FURP.ORG / PUBLIC DATA EXPLORER

BOULDER COMMUNITY HEALTH: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BOULDER COMMUNITY HEALTH (EIN 84-0175870)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-10
IRS object ID
202233149349305518
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-10T14:08:19-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840175870EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BOULDER COMMUNITY HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBOULBusinessNameControlTxt
Phone3034155221PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 9019AddressLine1Txt
CityBoulderCityNm
State AbbreviationCOStateAbbreviationCd
ZIP803019019ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWilliam A Munson JrPersonNm
Person TitleCFO & Vice PresidentPersonTitleTxt
Phone3034157433PhoneNum
Signature2022-11-10SignatureDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer1TrustedCustomerCd
OOB Security Verification11OOBSecurityVerificationCd
Last Submission Rqr OOB0LastSubmissionRqrOOBCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Boulder Community HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRobert J Vissers President and CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 9019AddressLine1Txt
CityBoulderCityNm
State AbbreviationCOStateAbbreviationCd
ZIP803019019ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$560,464,412GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bch.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1922FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionPartnering to create and care for the healthiest community in the nation.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2520TotalEmployeeCnt
Total Volunteers302TotalVolunteersCnt
Total Gross UBI$741,802TotalGrossUBIAmt
PY Contributions Grants$19,296,569PYContributionsGrantsAmt
CY Contributions Grants$5,538,053CYContributionsGrantsAmt
PY Program Service Revenue$320,662,273PYProgramServiceRevenueAmt
CY Program Service Revenue$379,388,424CYProgramServiceRevenueAmt
PY Investment Income$15,136,532PYInvestmentIncomeAmt
CY Investment Income$22,820,384CYInvestmentIncomeAmt
PY Other Revenue$18,188,919PYOtherRevenueAmt
CY Other Revenue$23,250,158CYOtherRevenueAmt
PY Total Revenue$373,284,293PYTotalRevenueAmt
CY Total Revenue$430,997,019CYTotalRevenueAmt
PY Grants And Similar Paid$211,206PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$224,291CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$192,144,319PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$189,481,074CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$695,201CYTotalFundraisingExpenseAmt
PY Other Expenses$171,138,797PYOtherExpensesAmt
CY Other Expenses$211,361,718CYOtherExpensesAmt
PY Total Expenses$363,494,322PYTotalExpensesAmt
CY Total Expenses$401,067,083CYTotalExpensesAmt
PY Revenues Less Expenses$9,789,971PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$29,929,936CYRevenuesLessExpensesAmt
Total Assets BOY$835,580,179TotalAssetsBOYAmt
Total Assets EOY$865,265,576TotalAssetsEOYAmt
Total Liabilities BOY$308,464,591TotalLiabilitiesBOYAmt
Total Liabilities EOY$271,527,630TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$527,115,588NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$593,737,946NetAssetsOrFundBalancesEOYAmt
MissionTo provide our community the highest value healthcare in an innovative, patient-centered environment.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$289,018,509ExpenseAmt
Grant$224,291GrantAmt
Revenue$401,857,869RevenueAmt
DescHealth Care Delivery of IP and OP medical care. In 2021, the hospital discharged 7,506 adult & pediatric patients with an average length of stay of 4.3 days. 38,914 patients were seen in our ER facilities. 10,881 patients were seen in our Urgent Care facilities. 5,741 surgeries were performed in IP and OP settings.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$289,018,509TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document202IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2520EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJered Foster ControllerPersonNm
Phone3034155221PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 9019AddressLine1Txt
Address Line2Accounting DeptAddressLine2Txt
CityBoulderCityNm
State AbbreviationCOStateAbbreviationCd
ZIP803019019ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
Charles Jones
Physician400Yes (X)$1,409,700$0$155,422
Daniel O'Hair
Physician400Yes (X)$1,215,651$0$38,391
Robert J Vissers
Exec Director/CEO400$1,004,677$0$170,414Yes (X)Yes (X)
Bryan Mahan
Physician400Yes (X)$1,068,881$0$30,037
Srinivas Iyengar
Physician400Yes (X)$787,957$0$38,391
Susan Hagen
Physician400Yes (X)$715,283$0$8,550
Benjamin J Keidan
VP & Chief Medical Officer400$419,162$0$90,725Yes (X)
William A Munson Jr
VP & CFO400$376,389$0$99,887Yes (X)
Sarah E Meshak
VP & General Counsel400$354,916$0$79,808Yes (X)
Jacqueline M Attlesey-Pries
VP , Chief Nursing Officer & Chief Operating Officer400$320,127$0$80,674Yes (X)
Michael J Jefferies
VP & Chief Information Officer400$266,213$0$80,149Yes (X)
Valerie Lipetz MD
Board Member400$293,148$0$35,768Yes (X)
Grant Besser
Foundation President & VP Public Affairs1228$243,872$0$75,017Yes (X)
Lawrence Novissimo
VP Ambulatory Services400$182,431$0$35,584Yes (X)
Paul R Hinchey
VP Business Development00$135,393$0$8,478Yes (X)
Jeff Morgan
Chairman60$0$0$0Yes (X)
Suzy Ageton
Board Member40$0$0$0Yes (X)
Randy Bjerke MD
Board Member40$0$0$0Yes (X)
John Greff
Treasurer60$0$0$0Yes (X)
Rhonda Wallen
Board Member40$0$0$0Yes (X)
Debbie Lund MD
Secretary60$0$0$0Yes (X)
Benita Duran
Board Member40$0$0$0Yes (X)
Phil DeStefano
Board Member40$0$0$0Yes (X)
George Karakehian
Board Member40$0$0$0Yes (X)
Joel Montbriand MD
Board Member40$0$0$0Yes (X)
Nancy Stevens
Board Member40$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,793,800TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,027,295TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K322IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2TxtBusiness Name Line2ContractorName/BusinessName/BusinessNameLine2Txt
Favorite Healthcare Staffing Inc
PO Box 803356Kansas CityMO641803356Agency nursing services$2,420,580
Boulder Emergency Physicians
CarePoint PC 5600 S Quebec StGreenwood VillageCO80111CMC Emergency Room Coverage & ER medical director$1,645,795Suite 312 A
BOSLA LLC
4740 Pearl ParkwayBoulderCO80301Ortho Trauma Call and Ortho Management Svcx$1,396,540Suite 200
Boulder Valley Anesthesiology LLC
1420 28th St Ste 100BoulderCO80303Anesthesiology coverage$1,264,429c/o Wendll Walker & Assoc
Boulder Neurosurgical Assoc PLLC
4743 Arapahoe AveBoulderCO80303Trauma call$1,134,581Suite 202
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$2,628,875RelatedOrganizationsAmt
