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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-11T12:02:44-07:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840175870 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BOULDER COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BOUL | BusinessNameControlTxt |
| Phone | 3034155220 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 9019 | AddressLine1Txt |
| City | Boulder | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 803019019 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | William A Munson Jr | PersonNm |
| Person Title | CFO & Vice President | PersonTitleTxt |
| Phone | 3034157433 | PhoneNum |
| Signature | 2021-11-11 | SignatureDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 1 | TrustedCustomerCd |
| OOB Security Verification | 11 | OOBSecurityVerificationCd |
| Last Submission Rqr OOB | 0 | LastSubmissionRqrOOBCd |
| Authentication Assurance Level | AAL2 | AuthenticationAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Robert J Vissers President and CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 9019 | AddressLine1Txt |
| City | Boulder | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 803019019 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $728,591,247 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.bch.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1922 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | Partnering to create and care for the healthiest community in the nation. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 2762 | TotalEmployeeCnt |
| Total Volunteers | 367 | TotalVolunteersCnt |
| Total Gross UBI | $1,349,680 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,879,189 | PYContributionsGrantsAmt |
| CY Contributions Grants | $19,296,569 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $359,691,641 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $320,662,273 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,539,320 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,136,532 | CYInvestmentIncomeAmt |
| PY Other Revenue | $19,586,402 | PYOtherRevenueAmt |
| CY Other Revenue | $18,188,919 | CYOtherRevenueAmt |
| PY Total Revenue | $392,696,552 | PYTotalRevenueAmt |
| CY Total Revenue | $373,284,293 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $308,355 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $211,206 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $201,684,575 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $192,144,319 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $640,680 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $183,931,092 | PYOtherExpensesAmt |
| CY Other Expenses | $171,138,797 | CYOtherExpensesAmt |
| PY Total Expenses | $385,924,022 | PYTotalExpensesAmt |
| CY Total Expenses | $363,494,322 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,772,530 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,789,971 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $784,754,764 | TotalAssetsBOYAmt |
| Total Assets EOY | $835,580,179 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $292,164,296 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $308,464,591 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $492,590,468 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $527,115,588 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide our community the highest value healthcare in an innovative, patient-centered environment. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $262,827,297 | ExpenseAmt |
| Grant | $211,056 | GrantAmt |
| Revenue | $337,490,640 | RevenueAmt |
| Desc | Health 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 | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $262,827,297 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 237 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2762 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lisa Rogowski Controller | PersonNm |
| Phone | 3034155220 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 9019 | AddressLine1Txt |
| Address Line2 | Accounting Dept | AddressLine2Txt |
| City | Boulder | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 803019019 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| Charles Jones | ||||||||
| Physician | 40 | 0 | Yes (X) | $1,282,300 | $0 | $277,775 | ||
| Daniel O'Hair | ||||||||
| Physician | 40 | 0 | Yes (X) | $1,102,747 | $0 | $43,938 | ||
| Robert J Vissers | ||||||||
| Exec Director/CEO | 40 | 0 | $1,037,557 | $0 | $33,923 | Yes (X) | Yes (X) | |
| Bryan Mahan | ||||||||
| Physician | 40 | 0 | Yes (X) | $969,185 | $0 | $37,949 | ||
| Srinivas Iyengar | ||||||||
| Physician | 40 | 0 | Yes (X) | $760,208 | $0 | $43,938 | ||
| Brian Lyle | ||||||||
| Physician | 40 | 0 | Yes (X) | $677,816 | $0 | $14,150 | ||
| Benjamin J Keidan | ||||||||
| VP & Chief Medical Officer | 40 | 0 | $467,849 | $0 | $99,161 | Yes (X) | ||
| William A Munson Jr | ||||||||
| VP & CFO | 40 | 0 | $433,047 | $0 | $107,089 | Yes (X) | ||
