POUDRE VALLEY HEALTH CARE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: POUDRE VALLEY HEALTH CARE INC (EIN 84-1262971)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-13
IRS object ID: 202011959349302141
Schema version: 2018v3.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-13T12:51:02-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	841262971	EIN

Business Name BusinessName

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY ROAD NO 200	AddressLine1Txt
City	FORT COLLINS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80528	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID THOMPSON	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	9702377000	PhoneNum
Signature	2020-07-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DORI J EGGETT	PreparerPersonNm
PTIN	P00645252	PTIN
Phone	3037409400	PhoneNum
Preparation	2020-07-09	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	71.218.248.222	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-07-09	IPDt
IP Tm	18:28:50	IPTm
IP Timezone	MD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	321DDE24B35CC1D1467AEA03569F7C6B0A555C82	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-22 18:59:49Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,895,963,381	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UCHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	WE IMPROVE LIVES THROUGH LEARNING, HEALING, DISCOVERY, AND THROUGH HUMAN CONNECTION.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	4404	TotalEmployeeCnt
Total Volunteers	476	TotalVolunteersCnt
Total Gross UBI	$6,963,666	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$5,957,763	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,438,879	PYContributionsGrantsAmt
CY Contributions Grants	$2,525,135	CYContributionsGrantsAmt
PY Program Service Revenue	$659,740,233	PYProgramServiceRevenueAmt
CY Program Service Revenue	$708,240,921	CYProgramServiceRevenueAmt
PY Investment Income	$49,194,013	PYInvestmentIncomeAmt
CY Investment Income	$62,737,119	CYInvestmentIncomeAmt
PY Other Revenue	$1,402,448	PYOtherRevenueAmt
CY Other Revenue	$13,290,404	CYOtherRevenueAmt
PY Total Revenue	$712,775,573	PYTotalRevenueAmt
CY Total Revenue	$786,793,579	CYTotalRevenueAmt
PY Grants And Similar Paid	$43,656,988	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$39,643,462	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$231,007,789	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$245,900,138	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$276,218,006	PYOtherExpensesAmt
CY Other Expenses	$285,144,951	CYOtherExpensesAmt
PY Total Expenses	$550,882,783	PYTotalExpensesAmt
CY Total Expenses	$570,688,551	CYTotalExpensesAmt
PY Revenues Less Expenses	$161,892,790	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$216,105,028	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,905,134,945	TotalAssetsBOYAmt
Total Assets EOY	$6,985,306,171	TotalAssetsEOYAmt
Total Liabilities BOY	$4,290,573,331	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,067,119,966	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,614,561,614	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,918,186,205	NetAssetsOrFundBalancesEOYAmt
Mission	WE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS, WE IMPROVE LIVES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$512,117,995	ExpenseAmt
Grant	$39,643,462	GrantAmt
Revenue	$706,011,343	RevenueAmt
Desc	POUDRE VALLEY HEALTH CARE INC. (PVHC) PROVIDES TERTIARY, ACUTE, INPATIENT, OUTPATIENT AS WELL AS EMERGENCY CARE. PVHC SERVICES COMMUNITIES IN NORTHERN COLORADO, SOUTHWESTERN NEBRASKA, AND SOUTHEASTERN WYOMING. DURING FISCAL YEAR 2019, PVHC RECORDED 63,478 PATIENT DAYS, 15,235 ADMISSIONS, 304,214 OUTPATIENT VISITS, 66,277 EMERGENCY VISITS, 1,897 DELIVERIES, 3,909 INPATIENT SURGERIES, AND 5,464 OUTPATIENT SURGERIES.	Desc
Total Program Service Expenses	$512,117,995	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	374	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4404	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	9702377000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MIKE DELLENBACH
CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
DENNIS HOUSKA
VICE CHAIR	1.00	2.00	Yes (X)	Yes (X)	$391	$793	$0
CHRISTINE CHIN
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
LISA CLAY
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
DOUG ERION
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
CHRIS OSBORN
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
JIM PARKE
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
JAMES SPROWELL
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
DAN STROH
DIRECTOR	1.00	2.00	Yes (X)		$491	$998	$0
KEVIN UNGER
PRESIDENT/CEO	25.00	25.00	Yes (X)	Yes (X)	$652,400	$832,417	$119,912
FARAZ NAQVI
