POUDRE VALLEY HEALTH CARE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: POUDRE VALLEY HEALTH CARE INC (EIN 84-1262971)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2023-06-23
IRS object ID: 202341749349300814
Schema version: 2020v4.2
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	2023-06-23T10:56:34-05:00	ReturnTs
Tax Period End	2021-06-30	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	2020-07-01	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 NO 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	2023-06-21	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	RYAN C HARRIS	PreparerPersonNm
PTIN	P00614618	PTIN
Phone	3037409400	PhoneNum
Preparation	2023-06-21	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd
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	$2,615,121,193	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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	4266	TotalEmployeeCnt
Total Volunteers	78	TotalVolunteersCnt
Total Gross UBI	$1,738,395	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,018,210	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$16,035,676	PYContributionsGrantsAmt
CY Contributions Grants	$35,354,406	CYContributionsGrantsAmt
PY Program Service Revenue	$666,720,548	PYProgramServiceRevenueAmt
CY Program Service Revenue	$703,079,318	CYProgramServiceRevenueAmt
PY Investment Income	$79,358,572	PYInvestmentIncomeAmt
CY Investment Income	$271,879,544	CYInvestmentIncomeAmt
PY Other Revenue	$10,963,095	PYOtherRevenueAmt
CY Other Revenue	$15,035,512	CYOtherRevenueAmt
PY Total Revenue	$773,077,891	PYTotalRevenueAmt
CY Total Revenue	$1,025,348,780	CYTotalRevenueAmt
PY Grants And Similar Paid	$43,827,300	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$44,108,673	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$254,274,947	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$262,418,225	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$293,586,946	PYOtherExpensesAmt
CY Other Expenses	$313,884,595	CYOtherExpensesAmt
PY Total Expenses	$591,689,193	PYTotalExpensesAmt
CY Total Expenses	$620,411,493	CYTotalExpensesAmt
PY Revenues Less Expenses	$181,388,698	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$404,937,287	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,208,338,177	TotalAssetsBOYAmt
Total Assets EOY	$9,383,080,918	TotalAssetsEOYAmt
Total Liabilities BOY	$6,044,794,608	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$6,609,612,931	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,163,543,569	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,773,467,987	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	$549,924,091	ExpenseAmt
Grant	$44,108,673	GrantAmt
Revenue	$700,940,912	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 2021, PVHC RECORDED 65,957 PATIENT DAYS, 12,801 INPATIENT ADMISSIONS, 3,451 OBSERVATION PATIENTS ADMISSIONS, 304,053 OUTPATIENT VISITS, 60,274 EMERGENCY VISITS, 1,695 DELIVERIES, 2,697 INPATIENT SURGERIES, 5,238 OUTPATIENT SURGERIES AND 104,724 COVID-19 VACCINES ADMINISTERED.	Desc
Total Program Service Expenses	$549,924,091	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	189	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4266	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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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 (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTINE CHIN
DIRECTOR	1.00	2.00	Yes (X)	$99	$0	$0
LISA CLAY
VICE CHAIR	1.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
MIKE DELLENBACH
DIRECTOR	1.00	2.00	Yes (X)	$29	$0	$0
DOUG ERION
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
DENNIS HOUSKA
BOARD CHAIR	1.00	2.00	Yes (X)	$80	$0	$0	Yes (X)
CELESTE KLING
DIRECTOR	1.00	2.00	Yes (X)	$0	$0	$0
STEPHANIE LOCKWOOD
DIRECTOR	1.00	2.00	Yes (X)	$10	$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)	$80	$0	$0
KEVIN UNGER
CEO	19.00	24.00	Yes (X)	$330,181	$434,273	$107,919	Yes (X)
MICHELLE ALBRIGHT
SECRETARY	40.00			$70,951	$0	$20,415	Yes (X)
DAVID THOMPSON
CFO/TREASURER	18.00	24.00		$182,072	$239,471	$54,958	Yes (X)
DIANA BREYER
CHIEF QUALITY OFFICER	19.00	31.00		$206,291	$348,928	$43,558		Yes (X)
ASHLEY BRUNING
SENIOR CLINICAL DIRECTOR	29.00	21.00		$121,984	$85,247	$46,293		Yes (X)
ANDREW HARMON
DIR PHARMACY SERVICES	29.00	21.00		$113,834	$79,550	$44,967		Yes (X)
GRACE KOWALSHYN-TAYLOR
VP OPERATIONS	22.00	28.00		$141,806	$186,512	$59,441		Yes (X)