| Paul R Hinchey | ||||||||
| VP Business Development | 40 | 0 | $396,996 | $0 | $89,712 | Yes (X) | ||
| Sarah E Meshak | ||||||||
| VP & General Counsel | 40 | 0 | $393,086 | $0 | $81,206 | Yes (X) | ||
| Jacqueline M Attlesey-Pries | ||||||||
| VP , Chief Nursing Officer & Chief Operating Officer | 40 | 0 | $352,126 | $0 | $87,551 | Yes (X) | ||
| Michael J Jefferies | ||||||||
| VP & Chief Information Officer | 40 | 0 | $296,034 | $0 | $84,185 | Yes (X) | ||
| Valerie Lipetz MD | ||||||||
| Board Member | 40 | 0 | $289,816 | $0 | $44,396 | Yes (X) | ||
| Grant Besser | ||||||||
| Foundation President & VP Public Affairs | 12 | 28 | $265,797 | $0 | $63,985 | Yes (X) | ||
| Jeff Morgan | ||||||||
| Chairman | 4 | 0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Suzy Ageton | ||||||||
| Board Member | 2 | 0 | $0 | $0 | $0 | Yes (X) | ||
| Bryan Pieper | ||||||||
| Vice Chairman | 4 | 0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Randy Bjerke MD | ||||||||
| Board Member | 2 | 0 | $0 | $0 | $0 | Yes (X) | ||
| John Greff | ||||||||
| Treasurer | 4 | 0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Harold Flowers | ||||||||
| Board Member | 2 | 0 | $0 | $0 | $0 | Yes (X) | ||
| Rhonda Wallen | ||||||||
| Board Member | 2 | 0 | $0 | $0 | $0 | Yes (X) | ||
| Debbie Lund MD | ||||||||
| Secretary | 4 | 0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Benita Duran | ||||||||
| Board Member | 2 | 0 | $0 | $0 | $0 | Yes (X) | ||
| Phil DeStefano | ||||||||
| Board Member | 2 | 0 | $0 | $0 | $0 | Yes (X) | ||
| George Karakehian | ||||||||
| Board Member | 2 | 0 | $0 | $0 | $0 | Yes (X) | ||
| Joel Montbriand MD | ||||||||
| Board Member | 2 | 0 | $0 | $0 | $0 | Yes (X) | ||
| Nancy Stevens | ||||||||
| Board Member | 2 | 0 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,724,564 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,108,958 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 278 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Business Name Line2ContractorName/BusinessName/BusinessNameLine2Txt | Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|
| Boulder Valley Anesthesiology LLC | |||||||
| c/o Wendll Walker & Assoc | 1420 28th St Ste 100 | Boulder | CO | 80303 | Anesthesiology coverage | $1,306,495 | |
| Boulder Emergency Physicians | |||||||
| CarePoint PC 5600 S Quebec St | Greenwood Village | CO | 80111 | CMC Emergency Room Coverage & ER medical director | $1,235,643 | Suite 312 A | |
| Favorite Healthcare Staffing Inc | |||||||
| PO Box 803356 | Kansas City | MO | 641803356 | agency nursing services | $1,221,041 | ||
| Boulder Neurosurgical Assoc PLLC | |||||||
| 4743 Arapahoe Ave | Boulder | CO | 80303 | trauma call | $1,140,976 | Suite 202 | |
| BOSLA LLC | |||||||
| 4740 Pearl Parkway | Boulder | CO | 80301 | Ortho Trauma Call and Ortho Management Svcx | $1,061,440 | Suite 200 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $25 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $4,439,989 | RelatedOrganizationsAmt |
| Government Grants | $14,852,619 | GovernmentGrantsAmt |
| All Other Contributions | $3,936 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $19,296,569 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Acute Care Hospital | 622000 | $319,899,758 | $319,857,731 | $0 | $42,027 |
| Lab Service Revenue | 621500 | $762,515 | $0 | $762,515 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $320,662,273 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,268,975 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,268,975 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $55 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $55 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $361,885,534 | SecuritiesAmt |
| Other | $2,223,615 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $353,096,496 | SecuritiesAmt |
| Other | $2,145,151 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,789,038 | SecuritiesAmt |
| Other | $78,464 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,867,502 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $78,464 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,789,038 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $77,395 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $65,307 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,088 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,088 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Hospital Care Joint Ventures | 621400 | $7,946,531 | $7,946,531 | $0 | $0 |
| Misc Hospital Revenue | 622000 | $9,643,135 | $9,595,826 | $0 | $47,309 |
| Lab Service Revenue | 621500 | $587,165 | $0 | $587,165 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $18,176,831 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $373,284,293 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $337,490,640 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,349,680 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,147,404 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,328 | TotalAmt |
