FURP.ORG / PUBLIC DATA EXPLORER

POUDRE VALLEY HEALTH CARE INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
POUDRE VALLEY HEALTH CARE INC (EIN 84-1262971)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-13
IRS object ID
202511339349302921
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-13T10:10:55-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN331498605PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 S HIGH ST SUITE 100AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN841262971EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1POUDRE VALLEY HEALTH CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPOUDBusinessNameControlTxt
Phone9702377000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12315 E HARMONY ROAD 200AddressLine1Txt
CityFORT COLLINSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80528ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID THOMPSONPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone9702377000PhoneNum
Signature2025-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone6148493000PhoneNum
Preparation2025-05-12PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN UNGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12315 E HARMONY ROAD 200AddressLine1Txt
CityFORT COLLINSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80528ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,088,066,795GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UCHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionWE IMPROVE LIVES THROUGH LEARNING, HEALING, DISCOVERY, AND THROUGH HUMAN CONNECTION.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee5090TotalEmployeeCnt
Total Volunteers280TotalVolunteersCnt
Total Gross UBI$208,316TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$185,287NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$550,836PYContributionsGrantsAmt
CY Contributions Grants$6,137,110CYContributionsGrantsAmt
PY Program Service Revenue$797,484,699PYProgramServiceRevenueAmt
CY Program Service Revenue$836,102,962CYProgramServiceRevenueAmt
PY Investment Income$36,357,949PYInvestmentIncomeAmt
CY Investment Income$123,022,761CYInvestmentIncomeAmt
PY Other Revenue$7,866,664PYOtherRevenueAmt
CY Other Revenue$4,907,734CYOtherRevenueAmt
PY Total Revenue$842,260,148PYTotalRevenueAmt
CY Total Revenue$970,170,567CYTotalRevenueAmt
PY Grants And Similar Paid$65,197,578PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$61,570,859CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$323,851,651PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$329,695,326CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$351,658,750PYOtherExpensesAmt
CY Other Expenses$362,623,392CYOtherExpensesAmt
PY Total Expenses$740,707,979PYTotalExpensesAmt
CY Total Expenses$753,889,577CYTotalExpensesAmt
PY Revenues Less Expenses$101,552,169PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$216,280,990CYRevenuesLessExpensesAmt
Total Assets BOY$10,902,217,792TotalAssetsBOYAmt
Total Assets EOY$11,988,728,381TotalAssetsEOYAmt
Total Liabilities BOY$7,963,780,783TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,680,387,388TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,938,437,009NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,308,340,993NetAssetsOrFundBalancesEOYAmt
MissionWE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS, WE IMPROVE LIVES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$667,789,857ExpenseAmt
Grant$61,570,859GrantAmt
Revenue$835,896,220RevenueAmt
DescPOUDRE VALLEY HEALTH CARE INC. (PVHC) PROVIDES TERTIARY, ACUTE, INPATIENT, OUTPATIENT AS WELL AS EMERGENCY CARE. PVHC SERVICES COMMUNITIES IN NORTHERN COLORADO, SOUTHWESTERN NEBRASKA, AND SOUTHEASTERN WYOMING. DURING FISCAL YEAR 2024, PVHC RECORDED 63,555 PATIENT DAYS, 12,717 INPATIENT ADMISSIONS, 5,369 OBSERVATION PATIENTS ADMISSIONS, 675,280 OUTPATIENT VISITS, 77,544 EMERGENCY VISITS, 1,857 DELIVERIES, 2,033 INPATIENT SURGERIES, AND 7,472 OUTPATIENT SURGERIES.Desc
Total Program Service Expenses$667,789,857TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document264IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5090EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID THOMPSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9702377000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12315 E HARMONY ROAD SUITE 200AddressLine1Txt
CityFORT COLLINSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80528ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LISA CLAY
BOARD CHAIR1.002.00Yes (X)Yes (X)$0$0$0
JIM PARKE
VICE BOARD CHAIR1.002.00Yes (X)Yes (X)$0$0$0
CHRISTINE CHIN
DIRECTOR1.002.00Yes (X)$0$0$0
MIKE DELLENBACH
DIRECTOR1.002.00Yes (X)$0$0$0
DOUG ERION
DIRECTOR1.002.00Yes (X)$0$0$0
DENNIS HOUSKA
DIRECTOR1.002.00Yes (X)$0$0$0
JOHN MCKAY
DIRECTOR1.002.00Yes (X)$0$0$0
FARAZ NAQVI
DIRECTOR1.002.00Yes (X)$0$0$0
BRAD OLDEMEYER
DIRECTOR1.002.00Yes (X)$0$0$0
CHRIS OSBORN
DIRECTOR1.002.00Yes (X)$0$0$0
DAN STROH
DIRECTOR1.002.00Yes (X)$0$0$0
KEVIN UNGER
CHIEF EXECUTIVE OFFICER20.0027.00Yes (X)Yes (X)$404,110$431,974$139,251
MICHELLE ALBRIGHT
SECRETARY20.0026.00Yes (X)$33,640$34,338$13,901
DAVID THOMPSON
CHIEF FINANCIAL OFFICER22.0024.00Yes (X)$247,622$190,190$57,203
BRIAN ALLEN
CHIEF OPERATING OFFICER20.0027.00$108,639$116,131$21,184Yes (X)
KRYSTLE BELL
SR DIRECTOR PERIOP22.0024.00$87,364$67,101$35,714Yes (X)
DIANA BREYER
CHIEF MEDICAL OFFICER23.0027.00$279,182$251,930$8,642Yes (X)
ASHLEY BRUNING
CHIEF NURSING OFFICER, PVH50.000.00$309,716$0$59,806Yes (X)
ANDREW HARMON
DIRECTOR OF PHARMACY22.0024.00$107,114$82,271$41,521Yes (X)
CHRISTINE JOHNSTON
ASSOCIATE CHIEF MEDICAL OFFICER24.0026.00$112,976$86,773$20,797Yes (X)
GRACE KOWALYSHYN-TAYLOR
VP OF OPERATIONS20.0027.00$142,780$152,625$45,251Yes (X)
ANGELICA THIEL
DIRECTOR OF IMAGING20.0027.00$76,325$81,588$38,930Yes (X)
ANNETTE VIZENA
CHIEF QUALITY OFFICER VP24.0026.00$211,369$162,346$43,224Yes (X)
JASON COLLISON
PSYCHIATRIST50.000.00$417,689$0$50,415Yes (X)
AARON MENG
PSYCHIATRIST50.000.00$361,411$0$53,527Yes (X)
HERMANN MORENO
PSYCHIATRIST50.000.00$358,298$0$59,580Yes (X)
DAVID SEHR
PSYCHIATRIST50.000.00$360,157$0$54,576Yes (X)
JANELL WOZNIAK
FAMILY MEDICINE CENTER DIRECTOR50.000.00$386,098$0$54,655Yes (X)
RYAN ROHMAN
CHIEF OPERATING OFFICER (LEFT POSITION 5/2023)6.007.00$58,686$62,732$5,473Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,063,176TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,719,999TotReportableCompRltdOrgAmt
Total Other Compensation$803,650TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K487IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NORTHERN COLORADO HOSPITALISTS
2121 E HARMONY RD STE 300FORT COLLINSCO80528MEDICAL$4,754,873
HSS SECURITY
990 S BROADWAY 420DENVERCO80209SECURITY$4,179,858
NORTHERN COLORADO ANESTHESIA
1236 E ELIZABETH ST STE 1FORT COLLINSCO80524MEDICAL$3,583,728
ORTHOPAEDIC & SPINE CENTER OF THE ROCKIE
2500 E PROSPECT RDFORT COLLINSCO80525MEDICAL$2,796,309
LAB LOGISTICS
PO BOX 84938CHICAGOIL60689COURIER$2,444,947