WILLIAM NEFF
CHIEF MEDICAL OFFICER	16.00	12.00		$311,209	$217,483	$37,099		Yes (X)
JULIE NUNLEY
CHIEF NURSING OFFICER	50.00			$287,441	$0	$38,140		Yes (X)
RYAN ROHMAN
CHIEF OPERATING OFFICER	22.00	28.00		$152,349	$200,378	$34,188		Yes (X)
ROBERT WAGNER
MEDICAL DIRECTOR	22.00	28.00		$96,981	$126,941	$41,764		Yes (X)
JOSEPH GOTTFRIED
PSYCHIATRIST	50.00			$313,519	$0	$55,931			Yes (X)
HERMANN MORENO
PSYCHIATRIST	50.00			$318,462	$0	$51,763			Yes (X)
DAVID SEHR
MEDICAL DIRECTOR	50.00			$345,072	$0	$53,938			Yes (X)
KENNETH WATANABE
MEDICAL DIRECTOR	50.00			$359,317	$0	$54,068			Yes (X)
JANELL WOZNIAK
PROGRAM DIRECTOR	50.00			$340,957	$0	$47,960			Yes (X)
THOMAS DOWNES
CHIEF MEDICAL OFFICER	25.00	18.00		$238,485	$166,662	$29,184				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,931,209	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,085,445	TotReportableCompRltdOrgAmt
Total Other Compensation	$821,586	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	256	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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
NORTHERN COLORADO ANESTHESIA
1236 E ELIZABETH ST STE 1	FORT COLLINS	CO	80524	MEDICAL	$3,765,155
ALLIED BARTON SECURITY
PO BOX 31001-2374	PASADENA	CA	91110	SECURITY	$3,000,079
NORTHERN COLORADO HOSPITALISTS
2121 E HARMONY RD STE 300	FORT COLLINS	CO	80528	MEDICAL	$2,872,418
ORTHOPAEDIC & SPINE CENTER OF THE ROCKIE
2500 E PROSPECT RD	FORT COLLINS	CO	80525	MEDICAL	$2,739,539
FORT COLLINS WOMEN'S CLINIC
1107 S LEMAY AVE STE 300	FORT COLLINS	CO	80524	MEDICAL	$1,997,262

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	50	CntrctRcvdGreaterThan100KCnt
Related Organizations	$362,212	RelatedOrganizationsAmt
Government Grants	$34,037,229	GovernmentGrantsAmt
All Other Contributions	$954,965	AllOtherContributionsAmt
Noncash Contributions	$214,329	NoncashContributionsAmt
Total Contributions	$35,354,406	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SVC REV	900099	$666,764,003	$666,764,003
PROVIDER FEE INCOME	621400	$29,551,441	$29,551,441
JOINT VENTURE	621400	$2,601,693	$2,167,093	$434,600
RENT INCOME - AFFILIAT	900099	$2,469,596	$2,469,596
DIETARY SVC INCOME	900099	$1,675,656			$1,675,656

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,929	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$11,220	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$28,149	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$703,079,318	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,387,809	TotalRevenueColumnAmt
Exclusion	$34,387,809	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,589,297	RealAmt
Personal	$6,905	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,434,684	RealAmt
Personal	$6,905	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,154,613	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,154,613	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,275,646	UnrelatedBusinessRevenueAmt
Exclusion	$878,967	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,824,668,461	SecuritiesAmt
Other	$1,048,829	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,586,960,062	SecuritiesAmt
Other	$1,265,493	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$237,708,399	SecuritiesAmt
Other	-$216,664	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$237,491,735	TotalRevenueColumnAmt
Exclusion	$237,491,735	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$184,540	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$105,269	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$79,271	TotalRevenueColumnAmt
Exclusion	$79,271	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LAB SERVICES	624100	$9,947,391	$9,947,391
MISCELLANEOUS REVENUE	621400	$2,785,930	$2,785,930
EHR REVENUE	624100	$68,307	$68,307

Field	Value	IRS element (for citing)
Other Revenue Total	$12,801,628	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,025,348,780	TotalRevenueColumnAmt
Related Or Exempt Func Income	$713,742,541	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,738,395	UnrelatedBusinessRevenueAmt
Exclusion	$274,513,438	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$44,108,673	TotalAmt
Program Services	$44,108,673	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,402,312	TotalAmt
Program Services	$2,896,405	ProgramServicesAmt
Management And General	$1,505,907	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$201,992,330	TotalAmt
Program Services	$168,647,258	ProgramServicesAmt