| Program Services | $29,328 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,878 | TotalAmt |
| Program Services | $181,878 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,151,205 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $3,945,896 | ManagementAndGeneralAmt |
| Fundraising | $205,309 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,711,759 | TotalAmt |
| Program Services | $117,746,449 | ProgramServicesAmt |
| Management And General | $36,618,432 | ManagementAndGeneralAmt |
| Fundraising | $346,878 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,504,759 | TotalAmt |
| Program Services | $4,353,118 | ProgramServicesAmt |
| Management And General | $1,151,641 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,039,562 | TotalAmt |
| Program Services | $10,237,489 | ProgramServicesAmt |
| Management And General | $6,770,521 | ManagementAndGeneralAmt |
| Fundraising | $31,552 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,737,034 | TotalAmt |
| Program Services | $7,792,942 | ProgramServicesAmt |
| Management And General | $2,914,308 | ManagementAndGeneralAmt |
| Fundraising | $29,784 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,740,344 | TotalAmt |
| Program Services | $92,518 | ProgramServicesAmt |
| Management And General | $1,647,826 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,597 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $255,597 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,120 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $120,120 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,670 | TotalAmt |
| Program Services | $4,670 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,492 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $250,492 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,326,397 | TotalAmt |
| Program Services | $16,496,053 | ProgramServicesAmt |
| Management And General | $10,830,998 | ManagementAndGeneralAmt |
| Fundraising | -$654 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $790,292 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $790,292 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,126,037 | TotalAmt |
| Program Services | $3,701,322 | ProgramServicesAmt |
| Management And General | $2,418,231 | ManagementAndGeneralAmt |
| Fundraising | $6,484 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,603,971 | TotalAmt |
| Program Services | $662,478 | ProgramServicesAmt |
| Management And General | $9,941,493 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,493,762 | TotalAmt |
| Program Services | $5,417,902 | ProgramServicesAmt |
| Management And General | $3,056,524 | ManagementAndGeneralAmt |
| Fundraising | $19,336 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,641 | TotalAmt |
| Program Services | $137,806 | ProgramServicesAmt |
| Management And General | $79,835 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,426 | TotalAmt |
| Program Services | $68,388 | ProgramServicesAmt |
| Management And General | $57,038 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,388,965 | TotalAmt |
| Program Services | $1,922,367 | ProgramServicesAmt |
| Management And General | $2,466,598 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,640,922 | TotalAmt |
| Program Services | $8,778,527 | ProgramServicesAmt |
| Management And General | $11,860,549 | ManagementAndGeneralAmt |
| Fundraising | $1,846 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,770,119 | TotalAmt |
| Program Services | $667,688 | ProgramServicesAmt |
| Management And General | $1,102,431 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,815,765 | TotalAmt |
| Program Services | $1,504,063 | ProgramServicesAmt |
| Management And General | $1,311,702 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $363,494,322 | TotalAmt |
| Program Services | $262,827,297 | ProgramServicesAmt |
| Management And General | $100,026,345 | ManagementAndGeneralAmt |
| Fundraising | $640,680 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,864 | BOYAmt |
| EOY | $17,119 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,415,714 | BOYAmt |
| EOY | $38,486,805 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,743,523 | BOYAmt |
| EOY | $52,858,603 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,111 | BOYAmt |
| EOY | $83,392 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,080,685 | BOYAmt |
| EOY | $5,485,422 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,780,658 | BOYAmt |
| EOY | $7,345,563 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $498,934,042 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $201,668,270 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $316,744,451 | BOYAmt |
| EOY | $297,265,772 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,991,823 | BOYAmt |
| EOY | $322,843,406 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,074,345 | BOYAmt |
| EOY | $8,227,332 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,949,697 | BOYAmt |