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K43CntrctRcvdGreaterThan100KCnt
Related Organizations$5,797,091RelatedOrganizationsAmt
Government Grants$218,955GovernmentGrantsAmt
All Other Contributions$121,064AllOtherContributionsAmt
Noncash Contributions$4,919,673NoncashContributionsAmt
Total Contributions$6,137,110TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SVC REV900099$792,507,611$792,507,611
PROVIDER FEE INCOME621400$29,515,512$29,515,512
JOINT VENTURE621400$9,106,861$8,900,118$206,743
RENT INCOME - AFFILIAT532000$2,564,597$2,564,597
OTHER PROGRAM REVENUE900099$2,408,381$2,408,381
FieldValueIRS element (for citing)
Total Program Service Revenue$836,102,962TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,943,704TotalRevenueColumnAmt
Exclusion$62,943,704ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,160,645RealAmt
Personal$6,721PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,501,307RealAmt
Personal$6,721PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$659,338RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$659,338TotalRevenueColumnAmt
Exclusion$659,338ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,176,312,360SecuritiesAmt
Other$103,902OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,115,901,528SecuritiesAmt
Other$435,677OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$60,410,832SecuritiesAmt
Other-$331,775OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,079,057TotalRevenueColumnAmt
Exclusion$60,079,057ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$92,095GrossSalesOfInventoryAmt
Cost Of Goods Sold$50,995CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$41,100TotalRevenueColumnAmt
Exclusion$41,100ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
DIETARY SVC INCOME900099$2,405,723$2,405,723
INCOME TAX REFUND621400$1,800,000$1,800,000
PHARMACY SALES456110$1,573$1,573
FieldValueIRS element (for citing)
Other Revenue Total$4,207,296OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$970,170,567TotalRevenueColumnAmt
Related Or Exempt Func Income$835,896,219RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$208,316UnrelatedBusinessRevenueAmt
Exclusion$127,928,922ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$61,570,859TotalAmt
Program Services$61,570,859ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,483,814TotalAmt
Program Services$702,834ProgramServicesAmt
Management And General$1,780,980ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$255,846,120TotalAmt
Program Services$216,093,100ProgramServicesAmt
Management And General$39,753,020ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$24,774,013TotalAmt
Program Services$20,924,660ProgramServicesAmt
Management And General$3,849,353ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$43,015,178TotalAmt
Program Services$36,331,538ProgramServicesAmt
Management And General$6,683,640ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,576,201TotalAmt
Program Services$3,020,536ProgramServicesAmt
Management And General$555,665ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$590,569TotalAmt
Management And General$590,569ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$61,464TotalAmt
Management And General$61,464ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$54,795TotalAmt
Management And General$54,795ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,344,191TotalAmt
Management And General$3,344,191ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$37,731,784TotalAmt
Program Services$31,305,352ProgramServicesAmt
Management And General$6,426,432ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,845,514TotalAmt
Program Services$2,728,291ProgramServicesAmt
Management And General$117,223ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,442,375TotalAmt
Program Services$4,998,697ProgramServicesAmt
Management And General$443,678ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,225,393TotalAmt
Program Services$11,715,663ProgramServicesAmt
Management And General$1,509,730ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,488,758TotalAmt
Program Services$4,635,907ProgramServicesAmt
Management And General$852,851ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,355,303TotalAmt
Program Services$1,180,622ProgramServicesAmt
Management And General$174,681ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,062,724TotalAmt
Program Services$160,561ProgramServicesAmt
Management And General$902,163ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,729,530TotalAmt
Program Services$5,445,260ProgramServicesAmt
Management And General$284,270ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$32,183,505TotalAmt
Program Services$22,368,483ProgramServicesAmt
Management And General$9,815,022ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,336,786TotalAmt
Program Services$121,478ProgramServicesAmt
Management And General$1,215,308ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$162,302,979$161,892,222$410,757
PROVIDER FEE EXPENSE$39,733,863$39,733,863
BAD DEBT$24,545,597$24,545,597
REPAIRS & MAINTENANCE$17,884,200$13,150,583$4,733,617

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,704,062TotalAmt
Program Services$5,163,751ProgramServicesAmt
Management And General$2,540,311ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$753,889,577TotalAmt
Program Services$667,789,857ProgramServicesAmt
Management And General$86,099,720ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$67,569,167BOYAmt
EOY$158,629,651EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,385,126BOYAmt
EOY$2,505,140EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$79,524,220BOYAmt
EOY$74,267,314EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$14,589,153BOYAmt
EOY$14,252,099EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,886,054BOYAmt
EOY$10,539,711EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$875,537,379LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$481,535,091LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$384,751,289BOYAmt
EOY$394,002,288EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,026,497,136BOYAmt
EOY$2,274,179,070EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$41,822,202BOYAmt
EOY$89,923,206EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,275,193,445BOYAmt
EOY$8,970,429,902EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,902,217,792BOYAmt
EOY$11,988,728,381EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$97,954,535BOYAmt
EOY$110,383,397EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,210,652BOYAmt
EOY$893,607EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$135,786,666BOYAmt
EOY$127,705,525EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$67,724,485BOYAmt
EOY$69,569,947EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$46,262BOYAmt
EOY$50,019EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,661,058,183BOYAmt
EOY$8,371,784,893EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,963,780,783BOYAmt
EOY$8,680,387,388EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,938,437,009BOYAmt
