POUDRE VALLEY HEALTH CARE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: POUDRE VALLEY HEALTH CARE INC (EIN 84-1262971)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-15
IRS object ID: 202341359349319894
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-15T20:21:30-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	8181 E TUFTS AVE SUITE 600	AddressLine1Txt
City	DENVER	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80237	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	841262971	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	POUDRE VALLEY HEALTH CARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	POUD	BusinessNameControlTxt
Phone	9702377000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY ROAD 200	AddressLine1Txt
City	FORT COLLINS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80528	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID THOMPSON	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	9702377000	PhoneNum
Signature	2023-05-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DAVID	PersonFirstNm
Person Last	THOMPSON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY CIMINELLO	PreparerPersonNm
PTIN	P00796388	PTIN
Phone	3037409400	PhoneNum
Preparation	2023-05-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KEVIN UNGER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY RD 200	AddressLine1Txt
City	FT COLLINS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80528	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,241,188,495	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UCHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	WE IMPROVE LIVES THROUGH LEARNING, HEALING, DISCOVERY, AND THROUGH HUMAN CONNECTION.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	5302	TotalEmployeeCnt
Total Volunteers	129	TotalVolunteersCnt
Total Gross UBI	$2,237,990	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$346,948	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$35,354,406	PYContributionsGrantsAmt
CY Contributions Grants	$5,650,691	CYContributionsGrantsAmt
PY Program Service Revenue	$703,079,318	PYProgramServiceRevenueAmt
CY Program Service Revenue	$751,173,507	CYProgramServiceRevenueAmt
PY Investment Income	$271,879,544	PYInvestmentIncomeAmt
CY Investment Income	$101,884,971	CYInvestmentIncomeAmt
PY Other Revenue	$15,035,512	PYOtherRevenueAmt
CY Other Revenue	$5,643,443	CYOtherRevenueAmt
PY Total Revenue	$1,025,348,780	PYTotalRevenueAmt
CY Total Revenue	$864,352,612	CYTotalRevenueAmt
PY Grants And Similar Paid	$44,108,673	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$47,277,350	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$262,418,225	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$299,023,140	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$313,884,595	PYOtherExpensesAmt
CY Other Expenses	$351,323,088	CYOtherExpensesAmt
PY Total Expenses	$620,411,493	PYTotalExpensesAmt
CY Total Expenses	$697,623,578	CYTotalExpensesAmt
PY Revenues Less Expenses	$404,937,287	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$166,729,034	CYRevenuesLessExpensesAmt
Total Assets BOY	$9,383,080,918	TotalAssetsBOYAmt
Total Assets EOY	$9,385,047,111	TotalAssetsEOYAmt
Total Liabilities BOY	$6,609,612,931	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,712,461,190	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,773,467,987	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,672,585,921	NetAssetsOrFundBalancesEOYAmt
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$618,355,542	ExpenseAmt
Grant	$47,277,350	GrantAmt
Revenue	$751,407,783	RevenueAmt
Desc	POUDRE 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 2022, PVHC RECORDED 68,444 PATIENT DAYS, 12,824 INPATIENT ADMISSIONS, 4,059 OBSERVATION PATIENTS ADMISSIONS, 554,013 OUTPATIENT VISITS, 71,858 EMERGENCY VISITS, 1,829 DELIVERIES, 2,209 INPATIENT SURGERIES, 5,447 OUTPATIENT SURGERIES.	Desc
Total Program Service Expenses	$618,355,542	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	230	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5302	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAVID THOMPSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9702377000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY ROAD SUITE 200	AddressLine1Txt
City	FORT COLLINS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80528	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KEVIN UNGER
CEO	22.00	26.00	Yes (X)	Yes (X)	$442,355	$520,621	$33,143
CHRISTINE CHIN
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
LISA CLAY
VICE CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