| EOY | $7,447,746 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,792,893 | BOYAmt |
| EOY | $95,519,019 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $784,754,764 | BOYAmt |
| EOY | $835,580,179 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,154,957 | BOYAmt |
| EOY | $75,005,825 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,964,822 | BOYAmt |
| EOY | $154,957,030 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,000 | BOYAmt |
| EOY | $70,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,974,517 | BOYAmt |
| EOY | $78,431,736 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $292,164,296 | BOYAmt |
| EOY | $308,464,591 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $446,889,655 | BOYAmt |
| EOY | $474,594,630 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,700,813 | BOYAmt |
| EOY | $52,520,958 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $492,590,468 | BOYAmt |
| EOY | $527,115,588 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $784,754,764 | BOYAmt |
| EOY | $835,580,179 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $9,789,971 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $22,069,286 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $2,665,863 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $4,670 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,670 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 | FormAndLineReferenceDesc |
| Explanation | 4.42% 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,701,232 | BeginningYearBalanceAmt |
| Contributions | $250,590 | ContributionsAmt |
| Investment Earnings Or Losses | $1,095,165 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $331,860 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $8,715,127 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,676,584 | BeginningYearBalanceAmt |
| Contributions | $172,748 | ContributionsAmt |
| Investment Earnings Or Losses | $1,103,169 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $251,269 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $7,701,232 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,872,827 | BeginningYearBalanceAmt |
| Contributions | $337,227 | ContributionsAmt |
| Investment Earnings Or Losses | -$314,358 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $219,112 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $6,676,584 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,984,512 | BeginningYearBalanceAmt |
| Contributions | $1,484,732 | ContributionsAmt |
| Investment Earnings Or Losses | $670,808 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $267,225 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $6,872,827 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,858,909 | BeginningYearBalanceAmt |
| Contributions | $105,778 | ContributionsAmt |
| Investment Earnings Or Losses | $193,566 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $173,741 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $4,984,512 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.73 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.27 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $20,151,602 | OtherCostOrOtherBasisAmt |
| Book Value | $20,151,602 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $278,925,626 | OtherCostOrOtherBasisAmt |
| Depreciation | $90,383,912 | DepreciationAmt |
| Book Value | $188,541,714 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $6,734,053 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $6,734,053 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $192,904,704 | OtherCostOrOtherBasisAmt |
| Depreciation | $111,284,358 | DepreciationAmt |
| Book Value | $81,620,346 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $218,057 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $218,057 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $297,265,772 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $95,519,019 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Pension Liability | $42,189,823 |
| Deferred Compensation Liability | $12,515,075 |
| Operating Lease Liability, Net of Current Maturities | $23,726,838 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $78,431,736 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $397,892,603 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $22,069,286 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $2,805,565 | OtherRevenueAmt |
| Revenue Not Reported | $24,874,851 | RevenueNotReportedAmt |
| Revenue Subtotal | $373,017,752 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $250,492 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $16,049 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $266,541 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $373,284,293 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $361,724,132 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $361,724,132 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $250,492 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $1,519,698 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,770,190 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $363,494,322 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 | Boulder 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 2d | Other 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 4b | Other revenue of $16,049 = Ambassador revenue of $81,356 minus expenses for events of $65,307 |