EOY$3,308,340,993EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,938,437,009BOYAmt
EOY$3,308,340,993EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,902,217,792BOYAmt
EOY$11,988,728,381EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$216,280,990ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$153,086,142NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$536,851OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$32,583DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$22,212OtherActivitiesAmt
Total Lobbying Expenditures$54,795TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPORTION OF DUES FROM MEMBERSHIP IN CHA AND AHA THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES - $22,212. INTERNAL STAFF TIME AND EXPENSE SPENT ON DIRECT LOBBYING ACTIVITIES - $32,583.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,951,438BeginningYearBalanceAmt
Contributions$115,564ContributionsAmt
Investment Earnings Or Losses$788,252InvestmentEarningsOrLossesAmt
Grants Or Scholarships$15,783GrantsOrScholarshipsAmt
Other Expenditures$162,891OtherExpendituresAmt
Administrative Expenses$37,217AdministrativeExpensesAmt
End Year Balance$8,639,363EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,505,139BeginningYearBalanceAmt
Contributions$15,248ContributionsAmt
Investment Earnings Or Losses$739,495InvestmentEarningsOrLossesAmt
Grants Or Scholarships$51,797GrantsOrScholarshipsAmt
Other Expenditures$256,647OtherExpendituresAmt
End Year Balance$7,951,438EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,519,574BeginningYearBalanceAmt
Contributions$80,607ContributionsAmt
Investment Earnings Or Losses-$772,629InvestmentEarningsOrLossesAmt
Grants Or Scholarships$45,447GrantsOrScholarshipsAmt
Other Expenditures$242,696OtherExpendituresAmt
Administrative Expenses$34,270AdministrativeExpensesAmt
End Year Balance$7,505,139EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,696,043BeginningYearBalanceAmt
Contributions$67,691ContributionsAmt
Investment Earnings Or Losses$1,053,774InvestmentEarningsOrLossesAmt
Grants Or Scholarships$36,975GrantsOrScholarshipsAmt
Other Expenditures$222,882OtherExpendituresAmt
Administrative Expenses$38,077AdministrativeExpensesAmt
End Year Balance$8,519,574EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,552,046BeginningYearBalanceAmt
Contributions$76,521ContributionsAmt
Investment Earnings Or Losses$186,928InvestmentEarningsOrLossesAmt
Grants Or Scholarships$28,707GrantsOrScholarshipsAmt
Other Expenditures$55,954OtherExpendituresAmt
Administrative Expenses$34,791AdministrativeExpensesAmt
End Year Balance$7,696,043EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.05290BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.79940PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.14770TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,181,522OtherCostOrOtherBasisAmt
Book Value$40,181,522BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$318,874,407OtherCostOrOtherBasisAmt
Depreciation$165,092,798DepreciationAmt
Book Value$153,781,609BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$89,425,300OtherCostOrOtherBasisAmt
Depreciation$83,295,948DepreciationAmt
Book Value$6,129,352BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$224,237,397OtherCostOrOtherBasisAmt
Depreciation$173,873,638DepreciationAmt
Book Value$50,363,759BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$202,818,753OtherCostOrOtherBasisAmt
Depreciation$59,272,707DepreciationAmt
Book Value$143,546,046BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$394,002,288TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLE$8,886,663,674
DEFERRED PENSION OUTFLOW COSTS$15,177,541
OTHER RECEIVABLES$3,652,160
LEASE RECEVIABLE LT$12,180,815
DEFERRED OUTFLOW PUBLIC PRIVATE PARTNERSHIP$52,755,712
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,970,429,902TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES$8,271,979,024
ACCRUED INTEREST PAYABLE$1,552,718
OTHER DEFERRED EXPENSES$2,020,937
PENSION LIABILITIES$30,234,252
DEFERRED INFLOW OF LEASES$10,892,448
PUBLIC PRIVATE PARTNERSHIP LIABILITY TRANSFER$55,105,514
FieldValueIRS element (for citing)
Total Liability$8,371,784,893TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,094,961,276TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$153,086,142NetUnrealizedGainsInvstAmt
Other Revenue$2,493,681OtherRevenueAmt
Revenue Not Reported$155,579,823RevenueNotReportedAmt
Revenue Subtotal$939,381,453RevenueSubtotalAmt
Investment Expenses Not Incld$5,144,191InvestmentExpensesNotIncldAmt
Other Revenues Not Included$25,644,924OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$30,789,115RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$970,170,568TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$724,659,485TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,559,023OtherExpensesIncludedAmt
Expenses Not Reported$1,559,023ExpensesNotReportedAmt
Expenses Subtotal$723,100,462ExpensesSubtotalAmt
Investment Expenses Not Incld2$5,144,191InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$25,644,924OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$30,789,115ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$753,889,577TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:ENDOWMENT FUNDS ARE USED FOR THE INTENDED PURPOSE TO FUND SCHOLARSHIPS, EDUCATION, PROGRAMS, AND COMMUNITY BENEFIT. TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE FOUNDATION HAVE BEEN LIMITED BY THE DONOR TO A SPECIFIC TIME PERIOD OR PURPOSE. THESE NET ASSETS ARE AVAILABLE FOR VARIOUS HEALTH CARE PURPOSES AS DEFINED BY DONORS. THE ENDOWMENT FUND IS OWNED BY UCHEALTH NORTHERN COLORADO FOUNDATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 1,508,028. COGS REPORTED AS EXPENSE ON AFS 50,995. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS 934,658.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS 24,539,183. RENTAL EXPENSE AS INCOME ON 990 6,721. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 1,573. INTERCO EXPENSE ALLOCATIONS RECLASS 220,029. CASH CONTRIBUTIONS FROM FDN NOT IN AFS REVENUE 877,418.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 1,508,028. COGS REPORTED AS EXPENSE ON AFS 50,995.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT IN AFS INCOME 24,539,183. RENTAL EXPENSE AS INCOME ON 990 6,721. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 1,573. CASH CONTRIBUTIONS FROM FOUNDATION NOT IN AFS REVENUE 877,418. INTERCO EXPENSE ALLOCATIONS RECLASS 220,029.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,281,334TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,281,334NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$118,556,117TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$82,604,593DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,951,524NetCommunityBenefitExpnsAmt