Government Grants$2,908,900GovernmentGrantsAmt
All Other Contributions$278AllOtherContributionsAmt
Noncash Contributions$7,937NoncashContributionsAmt
Total Contributions$5,538,053TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Acute Care Hospital622000$379,038,582$378,996,797$0$41,785
Lab Service Revenue621500$349,842$0$349,842$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$379,388,424TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,990,779TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,990,779ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,814TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$18,814ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

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

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$143,936,365SecuritiesAmt
Other$257,141OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$129,231,883SecuritiesAmt
Other$150,832OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$14,704,482SecuritiesAmt
Other$106,309OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,810,791TotalRevenueColumnAmt
Related Or Exempt Func Income$106,309RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$14,704,482ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$161,657GrossSalesOfInventoryAmt
Cost Of Goods Sold$84,678CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,979TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$76,979ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Hospital Care Joint Ventures621400$11,315,685$11,315,685$0$0
Misc Hospital Revenue622000$11,465,534$11,439,078$0$26,456
Lab Service Revenue621500$391,960$0$391,960$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$23,173,179OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$430,997,019TotalRevenueColumnAmt
Related Or Exempt Func Income$401,857,869RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$741,802UnrelatedBusinessRevenueAmt
Exclusion$22,859,295ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$30,190TotalAmt
Program Services$30,190ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$194,101TotalAmt
Program Services$194,101ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,352,171TotalAmt
Program Services$0ProgramServicesAmt
Management And General$4,128,686ManagementAndGeneralAmt
Fundraising$223,485FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$148,808,082TotalAmt
Program Services$121,454,171ProgramServicesAmt
Management And General$26,971,221ManagementAndGeneralAmt
Fundraising$382,690FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,909,945TotalAmt
Program Services$3,422,115ProgramServicesAmt
Management And General$4,487,830ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,455,883TotalAmt
Program Services$17,208,164ProgramServicesAmt
Management And General$1,201,294ManagementAndGeneralAmt
Fundraising$46,425FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,954,993TotalAmt
Program Services$7,800,414ProgramServicesAmt
Management And General$2,119,709ManagementAndGeneralAmt
Fundraising$34,870FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$27,560,341TotalAmt
Program Services$34,644ProgramServicesAmt
Management And General$27,525,697ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$135,707TotalAmt
Program Services$0ProgramServicesAmt
Management And General$135,707ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$150,120TotalAmt
Program Services$0ProgramServicesAmt
Management And General$150,120ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$9,060TotalAmt
Program Services$9,060ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$296,170TotalAmt
Program Services$0ProgramServicesAmt
Management And General$296,170ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$28,739,413TotalAmt
Program Services$20,022,449ProgramServicesAmt
Management And General$8,716,964ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$555,119TotalAmt
Program Services$0ProgramServicesAmt
Management And General$555,119ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,145,398TotalAmt
Program Services$3,408,243ProgramServicesAmt
Management And General$2,735,314ManagementAndGeneralAmt
Fundraising$1,841FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,812,279TotalAmt
Program Services$573,825ProgramServicesAmt
Management And General$10,238,454ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,645,554TotalAmt
Program Services$5,327,192ProgramServicesAmt
Management And General$3,318,362ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$264,655TotalAmt
Program Services$119,022ProgramServicesAmt
Management And General$145,633ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$185,348TotalAmt
Program Services$68,388ProgramServicesAmt
Management And General$116,960ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,653,132TotalAmt
Program Services$1,162,072ProgramServicesAmt
Management And General$1,491,060ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,950,553TotalAmt
Program Services$8,795,733ProgramServicesAmt
Management And General$11,151,128ManagementAndGeneralAmt
Fundraising$3,692FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,113,228TotalAmt
Program Services$729,258ProgramServicesAmt
Management And General$1,383,970ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$66,182,285$65,991,491$190,794$0
Repairs and Maintenance$7,789,531$5,261,647$2,526,744$1,140
Medicaid Provider Fee$25,774,300$25,774,300$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,399,525TotalAmt
Program Services$1,632,030ProgramServicesAmt
Management And General$1,766,437ManagementAndGeneralAmt
Fundraising$1,058FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$401,067,083TotalAmt
Program Services$289,018,509ProgramServicesAmt
Management And General$111,353,373ManagementAndGeneralAmt
Fundraising$695,201FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,119BOYAmt
EOY$16,326EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$38,486,805BOYAmt
EOY$24,734,301EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$52,858,603BOYAmt
EOY$53,186,421EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$83,392BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,485,422BOYAmt
EOY$4,882,404EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,345,563BOYAmt
EOY$7,153,384EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$492,843,756LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$201,637,220LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$297,265,772BOYAmt
EOY$291,206,536EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$322,843,406BOYAmt
EOY$352,619,854EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$8,227,332BOYAmt
EOY$15,305,741EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,447,746BOYAmt
