Civic Intelligence

Southwest Health System Inc

EIN 84-1337350 • 501(c)3 • Cortez, CO

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Profile

To provide the highest quality health care to our community by bringing excellence, value and service together to promote, improve and restore health

1311 North Mildred RoadCortez, CO 81321

www.swhealth.org

Siviq Scores

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

Liabilities / Assets

78th percentile

0.62x

Higher debt load relative to assets than 78% of similar nonprofits.

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

Liabilities / Revenue

61st percentile

0.51x

Higher debt load relative to revenue than 61% of similar nonprofits.

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

Net Margin

57th percentile

7.0%

Higher net margin than 57% of similar nonprofits.

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

Top Officer Pay

88th percentile

$1,032,989

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 1.4% of source-year revenue.

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

Asset Growth

45th percentile

4.7%

Faster asset growth than 45% of similar nonprofits.

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

Revenue Growth

21st percentile

-4.7%

Faster revenue growth than 21% of similar nonprofits.

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

Balance Sheet
Liabilities / Assets78th percentile

Assets

Up

$62,590,386

Up $2,788,989 (+4.7%) from 2023

Liabilities

Down

$38,846,937

Down $2,590,952 (-6.3%) from 2023

Net Assets

Up

$23,743,449

Up $5,379,941 (+29%) from 2023

Operations
Liabilities / Revenue61st percentileNet Margin57th percentile

Revenue

Down

$75,855,618

Down $3,747,971 (-4.7%) from 2023

Expenses

Down

$70,535,028

Down $8,395,687 (-11%) from 2023

Net Income

Up

$5,320,590

Up $4,647,716 (+691%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth45th percentile

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

$80M$60M$40M$20M$0Assets 2010: $35,184,228Liabilities 2010: $13,904,082Net Assets 2010: $21,280,1462010Assets 2011: $35,101,123Liabilities 2011: $14,455,485Net Assets 2011: $20,645,6382011Assets 2012: $35,272,142Liabilities 2012: $14,622,586Net Assets 2012: $20,649,5562012Assets 2013: $33,504,854Liabilities 2013: $15,033,660Net Assets 2013: $18,471,1942013Assets 2014: $36,634,584Liabilities 2014: $17,726,112Net Assets 2014: $18,908,4722014Assets 2015: $36,711,711Liabilities 2015: $15,977,345Net Assets 2015: $20,734,3662015Assets 2016: $55,063,464Liabilities 2016: $23,581,615Net Assets 2016: $31,481,8492016Assets 2017: $63,195,440Liabilities 2017: $38,662,370Net Assets 2017: $24,533,0702017Assets 2018: $63,263,111Liabilities 2018: $45,454,920Net Assets 2018: $17,808,1912018Assets 2019: $58,698,823Liabilities 2019: $41,523,944Net Assets 2019: $17,174,8792019Assets 2020: $64,837,245Liabilities 2020: $46,875,566Net Assets 2020: $17,961,6792020Assets 2021: $66,730,739Liabilities 2021: $47,476,340Net Assets 2021: $19,254,3992021Assets 2022: $62,496,517Liabilities 2022: $44,745,609Net Assets 2022: $17,750,9082022Assets 2023: $59,801,397Liabilities 2023: $41,437,889Net Assets 2023: $18,363,5082023Assets 2024: $62,590,386Liabilities 2024: $38,846,937Net Assets 2024: $23,743,4492024