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
RICH LOWE
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
STEPHANIE DOUGHTY
CHIEF FINANCIAL OFFICER	25.00	25.00		Yes (X)	$280,352	$357,711	$61,914
STEVE SCHWARTZ
INTERIM CFO	1.00	40.00		Yes (X)	$0	$301,932	$42,396
DIANA BREYER
CHIEF QUALITY OFFICER	17.00	33.00			$184,036	$325,197	$39,607	Yes (X)
THOMAS DOWNES
CHIEF MEDICAL OFFICER	29.00	21.00			$290,952	$212,422	$59,180	Yes (X)
RODNEY GOOD
SR DIRECTOR PHARMACY	29.00	21.00			$122,935	$89,754	$41,326	Yes (X)
DONNA PODUSKA
CHIEF NURSING OFFICER	45.00	5.00			$291,603	$0	$37,818	Yes (X)
GRACE KOWALYSHYN-TAYLOR
VP ADMINISTRATION	25.00	25.00			$140,826	$179,684	$54,573	Yes (X)
RYAN ROHMAN
CHIEF OPERATING OFFICER	25.00	25.00			$142,388	$181,677	$32,249	Yes (X)
ROBERT WAGNER JR
SR DIRECTOR CARDIOVASCULAR SERVICES	22.00	28.00			$91,105	$115,271	$36,806	Yes (X)
JILLIAN BUSCH
PSYCHIATRIST	50.00				$305,058	$0	$45,398		Yes (X)
JOSEPH GOTTFRIED
PSYCHIATRIST	50.00				$272,977	$0	$50,612		Yes (X)
HERMANN MORENO
PSYCHIATRIST	50.00				$298,885	$0	$49,093		Yes (X)
KENNETH WATANABE
MED DIRECTOR/MTN CREST	50.00				$330,655	$0	$48,959		Yes (X)
JANELL WOZNIAK
PROGRAM DIRECTOR/FMC	50.00				$314,077	$0	$43,608		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,719,131	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,597,856	TotReportableCompRltdOrgAmt
Total Other Compensation	$763,451	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	219	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ALLIED BARTON SECURITY
PO BOX 31001-2374	PASADENA	CA	91110	SECURITY	$3,358,414
NORTHERN COLORADO HOSPITALISTS
2121 E HARMONY ROAD STE 300	FORT COLLINS	CO	80528	MEDICAL	$2,346,722
FORT COLLINS WOMEN'S CLINIC
1107 S LEMAY AVENUE STE 300	FORT COLLINS	CO	80524	MEDICAL	$1,945,415
SUMMIT PATHOLOGY
5802 WRIGHT DRIVE	LOVELAND	CO	80538	MEDICAL	$1,774,159
ARUP LABORATORIES
PO BOX 27964	SALT LAKE CITY	UT	84127	MEDICAL	$1,483,539

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	45	CntrctRcvdGreaterThan100KCnt
Related Organizations	$849,552	RelatedOrganizationsAmt
Government Grants	$1,047,389	GovernmentGrantsAmt
All Other Contributions	$628,194	AllOtherContributionsAmt
Noncash Contributions	$533,326	NoncashContributionsAmt
Total Contributions	$2,525,135	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SVC REV	900099	$663,291,987	$663,291,987
PROVIDER FEE INCOME	621400	$39,467,947	$39,467,947
JOINT VENTURE	621400	$3,121,471	$3,270,559	-$149,088
DIETARY SVC INCOME	900099	$2,324,862			$2,324,862

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,654	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$19,150	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$53,804	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$708,240,921	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,709,234	TotalRevenueColumnAmt
Exclusion	$28,709,234	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,967	TotalRevenueColumnAmt
Exclusion	$8,967	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$11,686,200	RealAmt
Personal	$167,588	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,910,154	RealAmt
Personal	$167,588	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$9,776,046	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,776,046	TotalRevenueColumnAmt
Unrelated Business Revenue	$7,058,950	UnrelatedBusinessRevenueAmt
Exclusion	$2,717,096	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,140,780,305	SecuritiesAmt
Other	$184,809	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,106,764,066	SecuritiesAmt
Other	$182,130	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$34,016,239	SecuritiesAmt
Other	$2,679	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,018,918	TotalRevenueColumnAmt
Exclusion	$34,018,918	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$403,145	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$145,864	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$257,281	TotalRevenueColumnAmt
Exclusion	$257,281	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS REVENUE	621400	$2,227,980	$2,227,980
EHR REVENUE	624100	$1,029,097	$1,029,097

Field	Value	IRS element (for citing)
Other Revenue Total	$3,257,077	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$786,793,579	TotalRevenueColumnAmt
Related Or Exempt Func Income	$709,268,420	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,963,666	UnrelatedBusinessRevenueAmt
Exclusion	$68,036,358	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$39,643,462	TotalAmt
Program Services	$39,643,462	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,203,501	TotalAmt
Program Services	$2,544,337	ProgramServicesAmt
Management And General	$1,659,164	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$187,504,105	TotalAmt
Program Services	$160,952,163	ProgramServicesAmt