MIKE DELLENBACH
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
DOUG ERION
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
DENNIS HOUSKA
BOARD CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
CELESTE KLING
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
CHRIS OSBORN
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
JIM PARKE
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
DAN STROH
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
MICHELLE ALBRIGHT
SECRETARY	23.00	27.00		Yes (X)	$34,421	$40,511	$16,284
DAVID THOMPSON
CFO	22.00	25.00		Yes (X)	$238,229	$280,381	$31,089
GEORGE BOST
DIRECTOR LABORATORY	30.00	20.00			$120,268	$83,241	$21,155	Yes (X)
ASHLEY BRUNING
CHIEF NURSING OFFICER	44.00				$217,412	$0	$82,487	Yes (X)
ANDREW HARMON
DIRECTOR OF PHARM	30.00	20.00			$138,662	$95,972	$82,825	Yes (X)
GRACE KOWALYSHYN-TAYLOR
VP OPERATIONS	23.00	27.00			$164,684	$193,821	$38,768	Yes (X)
WILLIAM NEFF
CMO	11.00	17.00			$514,080	$386,381	$17,473	Yes (X)
JULIE NUNLEY
CHIEF NURSING OFFICER, LEFT 8/2021	50.00				$191,713	$0	$14,605	Yes (X)
RYAN ROHMAN
CHIEF OPERATING OFFICER	23.00	27.00			$194,350	$228,737	$12,848	Yes (X)
ANGELICA THIEL
DIRECTOR OF IMAGING	23.00	27.00			$83,666	$97,978	$33,127	Yes (X)
JILLIAN BUSCH
PSYCHIATRIST	50.00				$362,306	$0	$52,622		Yes (X)
HERMANN MORENO
PSYCHIATRIST	50.00				$396,871	$0	$33,939		Yes (X)
DAVID SEHR
MEDICAL DIRECTOR MTN CREST	50.00				$390,112	$0	$36,849		Yes (X)
KENNETH WATANABE
MEDICAL DIRECTOR MTN CREST	50.00				$409,273	$0	$36,857		Yes (X)
JANELL WOZNIAK
PROGRAM DIRECTOR FMC	50.00				$361,278	$0	$31,866		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,259,680	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,927,643	TotReportableCompRltdOrgAmt
Total Other Compensation	$575,937	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	386	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ALLIED BARTON SECURITY
PO BOX 31001-2374	PASADENA	CA	91110	SECURITY	$4,140,375
NORTHERN COLORADO HOSPITALISTS
2121 E HARMONY RD STE 300	FORT COLLINS	CO	80528	MEDICAL	$3,595,595
NORTHERN COLORADO ANESTHESIA
1236 E ELIZABETH ST STE 1	FORT COLLINS	CO	80524	MEDICAL	$3,145,676
ORTHOPAEDIC & SPINE CENTER OF THE ROCKIE
2500 E PROSPECT RD	FORT COLLINS	CO	80525	MEDICAL	$2,670,635
LAB LOGISTICS
PO BOX 84938	CHICAGO	IL	60689	COURIER	$2,216,966

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	51	CntrctRcvdGreaterThan100KCnt
Related Organizations	$614,484	RelatedOrganizationsAmt
Government Grants	$3,853,074	GovernmentGrantsAmt
All Other Contributions	$1,183,133	AllOtherContributionsAmt
Noncash Contributions	$326,939	NoncashContributionsAmt
Total Contributions	$5,650,691	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SVC REV	900099	$706,209,526	$706,209,526
PROVIDER FEE INCOME	621400	$26,146,854	$26,146,854
LAB SERVICES	621400	$9,865,546	$9,865,546
JOINT VENTURE	621400	$4,419,204	$2,511,052	$1,908,152
RENT INCOME - AFFILIAT	900099	$2,408,483	$2,408,483

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,123,894	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$5,414	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$40,264	UnrelatedBusinessRevenueAmt
Exclusion	$2,089,044	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$751,173,507	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,524,006	TotalRevenueColumnAmt
Exclusion	$42,524,006	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,525,497	RealAmt
Personal	$6,612	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,252,362	RealAmt
Personal	$6,612	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,273,135	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,273,135	TotalRevenueColumnAmt
Unrelated Business Revenue	$289,574	UnrelatedBusinessRevenueAmt
Exclusion	$983,561	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,433,421,657	SecuritiesAmt
Other	$1,388,161	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,375,448,853	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$57,972,804	SecuritiesAmt
Other	$1,388,161	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$59,360,965	TotalRevenueColumnAmt
Exclusion	$59,360,965	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$226,628	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$128,056	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$98,572	TotalRevenueColumnAmt
Exclusion	$98,572	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER REVENUE	Desc
Business	621400	BusinessCd