Total Expense0.04930TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,036,107TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,181,494DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,854,613NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,873,558TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$90,786,087DirectOffsettingRevenueAmt
Net Community Benefit Expns$45,087,471NetCommunityBenefitExpnsAmt
Total Expense0.06180TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,320,149TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$158,268DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,161,881NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,319,256TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,012,671DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,306,585NetCommunityBenefitExpnsAmt
Total Expense0.01000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,905,717TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,749,494DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,156,223NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$156,356TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,779DirectOffsettingRevenueAmt
Net Community Benefit Expns$124,577NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,447,218TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$61,447,218NetCommunityBenefitExpnsAmt
Total Expense0.08420TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$80,148,696TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,952,212DirectOffsettingRevenueAmt
Net Community Benefit Expns$73,196,484NetCommunityBenefitExpnsAmt
Total Expense0.10030TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$216,022,254TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$97,738,299DirectOffsettingRevenueAmt
Net Community Benefit Expns$118,283,955NetCommunityBenefitExpnsAmt
Total Expense0.16210TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,529TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$106,529NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,529TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$106,529NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$24,545,597BadDebtExpenseAmt
Reimbursed By Medicare$152,050,351ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$165,401,290CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$13,350,939MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 HARMONY SURGERY CENTER LLC
AMBULATORY SURG0.500000.50000
2 PEAK SURGICAL MANAGEMENT
MANAGEMENT SERVICES0.070000.81000
3 HARMONY IMAGING CENTER LLC
MEDICAL IMAGING0.600000.40000
5 GATEWAY MEDICAL SERVICES
REAL ESTATE/MEDICAL EQUIPMENT0.500000.50000
7 OCR OF LOVELAND LLC
AMBULATORY SURG0.500000.50000
8 OCR OF FORT COLLINS LLC
AMBULATORY SURG0.500000.50000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1POUDRE VALLEY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11024 S LEMAYAddressLine1Txt
CityFORT COLLINSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80524ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherPHARMACY, LAB, IMAGING, BIRTH CENTER, HEART AND VASCULAROtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1POUDRE VALLEY HEALTH CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.UCHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.UCHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.UCHEALTH.ORG/BILLING-AND-PRICING/FINANCIAL-ASSISTANCE/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.UCHEALTH.ORG/BILLING-AND-PRICING/FINANCIAL-ASSISTANCE/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.UCHEALTH.ORG/BILLING-AND-PRICING/FINANCIAL-ASSISTANCE/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
POUDRE VALLEY HEALTH CAREPART V, SECTION B, LINE 5: PVH/MCR ASKED MEMBERS OF THE LARIMER COUNTY COMMUNITY TO RESPOND TO THE SURVEY TO HELP SELECT IDENTIFIED HEALTH NEEDS IN LARIMER COUNTY. A SURVEY WAS SENT TO 50 IMPACTFUL COMMUNITY ORGANIZATIONS/PEOPLE, INCLUDING THOSE WHO REPRESENT UNDERSERVED POPULATIONS, HIGHER EDUCATION, LOCAL SCHOOL DISTRICT SUPERINTENDENTS, THE SHERIFF'S OFFICE, AND LARIMER COUNTY, INCLUDING THOSE WHO ARE ACTIVELY INVOLVED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR LARIMER COUNTY. RESPONSES WERE RECEIVED FROM 39 PEOPLE, A 78% RESPONSE RATE.
POUDRE VALLEY HEALTH CAREPART V, SECTION B, LINE 6A: POUDRE VALLEY HOSPITAL (PVH) AND MEDICAL CENTER OF THE ROCKIES (MCR) PREPARED A JOINT CHNA AS BOTH HOSPITALS SERVE RESIDENTS FROM THE SAME GEOGRAPHIC LOCATIONS.
POUDRE VALLEY HEALTH CAREPART V, SECTION B, LINE 6B: IN 2022, THE CHNA PROCESS FOR MEDICAL CENTER OF THE ROCKIES (MCR) AND POUDRE VALLEY HOSPITAL (PVH), INCLUDED A MULTI-PHASED APPROACH TO IDENTIFY THE TOP HEALTH PRIORITIES AND A COMPREHENSIVE ANALYSIS OF LOCAL POPULATION HEALTH INDICATORS, SOLICITATION OF COMMUNITY INPUT ON LOCAL HEALTH ISSUES THROUGH A WEB-BASED SURVEY AND A WEB-BASED SURVEY DISTRIBUTED TO HEALTH CARE PROVIDERS AT PVH AND MCR TO GATHER INPUT ON COMMUNITY HEALTH NEEDS.
POUDRE VALLEY HEALTH CAREPART V, SECTION B, LINE 11: EXAMPLES OF HOW PVH/MCR IS ADDRESSING ISSUES RELATED TO ACCESS TO CARE FOR VULNERABLE INDIVIDUALS INCLUDES STAFFING A RN HOME VISIT PROGRAM FOR POSTPARTUM WOMEN WHO ARE ELIGIBLE FOR OR ENROLLED IN MEDICAID. NURSES ASSESS THE NEWBORN, PROVIDE THE MOTHER WITH LACTATION COUNSELING, SELF-CARE GUIDELINES AND ACHIEVE AN INCREASE IN THE MOTHER'S CONFIDENCE TO CARE FOR HER NEWBORN. ADDITIONALLY, COMPREHENSIVE CARE COORDINATION SERVICES ASSIST FAMILIES OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS AS WELL AS VULNERABLE ADULTS WITH MEDICALLY COMPLEX, CHRONIC CONDITIONS. TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES, PVH/MCR IS EXPANDING THE USE OF TECHNOLOGY TO PROVIDE TELE-PSYCH SERVICES TO RESIDENTS WHO ARE NOT ABLE TO ACCESS A LOCAL MENTAL HEALTH PROVIDER OR TO BRIDGE GAPS IN PROVIDER AVAILABILITY. WE ARE ALSO EMBEDDING TEAMS OF LICENSED CLINICAL SOCIAL WORKERS AND PSYCHOLOGISTS INTO PRIMARY CARE PRACTICES. FOR PERSONS WITH SUBSTANCE USE DISORDERS, PVH/MCR DIRECTS RESOURCES TO PROVIDING MEDICALLY ASSISTED ADDICTION TREATMENT AS WELL AS PARTICIPATING IN THE COLORADO ALTERNATIVES TO OPIOIDS TREATMENT PROTOCOLS. INCREASED SCREENING AND REFERRAL TO TREATMENT FOR PERSONS USING ALCOHOL HAS ALSO BEEN IMPLEMENTED. THE IDENTIFIED HEALTH ISSUES ARE DESCRIBED IN THE 2022-24 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE FULL SPECTRUM OF SERVICES AND PROGRAMS ARE NOTED IN THE 2023-25 IMPLEMENTATION STRATEGY REPORT POSTED TO THE UCHEALTH WEBSITE: HTTPS://WWW.UCHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PREVIOUS ASSESSMENTS AND IMPLEMENTATION STRATEGIES CAN BE FOUND THERE AS WELL.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - UCHEALTH HARMONY CAMPUS AMBULATORY CARE
2127 E HARMONY RDFORT COLLINSCO80528SURGERY CENTER, IMAGING
2 - OCR LOVELAND
3470 E 15TH STREETLOVELANDCO80538SURGERY CENTER
3 - OCR FORT COLLINS
2500 E PROSPECTFORT COLLINSCO80525SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:LINE 7A LINE 7A WAS DERIVED USING A COST-TO-CHARGE RATIO FROM THE COST REPORT.THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINE 7B AND 7C. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE TO COST-TO-CHARGES.