Management And General	$26,551,942	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,853,713	TotalAmt
Program Services	$13,436,521	ProgramServicesAmt
Management And General	$2,417,192	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$35,883,407	TotalAmt
Program Services	$30,412,318	ProgramServicesAmt
Management And General	$5,471,089	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,455,412	TotalAmt
Program Services	$2,081,039	ProgramServicesAmt
Management And General	$374,373	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$55,632	TotalAmt
Management And General	$55,632	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$48,418	TotalAmt
Management And General	$48,418	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$37,204	TotalAmt
Management And General	$37,204	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,354,333	TotalAmt
Management And General	$2,354,333	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$26,861,901	TotalAmt
Program Services	$20,507,676	ProgramServicesAmt
Management And General	$6,354,225	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,248,021	TotalAmt
Program Services	$3,160,809	ProgramServicesAmt
Management And General	$87,212	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,163,824	TotalAmt
Program Services	$3,745,826	ProgramServicesAmt
Management And General	$417,998	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,741,786	TotalAmt
Program Services	$8,937,251	ProgramServicesAmt
Management And General	$804,535	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,380,293	TotalAmt
Program Services	$2,243,759	ProgramServicesAmt
Management And General	$1,136,534	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,226,623	TotalAmt
Program Services	$926,520	ProgramServicesAmt
Management And General	$300,103	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$762,037	TotalAmt
Program Services	$531,263	ProgramServicesAmt
Management And General	$230,774	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,874,543	TotalAmt
Program Services	$5,874,543	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,318,079	TotalAmt
Program Services	$21,113,500	ProgramServicesAmt
Management And General	$3,204,579	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,348,517	TotalAmt
Program Services	$948,000	ProgramServicesAmt
Management And General	$400,517	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$131,317,964	$130,872,634	$445,330
PROVIDER FEE EXPENSE	$29,398,980	$29,398,980
BAD DEBT	$21,725,782	$21,725,782
TAXES PAID	$1,963,740		$1,963,740

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,317,274	TotalAmt
Program Services	$13,061,612	ProgramServicesAmt
Management And General	$4,255,662	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$570,688,551	TotalAmt
Program Services	$512,117,995	ProgramServicesAmt
Management And General	$58,570,556	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$103,317,710	BOYAmt
EOY	$74,136,456	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,094,616	BOYAmt
EOY	$2,188,059	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$64,649,593	BOYAmt
EOY	$74,134,294	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$44,543	BOYAmt
EOY	$38,940	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,047,221	BOYAmt
EOY	$10,670,379	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,552,888	BOYAmt
EOY	$8,976,517	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$697,470,917	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$413,937,547	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$294,373,576	BOYAmt
EOY	$283,533,370	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,217,788,470	BOYAmt
EOY	$1,365,355,373	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$24,535,932	BOYAmt
EOY	$26,820,617	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,178,730,396	BOYAmt
EOY	$5,139,452,166	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,905,134,945	BOYAmt
EOY	$6,985,306,171	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$102,376,764	BOYAmt
EOY	$101,121,830	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,655,984	BOYAmt
EOY	$1,653,143	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$184,335,104	BOYAmt
EOY	$171,510,928	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$17,304,433	BOYAmt
EOY	$14,836,844	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$68,772	BOYAmt
EOY	$59,989	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,984,832,274	BOYAmt
EOY	$4,777,937,232	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,290,573,331	BOYAmt
EOY	$5,067,119,966	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,614,561,614	BOYAmt
EOY	$1,918,186,205	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,614,561,614	BOYAmt
EOY	$1,918,186,205	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,905,134,945	BOYAmt
