Liabilities / Assets
79th percentile
Higher debt load relative to assets than 79% of similar nonprofits.
Colorado West Healthcare System
EIN 84-0469270 • 501(c)3 • Grand Junction, CO
Profile
The mission of colorado west healthcare system and community hospital is to improve the health and quality of life of the individuals and communities we serve.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.71x
Liabilities / Revenue
59th percentile
Higher debt load relative to revenue than 59% of similar nonprofits.
Net Margin
43rd percentile
Higher net margin than 43% of similar nonprofits.
Top Officer Pay
68th percentile
Higher top officer pay than 68% of similar nonprofits.
Top officer pay equals 0.4% of source-year revenue.
Asset Growth
35th percentile
Faster asset growth than 35% of similar nonprofits.
Revenue Growth
69th percentile
Faster revenue growth than 69% of similar nonprofits.
Balance Sheet
Assets
Up$260,468,667
Up $7,947,524 (+3.1%) from 2023
Liabilities
Up$186,234,645
Up $832,573 (+0.4%) from 2023
Net Assets
Up$74,234,022
Up $7,114,951 (+11%) from 2023
Revenue
Up$312,467,338
Up $43,658,157 (+16%) from 2023
Expenses
Up$305,467,332
Up $42,890,403 (+16%) from 2023
Net Income
Up$7,000,006
Up $767,754 (+12%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $260,468,667
- Liabilities
- $186,234,645
- Net assets
- $74,234,022
- Revenue
- $312,467,338
- Expenses
- $305,467,332
- Net income
- $7,000,006
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2024 to Dec 31, 2024
- Signed
- Nov 15, 2025
- Return Version
- 2024v5.2
- Gross Receipts
- $312,781,642
Mission and Program Overview
Mission
The mission of Colorado West Healthcare System and Community Hospital is to improve the health and quality of life of the individuals and communities we serve.
Improve the health and quality of life of the individuals and communities we serve.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $164,901,837 | $159,680,120 | ▼ $5,221,717 |
| Accounts Receivable | $34,919,829 | $41,592,173 | ▲ $6,672,344 |
| Savings and Temporary Cash Investments | $19,424,982 | $33,534,926 | ▲ $14,109,944 |
| Inventories for Sale or Use | $5,703,581 | $6,347,580 | ▲ $643,999 |
| Prepaid Expenses and Deferred Charges | $3,846,998 | $4,910,412 | ▲ $1,063,414 |
| Investments Program Related | $995,244 | $348,126 | ▼ $647,118 |
| Investments Other Securities | $123,652 | $125,178 | ▲ $1,526 |
| Investments in Publicly Traded Securities | $10,000 | $10,000 | → $0 |
| Cash and Non-Interest-Bearing Accounts | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $252,521,143 | $260,468,667 | ▲ $7,947,524 |
| Other Assets Total | $22,595,020 | $13,920,152 | ▼ $8,674,868 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $135,764,239 | $144,817,273 | ▲ $9,053,034 |
| Accounts Payable and Accrued Expenses | $27,537,429 | $40,343,640 | ▲ $12,806,211 |
| Other Liabilities | $21,528,976 | $1,073,732 | ▼ $20,455,244 |
| Grants Payable | $571,428 | $0 | ▼ $571,428 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $185,402,072 | $186,234,645 | ▲ $832,573 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $67,119,071 | $74,234,022 | ▲ $7,114,951 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $67,119,071 | $74,234,022 | ▲ $7,114,951 |
| Total Liabilities and Net Assets / Fund Balance | $252,521,143 | $260,468,667 | ▲ $7,947,524 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $115,650,219 | $24,951,700 | $140,601,919 |
| Equipment | $29,680,627 | $46,408,840 | $76,089,467 |
| Leasehold Improvements | $9,729,600 | $1,738,667 | $11,468,267 |
| Land | $4,041,532 | - | $4,041,532 |
| Other Land Buildings | $578,142 | - | $578,142 |
| Other Assets Org | $27,713 | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Christian Thomas | President & CEO | FT | $739,337 | $582,217 | $1,321,554 |
| James Rose | Physician | FT | $932,940 | $122,243 | $1,025,658 |
