FURP.ORG / PUBLIC DATA EXPLORER

BOULDER COMMUNITY HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
BOULDER COMMUNITY HEALTH (EIN 84-0175870)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-11
IRS object ID
202133159349304118
Schema version
2020v4.0
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)
Return2021-11-11T12:02:44-07:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

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
Phone3034155220PhoneNum

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
Signature2021-11-11SignatureDt

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)
Tax2020TaxYr
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$728,591,247GrossReceiptsAmt
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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2762TotalEmployeeCnt
Total Volunteers367TotalVolunteersCnt
Total Gross UBI$1,349,680TotalGrossUBIAmt
PY Contributions Grants$2,879,189PYContributionsGrantsAmt
CY Contributions Grants$19,296,569CYContributionsGrantsAmt
PY Program Service Revenue$359,691,641PYProgramServiceRevenueAmt
CY Program Service Revenue$320,662,273CYProgramServiceRevenueAmt
PY Investment Income$10,539,320PYInvestmentIncomeAmt
CY Investment Income$15,136,532CYInvestmentIncomeAmt
PY Other Revenue$19,586,402PYOtherRevenueAmt
CY Other Revenue$18,188,919CYOtherRevenueAmt
PY Total Revenue$392,696,552PYTotalRevenueAmt
CY Total Revenue$373,284,293CYTotalRevenueAmt
PY Grants And Similar Paid$308,355PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$211,206CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$201,684,575PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$192,144,319CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$640,680CYTotalFundraisingExpenseAmt
PY Other Expenses$183,931,092PYOtherExpensesAmt
CY Other Expenses$171,138,797CYOtherExpensesAmt
PY Total Expenses$385,924,022PYTotalExpensesAmt
CY Total Expenses$363,494,322CYTotalExpensesAmt
PY Revenues Less Expenses$6,772,530PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,789,971CYRevenuesLessExpensesAmt
Total Assets BOY$784,754,764TotalAssetsBOYAmt
Total Assets EOY$835,580,179TotalAssetsEOYAmt
Total Liabilities BOY$292,164,296TotalLiabilitiesBOYAmt
Total Liabilities EOY$308,464,591TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$492,590,468NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$527,115,588NetAssetsOrFundBalancesEOYAmt
MissionTo provide our community the highest value healthcare in an innovative, patient-centered environment.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$262,827,297ExpenseAmt
Grant$211,056GrantAmt
Revenue$337,490,640RevenueAmt
DescHealth Care Delivery of IP and OP medical care. In 2020, the hospital discharged 7,299 adult & pediatric patients with an average length of stay of 4.1 days. 30,603 patients were seen in our ER facilities and 10,996 in Urgent Care. 5,486 surgeries were performed.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$262,827,297TotalProgramServiceExpensesAmt
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 OrganizationsYes (1)GrantsToOrganizationsInd
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 OutstandingYes (1)LoanOutstandingInd
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 Document237IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2762EmployeeCnt
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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)