EOY$17,440,015EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$29,233EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$95,519,019BOYAmt
EOY$98,691,361EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$835,580,179BOYAmt
EOY$865,265,576EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$75,005,825BOYAmt
EOY$77,207,477EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$154,957,030BOYAmt
EOY$140,021,773EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$70,000BOYAmt
EOY$70,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$78,431,736BOYAmt
EOY$54,228,380EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$308,464,591BOYAmt
EOY$271,527,630EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$474,594,630BOYAmt
EOY$534,747,959EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$52,520,958BOYAmt
EOY$58,989,987EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$527,115,588BOYAmt
EOY$593,737,946EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$835,580,179BOYAmt
EOY$865,265,576EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$29,929,936ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$13,726,551NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$22,965,871OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$9,060OtherActivitiesAmt
Total Lobbying Expenditures$9,060TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1FormAndLineReferenceDesc
Explanation3.96% of dues paid to the Colorado Hospital Association are spent on lobbying activities, amounting to $3,548. 26.47% of dues paid to the American Hospital Association are spent on lobbying activities, amounting to $5,512.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,715,127BeginningYearBalanceAmt
Contributions$1,030,374ContributionsAmt
Investment Earnings Or Losses$645,181InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$360,839OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$10,029,843EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,701,232BeginningYearBalanceAmt
Contributions$250,590ContributionsAmt
Investment Earnings Or Losses$1,095,165InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$331,860OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$8,715,127EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,676,584BeginningYearBalanceAmt
Contributions$172,748ContributionsAmt
Investment Earnings Or Losses$1,103,169InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$251,269OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$7,701,232EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,872,827BeginningYearBalanceAmt
Contributions$337,227ContributionsAmt
Investment Earnings Or Losses-$314,358InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$219,112OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$6,676,584EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,984,512BeginningYearBalanceAmt
Contributions$1,484,732ContributionsAmt
Investment Earnings Or Losses$670,808InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$267,225OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$6,872,827EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.73PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.27TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$22,791,941OtherCostOrOtherBasisAmt
Book Value$22,791,941BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$280,371,105OtherCostOrOtherBasisAmt
Depreciation$97,389,966DepreciationAmt
Book Value$182,981,139BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$6,648,440OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$6,648,440BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$182,098,872OtherCostOrOtherBasisAmt
Depreciation$104,247,254DepreciationAmt
Book Value$77,851,618BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$933,398OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$933,398BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$291,206,536TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
Interest in Net Assets held by Foundation$57,681,187
Unamortized Swap Fees$40,259
Unamortized Bond Issue Costs$962,734
Deferred Comp Investments$13,354,205
Right of Use Assets - Operating Leases$23,835,858
Note Receivable, Brian Lyle, non key employee$27,892
Misc Other AR$2,789,226
FieldValueIRS element (for citing)
Total Book Value Other Assets$98,691,361TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Accrued Pension Liability$18,337,514
Deferred Compensation Liability$13,354,205
Operating Lease Liability, Net of Current Maturities$22,536,661
FieldValueIRS element (for citing)
Total Liability$54,228,380TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$467,249,231TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$13,726,551NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$22,899,086OtherRevenueAmt
Revenue Not Reported$36,625,637RevenueNotReportedAmt
Revenue Subtotal$430,623,594RevenueSubtotalAmt
Investment Expenses Not Incld$296,170InvestmentExpensesNotIncldAmt
Other Revenues Not Included$77,255OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$373,425RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$430,997,019TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$399,480,956TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$399,480,956ExpensesSubtotalAmt
Investment Expenses Not Incld2$296,170InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$1,289,957OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,586,127ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$401,067,083TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4Boulder Community Hospital Foundation, a related organization, holds permanent endowment funds. The income earned on these endowment funds is used to support hospital programs for diabetes, cancer, neonatology, heart and surgery center, healthcare scholarships, or for the foundation to direct if the endowment fund does not restrict how the income is to be spent. Temporarily restricted funds held by the Foundation include funds for the new Foothills medical office facilities, cancer center, as well as other hospital programs. Any Unrestricted funds held at the Foundation are for the hospital, but designation is decided by the Foundation board when granting to the hospital.
Schedule D, Part XI, Line 2dOther revenues of $22,899,086 included in tax return revenue but not in audited revenue includes Change in Foundation Net Assets of $7,207,284 + Change in minimum pension liability of $15,998,225 + Amortization of Effective Loss on Swap of ($239,635) + Other Expenses shown net in FS rev and Gross in Tax return of ($133,405)+ Ambassador component of Temp Rest Net Assets of $66,619 + Rounding of ($2).
Schedule D, Part XI, Line 4bOther of $77,255 includes Ambassador net revenues reflected as contributions in audited financials of $77,255.
