Civic Intelligence

Valley Citizens Foundation for Health

EIN 84-1276376 • 501(c)3 • Del Norte, CO

Profile

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.

310 County Rd 14Del Norte, CO 81132

www.rio-grande-hospital.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

60th percentile

0.36x

Higher debt load relative to assets than 60% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

62nd percentile

0.54x

Higher debt load relative to revenue than 62% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

63rd percentile

10%

Higher net margin than 63% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

62nd percentile

$444,212

Higher top officer pay than 62% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

25th percentile

-0.4%

Faster asset growth than 25% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

68th percentile

18%

Faster revenue growth than 68% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Down

$58,060,805

Down $247,444 (-0.4%) from 2023

Liabilities

Down

$20,689,865

Down $3,553,628 (-15%) from 2023

Net Assets

Up

$37,370,940

Up $3,306,184 (+9.7%) from 2023

Revenue

Up

$38,435,930

Up $5,773,630 (+18%) from 2023

Expenses

Up

$34,571,845

Up $2,894,429 (+9.1%) from 2023

Net Income

Up

$3,864,085

Up $2,879,201 (+292%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $15,673,320Liabilities 2010: $11,345,813Net Assets 2010: $4,327,5072010Assets 2011: $16,680,473Liabilities 2011: $11,435,327Net Assets 2011: $5,245,1462011Assets 2012: $19,248,967Liabilities 2012: $12,184,493Net Assets 2012: $7,064,4742012Assets 2013: $20,700,732Liabilities 2013: $11,705,076Net Assets 2013: $8,995,6562013Assets 2014: $23,740,454Liabilities 2014: $12,703,057Net Assets 2014: $11,037,3972014Assets 2015: $27,354,877Liabilities 2015: $12,044,896Net Assets 2015: $15,309,9812015Assets 2016: $26,613,091Liabilities 2016: $11,108,517Net Assets 2016: $15,504,5742016Assets 2017: $27,738,081Liabilities 2017: $11,893,366Net Assets 2017: $15,844,7152017Assets 2018: $39,389,008Liabilities 2018: $21,449,453Net Assets 2018: $17,939,5552018Assets 2019: $42,747,690Liabilities 2019: $22,056,919Net Assets 2019: $20,690,7712019Assets 2020: $48,786,370Liabilities 2020: $25,833,974Net Assets 2020: $22,952,3962020Assets 2021: $54,610,809Liabilities 2021: $24,855,672Net Assets 2021: $29,755,1372021Assets 2022: $55,053,021Liabilities 2022: $22,349,565Net Assets 2022: $32,703,4562022Assets 2023: $58,308,249Liabilities 2023: $24,243,493Net Assets 2023: $34,064,7562023Assets 2024: $58,060,805Liabilities 2024: $20,689,865Net Assets 2024: $37,370,9402024

Highlighted filing

2024

Assets$58,060,805
Liabilities$20,689,865
Net Assets$37,370,940

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0Expenses 2010: $11,972,2862010Expenses 2011: $12,581,9522011Expenses 2012: $13,716,9042012Revenue 2013: $16,150,883Expenses 2013: $14,219,701Net Income 2013: $1,931,1822013Revenue 2014: $17,221,668Expenses 2014: $15,179,927Net Income 2014: $2,041,7412014Revenue 2015: $18,767,032Expenses 2015: $14,494,448Net Income 2015: $4,272,5842015Revenue 2016: $18,444,517Expenses 2016: $17,812,160Net Income 2016: $632,3572016Revenue 2017: $19,326,947Expenses 2017: $18,986,806Net Income 2017: $340,1412017Revenue 2018: $21,922,057Expenses 2018: $19,677,217Net Income 2018: $2,244,8402018Revenue 2019: $24,816,820Expenses 2019: $22,065,604Net Income 2019: $2,751,2162019Revenue 2020: $24,947,250Expenses 2020: $22,685,625Net Income 2020: $2,261,6252020Revenue 2021: $31,556,202Expenses 2021: $24,753,461Net Income 2021: $6,802,7412021Revenue 2022: $31,323,188Expenses 2022: $28,374,869Net Income 2022: $2,948,3192022Revenue 2023: $32,662,300Expenses 2023: $31,677,416Net Income 2023: $984,8842023Revenue 2024: $38,435,930Expenses 2024: $34,571,845Net Income 2024: $3,864,0852024