PersonLisa Rogowski ControllerPersonNm
Phone3034155220PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (27 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)$1,282,300$0$277,775
Daniel O'Hair
Physician400Yes (X)$1,102,747$0$43,938
Robert J Vissers
Exec Director/CEO400$1,037,557$0$33,923Yes (X)Yes (X)
Bryan Mahan
Physician400Yes (X)$969,185$0$37,949
Srinivas Iyengar
Physician400Yes (X)$760,208$0$43,938
Brian Lyle
Physician400Yes (X)$677,816$0$14,150
Benjamin J Keidan
VP & Chief Medical Officer400$467,849$0$99,161Yes (X)
William A Munson Jr
VP & CFO400$433,047$0$107,089Yes (X)
Paul R Hinchey
VP Business Development400$396,996$0$89,712Yes (X)
Sarah E Meshak
VP & General Counsel400$393,086$0$81,206Yes (X)
Jacqueline M Attlesey-Pries
VP , Chief Nursing Officer & Chief Operating Officer400$352,126$0$87,551Yes (X)
Michael J Jefferies
VP & Chief Information Officer400$296,034$0$84,185Yes (X)
Valerie Lipetz MD
Board Member400$289,816$0$44,396Yes (X)
Grant Besser
Foundation President & VP Public Affairs1228$265,797$0$63,985Yes (X)
Jeff Morgan
Chairman40$0$0$0Yes (X)Yes (X)
Suzy Ageton
Board Member20$0$0$0Yes (X)
Bryan Pieper
Vice Chairman40$0$0$0Yes (X)Yes (X)
Randy Bjerke MD
Board Member20$0$0$0Yes (X)
John Greff
Treasurer40$0$0$0Yes (X)Yes (X)
Harold Flowers
Board Member20$0$0$0Yes (X)
Rhonda Wallen
Board Member20$0$0$0Yes (X)
Debbie Lund MD
Secretary40$0$0$0Yes (X)Yes (X)
Benita Duran
Board Member20$0$0$0Yes (X)
Phil DeStefano
Board Member20$0$0$0Yes (X)
George Karakehian
Board Member20$0$0$0Yes (X)
Joel Montbriand MD
Board Member20$0$0$0Yes (X)
Nancy Stevens
Board Member20$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,724,564TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,108,958TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K278IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Business Name Line2ContractorName/BusinessName/BusinessNameLine2TxtAddress Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
Boulder Valley Anesthesiology LLC
c/o Wendll Walker & Assoc1420 28th St Ste 100BoulderCO80303Anesthesiology coverage$1,306,495
Boulder Emergency Physicians
CarePoint PC 5600 S Quebec StGreenwood VillageCO80111CMC Emergency Room Coverage & ER medical director$1,235,643Suite 312 A
Favorite Healthcare Staffing Inc
PO Box 803356Kansas CityMO641803356agency nursing services$1,221,041
Boulder Neurosurgical Assoc PLLC
4743 Arapahoe AveBoulderCO80303trauma call$1,140,976Suite 202
BOSLA LLC
4740 Pearl ParkwayBoulderCO80301Ortho Trauma Call and Ortho Management Svcx$1,061,440Suite 200
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K27CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$25MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$4,439,989RelatedOrganizationsAmt
Government Grants$14,852,619GovernmentGrantsAmt
All Other Contributions$3,936AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$19,296,569TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Acute Care Hospital622000$319,899,758$319,857,731$0$42,027
Lab Service Revenue621500$762,515$0$762,515$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$320,662,273TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,268,975TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,268,975ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$55TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$55ExclusionAmt