| Peter Shorten | Physician | FT | $830,422 | $70,505 | $900,452 |
| Kirk Clifford | Physician | FT | $753,555 | $80,449 | $833,604 |
| John Rawlings | Physician | FT | $698,529 | $84,302 | $773,231 |
| Enrique Orellana Jr | Physician | FT | $665,244 | $55,443 | $745,687 |
| Thomas Tobin | CMO | FT | $553,269 | $154,203 | $707,472 |
| Joe Gerardi | COO/CNO | FT | $369,046 | $113,270 | $482,316 |
| Pete Young | CFO | FT | $302,719 | $84,618 | $387,337 |
| John Skillicorn | Chief of Physician Practices | FT | $272,581 | $102,594 | $375,175 |
| Amy Jordan | Chief Human Resources Officer | FT | $186,676 | $76,292 | $262,968 |
| Karen Martsolf | Chief Marketing Officer | FT | $191,685 | $54,614 | $246,299 |
| Tawny Espinoza | Chief Development Officer | FT | $162,241 | $77,227 | $239,468 |
| Boon Lowry | CIO | FT | $164,035 | $49,735 | $218,770 |
| Scott Smith | VP Revenue Cycle(Feb-Nov 2024) | FT | $173,598 | $26,980 | $210,578 |
Board Members and Trustees
| Name | Title |
|---|---|
| Mark Harrington | Chair |
| Janet Brink | Prior Chair |
| Dan Rubinstein | Vice Chair |
| Dale Rooks | Board Member |
| Dean Havilik | Board Member |
| Florian Seeberger | Board Member |
| Grant Roper | Board Member |
| JJ Stroh | Board Member |
| Jenna Noem | Board Member |
| Todd Hegstrom | Board Member |
| Jack Ryan Bagley | Chief of Staff (From 02/2024) |
| Justin Kaptuch | Chief of Staff (To 02/2024) |
| Nina Andersen | Secretary |
| Todd Young | Treasurer |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Varian Medical Systems | Management System | 3100 HANSEN WAY, Palo Alto, CA 94304 | $3,060,736 |
| Community Anesthesia Consultants | Anesthesia Services | 1236 N 7TH ST, Grand Junction, CO 81501 | $2,371,841 |
| Renovo Solutions LLC | asset mgt & surgical | 4 Executive Circle Suite 185, Irvine, CA 92614 | $1,922,223 |
| Nexus Spine LLC | Spinal Implants | 2825 E Cottonwood Parkway Suite 3, Salt Lake City, UT 84121 | $1,357,449 |
| Nuquest INC | Radiopharmaceticals | 1048 INDEPENDENT AVE 108, Grand Junction, CO 81505 | $1,323,534 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $1,166,606
- Program Service Revenue
- $310,217,362
- Investment Income
- $1,122,012
- Other Revenue
- $-38,642
- All Other Contributions
- $166,606
- Change in Net Assets
- $7,000,006
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $296,665,427
- Revenue Not Reported on Financial Statements
- $15,801,911
- Revenue Not Reported on Form 990
- $166,349
- Other Revenue Adjustments
- $15,801,911
- Total Revenue per Audited Statements
- $296,831,776
- Total Revenue per Form 990
- $312,467,338
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $167,867,867 |
| Salaries, Compensation, and Employee Benefits | $137,599,465 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $91,498,470 | $17,497,647 | - | $108,996,117 |
| Fees for Services Other | $16,263,374 | $648,632 | - | $16,912,006 |
| Fees for Services Management | $9,008,388 | $7,180,185 | - | $16,188,573 |
| Other Employee Benefits | $3,128,920 | $10,309,981 | - | $13,438,901 |
| Depreciation Depletion | $12,621,676 | - | - | $12,621,676 |
| Occupancy | $7,880,144 | $1,138,574 | - | $9,018,718 |
| Other Expenses | $4,509,769 | $7,266,060 | - | $7,266,060 |
| Payroll Taxes | $1,627,763 | $5,420,133 | - | $7,047,896 |
| Interest | $6,027,283 | - | - | $6,027,283 |
| Current Officers, Directors, Trustees, and Key Employees | - | $4,451,938 | - | $4,451,938 |
| Office Expenses | $3,239,221 | $444,994 | - | $3,684,215 |
| Pension Plan Contributions | $915,995 | $2,644,664 | - | $3,560,659 |
| Insurance | $680,297 | $1,557,931 | - | $2,238,228 |
| Comp Disqual Persons | $36,272 | $67,682 | - | $103,954 |
| Information Technology | $70,643 | - | - | $70,643 |
| Fees for Services Accounting | $42,450 | - | - | $42,450 |
| All Other Expenses | $40,262 | - | - | $40,262 |