Highlighted filing

2024

Revenue$38,435,930
Expenses$34,571,845
Net Income$3,864,085

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$58.1$20.7$37.4$38.4$34.6$3.86
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$58.3$24.2$34.1$32.7$31.7$0.98
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$55.1$22.3$32.7$31.3$28.4$2.95
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$54.6$24.9$29.8$31.6$24.8$6.80
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$48.8$25.8$23.0$24.9$22.7$2.26
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$42.7$22.1$20.7$24.8$22.1$2.75
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$39.4$21.4$17.9$21.9$19.7$2.24
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$27.7$11.9$15.8$19.3$19.0$0.34
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$26.6$11.1$15.5$18.4$17.8$0.63
2015Detailed filing. Detailed filing data is available for this year.$27.4$12.0$15.3$18.8$14.5$4.27
2014Detailed filing. Detailed filing data is available for this year.$23.7$12.7$11.0$17.2$15.2$2.04
2013Detailed filing. Detailed filing data is available for this year.$20.7$11.7$9.00$16.2$14.2$1.93
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.2$12.2$7.06$13.7
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.7$11.4$5.25$12.6
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.7$11.3$4.33$12.0
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 31, 2025
Return Version
2024v5.2
Gross Receipts
$38,448,975
Mission and Program Overview

Mission

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.

To ensure the health care needs of the Western San Luis Valley community are met.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$24,445,406$17,068,284▼ $7,377,122
Land, Buildings, and Equipment, Net$20,877,885$15,435,203▼ $5,442,682
Other Notes and Loans Receivable, Net-$6,821,000-
Investments Other Securities$4,800,590$4,862,155▲ $61,565
Accounts Receivable$3,002,970$3,728,915▲ $725,945
Investments in Publicly Traded Securities$2,664,402$2,634,871▼ $29,531
Inventories for Sale or Use$1,356,227$1,359,051▲ $2,824
Prepaid Expenses and Deferred Charges$452,835$430,838▼ $21,997
Total Assets$58,308,249$58,060,805▼ $247,444
Other Assets Total$707,934$5,720,488▲ $5,012,554
Liabilities
Mortgage Notes Payable Secured by Investment Property$18,266,135--
Tax Exempt Bond Liabilities-$11,745,234-
Other Liabilities$1,178,175$6,127,430▲ $4,949,255
Accounts Payable and Accrued Expenses$3,660,012$2,817,201▼ $842,811
Deferred Revenue$1,139,171$0▼ $1,139,171
Total Liabilities$24,243,493$20,689,865▼ $3,553,628
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$32,964,756$37,370,940▲ $4,406,184
Net Assets With Donor Restrictions$1,100,000$0▼ $1,100,000
Total Net Assets Fund Balance$34,064,756$37,370,940▲ $3,306,184
Total Liabilities and Net Assets / Fund Balance$58,308,249$58,060,805▼ $247,444

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$13,026,905$14,469,096$27,496,001
Equipment$1,531,980$4,420,381$5,952,361
Other Land Buildings$518,392$43,238$561,630
Land$357,926-$357,926
Other Assets Org$1,236,822--
Other Securities$4,862,155--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Patrick ThompsonER PhysicianFT$398,539$46,537$445,076
Daniel MacDougallER PhysicianFT$369,881$45,660$415,541
Clifford Robins MDER PhysicianFT$386,612$20,745$407,357
William RoseER PhysicianFT$342,217$30,127$372,344
James Ely WalkerER PhysicianFT$257,900$55,799$313,699
Arlene HarmsCEOFT$176,063$27,877$203,940
Greg PorterCFOFT$128,977$26,342$155,319

Board Members and Trustees

NameTitle
Tyler OffChairman
Emily BrownVice Chair/Secretary
Gail MattiveDirector
Julie SauvigneDirector
Kazie DeaconDirector
Paul FosterDirector
Sharon NashDirector
Starr PearsonDirector
Tyler HathornDirector
Brenda StruderDirector (Jan-Sept)

Highest Paid Contractors

ContractorServicesLocationCompensation
Gerald H PhippsConstruction5995 Greenwood Plaza Blvd Ste 100, Greenwood Village, CO 80111$4,143,390
Aya HealthcareTemp Staffing AgencyPO Box 674907, Dallas, TX 75267$947,729
AmritaComputer Services10312 Crow Canyon Road, Castro Valley, CA 94522$700,668
Titan Medical GroupTemp Staffing Agency17225 Burt Street Suite 300, Omaha, NE 68118$490,463
Steel Line ConstructionConstructionPO Box 207, La Jara, CO 81140$436,600
Revenue and Support