Total Revenue Column	$4,271,736	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,271,736	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,271,736	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$864,352,612	TotalRevenueColumnAmt
Related Or Exempt Func Income	$751,407,783	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,237,990	UnrelatedBusinessRevenueAmt
Exclusion	$105,056,148	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$47,277,350	TotalAmt
Program Services	$47,277,350	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,711,625	TotalAmt
Program Services	$3,094,889	ProgramServicesAmt
Management And General	$1,616,736	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$231,739,521	TotalAmt
Program Services	$195,413,793	ProgramServicesAmt
Management And General	$36,325,728	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$20,861,686	TotalAmt
Program Services	$17,585,962	ProgramServicesAmt
Management And General	$3,275,724	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,678,252	TotalAmt
Program Services	$32,604,951	ProgramServicesAmt
Management And General	$6,073,301	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,032,056	TotalAmt
Program Services	$2,555,959	ProgramServicesAmt
Management And General	$476,097	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$457,631	TotalAmt
Management And General	$457,631	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$60,272	TotalAmt
Management And General	$60,272	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$41,446	TotalAmt
Management And General	$41,446	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,297,225	TotalAmt
Management And General	$3,297,225	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$41,295,507	TotalAmt
Program Services	$29,414,068	ProgramServicesAmt
Management And General	$11,881,439	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,814,095	TotalAmt
Program Services	$2,776,996	ProgramServicesAmt
Management And General	$37,099	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,645,075	TotalAmt
Program Services	$6,224,878	ProgramServicesAmt
Management And General	$420,197	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,462,040	TotalAmt
Program Services	$8,460,728	ProgramServicesAmt
Management And General	$1,001,312	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,126,613	TotalAmt
Program Services	$3,478,648	ProgramServicesAmt
Management And General	$647,965	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$997,162	TotalAmt
Program Services	$888,555	ProgramServicesAmt
Management And General	$108,607	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$552,536	TotalAmt
Program Services	$193,852	ProgramServicesAmt
Management And General	$358,684	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,659,324	TotalAmt
Program Services	$2,631,931	ProgramServicesAmt
Management And General	$27,393	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$29,270,824	TotalAmt
Program Services	$21,224,638	ProgramServicesAmt
Management And General	$8,046,186	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,278,644	TotalAmt
Program Services	$1,152,987	ProgramServicesAmt
Management And General	$125,657	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$167,469,639	$167,313,598	$156,041
PROVIDER FEE EXPENSE	$37,541,705	$37,541,705
BAD DEBT	$24,192,545	$24,192,545
UBIT TAXES	$945,000		$945,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,215,805	TotalAmt
Program Services	$14,327,509	ProgramServicesAmt
Management And General	$3,888,296	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$697,623,578	TotalAmt
Program Services	$618,355,542	ProgramServicesAmt
Management And General	$79,268,036	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$193,420,646	BOYAmt
EOY	$93,622,713	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,316,787	BOYAmt
EOY	$2,312,627	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$73,884,751	BOYAmt
EOY	$77,986,417	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$38,807	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,880,443	BOYAmt
EOY	$12,200,604	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,541,086	BOYAmt
EOY	$13,364,394	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$736,189,761	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$439,105,423	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$279,634,073	BOYAmt
EOY	$297,084,338	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,101,114,564	BOYAmt
EOY	$1,817,759,288	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$30,587,656	BOYAmt
EOY	$46,727,749	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,676,662,105	BOYAmt
EOY	$7,023,988,981	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,383,080,918	BOYAmt