PART I, LINE 7G:INCLUDES PHYSICIAN GROUPS AS A SUBSIDIZED SERVICE. THESE CLINICS PROVIDE SERVICES IN UNDERSERVED AREAS IN COLORADO, NEBRASKA AND WYOMING.
PART I, LN 7 COL(F):TOTAL BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR PRIOR TO THE PERCENTAGE CALCULATION = $24,940,002
PART III, LINE 2:ACCOUNTS WITH UNRESOLVED PATIENT LIABILITY AFTER REASONABLE COLLECTION EFFORTS, SET BY POLICY AND IN CONJUNCTION WITH FEDERAL, STATE, AND PAYOR SPECIFIC REGULATIONS, WILL BE ASSIGNED TO BAD DEBT. THESE ACCOUNTS SHALL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY, OR IN SELECTED INSTANCES, ATTORNEYS, FOR ADDITIONAL COLLECTION ACTIVITIES.
PART III, LINE 4:PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ALLOWANCES FOR DOUBTFUL ACCOUNTS, CONTRACTUAL ADJUSTMENTS, AND MEDICALLY INDIGENT ALLOWANCES.PART III, LINE 5: MEDICARE REVENUE WAS COMPUTED AS FOLLOWS:PVHC COST REPORT: $134,468,856PVHC DISALLOWED PROGRAMS: $2,180,401JOINT VENTURES: $15,401,094TOTAL TO LINE 5: $152,050,351PART III, LINE 6: ALLOWABLE COSTS AS REPORTED ON THE POUDRE VALLEY HEALTH CARE INC. FY24 COST REPORT AGGREGATED WITH DISREGARDED ENTITIES AND OWNERSHIP PORTIONS OF JOINT VENTURES. PART III, LINE 6: MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS WAS COMPUTED AS FOLLOWS:PVHC COST REPORT: $146,858,334PVHC DISALLOWED PROGRAMS: $2,829,799JOINT VENTURES: $15,713,157TOTAL TO LINE 6: $165,401,290
PART III, LINE 8:APPROXIMATELY 32.14% OF NET PATIENT SERVICE REVENUE IS FROM PARTICIPATION IN THE MEDICARE PROGRAM, THUS PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES TO A SIGNIFICANT PORTION OF THE COMMUNITY POPULATION.
PART III, LINE 9B:IF UCHEALTH DETERMINES THAT AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE FOLLOWING UCHEALTH'S REVIEW OF A COMPLETE APPLICATION, UCHEALTH WILL REVERSE ECAS (IF ANY) AND WILL REFUND AMOUNTS PREVIOUSLY PAID FOR CARE COVERED BY THIS POLICY IN EXCESS OF THE AMOUNT OWED, EXCEPT OVERPAYMENTS THAT ARE $5 OR LESS. IF THE GUARANTOR STILL OWES ANY AMOUNT, UCHEALTH WILL PROVIDE AN UPDATED BILLING STATEMENT SHOWING HOW THE ADJUSTED AMOUNT WAS DETERMINED.
PART VI, LINE 2:SEE NARRATIVES FOR PART V, SECTION B, LINES 5 AND 6B.
PART VI, LINE 3:THERE ARE SEVERAL WAYS WE NOTIFY THE PATIENT AND ATTEMPT TO ASSIST THEM. FOR SURGERIES AND HIGH DOLLAR SCHEDULED PROCEDURES, WE PROVIDE THEM WITH AN ESTIMATE AT REGISTRATION AND GO OVER ALL FINANCIAL ASSISTANCE OPTIONS AVAILABLE IF THEY ARE INTERESTED. WE ALSO HAVE FINANCIAL COUNSELORS AVAILABLE EACH DAY THAT CAN ANSWER QUESTIONS AND HELP THEM FILL OUT CHARITY APPLICATIONS. ONCE A PERSON HAS RECEIVED CARE IN THE ED, WE ALSO HAVE EDUCATED STAFF THAT ASSISTS THEM AND EDUCATES THEM OF WHAT IS AVAILABLE FOR FINANCIAL ASSISTANCE. IN ADDITION, ONCE A PATIENT DOES RECEIVE A STATEMENT OR BILL, THERE IS INFORMATION ON THE BILL OF WHO THEY CAN CALL TO GET INFORMATION ON FINANCIAL ASSISTANCE. ADDITIONALLY, WE WIDELY PUBLICIZE OUR FINANCIAL ASSISTANCE POLICY AS REQUIRED BY LAW, INCLUDING A PLAIN LANGUAGE SUMMARY.
PART VI, LINE 4:POUDRE VALLEY HEALTH CARE INC. IS A LOCALLY OWNED, PRIVATE, NON-PROFIT ORGANIZATION WITH A STRONG VISION: FROM HEALTHCARE TO HEALTH. BASED IN NORTHERN COLORADO, PVH PROVIDES EVIDENCE-BASED HEALTHCARE AND WELLNESS SERVICES AND PRODUCTS IN COLORADO, NEBRASKA AND WYOMING, ACROSS A SERVICE AREA COVERING MORE THAN 50,000 SQUARE MILES. PVH IS A PART OF THE UCHEALTH WHICH AIMS TO DELIVER THE HIGHEST QUALITY PATIENT CARE WITH THE HIGHEST QUALITY PATIENT EXPERIENCE. THE PARTNERSHIP COMBINES POUDRE VALLEY HOSPITAL, MEDICAL CENTER OF THE ROCKIES, UCHEALTH GREELEY HOSPITAL, UCHEALTH MEDICAL GROUP, UNIVERSITY OF COLORADO HOSPITAL AND MEMORIAL HEALTH SYSTEM INTO AN ORGANIZATION DEDICATED TO BUILDING HEALTHIER COMMUNITIES AND PROVIDING UNMATCHED PATIENT CARE IN THE ROCKY MOUNTAIN WEST. THE ORGANIZATION'S MISSION IS WE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS WE IMPROVE LIVES.
