPARED THE FORM 990 EXPLAINED THE DOCUMENT AND ANSWERED QUESTIONS FROM THE BOARD DURING THE DECEMBER 8, 2025 BOARD MEETING. Form 990, Part VI, Line 12c Conflict of interest policy COMPLIANCE IS MONITORED ON AN ANNUAL BASIS THROUGH INDIVIDUAL ACKNOWLEDGEMENT OF THE CONFLICT OF INTEREST POLICY AND WRITTEN SELF-DISCLOSURE, AND THROUGH A 24/7 HOTLINE COMPLAINT REPORT. MONTROSE MEMORIAL HOSPITAL, INC.'S CONFLICT OF INTEREST POLICY APPLIES TO ANY DIRECTOR, OR OFFICER AND PROVIDES ANY POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED PRIOR TO DISCUSSION AND/OR ACTION. THE BOARD WILL DETERMINE HOW TO ADDRESS THE POTENTIAL CONFLICT. TYPICALLY, AN INDIVIDUAL WITH A CONFLICT WILL NOT PARTICIPATE IN THE DECISION REGARDING THE CONFLICT OF INTEREST, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. ANNUALLY, EACH OFFICER AND DIRECTOR SIGNS AN AFFIRMATION THAT THEY HAVE REVIEWED THE BOARD APPROVED CONFLICT OF INTEREST POLICY AND DISCLOSED ANY KNOWN RELATIONSHIPS THAT HAVE BUSINESS WITH MONTROSE MEMORIAL HOSPITAL, INC. OR OTHER POTENTIAL CONFLICTS. Form 990, Part VI, Line 15b Process to establish compensation of other employees CHC PROVIDES THE BOARD OF DIRECTORS WITH CEO COMPENSATION DATA AND CHC GUIDES THEM ON HOW TO SET THE CEO'S COMPENSATION, PAY INCREASES, AND BONUS POTENTIAL. MONTROSE MEMORIAL HOSPITAL HUMAN RESOURCES DEPARTMENT CONDUCTS COMPENSATION DATA REVIEW FOR OTHER EMPLOYEES OF THE HOSPITAL. THE INDEPENDENT GOVERNING BODY REVIEWED AND APPROVED THIS COMPENSATION. APPROPRIATE DOCUMENTATION IS MAINTAINED IN THE PERSONNEL FILE. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATIONS FINANCIAL STATEMENTS ARE POSTED ON THE WEBSITE. OTHER GOVERNING DOCUMENTS AND THE ORGANIZATIONS CONFLICT OF INTEREST POLICY ARE AVAILABLE BY REQUEST FROM THE ADMINISTRATION. Form 990, Part IX, Line 11g Other Fees PHYSICIAN FEES - Total Expense: 20166779, Program Service Expense: 19889911, Management and General Expenses: 276868, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 9310716, Program Service Expense: 7822873, Management and General Expenses: 1487843, Fundraising Expenses: ; SAN JUAN CANCER CENTER - Total Expense: 3619955, Program Service Expense: 3619955, Management and General Expenses: , Fundraising Expenses: ; WESTERN SLOPE ORTHOPAEDICS - Total Expense: 2177996, Program Service Expense: 2177996, Management and General Expenses: , Fundraising Expenses: ; CONSULTING FEES - Total Expense: 2103341, Program Service Expense: 1108610, Management and General Expenses: 994731, Fundraising Expenses: ; RECRUITMENT - Total Expense: 1783906, Program Service Expense: 4832, Management and General Expenses: 1779074, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 1696208, Program Service Expense: , Management and General Expenses: 1696208, Fundraising Expenses: ; LAB SERVICES - Total Expense: 1174713, Program Service Expense: 1174713, Management and General Expenses: , Fundraising Expenses: ; SERVICE FEES - Total Expense: 1008156, Program Service Expense: 723276, Management and General Expenses: 284880, Fundraising Expenses: ; BILLING SERVICES - Total Expense: 501741, Program Service Expense: 501741, Management and General Expenses: , Fundraising Expenses: ; CLEANING SERVICES - Total Expense: 468355, Program Service Expense: 16952, Management and General Expenses: 451403, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances NET INCOME RECOGNIZED FROM GRANTOR TRUST - -132433; Total - -132433; FORM 990, HEADER BOX A FORM 990, HEADER BOX A REASON FOR AMENDED RETURN: THE FORM 990 IS BEING AMENDED FOR THE SIGNER AS OF THE DATE OF INITIAL FILING. FORM 990, PART VI, LINE 11B DISCLOSURE WAS UPDATED FOR DISCUSSING THE RETURN WITH THE FULL BOARD. RIVER LANDING SURGERY CENTER 3330 S RIO GRAND AVE MONTROSE CO 81401 990454871 AMBULATORY SURGERY CENTER CO 0 0 MONTROSE MEMORIAL HOSPITAL BLACK CANYON SURGICAL CENTER 611 E STAR COURT MONTROSE CO 81401 510514274 SURGERY CENTER CO MONTROSE MEMORIAL HOSPITAL INC N/A 3741305 2667462 false true 0.5100 false false false false false false false false false false false false false false false false false true true BLACK CANYON SURGICAL CENTER R 328950 BOOK VALUE Schedule R, Part III, Column (d) Controlling entity BLACK CANYON SURGICAL CENTER IS DIRECTLY CONTROLLED BY MONTROSE MEMORIAL HOSPITAL, INC.