Management And General	$33,345,072	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,767,268	TotalAmt
Program Services	$12,329,568	ProgramServicesAmt
Management And General	$2,437,700	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,700,190	TotalAmt
Program Services	$32,311,775	ProgramServicesAmt
Management And General	$6,388,415	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,556,125	TotalAmt
Program Services	$2,134,174	ProgramServicesAmt
Management And General	$421,951	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$309,509	TotalAmt
Program Services	$1,674	ProgramServicesAmt
Management And General	$307,835	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$56,924	TotalAmt
Management And General	$56,924	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$34,086	TotalAmt
Management And General	$34,086	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,044,110	TotalAmt
Management And General	$3,044,110	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,476,817	TotalAmt
Program Services	$24,203,173	ProgramServicesAmt
Management And General	$7,273,644	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,118,873	TotalAmt
Program Services	$2,064,806	ProgramServicesAmt
Management And General	$54,067	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,271,299	TotalAmt
Program Services	$4,919,992	ProgramServicesAmt
Management And General	$351,307	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,863,432	TotalAmt
Program Services	$8,063,576	ProgramServicesAmt
Management And General	$799,856	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,460,408	TotalAmt
Program Services	$2,889,183	ProgramServicesAmt
Management And General	$571,225	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$588,236	TotalAmt
Program Services	$525,106	ProgramServicesAmt
Management And General	$63,130	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$222,989	TotalAmt
Program Services	$67,712	ProgramServicesAmt
Management And General	$155,277	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,438,153	TotalAmt
Program Services	$3,438,153	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,687,443	TotalAmt
Program Services	$20,996,023	ProgramServicesAmt
Management And General	$3,691,420	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,059,742	TotalAmt
Program Services	$886,751	ProgramServicesAmt
Management And General	$172,991	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$146,357,691	$145,351,932	$1,005,759
PROVIDER FEE EXPENSE	$34,326,236	$34,326,236
BAD DEBT	$24,501,063	$24,501,063
UBIT TAXES	$1,135,000		$1,135,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,932,584	TotalAmt
Program Services	$15,260,858	ProgramServicesAmt
Management And General	$7,671,726	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$620,411,493	TotalAmt
Program Services	$549,924,091	ProgramServicesAmt
Management And General	$70,487,402	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$325,230,320	BOYAmt
EOY	$193,420,646	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,322,230	BOYAmt
EOY	$2,316,787	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$67,322,566	BOYAmt
EOY	$73,884,751	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,605,724	BOYAmt
EOY	$12,880,443	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,279,967	BOYAmt
EOY	$12,541,086	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$723,893,267	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$444,259,194	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$282,538,685	BOYAmt
EOY	$279,634,073	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,416,743,053	BOYAmt
EOY	$2,101,114,564	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$26,914,617	BOYAmt
EOY	$30,587,656	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,067,342,208	BOYAmt
EOY	$6,676,662,105	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,208,338,177	BOYAmt
EOY	$9,383,080,918	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$155,316,490	BOYAmt
EOY	$167,030,320	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,638,362	BOYAmt
EOY	$897,697	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$164,523,500	BOYAmt
EOY	$157,227,700	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$12,088,598	BOYAmt
EOY	$10,565,321	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$47,076	BOYAmt
EOY	$37,060	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,711,180,582	BOYAmt