Schedule D, Part XII, Line 4bOther expenses of $1,289,957 included on tax return but not on Audit include Other non-op expenses shown in net revenue on audit of $133,405 + Ambassador expenses reflected as Restricted Contribution in Audit of $10,636 + Non-Op Expenses for pension contributions of $1,145,916.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Specific Services ProvidedPassive investmentsSpecificServicesProvidedTxt
Region Total Expenditures$118,490RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Total Spent$118,490TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part I, Line 3FormAndLineReferenceDesc
ExplanationForeign investments and related fees are accounted for according to the accrual basis of accounting. Col (f) 118,490 = 116,992 in investment assets and 1,498 in fees.ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other2.5FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,233,899TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,233,899NetCommunityBenefitExpnsAmt
Total Expense0.006TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,096,389TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,368,552DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,727,837NetCommunityBenefitExpnsAmt
Total Expense0.042TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$67,330,288TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,368,552DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,961,736NetCommunityBenefitExpnsAmt
Total Expense0.048TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,271,850TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$674,320DirectOffsettingRevenueAmt
Net Community Benefit Expns$597,529NetCommunityBenefitExpnsAmt
Total Expense0.001TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$292,971TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$292,971NetCommunityBenefitExpnsAmt
Total Expense0.001TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$469,462TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$469,462NetCommunityBenefitExpnsAmt
Total Expense0.001TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,034,283TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$674,320DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,359,962NetCommunityBenefitExpnsAmt
Total Expense0.003TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$69,364,571TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,042,872DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,321,698NetCommunityBenefitExpnsAmt
Total Expense0.051TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,428TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,428NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,879TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,879NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$146,115TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$146,115NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$152,422TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$152,422NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,945,709BadDebtExpenseAmt
Bad Debt Expense Attributable$736,427BadDebtExpenseAttributableAmt
Reimbursed By Medicare$66,338,987ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$83,463,825CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$17,124,838MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Boulder Community Musculoskeletal Surgery Center LLC
Outpatient Orthopedic Surgery Center0.500.5
Endoscopy Center of the Rockies LLC
Outpatient Endoscopy Center0.500.5
Boulder MRI LLC
outpatient MRI center0.5100.49
Foothills Surgery Center LLC
Ambulatory Surgical Center0.5100.49
Riverbend Sleep LLC
Property ownership and lease to Approved Entities0.500.5
Premier Eye Surgery Center of Colorado
ambulatory surgery center for eyes0.50100.499
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Boulder Community Foothills HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14747 Arapahoe AvenueAddressLine1Txt
CityBoulderCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80303ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.bch.orgWebsiteAddressTxt
State License010323StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Boulder Community Foothills HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee H, Part V, Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee H, Part V, Section CStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee H, Part V, Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee H, Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee H, Part V, Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Boulder Community Foothills HospitalPlease refer to Community Input on pages 5 and 6 of the 2020-2022 CHNA, and to Appendix One of the CHNA report
Schedule H, Part V, Section B, Line 7-Boulder Community Foothills Hospitalhttps://www.bch.org/About-Us/Community-Reports.aspx Report is at the bottom of the page.
Schedule H, Part V, Section B, Line 10a-Boulder Community Foothills Hospitalhttps://www.bch.org/documents/forms/Community-Health-Needs-Assessment-Final-Approved-by-BCH-BOD-December-3-2019.pdf. Implementation Strategy begins on page 20 of the PDF.
Schedule H, Part V, Section B, Line 11-Boulder Community Foothills HospitalPlease refer to pages 10 - 14 and 20 - 28 of the 2020-2022 CHNA. The top four health needs identified are: Chronic disease management and traumatic injury, Mental health including chronic pain management and substance abuse, Wellness and preventative health including aging of the population and access to care and Community education. Details of how BCH is addressing these needs are included in the CHNA. The CHNA did not identify any significant health needs that are not being addressed. Two large social determinants of care which impact health are affordable housing and transportation. BCH is not directly addressing these because it is not in a position to have a direct impact. However, it partners with organizations within the community that are attempting to create positive change in these areas.
Schedule H, Part V, Section B, Line 16a-Boulder Community Foothills Hospitalhttps://www.bch.org/patient-visitors/patient-services/financial-assistance/
Schedule H, Part V, Section B, Line 16b-Boulder Community Foothills Hospitalhttps://www.bch.org/documents/content/FINANCIAL-ASSISTANCE-APPLICATION-New-2021.pdf
Schedule H, Part V, Section B, Line 16c-Boulder Community Foothills Hospitalhttps://www.bch.org/patient-visitors/FINANCIAL-ASSISTANCE.aspx
FieldValueIRS element (for citing)
Facility50FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (50 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2TxtBusiness Name Line2BusinessName/BusinessNameLine2Txt
BCH Behavioral Health DPU
4801 Riverbend RoadBoulderCO80301Psych DPU
Community Medical Center
1000 W South Boulder RoadLafayetteCO80026Free Standing Emergency Department
BCH at Boulder Medical Center