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$361,885,534SecuritiesAmt
Other$2,223,615OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$353,096,496SecuritiesAmt
Other$2,145,151OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$8,789,038SecuritiesAmt
Other$78,464OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,867,502TotalRevenueColumnAmt
Related Or Exempt Func Income$78,464RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,789,038ExclusionAmt
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$77,395GrossSalesOfInventoryAmt
Cost Of Goods Sold$65,307CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,088TotalRevenueColumnAmt
Related Or Exempt Func Income$12,088RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Hospital Care Joint Ventures621400$7,946,531$7,946,531$0$0
Misc Hospital Revenue622000$9,643,135$9,595,826$0$47,309
Lab Service Revenue621500$587,165$0$587,165$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$18,176,831OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$373,284,293TotalRevenueColumnAmt
Related Or Exempt Func Income$337,490,640RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,349,680UnrelatedBusinessRevenueAmt
Exclusion$15,147,404ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$29,328TotalAmt
Program Services$29,328ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$181,878TotalAmt
Program Services$181,878ProgramServicesAmt

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$4,151,205TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,945,896ManagementAndGeneralAmt
Fundraising$205,309FundraisingAmt

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$154,711,759TotalAmt
Program Services$117,746,449ProgramServicesAmt
Management And General$36,618,432ManagementAndGeneralAmt
Fundraising$346,878FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,504,759TotalAmt
Program Services$4,353,118ProgramServicesAmt
Management And General$1,151,641ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,039,562TotalAmt
Program Services$10,237,489ProgramServicesAmt
Management And General$6,770,521ManagementAndGeneralAmt
Fundraising$31,552FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,737,034TotalAmt
Program Services$7,792,942ProgramServicesAmt
Management And General$2,914,308ManagementAndGeneralAmt
Fundraising$29,784FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,740,344TotalAmt
Program Services$92,518ProgramServicesAmt
Management And General$1,647,826ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$255,597TotalAmt
Program Services$0ProgramServicesAmt
Management And General$255,597ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$4,670TotalAmt
Program Services$4,670ProgramServicesAmt
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$250,492TotalAmt
Program Services$0ProgramServicesAmt
Management And General$250,492ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,326,397TotalAmt
Program Services$16,496,053ProgramServicesAmt
Management And General$10,830,998ManagementAndGeneralAmt
Fundraising-$654FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$790,292TotalAmt
Program Services$0ProgramServicesAmt
Management And General$790,292ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,126,037TotalAmt
Program Services$3,701,322ProgramServicesAmt
Management And General$2,418,231ManagementAndGeneralAmt
Fundraising$6,484FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,603,971TotalAmt
Program Services$662,478ProgramServicesAmt
Management And General$9,941,493ManagementAndGeneralAmt
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$8,493,762TotalAmt
Program Services$5,417,902ProgramServicesAmt
Management And General$3,056,524ManagementAndGeneralAmt
Fundraising$19,336FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$217,641TotalAmt
Program Services$137,806ProgramServicesAmt
Management And General$79,835ManagementAndGeneralAmt
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$125,426TotalAmt
Program Services$68,388ProgramServicesAmt
Management And General$57,038ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,388,965TotalAmt
Program Services$1,922,367ProgramServicesAmt
Management And General$2,466,598ManagementAndGeneralAmt
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$20,640,922TotalAmt
Program Services$8,778,527ProgramServicesAmt
Management And General$11,860,549ManagementAndGeneralAmt
Fundraising$1,846FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,770,119TotalAmt
Program Services$667,688ProgramServicesAmt
Management And General$1,102,431ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$53,238,201$52,968,857$269,294$50
Repairs and Maintenance$6,895,803$4,729,181$2,166,527$95
Medicaid Provider Fee$25,334,273$25,334,273$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,815,765TotalAmt
Program Services$1,504,063ProgramServicesAmt
Management And General$1,311,702ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$363,494,322TotalAmt
Program Services$262,827,297ProgramServicesAmt
Management And General$100,026,345ManagementAndGeneralAmt
Fundraising$640,680FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,864BOYAmt
EOY$17,119EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,415,714BOYAmt
EOY$38,486,805EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$54,743,523BOYAmt
EOY$52,858,603EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$163,111BOYAmt
EOY$83,392EOYAmt

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$5,080,685BOYAmt
EOY$5,485,422EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,780,658BOYAmt
EOY$7,345,563EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$498,934,042LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$201,668,270LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$316,744,451BOYAmt
EOY$297,265,772EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$297,991,823BOYAmt
EOY$322,843,406EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,074,345BOYAmt
EOY$8,227,332EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,949,697BOYAmt
EOY$7,447,746EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$88,792,893BOYAmt
EOY$95,519,019EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$784,754,764BOYAmt
EOY$835,580,179EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$54,154,957BOYAmt
EOY$75,005,825EOYAmt

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$156,964,822BOYAmt
EOY$154,957,030EOYAmt