EOY	$9,385,047,111	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$167,030,320	BOYAmt
EOY	$106,670,601	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$897,697	BOYAmt
EOY	$898,152	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$157,227,700	BOYAmt
EOY	$143,542,807	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,565,321	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$37,060	BOYAmt
EOY	$37,961	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,273,854,833	BOYAmt
EOY	$6,461,311,669	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,609,612,931	BOYAmt
EOY	$6,712,461,190	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,773,467,987	BOYAmt
EOY	$2,672,585,921	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,773,467,987	BOYAmt
EOY	$2,672,585,921	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,383,080,918	BOYAmt
EOY	$9,385,047,111	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$166,729,034	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$332,975,629	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$65,364,529	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$18,064	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$23,382	OtherActivitiesAmt
Total Lobbying Expenditures	$41,446	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PORTION OF DUES FROM MEMBERSHIP IN CHA AND AHA THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,552,046	BeginningYearBalanceAmt
Contributions	$76,521	ContributionsAmt
Investment Earnings Or Losses	$186,928	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$28,707	GrantsOrScholarshipsAmt
Other Expenditures	$55,954	OtherExpendituresAmt
Administrative Expenses	$34,791	AdministrativeExpensesAmt
End Year Balance	$7,696,043	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,528,946	BeginningYearBalanceAmt
Contributions	$61,289	ContributionsAmt
Investment Earnings Or Losses	$260,065	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$33,759	GrantsOrScholarshipsAmt
Other Expenditures	$234,908	OtherExpendituresAmt
Administrative Expenses	$29,587	AdministrativeExpensesAmt
End Year Balance	$7,552,046	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,098,243	BeginningYearBalanceAmt
Contributions	$34,394	ContributionsAmt
Investment Earnings Or Losses	$536,004	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,257	GrantsOrScholarshipsAmt
Other Expenditures	$100,183	OtherExpendituresAmt
Administrative Expenses	$35,255	AdministrativeExpensesAmt
End Year Balance	$7,528,946	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.06090	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.90280	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.03630	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,004,543	OtherCostOrOtherBasisAmt
Book Value	$58,004,543	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$279,309,774	OtherCostOrOtherBasisAmt
Depreciation	$143,431,816	DepreciationAmt
Book Value	$135,877,958	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$88,372,013	OtherCostOrOtherBasisAmt
Depreciation	$79,627,335	DepreciationAmt
Book Value	$8,744,678	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$210,625,482	OtherCostOrOtherBasisAmt
Depreciation	$160,843,717	DepreciationAmt
Book Value	$49,781,765	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$99,877,949	OtherCostOrOtherBasisAmt
Depreciation	$55,202,555	DepreciationAmt
Book Value	$44,675,394	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$297,084,338	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLE	$6,976,782,818
DEFERRED PENSION OUTFLOW COSTS	$28,367,180
OTHER RECEIVABLES	$3,066,507
LEASE RECEVIABLE LT	$15,772,476

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$7,023,988,981	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$6,395,711,964
ACCRUED INTEREST PAYABLE	$768,603
OTHER DEFERRED EXPENSES	$3,248,217
PENSION LIABILITIES	$36,384,728
LEASE LIABILITY	$10,457,490
DEFERRED INFLOW OF LEASES	$14,740,667

Field	Value	IRS element (for citing)
Total Liability	$6,461,311,669	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$504,388,214	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$332,975,629	NetUnrealizedGainsInvstAmt
Other Revenue	$1,387,031	OtherRevenueAmt
Revenue Not Reported	-$331,588,598	RevenueNotReportedAmt
Revenue Subtotal	$835,976,812	RevenueSubtotalAmt
Investment Expenses Not Incld	$3,297,225	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$25,078,575	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$28,375,800	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$864,352,612	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$668,320,422	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,387,031	OtherExpensesIncludedAmt