2750 BroadwayBoulderCO80304laboratory and imaging services
Boulder Community Musculoskeletal Surgery LLC
4740 Pearl ParkwayBoulderCO80301Ambulatory Surgical Center
Endoscopy Center of the Rockies in Lafayette
1000 W South Boulder RoadLafayetteCO80026Endoscopic Ambulatory Surgery CenterSuite 202
Endoscopy Center of the Rockies in Boulder
1755 48th StreetBoulderCO80303Endoscopic Ambulatory Surgical CenterSuite 110
Endoscopy Cener of the Rockies in Longmont
1551 Professional LaneLongmontCO80501Endoscopic Ambulatory Surgical CenterSuite 295
Boulder MRI LLC
1000 W South Boulder RoadLafayetteCO80026MRI Imaging CenterSuite 105
Foothills Surgery Center LLC
4743 Arapahoe AvenueBoulderCO80303Ambulatory Surgical CenterSuite 101
Boulder Heart at Anderson Medical Center
4743 Arapahoe AvenueBoulderCO80303Physician clinicSuite 201
Boulder Heart at Community Medical Center
1000 W South boulder RoadLafayetteCO800262089Physician clinicSuite 216
Boulder Heart at Longmont
2101 Ken Pratt BlvdLongmontCO805016568Physician clinicSuite 104
Internal Medical Associates of Boulder
5495 Arapahoe AvenueBoulderCO80303Physician clinic
Boulder Valley Surgical Associates
4743 Arapahoe AvenueBoulderCO80303Surgical services
Boulder Valley Pulmonology
4820 Riverbend RoadBoulderCO80301Physician clinic
CU Sports Medicine and Performance Center
2150 Stadium DriveBoulderCO80309outpatient sports medicine clinicSecond Floor
Boulder Community Health Sports Medicine
2150 Stadium DriveBoulderCO80309Imaging IDTFImaging LLC
Beacon Center for Infectious Disease
4800 Riverbend RdBoulderCO80301Infectious Disease Clinic
Boulder Community Health Sleep Diagnostice
4895 Riverbend RdBoulderCO80301Sleep study center
Internal Medical Associates of Lafayette
1000 W South Boulder RdLafayetteCO80026Physician clinicSuite 214
Internal Medicine Associates at Buffalo Ridge
101 Erie ParkwayErieCO80516Physician clinic
Center for Integrative Care
4715 ArapahoeBoulderCO80303Outpatient integrative care for cancer patientsUnit 100
Frontier Internal Medicine
2101 Ken Pratt BlvdLongmontCO80501Physician clinicSte 104
Wellness Program of BCH
5495 Arapahoe AvenueBoulderCO80303Physician clinic
Northwest Family Medicine
3 Superior DrSuperiorCO80027Physician clinic
Family Medical Associates
1000 W South Boulder RdLafayetteCO80026Physician clinicSuite 110
Spruce Street Internal Medicine
2575 Spruce StreetBoulderCO80302Physician clinic
Boulder Creek Family Medicine
1755 48th StBoulderCO80303Physician clinicSuite 200
Associated Neurologists of Boulder
4801 Riverbend RdBoulderCO80301Physician clinic
Occupational Health Services
1000 W South Boulder RdLafayetteCO80026Occupational medicine clinic
Dakota Ridge Medical Center
2995 Baseline RoadBoulderCO80303Physician clinicSuite 210
Gunbarrel Family Medicine
6685 Gunpark DriveBoulderCO80301Physician clinicSuite 110
BMC East Laboratory
80 Health Park DrCOCO80027Laboratory draw stationLouisville
Boulder Heart at Erie Medical Center
101 Erie ParkwayErieCO80516Physician clinic
Boulder Women's Care
4745 Arapahoe AveBoulderCO80303Physician ClinicSuite 320
Boulder Women's Care at Erie Medical Center
101 Erie ParkwayEireCO80516Physician Clinic
Center for Mind Body Medicine
4801 Riverbend RoadBoulderCO80301Physician Clinic
Endocrinology Associates of BCH
5495 Arapahoe AvenueBoulderCO80303Physician Clinic
Endocrinology Associates of BCH - Superior
3 Superior DriveSuperiorCO80027Physician Clinic
Erie Family Medicine
101 Erie ParkwayErieCO80519Physician Clinic
Foothills Community Midwives
4745 Arapahoe AveBoulderCO80303midwife clinic
Urgent Care Center - Erie
6685 Gunpark DrBoulderCO80301Urgent Care Center
Urgent Care Center - Superior
3 Superior DrSuperiorCO80027Urgent Care Center
Worldwide Travel Clinic
4800 Riverbend RdBoulderCO80301Physician clinic
Wound Healing Center
4880 Riverbend RdBoulderCO80301Wound Clinic
BCH Counseling Center
4801 Riverbend RdBoulderCO80301ClinicSuite 120a
Boulder Valley Surgical Associates - Erie
101 Erie ParkwayErieCO80516Physician clinicSuite 201
Inpatient Rehabilitation
11820 Destination DrBroomfieldCO80021Inpatient Rehabilitation3rd Floor
Urgent Care Center - Gunbarrel
6685 Gunpark DrBoulderCO80301Urgent Care CenterSuite 102
Premier Eye Surgery Center of Colorado
1050 W South Boulder RdLafayetteCO80026Ambulatory Surgical CenterSuite 110

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3cCriteria used to determine eligibility for financial assistance in addition to the FPG include Asset level, Medical Indigency, Insurance Status, Underinsurance status and Residency.
Schedule H, Part I, Line 7The costing methodology used for Part 1, Lines 7a and 7b, is the Worksheet 2 Ratio of Cost-to-Charges. The costs for Lines e, 7f and 7i are directly identifiable costs from our internal accounting records.
Schedule H, Part IICommunity Support Activities include disaster readiness training in conjunction with numerous local agencies (fire, police, sheriff, other counties, other hospitals) to ensure coordinated and effective response to a disaster. Coalition building includes the hospitals participation in the development of the Colorado Regional Health Information Organization (CORHIO) and Boulder County Health Improvement Collaborative (BCHIC), which are both electronic health exchanges aimed at promoting effective and efficient health care delivery as well as information for community health assessments. BCHIC also helps underinsured and uninsured patients in the county obtain specialist care. Community health improvement advocacy includes participation on the Colorado Hospital Association Board, the Medicaid Provider Rate Review Advisory Committee, and a Purchasing Coalition to reduce costs. The Workforce development includes physician recruitment expense. Boulder is a Medically Underserved Area for low income and Medicare.
Schedule H, Part III, Section A, Line 4The January 1, 2018 adoption of Financial Accounting Standards Board Accounting Standards Update 2014-09, Revenue from Contracts with Customers (ASU 2014-09) impacts the explicit recognition of the provision for doubtful accounts. Prior to January 1, 2018 the provision for doubtful accounts was explicitly recognized on the income statements; after January 1, 2018 it is reported net in Patient care service revenue and is not explicitly recognized on the audited financial statements. Footnote 2 Summary of Significant Accounting Policies, (o) Patient Care Service Revenue found on page 11 of the audited financial statements discusses implicit price concessions such as charity and bad debts. The amount reported on Line 2 as bad debt is an estimate of the cost of the actual balances on accounts written off to bad debt. It is estimated that 85% of the amount written off is stated at charges. This 85% is then converted to cost using the RCC developed on Worksheet 2. The remaining 15% is estimated to be related to a patient liability for deductibles and coinsurance. The amount reported on Ln 3 is estimated to be 25 % of Ln 2.