EOY	$6,273,854,833	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,044,794,608	BOYAmt
EOY	$6,609,612,931	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	$2,163,543,569	BOYAmt
EOY	$2,773,467,987	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,163,543,569	BOYAmt
EOY	$2,773,467,987	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,208,338,177	BOYAmt
EOY	$9,383,080,918	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$404,937,287	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$115,621,546	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$89,365,585	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	$15,952	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$18,134	OtherActivitiesAmt
Total Lobbying Expenditures	$34,086	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,872,466	BeginningYearBalanceAmt
Contributions	$76,668	ContributionsAmt
Investment Earnings Or Losses	$163,048	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	-$6,188	GrantsOrScholarshipsAmt
Other Expenditures	-$12,899	OtherExpendituresAmt
Administrative Expenses	$33,026	AdministrativeExpensesAmt
End Year Balance	$7,098,243	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.05360	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.78580	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16060	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	$58,504,543	OtherCostOrOtherBasisAmt
Book Value	$58,504,543	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$312,322,151	OtherCostOrOtherBasisAmt
Depreciation	$159,850,570	DepreciationAmt
Book Value	$152,471,581	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$99,864,627	OtherCostOrOtherBasisAmt
Depreciation	$86,823,873	DepreciationAmt
Book Value	$13,040,754	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$201,793,944	OtherCostOrOtherBasisAmt
Depreciation	$153,269,115	DepreciationAmt
Book Value	$48,524,829	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,408,002	OtherCostOrOtherBasisAmt
Depreciation	$44,315,636	DepreciationAmt
Book Value	$7,092,366	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$279,634,073	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLE	$6,638,347,131
DEFERRED PENSION OUTFLOW COSTS	$35,338,108
OTHER RECEIVABLES	$2,976,866

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$6,676,662,105	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$6,230,344,889
ACCRUED INTEREST PAYABLE	$438,677
OTHER DEFERRED EXPENSES	$2,854,386
PENSION LIABILITIES	$40,216,881

Field	Value	IRS element (for citing)
Total Liability	$6,273,854,833	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$1,114,602,591	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$115,621,546	NetUnrealizedGainsInvstAmt
Other Revenue	$1,546,857	OtherRevenueAmt
Revenue Not Reported	$117,168,403	RevenueNotReportedAmt
Revenue Subtotal	$997,434,188	RevenueSubtotalAmt
Investment Expenses Not Incld	$3,044,110	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$24,870,482	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$27,914,592	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,025,348,780	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$591,207,452	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,546,858	OtherExpensesIncludedAmt
Expenses Not Reported	$1,546,858	ExpensesNotReportedAmt
Expenses Subtotal	$589,660,594	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$3,044,110	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$27,706,789	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$30,750,899	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$620,411,493	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 1,441,588. COGS REPORTED AS EXPENSE ON AFS 105,269.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT IN AFS INCOME 24,501,063. CONTRIBUTIONS FROM FOUNDATION NOT IN AFS INCOME 147,883. RENTAL EXP AS INCOME ON 990 119,367. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 28,149. INTERCOMPANY EXPENSE ALLOCATIONS 2,910,327. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS -2,836,307.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 1,441,589. COGS REPORTED AS EXPENSE ON AFS 105,269.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT IN AFS INCOME 24,501,063. RENTAL EXP AS INCOME ON 990 119,367. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 28,149. CASH CONTRIBUTIONS FROM FOUNDATION NOT IN AFS REVENUE 147,883. INTERCOMPANY EXPENSES ALLOCATION RECLASS 2,910,327.