PART VI, LINE 5:WE HAVE IMPLEMENTED A MULTITUDE OF PROGRAMS AND SERVICES THAT ADDRESS THE HEALTH NEEDS OF OUR BROADER COMMUNITY TARGETING ALL AGE GROUPS WHILE MAINTAINING A SPECIAL FOCUS ON SERVING VULNERABLE POPULATIONS. WE ALSO GIVE DOLLARS TO OTHER ENTITIES THAT WORK TO IMPROVE THE HEALTH OF OUR COMMUNITY. EXAMPLES ARE: TEEN PREGNANCY PREVENTION EDUCATION; SUBSTANCE ABUSE PREVENTION EDUCATION FOR YOUTH AND YOUNG ADULTS; OBESITY PREVENTION; IMPROVED FOOD SECURITY FOR LOW INCOME RESIDENTS; AND MENTAL HEALTH SERVICES FOR THE UNDERSERVED.
PART VI, LINE 6:ALL THE SERVICES WE OFFER ARE AVAILABLE TO ANYONE THAT USES ANY OF OUR FACILITIES IN THE HEALTH SYSTEM. OUR GEOGRAPHY IS NOT THAT LARGE SO WE ARE ABLE TO ACCOMMODATE THE DIFFERENT COMMUNITIES THAT UTILIZE OUR SERVICES WITH THE SAME LEVEL OF COMMUNITY HEALTH PROGRAMMING.
PART VI, LINE 7, REPORTS FILED WITH STATESCO

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
UCHEALTH MEDICAL GROUP
2315 E HARMONY RD 200FORT COLLINSCO80528800348943501(C)(3)$55,108,430$0SEE SCH I, PART IV
UNIVERSITY SCHOOL OF MEDICINE
13001 17TH PLACEAURORACO80045846000555501(C)(3)$5,535,916$0SEE SCH I, PART IV
UCHEALTH NORTHERN COLORADO FOUNDATION
2315 E HARMONY RD 200FORT COLLINSCO80528741894581501(C)(3)$629,461$0SEE SCH I, PART IV
FRONT RANGE COMMUNITY COLLEGE FOUNDATION
3645 W 112TH AVENUEWESTMINSTERCO80031383721881GOVERNMENT$19,780$0SEE SCH I, PART IV
UNITED WAY OF LARIMER COUNTY
424 PINE ST 102FORT COLLINSCO80524846031503501(C)(3)$7,989$0SEE SCH I, PART IV
CHEYENNE REGIONAL MEDICAL CENTER FOUNDATION
214 E 23RD STCHEYENNEWY82001830236858501(C)(3)$19,187$0SEE SCH I, PART IV
PROJECT CURE
10377 E GEDDES AVE 200CENTENNIALCO80112841568566501(C)(3)$0$50,805SEE SCH I, PART IVFMVMEDICAL SUPPLIES
IVINSON MEMORIAL HOSPITAL FOUNDATION
225 N 30TH STLARAMIEWY82072830259429501(C)(3)$20,967$0SEE SCH I, PART IV
OUTREACH FORT COLLINS
19 OLD TOWN SQUAREFORT COLLINSCO80524131837418501(C)(3)$11,926$0SEE SCH I, PART IV
UNITED WAY OF WELD COUNTY
814 9TH STREETGREELEYCO80632846011918501(C)(3)$9,890$0SEE SCH I, PART IV
COLORADO NONPROFIT DEVELOPMENT CENTER
2590 WELTON STDENVERCO80205841493585501(C)(3)$5,992$0SEE SCH I, PART IV
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION AWARDS GRANTS BASED ON THE BENEFIT TO THE COMMUNITY. THE ORGANIZATION REQUESTS INFORMATION FROM THE GRANTEES TO ENSURE THAT THE FUNDS WILL BE USED FOR THE SPECIFIED PURPOSE. QUESTION I, PART II, COLUMN H PURPOSE OF GRANT OR ASSISTANCE FOR RELATED ENTITIES, THE GRANTS ARE RELATED TO SPECIFIC REQUESTS. THE FUNDS ARE TO BE USED TO BENEFIT THE HEALTHCARE COMMUNITY OF NORTHERN COLORADO. EACH REQUEST IS EVALUATED ON AN INDIVIDUAL BASIS. FOR NON-RELATED COMMUNITY AND GOVERNMENTAL ORGANIZATIONS, THE GRANTS ARE MADE AT THE DISCRETION OF THE ORGANIZATION. THESE DISCRETIONARY GRANTS ARE TO BE USED TO BENEFIT THE HEALTHCARE COMMUNITY OF NORTHERN COLORADO.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN UNGER
CHIEF EXECUTIVE OFFICER$285,362$305,038$109,670$117,232$9,078$9,704$56,992$60,922$10,313$11,024$471,415$503,920$0$0
DIANA BREYER
CHIEF MEDICAL OFFICER$226,882$211,760$49,886$38,316$2,414$1,854$4,463$4,179$0$0$283,645$256,109$0$0
DAVID THOMPSON
CHIEF FINANCIAL OFFICER$202,545$155,568$43,072$33,082$2,005$1,540$20,935$16,080$11,418$8,770$279,975$215,040$0$0
JASON COLLISON
PSYCHIATRIST$387,333$0$30,000$0$356$0$27,835$0$22,580$0$468,104$0$0$0
JANELL WOZNIAK
FAMILY MEDICINE CENTER DIRECTOR$348,900$0$35,470$0$1,728$0$29,922$0$24,733$0$440,753$0$0$0
HERMANN MORENO
PSYCHIATRIST$342,121$0$15,000$0$1,177$0$30,822$0$28,758$0$417,878$0$0$0
ANNETTE VIZENA
CHIEF QUALITY OFFICER VP$174,181$133,783$36,603$28,114$585$449$17,871$13,726$6,576$5,051$235,816$181,123$0$0
AARON MENG
PSYCHIATRIST$349,053$0$12,000$0$358$0$30,822$0$22,705$0$414,938$0$0$0
DAVID SEHR
PSYCHIATRIST$356,204$0$3,000$0$953$0$28,657$0$25,919$0$414,733$0$0$0
ASHLEY BRUNING
CHIEF NURSING OFFICER, PVH$256,318$0$52,533$0$865$0$29,168$0$30,638$0$369,522$0$0$0
GRACE KOWALYSHYN-TAYLOR
VP OF OPERATIONS$116,277$124,294$26,106$27,906$397$425$12,011$12,840$9,860$10,540$164,651$176,005$0$0
BRIAN ALLEN
CHIEF OPERATING OFFICER$58,255$62,272$36,791$39,328$13,593$14,531$9,777$10,451$462$494$118,878$127,076$0$0
ANDREW HARMON
DIRECTOR OF PHARMACY$96,733$74,298$10,132$7,782$249$191$10,105$7,761$13,379$10,276$130,598$100,308$0$0
CHRISTINE JOHNSTON
ASSOCIATE CHIEF MEDICAL OFFICER$93,177$71,566$18,961$14,563$838$644$10,527$8,085$1,236$949$124,739$95,807$0$0
ANGELICA THIEL
DIRECTOR OF IMAGING$68,268$72,975$7,806$8,345$251$268$7,233$7,732$11,583$12,382$95,141$101,702$0$0
KRYSTLE BELL
SR DIRECTOR PERIOP$78,666$60,420$8,546$6,564$152$117$7,034$5,403$13,165$10,112$107,563$82,616$0$0
RYAN ROHMAN
CHIEF OPERATING OFFICER (LEFT POSITI$58,492$62,525$0$0$194$207$1,760$1,882$885$946$61,331$65,560$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AGROSS-UP PAYMENTS: GROSS UP PAYROLL IS CALCULATED AT YEAR END FOR SPECIAL CHECKS CREATED TO ADD SPECIFIC ITEMS TO EMPLOYEE'S FORM W-2 WAGES INCLUDING COUNTRY CLUB DUES, SPOUSE TRAVEL FOR ANNUAL BOARD RETREAT AND SELECT CONFERENCES, AND IMPUTED INCOME ON LIFE INSURANCE POLICIES. CLUB DUES: THE HEALTH SYSTEM EXPECTS THE HOSPITAL MANAGEMENT TO PARTICIPATE IN COMMUNITY LIFE AND THEREFORE THE SYSTEM PAYS SOCIAL CLUB DUES FOR SPECIFIC MEMBERS OF THE SENIOR MANAGEMENT GROUP. THE CLUB DUES ARE ADDED TO THE SENIOR MANAGEMENT'S FORM W-2 ON AN ANNUAL BASIS.