Schedule H, Part III, Section B, Line 8100% and more of Line 7 Medicare shortfall should be treated as community benefit. Boulder County has a demonstrated community need for physicians who accept Medicare. (Many physician providers do not.) The hospital not only serves the Medicare population for hospital services, it also employs numerous primary care, internal medicine, surgeons, neurologists, pulmonology and cardiology providers who accept Medicare in order to provide our community with adequate coverage. The Cost Report shortfall reported on Line 7 excludes Medicare HMO enrollee shortfalls, excludes shortfalls from ancillary procedures which are paid by fee schedule and are therefore not included in the Cost Report, and excludes the shortfall related to employed physicians serving the Medicare population. The hospital's total Medicare shortfall, including these programs, is actually $43,054,254. The source for Line 6 is the filed Medicare Cost Report.
Schedule H, Part III, Section C, Line 9bThe hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the hospital's charity program (WeCare). Financial arrangements with Emergency Room patients are not discussed until the patient has been assessed and treated in accordance with EMTALA. The hospital's debt collection policy contains a Communications section addressing courtesy, confidentiality, cultural sensitivity, and primary language of a patient. It contains a section on Billing and Collection Practices which addresses when an account will be referred to a licensed collection agency and that those agencies will treat all patients with dignity, compassion and respect, as well as adhering to Colorado State Laws and the Fair Debt Collection Act. BCH will not knowingly send a patient's bill to a collection agency if they have an application pending for either government sponsored coverage or for financial assistance. Patients may apply/reapply for financial assistance before, during or after care, or after collection agency assignment.
Schedule H, Part VI, Line 2In 2010, a comprehensive facilities study was performed to evaluate each of the existing hospital campuses and determine the most efficient and effective methods of delivering the safest, highest quality health care. The Planning Committee uses the Community Health Needs Assessment, the Comprehensive Facilities study, as well as market and demographic studies to ensure BCH meets the future health care needs of our community. BCH is completing a 10 year transitional strategy to consolidate health care delivery in order to meet the needs of the community in a safe and sustainable manner. As of October, 2014 all acute care inpatient services have been consolidated at the Foothills campus. BCH opened a new facility adjacent to the Foothills hospital in the spring of 2019 to move Behavioral Health services, and partnered with UCHealth to jointly provide Inpatient Rehabilitation services in Broomfield, CO, which opened mid 2019.
Schedule H, Part VI, Line 3The Hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the Hospitals charity program (WeCare). The hospital employs Spanish speaking financial counselors and would utilize interpreter services for other languages. Financial Assistance programs are referenced in patient discharge information, billing statements, and on the hospital's web site.
Schedule H, Part VI, Line 4Please refer to pages 15 through 19 of the 2020-2022 CHNA. This section of the CHNA discusses Service Area, Demographics, Gender, Age, Diversity and Employment/Income.
Schedule H, Part VI, Line 5The Hospital is governed by a volunteer community board. The Hospital has an open medical staff. All surplus funds are reinvested in the hospital to fund charity, subsidize under-performing health programs, develop new health programs, or as an investment in plant, equipment and technology.
Schedule H, Part VI, Line 7The Hospital Community Benefit Accountability Report was filed August 2021 pertaining to the 12/31/19 Schedule H. This state reporting is required annually and includes figures from the previous year's 990 Schedule H filing. See https://www.bch.org/About-Us/Community-Reports.aspx

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (9 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
Assistance for Mental Health patients. Type of assistance includes transportation, housing/rent assistance, professional care with psychologist/psychiatrist, class registrations and suicide prevention resources.103$46,368$0Cost
Heart scans provided for qualifying patients98$8,663$0FMV
Free health services provided to high school athletes1$2,042$0FMV
Oncology patient support for qualifying patients94$68,040$0Cost
Assistance with Rx post-discharge for indigent patients156$0$2,295CostTake home medications donated to indigent patients post-discharge
Assistance with housing post-discharge for indigent patients43$24,572$0Cost
Assistance with food and transportation post-discharge for indigent patients35$13,502$0Cost
Health equity class registration4$525$0Cost
Healthcare education scholarships16$28,094$0Cost

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part I, Line 2Grants are only made to non-profit agencies supporting our local community with health and welfare services. Grants in excess of $10,000 are specifically approved by the hospital board of directors during the budget process. The CEO has a discretionary budget allocation for which he may approve disbursements less than $10,000. Monitoring of grants over $10,000 is done by having representation on their non-profit board. Scholarship applications for healthcare education are reviewed by a committee, and payments are sent directly to the schools on the student's behalf with a letter indicating the money should be returned to the hospital if the student does not register.