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	$2,680,069	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,680,069	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,810,018	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,073,515	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,736,503	NetCommunityBenefitExpnsAmt
Total Expense	0.06470	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,725,005	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,017,727	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,707,278	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123,215,092	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$77,091,242	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,123,850	NetCommunityBenefitExpnsAmt
Total Expense	0.07330	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,091,736	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$151,511	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,940,225	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,056,299	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$909,423	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,146,876	NetCommunityBenefitExpnsAmt
Total Expense	0.00820	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,394,019	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,183,992	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,210,027	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,454,002	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$885,142	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$568,860	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,083,686	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$44,083,686	NetCommunityBenefitExpnsAmt
Total Expense	0.07000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,079,742	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,130,068	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,949,674	NetCommunityBenefitExpnsAmt
Total Expense	0.09050	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$187,294,834	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,221,310	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$103,073,524	NetCommunityBenefitExpnsAmt
Total Expense	0.16380	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,153	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$99,153	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,153	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$99,153	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$24,713,875	BadDebtExpenseAmt
Reimbursed By Medicare	$137,373,083	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$155,827,644	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$18,454,561	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 (7 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	0.07000	0.93000
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	0.20000	0.80000

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	18	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	18	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
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 5: PVH/MCR COLLABORATED WITH THE LARIMER AND WELD COUNTY HEALTH DEPARTMENTS DURING THEIR MOST RECENT COMMUNITY HEALTH IMPROVEMENT PLANNING PROCESSES. IN NOVEMBER 2017 AND JANUARY 2018, PVH/MCR PARTICIPATED IN COMMUNITY HEALTH SUMMITS DURING WHICH LOCAL HEALTH INDICATOR DATA WAS REVIEWED, AGENCY RESOURCES WERE DESCRIBED (INCLUDING A SPECIFIC PRESENTATION BY PVH/MCR) AND PRIORITY ISSUES FOR ACTION WERE IDENTIFIED. OVER 180 AGENCIES ATTENDED THESE EVENTS, MANY OF WHICH SERVE LOW-INCOME, VULNERABLE POPULATIONS. KELSEY LYON, HEALTH PLANNER AT THE LARIMER COUNTY HEALTH DEPARTMENT AND DR. MARK WALLACE FROM THE WELD COUNTY HEALTH DEPARTMENT WERE THE EVENT ORGANIZERS AND THE MAIN POINTS OF CONTACT FOR PVH/MCR.
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 2019, THE CHNA PROCESS FOR MEDICAL CENTER OF THE ROCKIES (MCR) AND POUDRE VALLEY HOSPITAL (PVH) WAS PREPARED IN CONJUNCTION WITH LARIMER AND WELD COUNTY HEALTH DEPARTMENTS. COMMUNITY-WIDE SUMMITS WERE FACILITATED BY COUNTY HEALTH DEPARTMENT STAFF, WITH MCR AND PVH PROVIDING SUBSTANTIAL INPUT INTO THE PLANNING AND EXECUTION OF THE SUMMITS. THESE SUMMITS INCLUDED APPROXIMATELY 150 REPRESENTATIVES OF COMMUNITY ORGANIZATIONS IN EACH COUNTY WHO ACTIVELY PROVIDED INPUT.FOLLOWING THE COMMUNITY SUMMIT MEETINGS LEADERSHIP TEAMS WERE ESTABLISHED BY THE COUNTY HEALTH DEPARTMENTS, PVH AND MCR TO CONTINUE THE CHNA PROCESS. THIS SMALLER LEADERSHIP TEAM INCLUDED REPRESENTATION BY: CITY OF FORT COLLINS, CITY OF GREELEY, CITY OF LOVELAND, COLORADO SCHOOL OF PUBLIC HEALTH, EARLY CHILDHOOD COUNCIL OF LARIMER COUNTY, HEALTH DISTRICT OF NORTHERN LARIMER COUNTY, LARIMER COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENT, NORTH COLORADO HEALTH ALLIANCE, POUDRE SCHOOL DISTRICT, THOMPSON SCHOOL DISTRICT, THE FAMILY CENTER/LA FAMILIA, LARIMER COUNTY OFFICE ON AGING, NORTH RANGE BEHAVIORAL HEALTH, SUMMITSTONE HEALTH PARTNERS, SUNRISE LOVELAND COMMUNITY HEALTH CENTER, UNITED WAY OF LARIMER AND WELD COUNTIES, WELD COUNTY AREA AGENCY ON AGING, WELD COUNTY DEPARTMENT OF PUBLIC HEALTH, WELD COUNTY SCHOOL DISTRICTS.