EOY	$6,985,306,171	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$216,105,028	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$21,482,479	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$66,037,084	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$37,204	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$37,204	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,151,577	BeginningYearBalanceAmt
Contributions	$39,217	ContributionsAmt
Investment Earnings Or Losses	$55,040	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$19,049	GrantsOrScholarshipsAmt
Other Expenditures	$317,893	OtherExpendituresAmt
Administrative Expenses	$36,426	AdministrativeExpensesAmt
End Year Balance	$6,872,466	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,079,697	BeginningYearBalanceAmt
Contributions	$46,722	ContributionsAmt
Investment Earnings Or Losses	$95,036	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$22,644	GrantsOrScholarshipsAmt
Other Expenditures	$14,222	OtherExpendituresAmt
Administrative Expenses	$33,012	AdministrativeExpensesAmt
End Year Balance	$7,151,577	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.06050	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.86740	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.07210	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,514,943	OtherCostOrOtherBasisAmt
Book Value	$58,514,943	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$291,532,511	OtherCostOrOtherBasisAmt
Depreciation	$139,353,994	DepreciationAmt
Book Value	$152,178,517	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$99,989,388	OtherCostOrOtherBasisAmt
Depreciation	$80,460,978	DepreciationAmt
Book Value	$19,528,410	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$195,984,873	OtherCostOrOtherBasisAmt
Depreciation	$147,046,067	DepreciationAmt
Book Value	$48,938,806	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,449,202	OtherCostOrOtherBasisAmt
Depreciation	$47,076,508	DepreciationAmt
Book Value	$4,372,694	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$283,533,370	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLE	$5,117,738,820
DEFERRED PENSION OUTFLOW COSTS	$18,256,147
OTHER RECEIVABLES	$3,457,199

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$5,139,452,166	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$4,752,947,766
ACCRUED INTEREST PAYABLE	$488,554
OTHER DEFERRED EXPENSES	$2,549,272
PENSION LIABILITIES	$21,951,640

Field	Value	IRS element (for citing)
Total Liability	$4,777,937,232	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$783,118,650	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$21,482,479	NetUnrealizedGainsInvstAmt
Other Revenue	$2,953,826	OtherRevenueAmt
Revenue Not Reported	$24,436,305	RevenueNotReportedAmt
Revenue Subtotal	$758,682,345	RevenueSubtotalAmt
Investment Expenses Not Incld	$2,354,333	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$25,756,901	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$28,111,234	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$786,793,579	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$544,800,923	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,223,606	OtherExpensesIncludedAmt
Expenses Not Reported	$2,223,606	ExpensesNotReportedAmt
Expenses Subtotal	$542,577,317	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$2,354,333	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$25,756,901	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$28,111,234	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$570,688,551	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	ENDOWMENT FUNDS ARE USED FOR THE INTENDED PURPOSE TO FUND SCHOLARSHIPS, EDUCATION, PROGRAMS, AND COMMUNITY BENEFIT. TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE FOUNDATION HAVE BEEN LIMITED BY THE DONOR TO A SPECIFIC TIME PERIOD OR PURPOSE. THESE NET ASSETS ARE AVAILABLE FOR VARIOUS HEALTH CARE PURPOSES AS DEFINED BY DONORS. THE ENDOWMENT FUND IS OWNED BY POUDRE VALLEY HEALTH SYSTEM FOUNDATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 2,077,742. COGS REPORTED AS EXPENSE ON AFS 145,864. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS 730,220.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT IN AFS INCOME 21,725,782. CONTRIBUTIONS FROM PV FOUNDATION NOT IN AFS INCOME 316,226. RENTAL EXP AS INCOME ON 990 8,403. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 53,804. INTERCOMPANY EXPENSE ALLOCATIONS 3,652,686.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 2,077,742. COGS REPORTED AS EXPENSE ON AFS 145,864.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT IN AFS INCOME 21,725,782. RENTAL EXP AS INCOME ON 990 8,403. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 53,804. CASH CONTRIBUTIONS FROM FOUNDATION NOT IN AFS REVENUE 316,226. INTERCOMPANY EXPENSES ALLOCATION RECLASS 3,652,686.