Expenses Not Reported	$1,387,031	ExpensesNotReportedAmt
Expenses Subtotal	$666,933,391	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$3,297,225	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$27,392,962	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$30,690,187	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$697,623,578	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 1,258,975. COGS REPORTED AS EXPENSE ON AFS 128,056.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT IN AFS INCOME 24,192,545. CONTRIBUTIONS FROM FOUNDATION NOT IN AFS INCOME 287,545. RENTAL EXP AS INCOME ON 990 119,074. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 40,264. INTERCOMPANY EXPENSE ALLOCATIONS 2,753,534. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS -2,314,387.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 1,258,975. COGS REPORTED AS EXPENSE ON AFS 128,056.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT IN AFS INCOME 24,192,545. RENTAL EXP AS INCOME ON 990 119,074. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 40,264. CASH CONTRIBUTIONS FROM FOUNDATION NOT IN AFS REVENUE 287,545. INTERCOMPANY EXPENSE ALLOCATIONS 2,753,534.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,974,992	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,974,992	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$115,300,471	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,055,807	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,244,664	NetCommunityBenefitExpnsAmt
Total Expense	0.06110	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,789,653	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,110,139	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,679,514	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132,065,116	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,165,946	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,899,170	NetCommunityBenefitExpnsAmt
Total Expense	0.07090	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,826,527	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$169,021	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,657,506	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,086,393	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$907,529	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,178,864	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,787,578	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,175,740	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,611,838	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,513,425	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,194,641	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$318,784	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,154,247	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$47,154,247	NetCommunityBenefitExpnsAmt
Total Expense	0.06090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,368,170	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,446,931	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,921,239	NetCommunityBenefitExpnsAmt
Total Expense	0.07990	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$201,433,286	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,612,877	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$116,820,409	NetCommunityBenefitExpnsAmt
Total Expense	0.15080	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,208	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,208	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$131,008	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$131,008	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$134,216	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$134,216	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$23,910,728	BadDebtExpenseAmt
Reimbursed By Medicare	$150,465,883	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$184,305,195	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$33,839,312	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (8 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 HARMONY SURGERY CENTER LLC
AMBULATORY SURG	0.50000	0.50000
2 PEAK SURGICAL MANAGEMENT
MANAGEMENT SERVICES	0.14000	0.86000
3 HARMONY IMAGING CENTER LLC
MEDICAL IMAGING	0.46000	0.54000
4 SURGERY CENTER OF FORT COLLINS
AMBULATORY SURG	0.26000	0.49000
5 GATEWAY MEDICAL SERVICES
REAL ESTATE/MEDICAL EQUIPMENT	0.50000	0.50000
6 PVHS-ICM EHW LLC