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. 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 FULL SPECTRUM OF SERVICES AND PROGRAMS ADDRESSING IDENTIFIED HEALTH ISSUES IS DESCRIBED IN THE 2020-22 IMPLEMENTATION STRATEGY REPORT POSTED TO THE UCHEALTH WEBSITE: HTTPS://WWW.UCHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 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
7 - UCHEALTH WATER VALLEY
1870 MARINA PLAZA DRIVE	WINDSOR	CO	80550	MEDICAL FITNESS, REHABILITATION

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 = $24,713,875
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: $121,410,333CENTER AVE COST REPORT: $2,682,081COLUMBINE HOMECARE COST REPORT: $1,459,901PVHC DISALLOWED PROGRAMS: $4,273,527JOINT VENTURES: $7,547,241TOTAL TO LINE 5: $137,373,083 PART III, LINE 6: ALLOWABLE COSTS AS REPORTED ON THE POUDRE VALLEY HEALTH CARE INC. FY21 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: $136,687,928CENTRE AVE COST REPORT: $6,394,613COLUMBINE HOMECARE COST REPORT: $1,934,761PVHC DISALLOWED PROGRAMS: $2,575,145JOINT VENTURES: $8,235,197TOTAL TO LINE 6: $ 155,827,644
PART III, LINE 8:	APPROXIMATELY 30.80% 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 NARATIVES 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 STATES	CO

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
UCHEALTH MEDICAL GROUP
2315 E HARMONY RD 200	FT COLLINS	CO	80528	800348943	501(C)(3)	$37,692,615	SEE SCH I, PART IV
UNIVERSITY SCHOOL OF MEDICINE
13001 17TH PLACE	AURORA	CO	80045	846000555	501(C)(3)	$5,287,942	SEE SCH I, PART IV
UCHEALTH NORTHERN COLORADO FOUNDATION
2315 E HARMONY RD 200	FT COLLINS	CO	80528	741894581	501(C)(3)	$945,197	SEE SCH I, PART IV
FRONT RANGE COMMUNITY COLLEGE FOUNDATION
3645 W 112TH AVENUE	WESTMINSTER	CO	80031	383721881	GOVERNMENT	$21,596	SEE SCH I, PART IV
FOOD BANK OF LARIMER COUNTY
1301 BLUE SPRUCE DRIVE	FORT COLLINS	CO	80524	742336171	501(C)(3)	$20,603	SEE SCH I, PART IV
UNITED WAY OF WELD COUNTY
PO BOX 1944	GREELEY	CO	80632	846011918	501(C)(3)	$10,302	SEE SCH I, PART IV
CITY OF FORT COLLINS
300 WEST LAPORTE AVE	FORT COLLINS	CO	80522	846000587	GOVERNMENT	$17,277	SEE SCH I, PART IV
ESTES PARK HEALTH FOUNDATION
555 PROSPECT PARK	ESTES PARK	CO	80517	742411016	501(C)(3)	$19,436	SEE SCH I, PART IV
COLORADO ROCKIES FOUNDATION
2001 BLAKE ST	DENVER	CO	80205	841178557	501(C)(3)	$12,266	SEE SCH I, PART IV

Field	Value	IRS element (for citing)
Total501c3 Org	9	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 (16 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	$224,661	$295,487	$95,482	$125,583	$10,038	$13,203	$37,597	$49,449	$9,015	$11,858	$376,793	$495,580	$0	$0
DIANA BREYER
CHIEF QUALITY OFFICER	$205,054	$348,063	$0	$0	$1,237	$865	$13,695	$13,038	$5,245	$11,580	$225,231	$373,546	$0	$0
WILLIAM NEFF