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	250.000000000000	FreeCareOtherPct

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$344,053	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$344,053	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,172,714	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,638,509	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,534,205	NetCommunityBenefitExpnsAmt
Total Expense	0.07450	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,472,035	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,373,776	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,098,259	NetCommunityBenefitExpnsAmt
Total Expense	0.01240	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$128,988,802	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,012,285	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,976,517	NetCommunityBenefitExpnsAmt
Total Expense	0.08750	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,496,528	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$120,684	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,375,844	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,548,086	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$723,850	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,824,236	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,799,710	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,798,226	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,001,484	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,373	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,609	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,764	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,626,124	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$39,626,124	NetCommunityBenefitExpnsAmt
Total Expense	0.06940	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,499,821	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,650,369	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,849,452	NetCommunityBenefitExpnsAmt
Total Expense	0.08910	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$184,488,623	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$83,662,654	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$100,825,969	NetCommunityBenefitExpnsAmt
Total Expense	0.17660	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$21,394,598	BadDebtExpenseAmt
Reimbursed By Medicare	$137,380,970	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$157,515,937	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$20,134,967	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 (9 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 HARMONY SURGERY CENTER LLC
AMBULATORY SURG	0.50000	0.50000
2 PEAK SURGICAL MANAGEMENT
MANAGEMENT SERVINCES	0.14000	0.86000
3 HARMONY IMAGING CENTER LLC
MEDICAL IMAGING	0.46000	0.54000
4 SURGERY CENTER OF FORT COLLINS
AMBULATORY SURG	0.26000	0.49000
5 GATEWAY MEDICAL SERVICES
REAL ESTATE/MEDICAL EQUIPMENT	0.50000	0.50000
6 EYE AND LASER CENTER OF NORTHERN COLO LLC
LASER SURGERY	0.50000	0.50000
7 VEIN AND LASER CENTER OF N COLO
LASER SURGERY	0.33300	0.67000
8 PVHS-ICM EHW LLC
MEDICAL CLINIC	0.50000	0.50000
9 OCR OF LOVELAND LLC
AMBULATORY SURG	0.10000	0.90000

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.UCHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.UCHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.UCHEALTH.ORG/BILLING-AND-PRICING/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.UCHEALTH.ORG/BILLING-AND-PRICING/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.UCHEALTH.ORG/BILLING-AND-PRICING/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 5: PVH/MCR COLLABORATED WITH THE LARIMER AND WELD COUNTY HEALTH DEPARTMENTS DURING THEIR MOST RECENT COMMUNITY HEALTH IMPROVEMENT PLANNING PROCESSES. IN NOVEMBER 2017 AND JANUARY 2018, PVH/MCR PARTICIPATED IN COMMUNITY HEALTH SUMMITS DURING WHICH LOCAL HEALTH INDICATOR DATA WAS REVIEWED, AGENCY RESOURCES WERE DESCRIBED (INCLUDING A SPECIFIC PRESENTATION BY PVH/MCR) AND PRIORITY ISSUES FOR ACTION WERE IDENTIFIED. OVER 180 AGENCIES ATTENDED THESE EVENTS, MANY OF WHICH SERVE LOW-INCOME, VULNERABLE POPULATIONS. KELSEY LYON, HEALTH PLANNER AT THE LARIMER COUNTY HEALTH DEPARTMENT AND DR. MARK WALLACE FROM THE WELD COUNTY HEALTH DEPARTMENT WERE THE EVENT ORGANIZERS AND THE MAIN POINTS OF CONTACT FOR PVH/MCR.