Highlighted filing

2024

Assets$62,590,386
Liabilities$38,846,937
Net Assets$23,743,449
Open 2024 Filing

Operations Trend

Revenue Growth21st percentile

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

$100M$50M$0-$50MExpenses 2010: $42,118,2612010Expenses 2011: $43,003,5522011Expenses 2012: $47,708,1642012Revenue 2013: $48,527,571Expenses 2013: $50,564,989Net Income 2013: -$2,037,4182013Revenue 2014: $48,914,449Expenses 2014: $48,364,512Net Income 2014: $549,9372014Revenue 2015: $57,884,565Expenses 2015: $56,032,992Net Income 2015: $1,851,5732015Revenue 2016: $69,204,387Expenses 2016: $58,484,501Net Income 2016: $10,719,8862016Revenue 2017: $58,314,656Expenses 2017: $65,254,304Net Income 2017: -$6,939,6482017Revenue 2018: $60,053,388Expenses 2018: $66,712,257Net Income 2018: -$6,658,8692018Revenue 2019: $62,537,866Expenses 2019: $62,188,416Net Income 2019: $349,4502019Revenue 2020: $68,429,924Expenses 2020: $67,796,517Net Income 2020: $633,4072020Revenue 2021: $73,002,542Expenses 2021: $71,823,222Net Income 2021: $1,179,3202021Revenue 2022: $77,308,607Expenses 2022: $78,166,858Net Income 2022: -$858,2512022Revenue 2023: $79,603,589Expenses 2023: $78,930,715Net Income 2023: $672,8742023Revenue 2024: $75,855,618Expenses 2024: $70,535,028Net Income 2024: $5,320,5902024

Highlighted filing

2024

Revenue$75,855,618
Expenses$70,535,028
Net Income$5,320,590
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$62,590,386
Liabilities
$38,846,937
Net assets
$23,743,449
Revenue
$75,855,618
Expenses
$70,535,028
Net income
$5,320,590
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$62.6$38.8$23.7$75.9$70.5$5.32
2023Detailed filing. Detailed filing data is available for this year.$59.8$41.4$18.4$79.6$78.9$0.67
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$62.5$44.7$17.8$77.3$78.2$0.86
2021Detailed filing. Detailed filing data is available for this year.$66.7$47.5$19.3$73.0$71.8$1.18
2020Detailed filing. Detailed filing data is available for this year.$64.8$46.9$18.0$68.4$67.8$0.63
2019Detailed filing. Detailed filing data is available for this year.$58.7$41.5$17.2$62.5$62.2$0.35
2018Detailed filing. Detailed filing data is available for this year.$63.3$45.5$17.8$60.1$66.7$6.66
2017Detailed filing. Detailed filing data is available for this year.$63.2$38.7$24.5$58.3$65.3$6.94
2016Detailed filing. Detailed filing data is available for this year.$55.1$23.6$31.5$69.2$58.5$10.7
2015Detailed filing. Detailed filing data is available for this year.$36.7$16.0$20.7$57.9$56.0$1.85
2014Detailed filing. Detailed filing data is available for this year.$36.6$17.7$18.9$48.9$48.4$0.55
2013Detailed filing. Detailed filing data is available for this year.$33.5$15.0$18.5$48.5$50.6$2.04
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.3$14.6$20.6$47.7
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.1$14.5$20.6$43.0
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$35.2$13.9$21.3$42.1
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 13, 2025
Return Version
2024v5.2
Gross Receipts
$84,639,312
Mission and Program Overview

Mission

Our mission is to provide the highest quality health care to our community by bringing excellence and service together to promote, improve and restore health.

To provide the highest quality health care to our community by bringing excellence, value and service together to promote, improve and restore health

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$31,856,752$29,272,596▼ $2,584,156
Investments Other Securities$14,297,725$16,182,754▲ $1,885,029
Accounts Receivable$7,178,160$8,289,746▲ $1,111,586
Savings and Temporary Cash Investments$3,844,361$6,176,015▲ $2,331,654
Inventories for Sale or Use$1,436,809$1,596,680▲ $159,871
Prepaid Expenses and Deferred Charges$846,249$829,882▼ $16,367
Cash and Non-Interest-Bearing Accounts$5,070$5,061▼ $9
Total Assets$59,801,397$62,590,386▲ $2,788,989
Other Assets Total$336,271$237,652▼ $98,619
Liabilities
Tax Exempt Bond Liabilities$25,255,729$24,522,672▼ $733,057
Accounts Payable and Accrued Expenses$8,691,549$8,959,596▲ $268,047
Other Liabilities$5,492,127$4,343,827▼ $1,148,300
Mortgage Notes Payable Secured by Investment Property$1,833,649$1,012,363▼ $821,286
Deferred Revenue$164,835$8,479▼ $156,356
Total Liabilities$41,437,889$38,846,937▼ $2,590,952
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$18,363,508$23,743,449▲ $5,379,941
Total Net Assets Fund Balance$18,363,508$23,743,449▲ $5,379,941
Total Liabilities and Net Assets / Fund Balance$59,801,397$62,590,386▲ $2,788,989