Schedule I, Part II, Line 1During 2021, BCH made contributions to 14 501(c)3 organizations within the community totaling $30,190. Of those contributions, none were over $5,000 so are not allowed to be listed individually.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Charles Jones
Physician$1,057,167$0$326,533$0$26,000$0$145,359$0$11,176$0$1,566,235$0$188,083$0
Daniel O'Hair
Physician$1,101,223$0$94,928$0$19,500$0$8,550$0$30,954$0$1,255,155$0$0$0
Robert J Vissers
Exec Director/CEO$804,754$0$154,423$0$45,500$0$150,607$0$20,919$0$1,176,203$0$0$0
Bryan Mahan
Physician$909,191$0$114,190$0$45,500$0$6,157$0$24,993$0$1,100,031$0$0$0
Srinivas Iyengar
Physician$601,305$0$148,640$0$38,012$0$8,550$0$30,954$0$827,461$0$0$0
Susan Hagen
Physician$478,928$0$216,856$0$19,500$0$8,550$0$1,113$0$724,947$0$0$0
Benjamin J Keidan
VP & Chief Medical Officer$398,141$0$0$0$21,021$0$72,962$0$18,876$0$511,000$0$0$0
William A Munson Jr
VP & CFO$330,919$0$0$0$45,470$0$67,296$0$33,704$0$477,389$0$0$0
Sarah E Meshak
VP & General Counsel$319,166$0$0$0$35,750$0$62,897$0$18,024$0$435,837$0$0$0
Jacqueline M Attlesey-Pries
VP , Chief Nursing Officer & Chief Operating Officer$294,127$0$0$0$26,000$0$57,628$0$24,159$0$401,914$0$0$0
Michael J Jefferies
VP & Chief Information Officer$240,871$0$0$0$25,342$0$50,590$0$30,589$0$347,392$0$0$0
Valerie Lipetz MD
Board Member$219,763$0$37,570$0$35,815$0$19,034$0$17,697$0$329,879$0$0$0
Grant Besser
Foundation President & VP Public Affairs$228,668$0$0$0$15,204$0$44,321$0$31,630$0$319,823$0$0$0
Lawrence Novissimo
VP Ambulatory Services$169,541$0$0$0$12,889$0$5,742$0$30,547$0$218,719$0$0$0
Paul R Hinchey
VP Business Development$102,886$0$0$0$32,507$0$3,145$0$5,611$0$144,149$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3The Executive Committee of the Board serves as the compensation committee as specified by the bylaws of the hospital. The Executive Committee is comprised of the Chairman, Vice Chairman, Secretary, Treasurer, President/CEO and two at large members of the Board. The President/CEO does not participate in or vote on compensation matters related to his own compensation. The Executive Committee proposes an Executive Compensation Philosophy for approval by the Board, which sets parameters for compensation of the CEO and the Vice Presidents. The Executive Committee (without the CEO) reviews the compensation and benefits of the CEO annually, subject to Board ratification. The CEO sets compensation for the Vice Presidents within the ranges established by the Compensation Philosophy. Compensation outside the approved ranges requires Executive Committee review and approval. The Executive Committee engages a consulting firm to provide comparative compensation studies for similarly qualified executives in functionally comparable positions at similarly situated organizations. Compensation study and performance review are considered in developing executive compensation decisions. Any benefits for executives beyond what is provided to all employees must be consistent with the Compensation Philosophy. All compensation-related meetings of the Executive Committee are formally documented.
Schedule J, Part I, Line 4Ln 4b--The hospital contributes to a nonqualified 457(f) plan for the benefit of its executive leadership. Participants include: Robert Vissers, President & CEO ($166,192 contributed) Benjamin Keidan, VP & Chief Medical Officer ($66,990 contributed), William Munson Jr, VP & CFO ($61,096 contributed), Jacqueline Attlesey-Pries, VP ,COO & CNO ($51,040 contributed), Michael Jefferies, VP & CIO ($43,939 contributed), Sarah Meshak, VP & General Counsel ($56,522 contributed), and Grant Besser, Foundation President & VP Public Affairs ($42,008 contributed).
Schedule J, Part I, Line 6See response to Line 7. Board approval required for any payment.
Schedule J, Part I, Line 7For 2021, the hospital had an Incentive Compensation Plan for Vice Presidents and Directors whereby a percentage of base salary is paid out if goals are met, and if authorized by the Board of Directors. For 2021 goals met, Incentive compensation expense was paid out in February of 2022.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBusiness Name Line2IssuerName/BusinessNameLine2TxtBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Colorado Health Facilities
AAuthority84075293219648AZL22012-08-28$31,748,673Foothills hospital expansion000
Colorado Health Facilities Authority
B8407529322014-12-30$30,000,000acquiring,constructing & equipping Financed Facilities000
Colorado Health Facilities Authority
C84075293219648FRU02020-08-13$62,896,073Foothills expansion & refund prior bonds000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$5,460,000$0$31,815,214$0$0$0$452,449$0$0$31,362,765$0$0201400Yes (1)Yes (1)
B$3,000,000$0$30,041,484$0$0$0$153,502$0$0$29,887,982$0$0201900Yes (1)Yes (1)
C$1,005,000$0$62,896,078$0$0$0$609,942$0$0$15,000,000$47,265,223$20,9132020Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)000000Yes (1)
B00Yes (1)Yes (1)000000Yes (1)
C00Yes (1)Yes (1)000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)Yes (1)000Yes (1)
C0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column e-08/28/2012 31,748,673 Colorado Health FacilitiesLn A(e) of $31,748,673 < than Pt II Ln 3(A) of 31,815,214 by the cumulative trust fund interest income of $66,541.
Schedule K, Part I, Column e-12/30/2014 30,000,000 Colorado Health Facilities AuthorityLn B(e) of $30,000,000 < Pt II Line 3(B) of 30,041,484 by the cumulative trust fund interest income of $41,484.
Schedule K, Part I, Column e-08/13/2020 62,896,073 Colorado Health Facilities AuthorityLn C(e) of $62,896,073 < Pt II Line 3(C) of 62,896,078 by the cumulative trust fund interest income of $5.
Schedule K, Part IV, Line 2c-08/28/2012 31,748,673 Colorado Health FacilitiesRebate calculation for Series 2012 performed by Kutak Rock Arbitrage Consulting LLC for the period 08/28/2012 to 10/01/2016, the end of the first five-year rebate calculation period. The report concludes that there is no arbitrage rebate liability as of 10/01/2016 and no federal reporting requirement.
Schedule K, Part IV, Line 2c-12/30/2014 30,000,000 Colorado Health Facilities AuthorityRebate calculation for Series 2014 performed by Kutak Rock Arbitrage Consulting LLC for the period 12/31/2014 to 12/01/2019, the end of the first five-year rebate calculation period. The report concludes that there is no arbitrage rebate liability as of 12/01/2019 and no federal reporting requirement.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bForm 990 is prepared by the Controller based upon audited financial statements. The 990 is reviewed by the nonprofit tax manager of our external audit firm, by the CEO, CFO, VP & General Counsel, Compliance Officer, and the Audit and Compliance Committee of the Board of Directors. Final copies are provided to each voting Board member electronically before filing with the IRS.