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 6A: POUDRE VALLEY HOSPITAL (PVH) AND MEDICAL CENTER OF THE ROCKIES (MCR) PREPARED A JOINT CHNA AS BOTH HOSPITALS SERVE RESIDENTS FROM THE SAME GEOGRAPHIC LOCATIONS.
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 6B: IN FY19, THE CHNA PROCESS FOR MEDICAL CENTER OF THE ROCKIES (MCR) AND POUDRE VALLEY HOSPITAL (PVH) WAS PREPARED IN CONJUNCTION WITH LARIMER AND WELD COUNTY HEALTH DEPARTMENTS. COMMUNITY-WIDE SUMMITS WERE FACILITATED BY COUNTY HEALTH DEPARTMENT STAFF, WITH MCR AND PVH PROVIDING SUBSTANTIAL INPUT INTO THE PLANNING AND EXECUTION OF THE SUMMITS. THESE SUMMITS INCLUDED APPROXIMATELY 150 REPRESENTATIVES OF COMMUNITY ORGANIZATIONS IN EACH COUNTY WHO ACTIVELY PROVIDED INPUT.FOLLOWING THE COMMUNITY SUMMIT MEETINGS LEADERSHIP TEAMS WERE ESTABLISHED BY THE COUNTY HEALTH DEPARTMENTS, PVH AND MCR TO CONTINUE THE CHNA PROCESS. THIS SMALLER LEADERSHIP TEAM INCLUDED REPRESENTATION BY: CITY OF FORT COLLINS, CITY OF GREELEY, CITY OF LOVELAND, COLORADO SCHOOL OF PUBLIC HEALTH, EARLY CHILDHOOD COUNCIL OF LARIMER COUNTY, HEALTH DISTRICT OF NORTHERN LARIMER COUNTY, LARIMER COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENT, NORTH COLORADO HEALTH ALLIANCE, POUDRE SCHOOL DISTRICT, THOMPSON SCHOOL DISTRICT, THE FAMILY CENTER/LA FAMILIA, LARIMER COUNTY OFFICE ON AGING, NORTH RANGE BEHAVIORAL HEALTH, SUMMITSTONE HEALTH PARTNERS, SUNRISE LOVELAND COMMUNITY HEALTH CENTER, UNITED WAY OF LARIMER AND WELD COUNTIES, WELD COUNTY AREA AGENCY ON AGING, WELD COUNTY DEPARTMENT OF PUBLIC HEALTH, WELD COUNTY SCHOOL DISTRICTS.