CHIEF MEDICAL OFFICER	$168,183	$117,532	$139,975	$97,819	$3,051	$2,132	$17,741	$12,398	$4,096	$2,864	$333,046	$232,745	$0	$0
DAVID THOMPSON
CFO/TREASURER	$146,921	$193,239	$33,397	$43,926	$1,754	$2,306	$15,244	$20,050	$8,493	$11,171	$205,809	$270,692	$0	$0
THOMAS DOWNES
CHIEF MEDICAL OFFICER	$134,237	$93,810	$49,297	$34,450	$54,951	$38,402	$13,249	$9,259	$3,929	$2,747	$255,663	$178,668	$0	$0
KENNETH WATANABE
MEDICAL DIRECTOR	$326,448	$0	$32,094	$0	$775	$0	$26,733	$0	$27,335	$0	$413,385	$0	$0	$0
DAVID SEHR
MEDICAL DIRECTOR	$314,463	$0	$30,139	$0	$470	$0	$26,733	$0	$27,205	$0	$399,010	$0	$0	$0
JANELL WOZNIAK
PROGRAM DIRECTOR	$310,661	$0	$29,831	$0	$465	$0	$26,733	$0	$21,227	$0	$388,917	$0	$0	$0
GRACE KOWALSHYN-TAYLOR
VP OPERATIONS	$118,122	$155,361	$23,419	$30,802	$265	$349	$13,144	$17,288	$12,530	$16,479	$167,480	$220,279	$0	$0
RYAN ROHMAN
CHIEF OPERATING OFFICER	$128,504	$169,016	$23,579	$31,012	$266	$350	$13,214	$17,379	$1,552	$2,043	$167,115	$219,800	$0	$0
HERMANN MORENO
PSYCHIATRIST	$312,105	$0	$5,685	$0	$672	$0	$26,733	$0	$25,030	$0	$370,225	$0	$0	$0
JOSEPH GOTTFRIED
PSYCHIATRIST	$306,750	$0	$5,549	$0	$1,220	$0	$26,733	$0	$29,198	$0	$369,450	$0	$0	$0
JULIE NUNLEY
CHIEF NURSING OFFICER	$238,872	$0	$46,354	$0	$2,215	$0	$26,733	$0	$11,407	$0	$325,581	$0	$0	$0
ROBERT WAGNER
MEDICAL DIRECTOR	$88,130	$115,357	$8,723	$11,417	$128	$167	$9,174	$12,008	$8,914	$11,668	$115,069	$150,617	$0	$0
ASHLEY BRUNING
SENIOR CLINICAL DIRECTOR	$110,844	$77,462	$10,981	$7,674	$159	$111	$11,543	$8,067	$15,706	$10,977	$149,233	$104,291	$0	$0
ANDREW HARMON
DIR PHARMACY SERVICES	$103,360	$72,231	$10,351	$7,233	$123	$86	$10,805	$7,551	$15,664	$10,947	$140,303	$98,048	$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	$37,955,000	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
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	$43,280,380	2017	Yes (1)	Yes (1)	Yes (1)
D	$37,955,000	$589,866	$37,365,134	2017	Yes (1)	Yes (1)	Yes (1)

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	$6,238,752	NEW CONSTRUCTION ON PVH	0	0	0
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2019 SERIES C
B	841179794	914183BP2	2019-10-30	$6,211,098	REFUNDING 2017C1 BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$6,238,752	$25,352	$6,213,400	2017	0	0	Yes (1)	Yes (1)
B	$6,211,098	$42,901		2019	Yes (1)	0	Yes (1)	Yes (1)	$6,168,197

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	20	ContributionCnt
Noncash Contributions Rpt F990	$214,329	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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6	POUDRE VALLEY HOSPITAL (PVH) HAD 78 ACTIVE VOLUNTEERS IN FISCAL YEAR 2021. 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 TEMPORAILY REDUCE OPPORTUNITIES. THE ORGANIZATION HAS THE INTENT TO RESTART THE VOLUNTEER PROGRAM AT THE CONCLUSION OF THE PANDMIC.