MEDICAL CLINIC	0.50000	0.50000
7 OCR OF LOVELAND LLC
AMBULATORY SURG	0.50000	0.50000
8 OCR OF FT COLLINS LLC
AMBULATORY SURG	0.50000	0.50000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	POUDRE VALLEY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1024 S LEMAY	AddressLine1Txt
City	FORT COLLINS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80524	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	PHARMACY, LAB, IMAGING, BIRTH CENTER, HEART AND VASCULAR	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	POUDRE VALLEY HEALTH CARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.UCHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.UCHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.UCHEALTH.ORG/BILLING-AND-PRICING/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.UCHEALTH.ORG/BILLING-AND-PRICING/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.UCHEALTH.ORG/BILLING-AND-PRICING/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
POUDRE VALLEY HEALTH CARE	PART 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 CARE	PART 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 CARE	PART 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 CARE	PART 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.
PART V, LINE 22	JULY 1, 2021 JANUARY 31, 2022 WE USED METHODOLOGY AS INDICATED BY OPTION 'B'. BEGINNING FEBRUARY 1, 2022, AND OUR PLAN GOING FORWARD, WE USE METHODOLOGY AS INDICATED BY OPTION 'C' (INCLUSIVE OF MEDICAID).

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - UCHEALTH HARMONY CAMPUS AMBULATORY CARE
2127 E HARMONY RD	FORT COLLINS	CO	80528	SURGERY CENTER, IMAGING
2 - CENTRE AVE HEALTH AND REHAB - JV
915 CENTRE AVE	FORT COLLINS	CO	80526	REHABILITATION
3 - SURGERY CENTER OF FT COLLINS - JV
1100 E PROSPECT	FORT COLLINS	CO	80524	SURGERY CENTER
4 - COLUMBINE POUDRE HOMECARE - JV
915 CENTRE AVE	FORT COLLINS	CO	80526	HOME HEALTHCARE
5 - THE VEIN AND LASER CENTER - JV
2008 CARIBOU DR	FORT COLLINS	CO	80525	SURGERY CENTER
6 - OCR LOVELAND
3470 E 15TH STREET	LOVELAND	CO	80538	SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 = -$23,910,728
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: $129,051,057 CENTER AVE COST REPORT: $1,565,412 COLUMBINE HOMECARE COST REPORT: $1,215,079PVHC DISALLOWED PROGRAMS: $4,937,339 JOINT VENTURES: $13,588,163 TOTAL TO LINE 5: $150,357,050 PART III, LINE 6: ALLOWABLE COSTS AS REPORTED ON THE POUDRE VALLEY HEALTH CARE INC. FY22 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: $157,558,018 CENTRE AVE COST REPORT: $6,348,540 COLUMBINE HOMECARE COST REPORT: $1,766,230 PVHC DISALLOWED PROGRAMS: $3,231,081 JOINT VENTURES: $15,470,476 TOTAL TO LINE 6: $184,374,345
PART III, LINE 8:	APPROXIMATELY 31.45% 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 FUNDING TO OTHER ENTITIES THAT WORK TO IMPROVE THE HEALTH OF OUR COMMUNITY. EXAMPLES INCLUDE: DEMENTIA RESOURCES, RESOURCES FOR THOSE WITH DISABILITIES, RESOURCES FOR THOSE EXPERIENCING HOMELESSNESS, HOUSING RESOURCES OFFERING HOMELESSNESS PREVENTION AND HOMEBUYER EDUCATION; IMPROVED FOOD SECURITY FOR LOW INCOME RESIDENTS; SUICIDE PREVENTION; PROGRAMS FOR CHILDREN WHO HAVE BEEN ABUSED AND NEGLECTED; HEART HEALTH, HEALTHY EATING AND SUBSTANCE ABUSE PREVENTION EDUCATION FOR YOUTH AND YOUNG ADULTS; 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 STATES	CO

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
UCHEALTH MEDICAL GROUP
2315 E HARMONY RD 200	FORT COLLINS	CO	80528	800348943	501(C)(3)	$43,254,549	$0	SEE SCH I, PART IV
UNIVERSITY SCHOOL OF MEDICINE
13001 17TH PLACE	AURORA	CO	80045	846000555	501(C)(3)	$2,868,629	$0	SEE SCH I, PART IV
UCHEALTH NORTHERN COLORADO FOUNDATION
2315 E HARMONY RD 200	FORT COLLINS	CO	80528	741894581	501(C)(3)	$902,528	$0	SEE SCH I, PART IV
CITY OF FORT COLLINS
300 WEST LAPORTE AVE	FORT COLLINS	CO	80522	846000587	GOVERNMENT	$9,197	$0	SEE SCH I, PART IV
COLORADO NONPROFIT DEVELOPMENT CENTER
789 SHERMAN STREET SUITE 250	DENVER	CO	80203	841493585	501(C)(3)	$9,197	$0	SEE SCH I, PART IV
FRONT RANGE COMMUNITY COLLEGE FOUNDATION
3645 W 112TH AVENUE	WESTMINSTER	CO	80031	383721881	GOVERNMENT	$22,992	$0	SEE SCH I, PART IV
UNITED WAY OF LARIMER COUNTY
424 PINE ST 102	FORT COLLINS	CO	80524	846031503	501(C)(3)	$33,932	$0	SEE SCH I, PART IV
AMERICAN CANCER SOCIETY
3380 CHASTAIN MEADOWS PKY 200	KENNESAW	GA	30144	131788491	501(C)(3)	$16,359	$0	SEE SCH I, PART IV
GREELEY PHILHARMONIC ORCHESTRA
PO BOX 1535	GREELEY	CO	80632	846031376	501(C)(3)	$6,566	$0	SEE SCH I, PART IV
UNITED WAY OF WELD COUNTY
PO BOX 1944	GREELEY	CO	80632	846011918	501(C)(3)	$14,296	$0	SEE SCH I, PART IV