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$80,974,517BOYAmt
EOY$78,431,736EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$292,164,296BOYAmt
EOY$308,464,591EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$446,889,655BOYAmt
EOY$474,594,630EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$45,700,813BOYAmt
EOY$52,520,958EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$492,590,468BOYAmt
EOY$527,115,588EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$784,754,764BOYAmt
EOY$835,580,179EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$9,789,971ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$22,069,286NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$2,665,863OtherChangesInNetAssetsAmt
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 Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$4,670OtherActivitiesAmt
Total Lobbying Expenditures$4,670TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1FormAndLineReferenceDesc
Explanation4.42% of dues paid to the Colorado Hospital Association are spent on lobbying activities, amounting to $4,670.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,858,909BeginningYearBalanceAmt
Contributions$105,778ContributionsAmt
Investment Earnings Or Losses$193,566InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$173,741OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$4,984,512EndYearBalanceAmt
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$20,151,602OtherCostOrOtherBasisAmt
Book Value$20,151,602BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$278,925,626OtherCostOrOtherBasisAmt
Depreciation$90,383,912DepreciationAmt
Book Value$188,541,714BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$6,734,053OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$6,734,053BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$192,904,704OtherCostOrOtherBasisAmt
Depreciation$111,284,358DepreciationAmt
Book Value$81,620,346BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$218,057OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$218,057BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$297,265,772TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
Interest in Net Assets held by Foundation$50,473,903
Unamortized Swap Fees$51,341
Unamortized BIC$1,051,335
Deferred Comp Investments$12,515,075
Earnest Money - 4840 Riverbend pending purchase$50,000
Right of Use Asset - Operating Leases$25,168,115
Misc Other AR$6,168,828
Note Receivable, Brian Lyle, non key employee$40,422
FieldValueIRS element (for citing)
Total Book Value Other Assets$95,519,019TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Accrued Pension Liability$42,189,823
Deferred Compensation Liability$12,515,075
Operating Lease Liability, Net of Current Maturities$23,726,838
FieldValueIRS element (for citing)
Total Liability$78,431,736TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$397,892,603TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$22,069,286NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$2,805,565OtherRevenueAmt
Revenue Not Reported$24,874,851RevenueNotReportedAmt
Revenue Subtotal$373,017,752RevenueSubtotalAmt
Investment Expenses Not Incld$250,492InvestmentExpensesNotIncldAmt
Other Revenues Not Included$16,049OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$266,541RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$373,284,293TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$361,724,132TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$361,724,132ExpensesSubtotalAmt
Investment Expenses Not Incld2$250,492InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$1,519,698OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,770,190ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$363,494,322TotalExpensesPerForm990Amt

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, mental health, 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 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 of $2,805,564 included in TR but not in audited revenue includes Change in Foundation Net Assets of $5,556,022 + Change in minimum pension liability of -$2,650,528 + Amortization of ineffective loss on swap of -$239,635 + Expenses shown net in FS rev of $142,013 + Auxiliary component of contributions of -$2,308
Schedule D, Part XI, Line 4bOther revenue of $16,049 = Ambassador revenue of $81,356 minus expenses for events of $65,307
Schedule D, Part XII, Line 4bOther expenses of $1,519,698 = Expenses reflected net in FS of -$142,013 + Auxiliary special event expense of -$65,307 + Auxiliary expenses of $83,665 + Non-op expense for pension contributions of $1,643,353

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$187,862RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Total Spent$187,862TotalSpentAmt
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) 187,862 = 185,929 in investment assets and 1,933 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$3,870,572TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,870,572NetCommunityBenefitExpnsAmt
Total Expense0.01TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,116,013TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,677,211DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,438,802NetCommunityBenefitExpnsAmt
Total Expense0.044TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$63,986,585TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,677,211DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,309,374NetCommunityBenefitExpnsAmt
Total Expense0.054TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,024,980TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$778,639DirectOffsettingRevenueAmt
Net Community Benefit Expns$246,341NetCommunityBenefitExpnsAmt
Total Expense0.001TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$283,560TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$283,560NetCommunityBenefitExpnsAmt
Total Expense0.001TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$389,561TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$389,561NetCommunityBenefitExpnsAmt
Total Expense0.001TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,698,101TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$778,639DirectOffsettingRevenueAmt
Net Community Benefit Expns$919,462NetCommunityBenefitExpnsAmt
Total Expense0.003TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$65,684,686TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,455,850DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,228,836NetCommunityBenefitExpnsAmt
Total Expense0.057TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,347TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,347NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,928TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,928NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$70,862TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$70,862NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$75,000NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$164,137TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$164,137NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,998,636BadDebtExpenseAmt
Bad Debt Expense Attributable$1,249,659BadDebtExpenseAttributableAmt
Reimbursed By Medicare$53,607,401ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$79,014,901CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$25,407,500MedicareSurplusOrShortfallAmt