| Schedule D, Part XII, Line 4b | Other 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConductedTxt |
| Specific Services Provided | Passive Investments | SpecificServicesProvidedTxt |
| Region Total Expenditures | $187,862 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Spent | $187,862 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule F, Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | Foreign 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 2.5 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,870,572 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,870,572 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,116,013 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,677,211 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,438,802 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.044 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $63,986,585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $43,677,211 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,309,374 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.054 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,024,980 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $778,639 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $246,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $283,560 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $283,560 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $389,561 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $389,561 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,698,101 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $778,639 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $919,462 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.003 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $65,684,686 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,455,850 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,228,836 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.057 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,347 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,347 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,928 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,928 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $70,862 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $70,862 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $75,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $164,137 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $164,137 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,998,636 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,249,659 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $53,607,401 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $79,014,901 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$25,407,500 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| Boulder Community Musculoskeletal Surgery Center LLC | |||
| Outpatient Orthopedic Surgery Center | 0.5 | 0 | 0.5 |
| Endoscopy Center of the Rockies LLC | |||
| Outpatient Endoscopy Center | 0.5 | 0 | 0.5 |
| Boulder MRI LLC | |||
| outpatient MRI center | 0.51 | 0 | 0.49 |
| Foothills Surgery Center LLC | |||
| Ambulatory Surgical Center | 0.51 | 0 | 0.49 |
| Riverbend Sleep LLC | |||
| Property ownership and lease to Approved Entities | 0.5 | 0 | 0.5 |
| Premier Eye Surgery Center of Colorado | |||
| ambulatory surgery center for eyes | 0.501 | 0 | 0.499 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Community Foothills Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4747 Arapahoe Avenue | AddressLine1Txt |
| City | Boulder | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.bch.org | WebsiteAddressTxt |
| State License | 010323 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Community Foothills Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See H, Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See H, Part V, Section C | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See H, Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See H, Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See H, Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-Boulder Community Foothills Hospital | Please 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 Hospital | https://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 Hospital | Please 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 Hospital | https://www.bch.org/patient-visitors/FINANCIAL-ASSISTANCE.aspx |
| Schedule H, Part V, Section B, Line 16b-Boulder Community Foothills Hospital | https://www.bch.org/documents/content/FINANCIAL-ASSISTANCE-APPLICATION-New-2021.pdf |