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE 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

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN UNGER
CEO	$275,187	$323,876	$156,893	$184,652	$10,275	$12,093	$3,795	$4,466	$11,429	$13,453	$457,579	$538,540	$0	$0
WILLIAM NEFF
CMO	$387,165	$298,540	$120,454	$83,369	$6,461	$4,472	$0	$0	$9,824	$7,649	$523,904	$394,030	$0	$0
DAVID THOMPSON
CFO	$177,759	$209,211	$58,340	$68,663	$2,130	$2,507	$3,534	$4,160	$10,746	$12,649	$252,509	$297,190	$0	$0
KENNETH WATANABE
MEDICAL DIRECTOR MTN CREST	$311,424	$0	$46,000	$0	$51,849	$0	$8,700	$0	$28,157	$0	$446,130	$0	$0	$0
RYAN ROHMAN
CHIEF OPERATING OFFICER	$150,994	$177,710	$42,813	$50,388	$543	$639	$3,996	$4,704	$1,906	$2,242	$200,252	$235,683	$0	$0
HERMANN MORENO
PSYCHIATRIST	$325,322	$0	$12,262	$0	$59,287	$0	$8,700	$0	$25,239	$0	$430,810	$0	$0	$0
DAVID SEHR
MEDICAL DIRECTOR MTN CREST	$315,398	$0	$46,000	$0	$28,714	$0	$8,700	$0	$28,149	$0	$426,961	$0	$0	$0
JILLIAN BUSCH
PSYCHIATRIST	$332,593	$0	$9,550	$0	$20,163	$0	$27,434	$0	$25,188	$0	$414,928	$0	$0	$0
GRACE KOWALYSHYN-TAYLOR
VP OPERATIONS	$125,681	$147,918	$38,482	$45,290	$521	$613	$3,996	$4,704	$13,812	$16,256	$182,492	$214,781	$0	$0
JANELL WOZNIAK
PROGRAM DIRECTOR FMC	$312,429	$0	$47,625	$0	$1,224	$0	$8,700	$0	$23,166	$0	$393,144	$0	$0	$0
ANDREW HARMON
DIRECTOR OF PHARM	$119,360	$82,612	$18,897	$13,079	$405	$281	$13,246	$9,168	$35,702	$24,709	$187,610	$129,849	$0	$0
ASHLEY BRUNING
CHIEF NURSING OFFICER	$175,576	$0	$31,122	$0	$10,714	$0	$20,728	$0	$61,759	$0	$299,899	$0	$0	$0
GEORGE BOST
DIRECTOR LABORATORY	$100,196	$69,348	$15,679	$10,852	$4,393	$3,041	$7,769	$5,377	$4,733	$3,276	$132,770	$91,894	$0	$0
ANGELICA THIEL
DIRECTOR OF IMAGING	$69,241	$81,086	$11,344	$13,284	$3,081	$3,608	$2,628	$3,077	$12,631	$14,791	$98,925	$115,846	$0	$0
JULIE NUNLEY
CHIEF NURSING OFFICER, LEFT 8/2021	$164,332	$0	$0	$0	$27,381	$0	$5,759	$0	$8,846	$0	$206,318	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

GROSS-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 7

THE 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 ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2018 SERIES A
A	841179794	914183BH0	2018-07-26	$45,915,000	REFUNDING 2005A BONDS	0	0	0
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2018 SERIES B
B	841179794	914183BJ6	2018-07-26	$24,374,400	REFUNDING 2005B BONDS	0	0	0
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2017 SERIES A
C	841179794	914183BB3	2017-02-16	$43,493,450	REFUNDING 2015A BONDS	0	0	0
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2017 SERIES B1B2
D	841179794	914183BC1	2017-02-16	$57,125,000	REFUNDING 2015BC BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	RetiredRetiredAmt
A	$45,915,000	$318,692	$45,596,308	2018	Yes (1)	Yes (1)	Yes (1)
B	$24,374,400	$169,360	$24,205,040	2018	Yes (1)	Yes (1)	Yes (1)
C	$43,493,450	$213,070	$43,280,353	2017	Yes (1)	Yes (1)	Yes (1)	$27
D	$23,730,000	$276,146	$23,453,853	2017	Yes (1)	Yes (1)	Yes (1)		$33,395,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
CITI
A	0	Yes (1)	0	0	Yes (1)	Yes (1)	21.500000000000	0	0	0	0	Yes (1)
CITI
B	0	Yes (1)	0	0	Yes (1)	Yes (1)	21.500000000000	0	0	0	0	Yes (1)
CITI
C	0	Yes (1)	0	0	0	Yes (1)	10.000000000000	0	0	0	0	Yes (1)
(no name)
D	0	Yes (1)	0	0	Yes (1)	0				0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2017 SERIES C2
A	841179794	914183AZ1	2017-02-16	$7,296,822	NEW CONSTRUCTION ON PVH	0	0	0
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2019 SERIES C
B	841179794	914183BP2	2019-10-30	$6,631,618	REFUNDING 2017C1 BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$7,296,822	$62,956	$7,233,866	2017	0	0	Yes (1)	Yes (1)
B		$42,642		2019	Yes (1)	0	Yes (1)	Yes (1)	$6,631,618	$6,588,976

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)	Yes (1)	0	Yes (1)	0	0	0	Yes (1)
B	0	Yes (1)	Yes (1)	0	Yes (1)	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	0	0	0	0	Yes (1)
B	0	Yes (1)	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MEDICAL EQUIPMENT AND FACILITY UPGRADES	Desc
Contribution	16	ContributionCnt
Noncash Contributions Rpt F990	$326,939	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6	POUDRE VALLEY HOSPITAL (PVH) HAD 129 ACTIVE VOLUNTEERS IN FISCAL YEAR 2022. THESE VOLUNTEERS PROVIDED OVER 36,500 HOURS OF SERVICE DURING THE YEAR. AT PVH, IN A NORMAL YEAR, 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. DURING THE COVID-19 PANDEMIC THE VOLUNTEER PROGRAM HAS BEEN FORCED TO TEMPORARILY REDUCE OPPORTUNITIES. THE ORGANIZATION HAS THE INTENT TO RESTART THE VOLUNTEER PROGRAM AT THE CONCLUSION OF THE PANDEMIC.