| Total Functional Expenses | $235,140,078 | $70,327,254 | $0 | $305,467,332 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $305,467,332 |
| Expenses per Audited Statements | $289,665,421 |
| Total Expenses per Audited Statements | $289,665,421 |
| Expenses Not Reported on Financial Statements | $15,801,911 |
| Other Expense Adjustments | $15,801,911 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- Yes
- Subject to proxy tax
- No
Insider Transactions and Loans
Interested-Person Transactions
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Diagnostic Radiology Associates | Board Member owned business | Radiology contract | No | $315,707 |
| The Pathology Group | Board Member owned business | Pathology contract | No | $126,000 |
| ERICA Skillicorn | Relative of Officer | Hospital employee | No | $44,769 |
| Kiaja Thomas | Relative of Officer | Marketing Contract | No | $34,500 |
| Nicholas Gerardi | Relative of Officer | Painting Contract | No | $24,685 |
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Rou Operating Leases | $1,073,732 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Business relationship with 35% controlled entity
- Yes
- Business relationship with family members
- Yes
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- Yes
- Other officer compensation reviewed
- Yes
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- Yes
- Key decisions subject to board approval
- No
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 8A/B:
“The Executive Committee shall be composed of the Chairperson, Vice Chairperson, Treasurer, Secretary, Chief of Staff, and the President/CEO. The Executive Committee shall meet upon the call of the Chairperson to: A. Review upcoming Board of Trustee meetings. B. Act on behalf of the Board of Trustees between regular or special meetings of the Board and then report actions to the Board of Trustees. C. Communicate to keep the Board of Trustees, medical staff and administration of the Hospital aware of pertinent actions taken or contemplated by one or the other, and to make recommendations to the Board of Trustees on major expenditures. D. Consider issues affecting medical care that arise in the operation and affairs of the Hospital. E. Perform the annual evaluation of the President/CEO. F. Perform any other actions the Board of Trustees deems necessary, as instructed by the Board of Trustees.”
Form 990, Part VI, Section B, Line 11B:
“The 990 is prepared by the Hospital's independent CPA firm and reviewed by the Hospital's accounting staff and Administration, including the CEO, Controller, and the Compliance Officer. A preliminary draft is presented to the Board of Directors for detailed review and approval. A final copy of the 990 is provided to all board members prior to the final filing with the IRS.”
Form 990, Part VI, Section B, Line 12C:
“The Hospital's conflict of interest policy is maintained and managed by the Chief Compliance Officer on an annual basis. All board members, officers, and key employees are required to complete a conflict of interest disclosure form and submit it to the compliance department. That documentation is reviewed by and retained by the compliance officer. Any conflicts of interest that arise are addressed by the compliance department and the Board of Trustees. All board members, officers, and key employees are required to notify the facility of any changes during the year.”
Form 990, Part VI, Section B, Line 15 A & B:
“Community Hospital is a Quorum Health Resources managed hospital. Quorum conducts national wage surveys to suggest market rates for CEO and CFO salaries based on Hospital revenue. The final salary is determined by the Board based on this information and local market conditions.”
Form 990, Part VI, Section C, Line 19:
“Governing documents, policies and procedures, and audited financial statements are made available to the public upon request on a case by base basis.”