| Schedule H, Part V, Section B, Line 16c-Boulder Community Foothills Hospital | te https://www.bch.org/patient-visitors/FINANCIAL-ASSISTANCE.aspx |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 52 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (52 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt | Business Name Line2BusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|
| BCH Behavioral Health DPU | ||||||
| 4801 Riverbend Road | Boulder | CO | 80301 | Psych DPU | ||
| Community Medical Center | ||||||
| 1000 W South Boulder Road | Lafayette | CO | 80026 | Emergency Room | ||
| BCH at Boulder Medical Center | ||||||
| 2750 Broadway | Boulder | CO | 80304 | laboratory and imaging services | ||
| Boulder Community Musculoskeletal Surgery LLC | ||||||
| 4740 Pearl Parkway | Boulder | CO | 80301 | Ambulatory Surgical Center | ||
| Endoscopy Center of the Rockies in Lafayette | ||||||
| 1000 W South Boulder Road | Lafayette | CO | 80026 | Endoscopic Ambulatory Surgery Center | Suite 202 | |
| Endoscopy Center of the Rockies in Boulder | ||||||
| 1755 48th Street | Boulder | CO | 80303 | Endoscopic Ambulatory Surgical Center | Suite 110 | |
| Endoscopy Cener of the Rockies in Longmont | ||||||
| 1551 Professional Lane | Longmont | CO | 80501 | Endoscopic Ambulatory Surgical Center | Suite 295 | |
| Boulder MRI LLC | ||||||
| 1000 W South Boulder Road | Lafayette | CO | 80026 | MRI Imaging Center | Suite 105 | |
| Foothills Surgery Center LLC | ||||||
| 4743 Arapahoe Avenue | Boulder | CO | 80303 | Ambulatory Surgical Center | Suite 101 | |
| Boulder Heart at Anderson Medical Center | ||||||
| 4743 Arapahoe Avenue | Boulder | CO | 80303 | Physician clinic | Suite 201 | |
| Boulder Heart at Community Medical Center | ||||||
| 1000 W South boulder Road | Lafayette | CO | 800262089 | Physician clinic | Suite 216 | |
| Boulder Heart at Longmont | ||||||
| 2101 Ken Pratt Blvd | Longmont | CO | 805016568 | Physician clinic | Suite 104 | |
| Internal Medical Associates of Boulder | ||||||
| 5495 Arapahoe Avenue | Boulder | CO | 80303 | Physician clinic | ||
| Boulder Valley Surgical Associates | ||||||
| 4743 Arapahoe Avenue | Boulder | CO | 80303 | Surgical services | ||
| Boulder Valley Pulmonology | ||||||
| 4820 Riverbend Road | Boulder | CO | 80301 | Physician clinic | ||
| CU Sports Medicine and Performance Center | ||||||
| 2150 Stadium Drive | Boulder | CO | 80309 | outpatient sports medicine clinic | Second Floor | |
| Boulder Community Health Sports Medicine | ||||||
| 2150 Stadium Drive | Boulder | CO | 80309 | Imaging IDTF | Imaging LLC | |
| Beacon Center for Infectious Disease | ||||||
| 4800 Riverbend Rd | Boulder | CO | 80301 | Infectious Disease Clinic | ||
| Boulder Community Health Sleep Diagnostice | ||||||
| 4895 Riverbend Rd | Boulder | CO | 80301 | Sleep study center | ||
| Internal Medical Associates of Lafayette | ||||||
| 1000 W South Boulder Rd | Lafayette | CO | 80026 | Physician clinic | Suite 214 | |
| Internal Medicine Associates at Buffalo Ridge | ||||||
| 101 Erie Parkway | Erie | CO | 80516 | Physician clinic | ||
| Center for Integrative Care | ||||||
| 4715 Arapahoe | Boulder | CO | 80303 | Outpatient integrative care for cancer patients | Unit 100 | |
| Broomfield Imaging | ||||||
| 36 Garden Center | Broomfield | CO | 80020 | Laboratory and imaging services | ||
| Frontier Internal Medicine | ||||||
| 2101 Ken Pratt Blvd | Longmont | CO | 80501 | Physician clinic | Ste 104 | |
| Wellness Program of BCH | ||||||
| 5495 Arapahoe Avenue | Boulder | CO | 80303 | Physician clinic | ||
| Northwest Family Medicine | ||||||
| 3 Superior Dr | Superior | CO | 80027 | Physician clinic | ||
| Family Medical Associates | ||||||
| 1000 W South Boulder Rd | Lafayette | CO | 80026 | Physician clinic | Suite 110 | |
| Spruce Street Internal Medicine | ||||||
| 2575 Spruce Street | Boulder | CO | 80302 | Physician clinic | ||
| Boulder Creek Family Medicine | ||||||
| 1755 48th St | Boulder | CO | 80303 | Physician clinic | Suite 200 | |
| Associated Neurologists of Boulder | ||||||
| 4801 Riverbend Rd | Boulder | CO | 80301 | Physician clinic | ||
| Occupational Health Services | ||||||
| 1000 W South Boulder Rd | Lafayette | CO | 80026 | Occupational medicine clinic | ||
| Dakota Ridge Medical Center | ||||||
| 2995 Baseline Road | Boulder | CO | 80303 | Physician clinic | Suite 210 | |
| Gunbarrel Family Medicine | ||||||
| 6685 Gunpark Drive | Boulder | CO | 80301 | Physician clinic | Suite 110 | |
| BMC East Laboratory | ||||||
| 80 Health Park Dr | CO | CO | 80027 | Laboratory draw station | Louisville | |
| Boulder Heart at Erie Medical Center | ||||||
| 101 Erie Parkway | Erie | CO | 80516 | Physician clinic | ||
| Boulder Women's Care | ||||||
| 4745 Arapahoe Ave | Boulder | CO | 80303 | Physician Clinic | Suite 320 | |
| Boulder Women's Care at Erie Medical Center | ||||||
| 101 Erie Parkway | Eire | CO | 80516 | Physician Clinic | ||