Form 990, Part VI, Section B, Line 12cThe hospital has a conflict of interest policy for all staff and requires that staff members director level and above complete an annual conflict of interest questionnaire that is reviewed by the compliance department. The hospital also has a conflict of interest policy for all medical staff members that requires disclosure on a conflict of interest statement form during the credentialing and/or re-credentialing periods. Board members complete an annual statement of interest form which discloses employment, family member employment, business relationships, service on other Boards or governance positions and identifies other conflicts of interest. The statement of interest also identifies transactions requiring disclosure.
Form 990, Part VI, Section B, Line 15The Executive Committee of the Board serves as the compensation committee as specified by the bylaws of the hospital. The Executive Committee is comprised of the Chairman, Vice Chairman, Secretary, Treasurer, President/CEO and two at large members of the Board. The President/CEO does participate in or vote on compensation matters related to his own compensation. The Executive Committee proposes an Executive Compensation Philosophy for approval by the board, which sets parameters for compensation of the CEO and the Vice Presidents. The Executive Committee (without the CEO) reviews the compensation and benefits of the CEO annually, subject to Board ratification. The CEO sets compensation for the Vice Presidents within the ranges established by the Compensation Philosophy. Compensation outside the approved ranges requires Executive Committee review and approval. The Executive Committee engages a consulting firm to provide comparative compensation studies for similarly qualified executives in functionally comparable positions at similarly situated organizations. Compensation study and performance review are considered in developing executive compensation decisions. Any benefits for executives beyond what are provided to all employees must be consistent with the Compensation Philosophy. All compensation-related meetings of the Executive Committee are formally documented.
Form 990, Part VI, Section C, Line 19The hospital's web site is www.bch.org. The web site includes the hospital's Mission, Vision and Beliefs Statement, our financial assistance policies, the Community Health Needs Assessment, the Board of Directors, and the Annual Report which contains key financial data, and information on new programs, patient safety and quality, and community benefits. The web site also has a section for Compliance policies including the Code of Conduct and Conflict of Interest. Annual audited financial statements are made available to the public at the Annual Meeting of Boulder Community Health. The tax return is made available to anyone who requests the return through our Public Relations Office.
Form 990, Part XI, Line 9Other change in Net Assets of $22,965,871 = $15,998,225 change in minimum pension liability + ($239,635) amortization of ineffective loss on swap + $7,207,284 change in Foundation net assets + ($3) for rounding

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Boulder Community Health Sports Medicine Imaging LLC
2150 Stadium Drive2nd FloorBoulderCO80309474243430imaging servicesCO$1,539,571$1,739,323Boulder Community Health
Boulder Valley Care Network LLC
4141 Arapahoe AvenueSuite 200BoulderCO80303821488664Clincally Integrated Provider NetworkCO$1,490,232$0Boulder Community Health
Boulder Community Health Rehab LLC
4747 Arapahoe AveBoulderCO803019019Participate in a 50/50 JOA with another non-profit to operate an Inpatient Rehabilitation hospitalCO$1,533,598$1,688,136Boulder Community Health

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Boulder Community Hospital FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14860 RiverbendAddressLine1Txt
CityBoulderCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80301ZIPCd
FieldValueIRS element (for citing)
EIN840772664EIN
Primary ActivitiesFundraising for Boulder Community HealthPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Exempt Code Section501(c)3ExemptCodeSectionTxt
Public Charity StatusLine 7PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Business Name Line2RelatedOrganizationName/BusinessNameLine2TxtAddress Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Boulder Community Musculoskeletal Surgery Center LLC
dba Boulder Surg Center4740 Pearl ParkwaySuite 100BoulderCO80301201391702Outpatient surgery centerCON/ARelated$2,783,217$4,189,5760$000.5
Endoscopy Center of the Rockies LLC
382 S Arthur AveSte 140LouisvilleCO80027841562782Outpatient EndoscopyCON/ARelated$5,873,037$988,0210$000.5
Boulder MRI LLC
1000 W South Boulder RoadSuite 105LafayetteCO80026452676500outpatient MRI centerCORelated$266,307$93,4000$000.51Boulder Community Health
Foothills Surgery Center LLC
4743 Arapahoe AvenueSuite 101BoulderCO80303455328252Ambulatory Surgical CenterCORelated$1,357,555$1,303,2920$000.51Boulder Community Health
Riverbend Sleep LLC
2305 Canyon BlvdSuite 200BoulderCO80302464514151own building and lease to Approved EntitiesCON/AExcluded$78,557$989,1930$000.5
Premier Eye Surgery Center of Colorado
4545 ArapahoeSuite 100BoulderCO80303823760640Outpatient Eye Surgery CenterCORelated$217,319$1,431,6010$000.501Boulder Community Health
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Business Name Line2OtherOrganizationName/BusinessNameLine2TxtTransaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Boulder Community Musculoskeletal Surgery Center LLC
dba Boulder Surg Centerc$3,107,863K-1 capital distribution
Boulder Community Musculoskeletal Surgery Center LLC
dba Boulder Surg Centerd$927,965Loan guarantee document (not > ownership %)
Endoscopy Center of the Rockies LLC
c$5,993,950K-1 capital distribution
Boulder MRI LLC
c$298,350K-1 capital distribution
Boulder MRI LLC
j$64,647Property Manager recap of income
Boulder MRI LLC
q$176,554$46,200 for PACS agreement, $10,417 for managed care contracting, $119,937 for passthrough of MRI service contract
Riverbend Sleep LLC
c$55,000K-1 capital distribution
Riverbend Sleep LLC
k$192,774Lease of facilities from JV, vendor history recap
Foothills Surgery Center LLC
c$1,071,000K-1 capital distribution
Foothills Surgery Center LLC
j$391,123Lease payments received
Premier Eye Surgery Center of Colorado
c$162,825K-1 capital distribution

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationNotice Number CP211A dated 3/7/22 extended filing date to November 15, 2022.ExplanationTxt