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 (6 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 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/FINANCIAL-ASSISTANCE.aspx
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 Hospitalte https://www.bch.org/patient-visitors/FINANCIAL-ASSISTANCE.aspx
FieldValueIRS element (for citing)
Facility52FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (52 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 RoadLafayetteCO80026Emergency Room
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
Broomfield Imaging
36 Garden CenterBroomfieldCO80020Laboratory and imaging services
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
Community Medical Center- Emergency Department
1000 W South Boulder RdLafayetteCO80026Freestanding ER
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 hospitals total Medicare shortfall, including these programs, is actually $47,764,707. 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 completeing 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 hospitals 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. See https://www.bch.org/About-Us/Community-Reports.aspx

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1University of Colorado FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 Grant StreetAddressLine1Txt
Address Line2Suite 725AddressLine2Txt
CityDenverCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80203ZIPCd
FieldValueIRS element (for citing)
Recipient EIN846049811RecipientEIN
IRC Section501(c)3IRCSectionDesc
Cash Grant$15,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Purpose Of GrantTo support community education growthPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
Healthcare education scholarships21$52,056$0Cost
Heart Scans provided for qualifying patients100$8,623$0FMV
Assistance for Mental Health patients70$23,356$0Cost
Oncology patient support for qualifying patients110$61,861$0Cost
Assistance with food and transportation post-discharge for indigent patients16$2,245$0Cost
Assistance with RX post-discharge for indigent patients155$0$1,947CostTake home medications donated to indigent patient post-discharge
Assistance with housing post-discharge for indigent patients53$31,792$0Cost

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationGrants are only made to non-profit organizations supporting 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 for which he may approve distributions of 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 to directly to the school on the student's behalf with a letter indicating that the money should be returned to the hospital if the student does not register.ExplanationTxt

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 (14 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$995,522$0$267,278$0$19,501$0$267,727$0$11,161$0$1,561,189$0$185,808$0
Daniel O'Hair
Physician$993,106$0$90,141$0$19,500$0$14,150$0$30,901$0$1,147,798$0$0$0
Robert J Vissers
Exec Director/CEO$730,179$0$261,878$0$45,500$0$14,150$0$20,886$0$1,072,593$0$0$0
Bryan Mahan
Physician$899,044$0$45,141$0$25,000$0$14,150$0$24,912$0$1,008,247$0$0$0
Srinivas Iyengar
Physician$658,554$0$63,642$0$38,012$0$14,150$0$30,901$0$805,259$0$0$0
Brian Lyle
Physician$587,364$0$64,452$0$26,000$0$14,150$0$1,113$0$693,079$0$0$0
Benjamin J Keidan
VP & Chief Medical Officer$384,212$0$63,152$0$20,484$0$80,102$0$20,172$0$568,122$0$0$0
William A Munson Jr
VP & CFO$329,792$0$57,757$0$45,497$0$74,551$0$33,651$0$541,248$0$0$0
Paul R Hinchey
VP Business Development$295,500$0$56,000$0$45,495$0$66,650$0$24,175$0$487,820$0$0$0
Sarah E Meshak
VP & General Counsel$316,334$0$50,752$0$26,000$0$70,230$0$12,089$0$475,405$0$0$0
Jacqueline M Attlesey-Pries
VP , Chief Nursing Officer & Chief Operating Officer$279,884$0$46,242$0$26,000$0$64,536$0$24,113$0$440,775$0$0$0
Michael J Jefferies
VP & Chief Information Officer$240,102$0$44,193$0$11,739$0$54,778$0$30,388$0$381,200$0$0$0
Valerie Lipetz MD
Board Member$242,850$0$10,566$0$36,400$0$28,117$0$17,267$0$335,200$0$0$0
Grant Besser
Foundation President & VP Public Affairs$208,496$0$43,401$0$13,900$0$47,284$0$17,556$0$330,637$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: Benjamin Keidan, VP & Chief Medical Officer ($63,152 contributed), William Munson Jr, VP & CFO ($57,601 contributed), Jacqueline Attlesey-Pries, VP ,COO & CNO ($47,886 contributed), Paul Hinchey, VP Business Development ($52,500 contributed), Michael Jefferies, VP & CIO ($41,430 contributed), Sarah Meshak, VP & General Counsel ($53,280 contributed), and Grant Besser, Foundation President & VP Public Affairs ($35,999 contributed). Gail Osterbur, former VP Nursing, received $256,298 from the nonqualified 457(f) plan.
Schedule J, Part I, Line 6See response to Line 7. Board approval required for any payment.
Schedule J, Part I, Line 7For 2019, 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 2019 goals met, Incentive compensation expense was paid out in February of 2020. Due to the pandemic, no incentive compensation accruals were made for the 2020 plan year and no payments were made in early 2021 for 2020 incentive compensation.