Revenue Composition

Contributions and Grants
$4,512,290
Program Service Revenue
$32,734,276
Investment Income
$1,170,500
Other Revenue
$18,864
All Other Contributions
$1,098,735
Change in Net Assets
$3,864,085

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Real Estate Other1$137,184Appraisal
Total Noncash Contributions1$137,184-

Audited Revenue Reconciliation

Revenue per Audited Statements
$38,447,056
Revenue Not Reported on Financial Statements
$-11,126
Revenue Not Reported on Form 990
$-557,901
Other Revenue Adjustments
$-11,126
Total Revenue per Audited Statements
$37,889,155
Total Revenue per Form 990
$38,435,930
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$18,073,073
Salaries, Compensation, and Employee Benefits$16,198,059
Grants and Similar Amounts Paid$300,713
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$11,369,846$1,644,826-$13,014,672
Office Expenses$5,610,519$598,358-$6,208,877
Fees for Services Other$3,889,471$1,460,592-$5,350,063
Other Employee Benefits$1,574,261$252,208-$1,826,469
Depreciation Depletion$1,646,991--$1,646,991
Other Expenses$2,272,646$843,691-$843,691
Payroll Taxes$695,786$120,753-$816,539
Interest$653,098--$653,098
Occupancy$364,735--$364,735
Current Officers, Directors, Trustees, and Key Employees-$359,259-$359,259
Grants to Domestic Orgs$300,713--$300,713
Insurance-$237,140-$237,140
Pension Plan Contributions$162,730$18,390-$181,120
Information Technology$165,362--$165,362
Conferences and Meetings$103,644--$103,644
Fees for Services Accounting-$87,342-$87,342
All Other Expenses$62,848--$62,848
Travel$48,617--$48,617
Advertising$18,069--$18,069
Fees for Services Legal-$9,950-$9,950
Total Functional Expenses$28,939,336$5,632,509$0$34,571,845

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$34,582,971
Expenses per Audited Statements$34,571,845
Total Expenses per Form 990$34,571,845
Expenses Not Reported on Form 990$11,126
Expenses Not Reported on Financial Statements$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
RGH Support CorporationDel Norte, CO501(c)(3)General Support$300,713
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$31,909
Fundraising Direct Expenses$13,045
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Keeping Dream Alive$44,034$31,909$13,045$18,864
Total Events$44,034$31,909$13,045$18,864
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability - Operating$4,484,957
Lease Liability - Financing$1,247,881
Estimated Third Party Payor Settlement$394,592

Bond Issues

BondIssuerIssuedIssue PricePurpose
ATown of Del Norte Colorado2024-12-16$12,180,000Refund bond issued 4/10/2019

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$12,180,000$11,127,205-$213,150

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
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
No
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 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.

Filing and Contact Details

Filer

Filer Name
Valley Citizens Foundation for Health
EIN
84-1276376
Phone
7196574105
Address
310 County Rd 14, Del Norte, CO 81132
Doing Business As
Rio Grande Hospital

Signing Officer

Name
Tyler Off
Title
Chairman
Phone
7196574105
Signed
2025-10-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Arlene Harms
Formed
1994
Legal Domicile
Co
Voting Board Members
9
Independent Board Members
9
Employees
246
Volunteers
17

Preparer

Firm
Eide Bailly LLP
Address
4585 Coleman St Ste 200, Bismarck, ND 58503
Preparer
Lisa Chaffee CPA
Phone
7012551091
Supplemental Narrative

Additional Explanations

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 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.

Financial Statement Notes

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.

Raw XML AppendixShowing 400 of 987 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.

Path#Value
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IRS990/AccountsReceivableGrp/EOYAmt03728915
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0To ensure the health care needs of the Western San Luis Valley community are met.
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IRS990/ContractorCompensationGrp/ServicesDesc4Construction
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IRS990/CreditCounselingInd00
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IRS990/CYContributionsGrantsAmt04512290
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IRS990/Desc0Rio 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.
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IRS990/Form990PartVIISectionAGrp/PersonNm14William Rose
IRS990/Form990PartVIISectionAGrp/PersonNm15Daniel MacDougall
IRS990/Form990PartVIISectionAGrp/PersonNm16James Ely Walker
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IRS990/MissionDesc0Rio 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.
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