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$23,697,641$30,029,521$53,727,162
Equipment$4,439,358$27,309,596$31,748,954
Other Land Buildings$88,549$2,325,210$2,413,759
Land$1,047,048-$1,047,048
Other Securities$10,687,383--
Compensation and Service Providers
Top Officer Pay88th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Braden JonesClinic PhysicianFT$637,666$395,323$1,032,989
Kevin Matteson MdClinic PhysicianFT$493,388$56,480$549,868
Erin SchmittClinic PhysicianFT$405,344$107,756$513,100
Kevin Joel BagleyHospital PhysicianFT$378,754$104,526$483,280
Kenton AscheHospital PhysicianFT$369,135$58,414$427,549
Randy DavidsonChief of Staff (beg 03/24)FT$352,716$65,095$417,811
Dr Jennifer GeroChief Medical OfficerFT$209,244$47,871$257,115
Charles KrupaCIOFT$182,370$47,679$230,049
Travis ParkerChief Hr Officer (end 12/24)FT$123,365$38,211$161,576

Board Members and Trustees

NameTitle
Shirley JonesChair
Susan HodgdonVice-chair
Dan ValverdeBoard Member
Evelyn QuigleyBoard Member (01/24-09/24)
Eric CrokeBoard Member (beg 01/24)
Jim RogersBoard Member (beg 01/24)
Joseph TheineCEO
Adam ConleyCFO (beg 04/24)
Lisa GatesCNO
Shelle DiehmInterim CFO (end 2024)
Jay WoodSecretary/treasurer (beg 01/24)

Highest Paid Contractors

ContractorServicesLocationCompensation
Medefis ConsolidatedContract EmployeesPO BOX 5068, New York, NY 10087-5068$2,890,707
Novus Anesthesia Of ColoradoContract Anesthesiologist2510 W CERVANTES STREET, Pensacola, FL 32505$776,940
American Healthcare ConsultingContract CodingPO BOX 34237, Indianapolis, IN 46234$664,918
Barton & AssociatesContract Provider191 KITTITAS CANYON RD, Yakima, WA 98901$614,800
-Contract Provider300 JUBILEE DRIVE, Peabody, MA 01960$590,210
Revenue and Support

Revenue Composition

Contributions and Grants
$3,029,465
Program Service Revenue
$74,269,047
Investment Income
$652,205
Other Revenue
$-2,095,099
All Other Contributions
$263,607
Change in Net Assets
$5,320,590

Audited Revenue Reconciliation

Revenue per Audited Statements
$75,768,900
Revenue Not Reported on Financial Statements
$86,718
Revenue Not Reported on Form 990
$8,842,405
Total Revenue per Audited Statements
$84,611,305
Total Revenue per Form 990
$75,855,618
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$45,317,934
Other Expenses$25,202,267
Grants and Similar Amounts Paid$14,827
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$34,688,587$2,632,151-$37,320,738
Fees for Services Other$6,348,688$618,347-$6,967,035
Other Employee Benefits$3,783,438$287,085-$4,070,523
Depreciation Depletion$3,184,979$239,730-$3,424,709
Payroll Taxes$2,046,677$155,301-$2,201,978
Interest$1,284,137$96,655-$1,380,792
Office Expenses$1,067,395$80,342-$1,147,737
Occupancy$1,063,710$80,064-$1,143,774
Current Officers, Directors, Trustees, and Key Employees$991,330$75,222-$1,066,552
Insurance$934,436$70,334-$1,004,770
Pension Plan Contributions$445,484$33,803-$479,287
Other Expenses$302,492$22,768-$325,260
All Other Expenses$265,724$54,666-$320,390
Conferences and Meetings$224,954$16,932-$241,886
Fees for Services Accounting-$200,588-$200,588
Comp Disqual Persons$166,242$12,614-$178,856
Fees for Service Investment Mgmnt Fees-$86,718-$86,718
Fees for Services Legal$65,441$6,374-$71,815
Travel$56,162$4,227-$60,389
Advertising$45,930$3,457-$49,387
Grants to Domestic Individuals$14,827--$14,827
Total Functional Expenses$65,640,102$4,894,926$0$70,535,028