PART I, LINE 7THE ORGANIZATION OFFERS A BONUS PLAN THAT PAYS A PERCENTAGE OF AN EMPLOYEE'S BASE PAY. THE INTENT OF THE PLAN IS TO REWARD AN EMPLOYEE'S PERFORMANCE TOWARDS ACHIEVEMENT OF STRATEGIC GOALS DURING THE FISCAL YEAR. SUCCESSFUL ACCOMPLISHMENT OF GOALS THAT CONTRIBUTE TO THE ORGANIZATION'S OVERALL STRATEGIC DIRECTION RESULT IN VARIABLE PAYMENTS ALIGNED WITH THE ORGANIZATION'S TOTAL COMPENSATION STRATEGY. THIS PROGRAM REWARDS EMPLOYEES BASED ON ORGANIZATIONAL PERFORMANCE MEASURES AND INDIVIDUAL EMPLOYEE GOAL PERFORMANCE. ALL PAYOUTS ARE CONTINGENT BASED ON THE UCHEALTH BOARD OF DIRECTORS APPROVAL EACH FISCAL YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2018 SERIES A
A841179794914183BH02018-07-26$45,915,000REFUNDING 2005A BONDS000
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2018 SERIES B
B841179794914183BJ62018-07-26$24,374,400REFUNDING 2005B BONDS000
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2017 SERIES A
C841179794914183BB32017-02-16$43,493,450REFUNDING 2015A BONDS000
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2017 SERIES B1B2
D841179794914183BC12017-02-16$57,125,000REFUNDING 2015BC BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmt
A$45,915,000$318,692$45,596,3082018Yes (1)0Yes (1)Yes (1)
B$24,374,400$169,360$24,205,0402018Yes (1)0Yes (1)Yes (1)
C$43,493,450$213,070$43,280,3802017Yes (1)0Yes (1)Yes (1)
D$8,255,000$276,146$56,848,8542017Yes (1)0Yes (1)Yes (1)$48,870,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)0Yes (1)00.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)0Yes (1)00.000000.000000.0000000Yes (1)
C0Yes (1)Yes (1)0Yes (1)00.000000.000000.0000000Yes (1)
D0Yes (1)Yes (1)0Yes (1)00.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
CITI
A000Yes (1)Yes (1)Yes (1)21.5000000000000000Yes (1)
CITI
B000Yes (1)Yes (1)Yes (1)21.5000000000000000Yes (1)
CITI
C000Yes (1)0Yes (1)10.0000000000000000Yes (1)
(no name)
D000Yes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2017 SERIES C2
A841179794914183AZ12017-02-16$7,296,822NEW CONSTRUCTION ON PVH000
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2019 SERIES C
B841179794914183BP22019-10-30$6,631,618REFUNDING 2017C1 BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndTotal ProceedsTotalProceedsAmtOther Spent ProceedsOtherSpentProceedsAmt
A$7,296,822$62,956$7,233,866201700Yes (1)Yes (1)
B$963,943$42,6422019Yes (1)0Yes (1)Yes (1)$5,667,675$6,588,976

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)0Yes (1)00.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)0Yes (1)00.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)BUILDING CAPITAL IMPROVEMENT1$4,650,000FMV
Yes (X)MEDICAL EQUIPMENT10$269,673FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE6POUDRE VALLEY HOSPITAL (PVH) HAD 280 ACTIVE VOLUNTEERS IN FISCAL YEAR 2024. THESE VOLUNTEERS PROVIDED OVER 74,000 HOURS OF SERVICE DURING THE YEAR. AT PVH, VOLUNTEERS PLAY AN INTEGRAL ROLE IN PROVIDING MUCH NEEDED SUPPORT FOR PATIENTS, VISITORS, PHYSICIANS, AND STAFF. FROM ASSISTING IN SURGERY AND CARDIAC WAITING ROOMS, INFORMATION DESK, GIFT SHOP, VOLUNTEER PATIENT LIAISONS, BABY KNITTERS, VOLUNTEENS, AND PET THERAPY TO NAME JUST A FEW OF THE MANY PROGRAMS. EVERY VOLUNTEER CONTRIBUTES TO THE SUCCESS OF THE UCHEALTH NORTH TO ENHANCE THE COMFORT AND CARE OF THE PATIENTS AND THEIR FAMILIES.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY INDEPENDENT CPAS. A PRELIMINARY DRAFT IS REVIEWED BY THE INTERNAL FINANCE DEPARTMENT. THE FINAL COPY OF THE FORM 990 IS PROVIDED IN AN ELECTRONIC FORMAT TO ALL BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES COMPLETION OF THE FORM ON AN ANNUAL BASIS BY THE BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. COMPLETED FORMS ARE SUBMITTED AND REVIEWED BY THE INTERNAL COMPLIANCE DEPARTMENT TO ENSURE COMPLIANCE WITH THE WRITTEN POLICY. ANY QUESTIONS OR ULTIMATE ENFORCEMENT WOULD BE HANDLED BY THE COMPLIANCE DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15UCHEALTH CONTRACTS WITH SULLIVAN COTTER FOR EXECUTIVE COMPENSATION CONSULTING SERVICES. ON OUR BEHALF, THE SULLIVAN COTTER COLLECTS AND REVIEWS COMPENSATION LEVELS FROM LIKE ORGANIZATIONS FOR LIKE JOBS AND PROVIDES UCHEALTH WITH THE COMPARATIVE MARKET DATA. THE DATA IS SUBMITTED TO THE CHIEF HUMAN RESOURCES OFFICER WHO ADVISES THE SYSTEM PRESIDENT AND CEO ON COMPENSATION DECISIONS FOR SENIOR EXECUTIVES. BASED ON THE MARKET DATA, THE SYSTEM PRESIDENT AND CEO DETERMINE THE SALARY OF THE ENTITY CEO'S COMPENSATION ANNUALLY. OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE REVIEWED ANNUALLY BY AN INTERNAL HUMAN RESOURCES COMPENSATION TEAM. PUBLISHED COMPENSATION REPORTS ARE UTILIZED TO COMPARE INCUMBENT PAY TO COMPARABLE ROLES IN LIKE-SIZED ORGANIZATIONS. THE DATA IS REVIEWED WITH THE CHIEF HUMAN RESOURCES OFFICER EACH YEAR AND RECOMMENDATIONS FOR CHANGES ARE INCLUDED IN THE FOLLOWING YEARS' BUDGET PLANNING PROCESS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC BASED ON THE BUSINESS PURPOSE FOR THE REQUEST. THESE REQUESTS ARE ADDRESSED BY THE SENIOR MANAGEMENT TEAM ON A CASE BY CASE BASIS.