Filing and Contact Details
Filer
- Filer Name
- Colorado West Healthcare System
- EIN
- 84-0469270
- In Care Of
- % PETE YOUNG
- Phone
- 9702566321
- Address
- 2351 G Road, Grand Junction, CO 81505
Signing Officer
- Name
- Christian Thomas
- Title
- CEO
- Phone
- 9702566321
- Signed
- 2025-11-15
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Christian Thomas
- Formed
- 1956
- Legal Domicile
- Co
- Voting Board Members
- 12
- Independent Board Members
- 10
- Employees
- 1,702
- Volunteers
- 60
Preparer
- Firm
- Sorren Inc
- Address
- 102 N CASCADE AVENUE SUITE 400, COLORADO SPRINGS, CO 80903
- Preparer
- Doreen B Merz
- Phone
- 7196301186
Supplemental Narrative
Additional Explanations
form 990, part IX, column D
“the hospital does not have any fundraising functional expenses (column D), as a related organization, community hospital foundation, conducts fundraising activities for the benefit of the hospital.”
Financial Statement Notes
schedule D, 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.”
Schedule D, Part XI line 2D
“Other: $166,349. SUBSIDIARIES' EQUITY -method income / losses reported within revenue on the audited financial statements and reclassified to other change in net assets for tax return.”
Schedule D, Part XI, Line 4B
“Other change: provision for bad debts reclassified from revenue to expense for tax return: $ 15,801,911.”
Schedule D, Part XII, Line 4B
“Other change: provision for bad debts reclassified from revenue to expense for tax return: $ 15,801,911.”
Raw XML AppendixShowing 400 of 1,484 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 41592173 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | Improve the health and quality of life of the individuals and communities we serve. |
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| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 12621676 |
| IRS990/Desc | 0 | Community Hospital provides inpatient, outpatient, emergency, urgent, and primary health care services to communities in western Colorado which has been identified as a physician shortage area. During the tax year ended December 2024, Community Hospital had 13,065 patient days, 22,459 emergency room visits, 18,662 urgent care visits, 66,270 primary care visits, 12,366 oncology infusions and performed 5,076 surgeries. During the tax year, the Hospital was able to provide charity care services to those who could not otherwise afford necessary medical care. The Hospital provides care to persons covered by governmental programs at/or below cost and to individuals who are unable to pay. |
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| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 235140078 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 42450 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 42450 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 7180185 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 9008388 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 16188573 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 648632 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 16263374 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 16912006 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.8 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.8 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 28 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 28 | 1.5 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 112496 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 89945 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 68656 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 77319 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 72874 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 49015 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 87930 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 66131 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 46137 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 64828 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 52836 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 30421 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 54734 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 48468 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 26191 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Christian Thomas |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | James Rose |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Peter Shorten |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Kirk Clifford |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | John Rawlings |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Enrique Orellana Jr |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Thomas Tobin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Joe Gerardi |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Pete Young |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | John Skillicorn |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Amy Jordan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Karen Martsolf |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Tawny Espinoza |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Boon Lowry |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Scott Smith |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Mark Harrington |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Dan Rubinstein |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Nina Andersen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Todd Young |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Janet Brink |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Justin Kaptuch |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Jack Ryan Bagley |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | Jenna Noem |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | JJ Stroh |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | Dean Havilik |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | Dale Rooks |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | Todd Hegstrom |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | Florian Seeberger |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | Grant Roper |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 1209058 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 935713 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 831796 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 756285 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 700357 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 696672 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 619542 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 416185 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 341200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 310347 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 210132 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 215878 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 184734 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 170302 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 184387 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | President & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | COO/CNO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Chief of Physician Practices |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Chief Human Resources Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHIEF MARKETING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CHIEF DEVELOPMENT OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | VP Revenue Cycle(Feb-Nov 2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Prior Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Chief of Staff (To 02/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Chief of Staff (From 02/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 28 | Board Member |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1956 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -182467 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -5561 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 571428 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 2624 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 123652 |
| IRS990/GrossReceiptsAmt | 0 | 312781642 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
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