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$79,231,364
Total Expenses per Form 990$70,535,028
Expenses per Audited Statements$70,448,310
Expenses Not Reported on Form 990$8,783,054
Expenses Not Reported on Financial Statements$86,718
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
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 PartyRelationshipDescriptionShared RevenueAmount
Kierra FuryDaughter-in-law of Board Member Shirley JonesCompensationNo$93,446
Lacy MooreDaughter of Board Member Shirley JonesCompensationNo$85,410
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third Party Settlements$3,045,536
Deferred Compensation$1,059,220
Rou Liability Operating Lease$225,525
Rou Liability Finance Lease$13,546

Bond Issues

BondIssuerIssuedIssue PricePurpose
AMontezuma County Colorado2016-11-15$39,261,315Construct ems facility & hospital improvements & refund bond issued 9/27/07.

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$39,261,315$8,564,261$14,157,980$494,475

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
Yes
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
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

“Southwest health system (shs) has entered into a management agreement with community health consulting (chc) to provide management services for the facility. The ceo, cfo, and cno are employees of the management company. Shs paid a total to chc of $789,965.90 for services for the ceo, cfo, and cno. - ceo joe theine $365,161.81 - interim cfo shelle diehm $29,538.71 - cfo adam conley $199,160.77 - cno lisa gates $196,104.61”

Form 990, Part VI, Section A, Line 8B

“There are no committees that are able to act on behalf of the board.”

Form 990, Part VI, Section B, Line 11B

“The form 990 is prepared by a third party, and reviewed in detail by the ceo and cfo for approval. It is provided to the governing board for their review and comment prior to filing with the irs.”

Form 990, Part VI, Section B, Line 12C

“Conflict of interest policies cover the board of directors, senior leadership, department directors, all employees, and volunteers. Potential conflicts are reviewed regularly at the level above the individual involved and prohibits or requires disclosure of any conflict. We do not see many changes locally or abroad. We consult with all members. If a conflict should arise, any voting members of the board shall recuse themselves from voting.”

Form 990, Part VI, Section B, Line 15B

“Line 15a: beginning in april 2018, southwest health systems (shs) entered into a management agreement with community health consulting (chc). Chc oversees and reviews the compensation of the ceo annually. The board annually reviews and documents the review of the management contract done via sullivancotter compensation benchmarking. Line 15b: the cfo and cno also have management agreements with chc. Chc oversees and reviews the compensation annually. The board annually reviews and documents the review of the management contract done via sullivancotter compensation benchmarking. Compensation for all other officers of shs is reviewed and approved by either the board of directors or chc.”

Form 990, Part VI, Section C, Line 19

“Governing documents, conflict of interest policies, and financial statements are all made available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Southwest Health System Inc
EIN
84-1337350
Phone
9705656666
Address
1311 NORTH MILDRED ROAD, CORTEZ, CO 81321

Signing Officer

Name
Adam Conley
Title
CFO
Phone
9705656666
Signed
2025-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Adam Conley
Formed
1996
Legal Domicile
Co
Voting Board Members
6
Independent Board Members
6
Employees
552
Volunteers
7

Preparer

Firm
Blue & Co LLC
Address
2650 EASTPOINT PKWY SUITE 300, LOUISVILLE, KY 40223
Preparer
Emilie M Knieriem CPA
Phone
5029923500
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

“Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken by the health system and recognize a tax liability if the health system has taken an uncertain tax position that more likely than not would not be sustained upon examination by various federal and state taxing authorities. Management has analyzed the tax positions taken by the health system, and has concluded that as of december 31, 2024 and 2023, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying financial statements. The health system is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“COGS 8,783,054.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“COGS 8,783,054.”

Raw XML AppendixShowing 400 of 1,102 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/Desc0DURING 2024, SOUTHWEST HEALTH SYSTEMS SERVED APPROXIMATELY 62,089 INPATIENTS AND OUTPATIENTS, 52,045 PATIENTS WERE SERVED THROUGH OUR PHYSICIAN CLINICS, AND 13,529 PATIENTS WERE SEEN IN OUR EMERGENCY ROOM.
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IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER (BEG 01/24)
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IRS990/MissionDesc0TO PROVIDE THE HIGHEST QUALITY HEALTH CARE TO OUR COMMUNITY BY BRINGING EXCELLENCE, VALUE AND SERVICE TOGETHER TO PROMOTE, IMPROVE AND RESTORE HEALTH
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