SCHEDULE H	SCHEDULE H IS BEING AMENDED TO CORRECT THE AMOUNTS REPORTED TO THE FOLLOWING PORTIONS OF THE RETURN: - AMOUNTS REPORTED AS NET COMMUNITY BENEFIT EXPENSE IN PART I, LINE 7
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 86,529,278. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS 2,836,307.

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	$1,246,590	$50,428,322	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 (9 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	$2,492,367	$2,638,212	0	0	0.50000
CENTRE AVENUE HEALTH & REHAB FACILITY
947 WORTHINGTON CIRCLE	FT COLLINS	CO	80526	841560494	NURSING FACILITY	CO	N/A	RELATED	$256,136	$892,627	0	0	0.50000
COLUMBINE POUDRE HOME CARE
947 WORTHINGTON CIRCLE	FT COLLINS	CO	80526	841529817	NURSING CARE	CO	N/A	RELATED	$147,976	$660,538	0	0	0.50000
GATEWAY MEDICAL SERVICES
2500 E PROSPECT RD	FT COLLINS	CO	80525	841427970	REAL EST/MED	CO	N/A	UNRELATED	$2,069,642	$6,970,216	0	0	0.50000
HARMONY IMAGING CENTER
1951 WILMINGTON DRIVE	FT COLLINS	CO	80528	582479187	MEDICAL IMAGING	CO	N/A	RELATED	$126,277	$1,946,978	0	0	0.46000
SURGERY CENTER OF FORT COLLINS
1100 E PROSPECT ROAD	FT COLLINS	CO	80525	841541559	SURGICAL PROC	CO	N/A	UNRELATED	-$2,987	$679,431	0	0	0.26000
OCR LOVELAND
2500 E PROSPECT RD	FT COLLINS	CO	80525	301069701	AMBULATORY SURG	CO	N/A	UNRELATED	$308,140	$3,111,914	0	0	0.10000
PVHS-ICM EHW
2315 E HARMONY RD STE 200	FT COLLINS	CO	80528	463311308	MEDICAL SERVICES	CO	N/A	RELATED	$108,414	$602,415	0	0	0.50000
PEAK SURGICAL MANAGEMENT
2127 E HARMONY RD 200	FT COLLINS	CO	80528	260899618	SURGICAL MGMT	CO	N/A	UNRELATED	$131,320	$81,056	0	0	0.14290

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	$8,646	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,650,239	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 (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
INNOVATION ENTERPRISES
A	$379,896	TRANSACTION TOTAL
HARMONY SURGERY CENTER
A	$976,455	TRANSACTION TOTAL
CENTRE AVE HEALTH & REHAB LLC
B	$300,000	TRANSACTION TOTAL
UCHEALTH NORTHERN COLORADO FOUNDATION
B	$945,197	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
B	$37,692,614	TRANSACTION TOTAL
UCHEALTH NORTHERN COLORADO FOUNDATION
C	$362,211	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
J	$2,206,632	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
L	$10,511,465	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
L	$5,808,841	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
M	$5,249,558	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
N	$2,398,369	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
N	$2,084,891	TRANSACTION TOTAL
HARMONY SURGERY CENTER
Q	$629,011	TRANSACTION TOTAL
HARMONY SURGERY CENTER
S	$3,500,000	TRANSACTION TOTAL
GATEWAY MEDICAL SERVICES
S	$2,726,908	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
S	$86,529,278	TRANSACTION TOTAL