FORM 990, PART XI, LINE 9:BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS 934,658. PY INCREASE IN SALARY LIABILITY, CHANGED IN CURRENT YEAR -397,863. PRIOR YEAR LAKOTA LAKE EQUITY TRUE UP 56.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1LAKOTA LAKE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12315 E HARMONY RD STE 200AddressLine1Txt
CityFORT COLLINSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80528ZIPCd
FieldValueIRS element (for citing)
EIN841447761EIN
Primary ActivitiesOUTPATIENTPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Total Income$2,956,095TotalIncomeAmt
End Of Year Assets$54,057,463EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PVHC INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MEDICAL CENTER OF THE ROCKIES
2315 E HARMONY RD STE 200FORT COLLINSCO80528043730045TERTIARY CARECO501(C)(3)LINE 3PVHC INCYes (1)
UCHEALTH NORTHERN COLORADO FOUNDATION
2315 E HARMONY RD STE 200FORT COLLINSCO80528741894581BENEFIT HEALTHCO501(C)(3)LINE 7PVHC INCYes (1)
POUDRE VALLEY MEDICAL GROUP
2315 E HARMONY RD STE 200FORT COLLINSCO80528800348943MEDICAL SERVICESCO501(C)(3)LINE 10PVH INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
HARMONY SURGERY CENTER
2127 E HARMONY RD 200FORT COLLINSCO80528841479751AMBULATORY SURGCON/ARELATED$3,593,769$7,198,541000.50000
GATEWAY MEDICAL SERVICES
2500 E PROSPECT RDFORT COLLINSCO80525841427970REAL EST/MEDCON/AUNRELATED$383,440$4,800,691000.50000
HARMONY IMAGING CENTER
1951 WILMINGTON DRIVEFORT COLLINSCO80528582479187MEDICAL IMAGINGCON/ARELATED$323,091$4,096,853000.60000
SURGERY CENTER OF FORT COLLINS
1100 E PROSPECT ROADFORT COLLINSCO80525841541559SURGICAL PROCCON/AUNRELATED000.26000
PVHS-ICM EHW
2315 E HARMONY RD STE 200FORT COLLINSCO80528463311308MEDICAL SERVICESCON/ARELATED$243,758$746,130000.50000
PEAK SURGICAL MANAGEMENT
2127 E HARMONY RD 200FORT COLLINSCO80528260899618SURGICAL MGMTCON/AUNRELATED$206,743$83,550000.06760
OCR LOVELAND
2500 E PROSPECT RDFORT COLLINSCO80525301069701AMBULATORY SURGCON/ARELATED$2,978,102$1,093,972000.50000
OCR FT COLLINS
2500 E PROSPECT RDFORT COLLINSCO80525611896214AMBULATORY SURGCON/ARELATED$1,378,106$688,150000.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1INNOVATION ENTERPRISESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12315 E HARMONY RD STE 200AddressLine1Txt
CityFORT COLLINSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80528ZIPCd
FieldValueIRS element (for citing)
EIN202036774EIN
Primary ActivitiesIT CONSULTINGPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PVHCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$5,301ShareOfTotalIncomeAmt
Share Of EOY Assets$163,657ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (23 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
INNOVATION ENTERPRISES
A$69,609TRANSACTION TOTAL
INNOVATION ENTERPRISES
A$226,495TRANSACTION TOTAL
HARMONY SURGERY CENTER
A$964,637TRANSACTION TOTAL
HARMONY IMAGING CENTER
A$427,715TRANSACTION TOTAL
HARMONY IMAGING CENTER
B$455,910TRANSACTION TOTAL
PVHS-ICM EHW
B$490,003TRANSACTION TOTAL
UCHEALTH NORTHERN FOUNDATION
B$629,461TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
B$65,186,778TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
H$596,142TRANSACTION TOTAL
INNOVATION ENTERPRISES
J$70,767TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
J$395,106TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
L$13,704,271TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
L$2,649,308TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
M$5,314,763TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
N$1,620,288TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
N$224,893TRANSACTION TOTAL
HARMONY SURGERY CENTER
Q$769,715TRANSACTION TOTAL
HARMONY IMAGING CENTER
Q$364,524TRANSACTION TOTAL
HARMONY SURGERY CENTER
S$2,962,500TRANSACTION TOTAL
OCR LOVELAND
S$1,877,067TRANSACTION TOTAL
OCR FT COLLINS
S$1,948,666TRANSACTION TOTAL
GATEWAY MEDICAL SERVICES
S$350,432TRANSACTION TOTAL
UCHEALTH NORTHERN FOUNDATION
C$5,797,092TRANSACTION TOTAL