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 11: EXAMPLES OF HOW PVH/MCR IS ADDRESSING ISSUES RELATED TO ACCESS TO CARE FOR VULNERABLE INDIVIDUALS INCLUDES STAFFING A RN HOME VISIT PROGRAM FOR POSTPARTUM WOMEN WHO ARE ELIGIBLE FOR OR ENROLLED IN MEDICAID. NURSES ASSESS THE NEWBORN, PROVIDE THE MOTHER WITH LACTATION COUNSELING, SELF-CARE GUIDELINES AND ACHIEVE AN INCREASE IN THE MOTHER'S CONFIDENCE TO CARE FOR HER NEWBORN. ADDITIONALLY, COMPREHENSIVE CARE COORDINATION SERVICES ASSIST FAMILIES OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS AS WELL AS VULNERABLE ADULTS WITH MEDICALLY COMPLEX, CHRONIC CONDITIONS. TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES, PVH/MCR IS EXPANDING THE USE OF TECHNOLOGY TO PROVIDE TELE-PSYCH SERVICES TO RESIDENTS WHO ARE NOT ABLE TO ACCESS A LOCAL MENTAL HEALTH PROVIDER OR TO BRIDGE GAPS IN PROVIDER AVAILABILITY. FOR PERSONS WITH SUBSTANCE USE DISORDERS, PVH/MCR DIRECTS RESOURCES TO PROVIDING MEDICALLY ASSISTED ADDICTION TREATMENT AS WELL AS PARTICIPATING IN THE COLORADO ALTERNATIVES TO OPIOIDS TREATMENT PROTOCOLS. INCREASED SCREENING AND REFERRAL TO TREATMENT FOR PERSONS USING ALCOHOL HAS ALSO BEEN IMPLEMENTED. THE FULL SPECTRUM OF SERVICES AND PROGRAMS ADDRESSING IDENTIFIED HEALTH ISSUES IS DESCRIBED IN THE 2020-22 IMPLEMENTATION STRATEGY REPORT POSTED TO THE UCHEALTH WEBSITE: HTTPS://WWW.UCHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
3 - UCHEALTH HARMONY CAMPUS AMBULATORY CARE CE
2127 E HARMONY RD	FORT COLLINS	CO	80528	SURGERY CENTER, IMAGING
5 - CENTRE AVE HEALTH AND REHAB - JV
915 CENTRE AVE	FORT COLLINS	CO	80526	REHAB
8 - SURGERY CENTER OF FT COLLINS - JV
1100 E PROSPECT	FORT COLLINS	CO	80524	SURGERY CENTER
13 - COLUMBINE POUDRE HOMECARE - JV
915 CENTRE AVE	FORT COLLINS	CO	80526	HOME HEALTHCARE
15 - THE VEIN AND LASER CENTER - JV
2008 CARIBOU DR	FORT COLLINS	CO	80525	PHYSICIAN OFFICES
16 - EYE LASER CENTER OF N COLO - JV
1725 E PROSPECT RD	FORT COLLINS	CO	80525	PHYSICIAN OFFICES
18 - UCHEALTH WATER VALLEY
1870 MARINA PLAZA DRIVE	WINDSOR	CO	80550	MED FITNESS, REHAB

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINE 7B AND 7C. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE TO COST-TO-CHARGES.LINE 7A WAS DERIVED USING A COST-TO-CHARGE RATIO FROM THE COST REPORT.THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
PART I, LINE 7G:	INCLUDES PHYSICIAN GROUPS AS A SUBSIDIZED SERVICE. THESE CLINICS PROVIDE SERVICES IN UNDERSERVED AREAS IN COLORADO, NEBRASKA AND WYOMING.
PART I, LN 7 COL(F):	TOTAL BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR PRIOR TO THE PERCENTAGE CALCULATION = $21,394,598
PART III, LINE 2:	ACCOUNTS WITH UNRESOLVED PATIENT LIABILITY AFTER REASONABLE COLLECTION EFFORTS, SET BY POLICY AND IN CONJUNCTION WITH FEDERAL, STATE, AND PAYOR SPECIFIC REGULATIONS, WILL BE ASSIGNED TO BAD DEBT. THESE ACCOUNTS SHALL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY, OR IN SELECTED INSTANCES, ATTORNEYS, FOR ADDITIONAL COLLECTION ACTIVITIES.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ALLOWANCES FOR DOUBTFUL ACCOUNTS, CONTRACTUAL ADJUSTMENTS, AND MEDICALLY INDIGENT ALLOWANCES.PART III, LINE 5: MEDICARE REVENUE WAS COMPUTED AS FOLLOWS:PVHC COST REPORT: $124,624,093CENTER AVE COST REPORT: $3,404,392COLUMBINE HOMECARE COST REPORT: $1,429,725PVHC DISALLOWED PROGRAMS: $2,113,545JOINT VENTURES: $5,809,215TOTAL TO LINE 5: $137,380,970PART III, LINE 6: ALLOWABLE COSTS AS REPORTED ON THE POUDRE VALLEY HEALTH CARE INC. FY19 COST REPORT AGGREGATED WITH DISREGARDED ENTITIES AND OWNERSHIP PORTIONS OF JOINT VENTURES. PART III, LINE 6: MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS WAS COMPUTED AS FOLLOWS:PVHC COST REPORT: $143,228,381CENTRE AVE COST REPORT: $6,129,476COLUMBINE HOMECARE COST REPORT: $1,848,994PVHC DISALLOWED PROGRAMS: $119,132JOINT VENTURES: $6,189,954TOTAL TO LINE 6: $157,515,937
PART III, LINE 8:	APPROXIMATELY 27.29% OF NET PATIENT SERVICE REVENUE IS FROM PARTICIPATION IN THE MEDICARE PROGRAM, THUS PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES TO A SIGNIFICANT PORTION OF THE COMMUNITY POPULATION.