| Center for Mind Body Medicine | ||||||
| 4801 Riverbend Road | Boulder | CO | 80301 | Physician Clinic | ||
| Endocrinology Associates of BCH | ||||||
| 5495 Arapahoe Avenue | Boulder | CO | 80303 | Physician Clinic | ||
| Endocrinology Associates of BCH - Superior | ||||||
| 3 Superior Drive | Superior | CO | 80027 | Physician Clinic | ||
| Erie Family Medicine | ||||||
| 101 Erie Parkway | Erie | CO | 80519 | Physician Clinic | ||
| Foothills Community Midwives | ||||||
| 4745 Arapahoe Ave | Boulder | CO | 80303 | midwife clinic | ||
| Urgent Care Center - Erie | ||||||
| 6685 Gunpark Dr | Boulder | CO | 80301 | Urgent Care Center | ||
| Urgent Care Center - Superior | ||||||
| 3 Superior Dr | Superior | CO | 80027 | Urgent Care Center | ||
| Worldwide Travel Clinic | ||||||
| 4800 Riverbend Rd | Boulder | CO | 80301 | Physician clinic | ||
| Wound Healing Center | ||||||
| 4880 Riverbend Rd | Boulder | CO | 80301 | Wound Clinic | ||
| Community Medical Center- Emergency Department | ||||||
| 1000 W South Boulder Rd | Lafayette | CO | 80026 | Freestanding ER | ||
| BCH Counseling Center | ||||||
| 4801 Riverbend Rd | Boulder | CO | 80301 | Clinic | Suite 120a | |
| Boulder Valley Surgical Associates - Erie | ||||||
| 101 Erie Parkway | Erie | CO | 80516 | Physician clinic | Suite 201 | |
| Inpatient Rehabilitation | ||||||
| 11820 Destination Dr | Broomfield | CO | 80021 | Inpatient Rehabilitation | 3rd Floor | |
| Urgent Care Center - Gunbarrel | ||||||
| 6685 Gunpark Dr | Boulder | CO | 80301 | Urgent Care Center | Suite 102 | |
| Premier Eye Surgery Center of Colorado | ||||||
| 1050 W South Boulder Rd | Lafayette | CO | 80026 | Ambulatory Surgical Center | Suite 110 | |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c | Criteria 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 7 | The 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 II | Community 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 4 | The 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 8 | 100% 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 9b | The 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 2 | In 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 3 | The 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 4 | Please 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 5 | The 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 7 | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | University of Colorado Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 Grant Street | AddressLine1Txt |
| Address Line2 | Suite 725 | AddressLine2Txt |
| City | Denver | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 846049811 | RecipientEIN |
| IRC Section | 501(c)3 | IRCSectionDesc |
| Cash Grant | $15,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Purpose Of Grant | To support community education growth | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| Healthcare education scholarships | 21 | $52,056 | $0 | Cost | |
| Heart Scans provided for qualifying patients | 100 | $8,623 | $0 | FMV | |
| Assistance for Mental Health patients | 70 | $23,356 | $0 | Cost | |
| Oncology patient support for qualifying patients | 110 | $61,861 | $0 | Cost | |
| Assistance with food and transportation post-discharge for indigent patients | 16 | $2,245 | $0 | Cost | |
| Assistance with RX post-discharge for indigent patients | 155 | $0 | $1,947 | Cost | Take home medications donated to indigent patient post-discharge |
| Assistance with housing post-discharge for indigent patients | 53 | $31,792 | $0 | Cost |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | Grants 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 | The 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 4 | Ln 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 6 | See response to Line 7. Board approval required for any payment. |
| Schedule J, Part I, Line 7 | For 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 ReferenceBondReferenceCd | Business Name Line2IssuerName/BusinessNameLine2Txt | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|---|
| Colorado Health Facilities | |||||||||
| A | Authority | 840752932 | 19648AZL2 | 2012-08-28 | $31,748,673 | Foothills hospital expansion | 0 | 0 | 0 |
| Colorado Health Facilities Authority | |||||||||
| B | 840752932 | 2014-12-30 | $30,000,000 | acquiring,constructing & equipping Financed Facilities | 0 | 0 | 0 | ||
| Colorado Health Facilities Authority | |||||||||
| C | 840752932 | 19648FRU0 | 2020-08-13 | $62,896,073 | Foothills expansion & refund prior bonds | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $4,765,000 | $0 | $31,815,214 | $0 | $0 | $0 | $452,449 | $0 | $0 | $31,362,765 | $0 | $0 | 2014 | 0 | 0 | Yes (1) | Yes (1) |
| B | $2,000,000 | $0 | $30,041,484 | $0 | $0 | $0 | $153,502 | $0 | $0 | $29,887,982 | $0 | $0 | 2019 | 0 | 0 | Yes (1) | Yes (1) |