FORM 990, PART VI, SECTION B, LINE 11B	THE 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 12C	THE 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 15	UCHEALTH CONTRACTS WITH SULLIVAN COTTER FOR SENIOR 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 19	GOVERNING 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:	MCR DISTRIBUTIONS TO PVH 59,772,650. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS 2,314,387. GASB 87 LEASE ADOPTION 3,277,492.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
TIMBERLINE MEDICAL CLINIC
131 STANLEY AVE	ESTES PARK	CO	80517	043772090	OUTPATIENT	CO	$0	-$16,785	PVHC INC
LAKOTA LAKE LLC
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	841447761	OUTPATIENT	CO	$494,028	$50,922,349	PVHC INC
HERON LAKE LLC
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	264189163	OUTPATIENT	CO	$0	$657,338	PVHC INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MEDICAL CENTER OF THE ROCKIES
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	043730045	TERTIARY CARE	CO	501(C)(3)	LINE 3	PVHC INC	Yes (1)
UCHEALTH NORTHERN COLORADO FOUNDATION
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	741894581	BENEFIT HEALTH	CO	501(C)(3)	LINE 7	PVHC INC	Yes (1)
POUDRE VALLEY MEDICAL GROUP
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	800348943	MEDICAL SERVICES	CO	501(C)(3)	LINE 10	PVH INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HARMONY SURGERY CENTER
2127 E HARMONY RD 200	FT COLLINS	CO	80528	841479751	AMBULATORY SURGERY	CO	N/A	RELATED	$3,059,837	$2,666,158	0	0	0.50000
CENTRE AVENUE HEALTH & REHAB FACILITY
947 WORTHINGTON CIRCLE	FT COLLINS	CO	80526	841560494	NURSING FACILITY	CO	N/A	RELATED	-$1,069,253	$773,874	0	0	0.50000
COLUMBINE POUDRE HOME CARE
947 WORTHINGTON CIRCLE	FT COLLINS	CO	80526	841529817	NURSING CARE	CO	N/A	RELATED	-$42,459	$598,818	0	0	0.50000
GATEWAY MEDICAL SERVICES
2500 E PROSPECT RD	FT COLLINS	CO	80525	841427970	REAL EST/MED	CO	N/A	UNRELATED	$966,709	$4,760,661	0	0	0.50000
HARMONY IMAGING CENTER
1951 WILMINGTON DRIVE	FT COLLINS	CO	80528	582479187	MEDICAL IMAGING	CO	N/A	RELATED	$316,002	$2,143,589	0	0	0.46000
SURGERY CENTER OF FORT COLLINS
1100 E PROSPECT ROAD	FT COLLINS	CO	80525	841541559	SURGICAL PROC	CO	N/A	UNRELATED	$246,890	$710,490	0	0	0.26000
OCR LOVELAND
2500 E PROSPECT RD	FT COLLINS	CO	80525	301069701	REAL EST/MED	CO	N/A	UNRELATED	$1,871,889	$30,307,901	0	0	0.50000
PVHS-ICM EHW
2315 E HARMONY RD STE 200	FT COLLINS	CO	80528	463311308	MEDICAL SERVICES	CO	N/A	RELATED	$53,369	$194,332	0	0	0.50000
PEAK SURGICAL MANAGEMENT
2127 E HARMONY RD 200	FT COLLINS	CO	80528	260899618	SURGICAL MGMT	CO	N/A	UNRELATED	$164,294	$97,217	0	0	0.07040
OCR FT COLLINS
2500 E PROSPECT RD	FT COLLINS	CO	80525		REAL EST/MED	CO	N/A	UNRELATED	-$80,769	$2,936,760	0	0	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	INNOVATION ENTERPRISES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY RD STE 200	AddressLine1Txt
City	FORT COLLINS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80528	ZIPCd

Field	Value	IRS element (for citing)
EIN	202036774	EIN
Primary Activities	IT CONSULTING	PrimaryActivitiesTxt
Legal Domicile State	CO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PVHC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	-$12,601	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,653,074	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (19 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
INNOVATION ENTERPRISES
A	$393,282	TRANSACTION TOTAL
HARMONY SURGERY CENTER
A	$909,262	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
B	$43,254,549	TRANSACTION TOTAL
OCR LOVELAND
B	$15,444,600	TRANSACTION TOTAL
CENTRE AVE HEALTH & REHAB LLC
B	$850,000	TRANSACTION TOTAL
UCHEALTH NORTHERN COLORADO FOUNDATION
B	$902,528	TRANSACTION TOTAL
UCHEALTH NORTHERN COLORADO FOUNDATION
C	$481,382	TRANSACTION TOTAL
INNOVATION ENTERPRISES
J	$127,517	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
J	$2,709,824	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
L	$4,836,769	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
L	$10,812,210	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
M	$5,317,514	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
N	$2,032,697	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
N	$1,418,154	TRANSACTION TOTAL
HARMONY SURGERY CENTER
Q	$651,709	TRANSACTION TOTAL
GATEWAY MEDICAL SERVICES
S	$840,000	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
S	$59,772,650	TRANSACTION TOTAL
HARMONY SURGERY CENTER
S	$2,800,000	TRANSACTION TOTAL
OCR LOVELAND
S	$2,661,551	TRANSACTION TOTAL