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$4,765,000$0$31,815,214$0$0$0$452,449$0$0$31,362,765$0$0201400Yes (1)Yes (1)
B$2,000,000$0$30,041,484$0$0$0$153,502$0$0$29,887,982$0$0201900Yes (1)Yes (1)
C$0$0$62,896,076$0$0$0$608,192$0$0$15,000,000$47,265,223$22,6602020Yes (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 (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (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(B) 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(C) of 30,034,171 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 62,896,075 by the cumulative trust fund interest income of $2.
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 L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonRobert J VissersPersonNm
Relationship With OrgExecutive Director/CEORelationshipWithOrgTxt
Loan PurposePersonal home purchaseLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$250,000OriginalPrincipalAmt
Balance Due$83,392BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$83,392TotalBalanceDueAmt

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 is 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 Information Office.
Form 990, Part XI, Line 9Other change in Net Assets of $2,665,863 = Change in Foundation Assets of $5,556,022 + Change in minimum pension liability of -$<2,650,528> + Charge for amortization of ineffective loss on swap of -$<239,635> + 4 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$1,203,126$1,914,175Boulder Communty Health
Boulder Valley Care Network LLC
4141 Arapahoe AvenueSuite 200BoulderCO80303821488664Clincally Integrated Provider NetworkCO$734,570$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$964,763$2,302,404Boulder 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$2,938,274$931,9870$000.5
Endoscopy Center of the Rockies LLC
382 S Arthur AveSte 140LouisvilleCO80027841562782Outpatient EndoscopyCON/ARelated$4,373,620$1,108,9340$000.5
Boulder MRI LLC
1000 W South Boulder RoadSuite 105LafayetteCO80026452676500outpatient MRI centerCORelated$157,203$117,1280$000.51Boulder Community Health
Foothills Surgery Center LLC
4743 Arapahoe AvenueSuite 101BoulderCO80303455328252Ambulatory Surgical CenterCORelated$1,106,994$1,065,6240$000.51Boulder Community Health
Riverbend Sleep LLC
2305 Canyon BlvdSuite 200BoulderCO80302464514151own building and lease to Approved EntitiesCON/AExcluded$81,308$992,6910$60,97000.5
Premier Eye Surgery Center of Colorado
4545 ArapahoeSuite 100BoulderCO80303823760640Outpatient Eye Surgery CenterCORelated-$133,423$2,300,5190$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 (10 entries)

Business Name Line2OtherOrganizationName/BusinessNameLine2TxtTransaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Boulder Community Musculoskeletal Surgery Center LLC
dba Boulder Surg Centerc$1,888,0001 capital distribution
Boulder Community Musculoskeletal Surgery Center LLC
dba Boulder Surg Centerd$1,141,106Loan guarantee document (not > ownership %)
Endoscopy Center of the Rockies LLC
c$4,267,900K-1 capital distribution
Boulder MRI LLC
c$153,000K-1 capital distribution
Boulder MRI LLC
j$60,935Property Manager recap of Income
Boulder MRI LLC
q$166,91830,175 for PACS agreement, 12,500 for managed care contracting, 124,243 for pass-thru of MRI service contract
Riverbend Sleep LLC
c$85,000K-1 capital distribution
Riverbend Sleep LLC
k$192,108Vendor history recap
Foothills Surgery Center LLC
c$892,500K-1 capital distribution
Foothills Surgery Center LLC
j$377,080Lease payments received

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationCP211A dated December 31, 2020 extended filing date to November 15, 2021.ExplanationTxt