| C | $0 | $0 | $62,896,076 | $0 | $0 | $0 | $608,192 | $0 | $0 | $15,000,000 | $47,265,223 | $22,660 | 2020 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I, Column e-08/28/2012 31,748,673 Colorado Health Facilities | Ln 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 Authority | Ln 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 Authority | Ln 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 Facilities | Rebate 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 Authority | Rebate 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Robert J Vissers | PersonNm |
| Relationship With Org | Executive Director/CEO | RelationshipWithOrgTxt |
| Loan Purpose | Personal home purchase | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $250,000 | OriginalPrincipalAmt |
| Balance Due | $83,392 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $83,392 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11b | Form 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 12c | The 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 15 | The 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 19 | The 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 9 | Other 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/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| Boulder Community Health Sports Medicine Imaging LLC | ||||||||||
| 2150 Stadium Drive | 2nd Floor | Boulder | CO | 80309 | 474243430 | imaging services | CO | $1,203,126 | $1,914,175 | Boulder Communty Health |
| Boulder Valley Care Network LLC | ||||||||||
| 4141 Arapahoe Avenue | Suite 200 | Boulder | CO | 80303 | 821488664 | Clincally Integrated Provider Network | CO | $734,570 | $0 | Boulder Community Health |
| Boulder Community Health Rehab LLC | ||||||||||
| 4747 Arapahoe Ave | Boulder | CO | 803019019 | Participate in a 50/50 JOA with another non-profit to operate an Inpatient Rehabilitation hospital | CO | $964,763 | $2,302,404 | Boulder Community Health | ||
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Community Hospital Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4860 Riverbend | AddressLine1Txt |
| City | Boulder | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840772664 | EIN |
| Primary Activities | Fundraising for Boulder Community Health | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Exempt Code Section | 501(c)3 | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt | Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Boulder Community Musculoskeletal Surgery Center LLC | |||||||||||||||||
| dba Boulder Surg Center | 4740 Pearl Parkway | Suite 100 | Boulder | CO | 80301 | 201391702 | Outpatient surgery center | CO | N/A | Related | $2,938,274 | $931,987 | 0 | $0 | 0 | 0.5 | |
| Endoscopy Center of the Rockies LLC | |||||||||||||||||
| 382 S Arthur Ave | Ste 140 | Louisville | CO | 80027 | 841562782 | Outpatient Endoscopy | CO | N/A | Related | $4,373,620 | $1,108,934 | 0 | $0 | 0 | 0.5 | ||
| Boulder MRI LLC | |||||||||||||||||
| 1000 W South Boulder Road | Suite 105 | Lafayette | CO | 80026 | 452676500 | outpatient MRI center | CO | Related | $157,203 | $117,128 | 0 | $0 | 0 | 0.51 | Boulder Community Health | ||
| Foothills Surgery Center LLC | |||||||||||||||||
| 4743 Arapahoe Avenue | Suite 101 | Boulder | CO | 80303 | 455328252 | Ambulatory Surgical Center | CO | Related | $1,106,994 | $1,065,624 | 0 | $0 | 0 | 0.51 | Boulder Community Health | ||
| Riverbend Sleep LLC | |||||||||||||||||
| 2305 Canyon Blvd | Suite 200 | Boulder | CO | 80302 | 464514151 | own building and lease to Approved Entities | CO | N/A | Excluded | $81,308 | $992,691 | 0 | $60,970 | 0 | 0.5 | ||
| Premier Eye Surgery Center of Colorado | |||||||||||||||||
| 4545 Arapahoe | Suite 100 | Boulder | CO | 80303 | 823760640 | Outpatient Eye Surgery Center | CO | Related | -$133,423 | $2,300,519 | 0 | $0 | 0 | 0.501 | Boulder Community Health | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Business Name Line2OtherOrganizationName/BusinessNameLine2Txt | Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|---|
| Boulder Community Musculoskeletal Surgery Center LLC | |||
| dba Boulder Surg Center | c | $1,888,000 | 1 capital distribution |
| Boulder Community Musculoskeletal Surgery Center LLC | |||
| dba Boulder Surg Center | d | $1,141,106 | Loan guarantee document (not > ownership %) |
| Endoscopy Center of the Rockies LLC | |||
| c | $4,267,900 | K-1 capital distribution | |
| Boulder MRI LLC | |||
| c | $153,000 | K-1 capital distribution | |
| Boulder MRI LLC | |||
| j | $60,935 | Property Manager recap of Income | |
| Boulder MRI LLC | |||
| q | $166,918 | 30,175 for PACS agreement, 12,500 for managed care contracting, 124,243 for pass-thru of MRI service contract | |
| Riverbend Sleep LLC | |||
| c | $85,000 | K-1 capital distribution | |
| Riverbend Sleep LLC | |||
| k | $192,108 | Vendor history recap | |
| Foothills Surgery Center LLC | |||
| c | $892,500 | K-1 capital distribution | |
| Foothills Surgery Center LLC | |||
| j | $377,080 | Lease payments received | |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | CP211A dated December 31, 2020 extended filing date to November 15, 2021. | ExplanationTxt |