PART III, LINE 9B:	IF UCHEALTH DETERMINES THAT AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE FOLLOWING UCHEALTH'S REVIEW OF A COMPLETE APPLICATION, UCHEALTH WILL REVERSE ECAS (IF ANY) AND WILL REFUND AMOUNTS PREVIOUSLY PAID FOR CARE COVERED BY THIS POLICY IN EXCESS OF THE AMOUNT OWED, EXCEPT OVERPAYMENTS THAT ARE $5 OR LESS. IF THE GUARANTOR STILL OWES ANY AMOUNT, UCHEALTH WILL PROVIDE AN UPDATED BILLING STATEMENT SHOWING HOW THE ADJUSTED AMOUNT WAS DETERMINED.
PART VI, LINE 2:	SEE NARATIVES FOR PART V, SECTION B, LINES 5 AND 6B.
PART VI, LINE 3:	THERE ARE SEVERAL WAYS WE NOTIFY THE PATIENT AND ATTEMPT TO ASSIST THEM. FOR SURGERIES AND HIGH DOLLAR SCHEDULED PROCEDURES, WE PROVIDE THEM WITH AN ESTIMATE AT REGISTRATION AND GO OVER ALL FINANCIAL ASSISTANCE OPTIONS AVAILABLE IF THEY ARE INTERESTED. WE ALSO HAVE FINANCIAL COUNSELORS AVAILABLE EACH DAY THAT CAN ANSWER QUESTIONS AND HELP THEM FILL OUT CHARITY APPLICATIONS. FOR THOSE THAT ARE UNINSURED, OUR CONDITIONS OF SERVICE FORM HAS A SPOT THEY INITIAL STATING THAT WE HAVE OFFERED ASSISTANCE AND MADE THEM AWARE OF PROGRAMS AVAILABLE TO THEM. ONCE A PERSON HAS RECEIVED CARE IN THE ED, WE ALSO HAVE EDUCATED STAFF THAT ASSISTS THEM AND EDUCATES THEM OF WHAT IS AVAILABLE FOR FINANCIAL ASSISTANCE. IN ADDITION, ONCE A PATIENT DOES RECEIVE A STATEMENT OR BILL, THERE IS INFORMATION ON THE BILL OF WHO THEY CAN CALL TO GET INFORMATION ON FINANCIAL ASSISTANCE.
PART VI, LINE 4:	POUDRE VALLEY HOSPITAL IS A LOCALLY OWNED, PRIVATE, NON-PROFIT ORGANIZATION WITH A STRONG VISION: FROM HEALTHCARE TO HEALTH.BASED IN NORTHERN COLORADO, PVH PROVIDES EVIDENCE-BASED HEALTHCARE AND WELLNESS SERVICES AND PRODUCTS IN COLORADO, NEBRASKA AND WYOMING, ACROSS A SERVICE AREA COVERING MORE THAN 50,000 SQUARE MILES.PVH IS A PART OF THE UCHEALTH WHICH AIMS TO DELIVER THE HIGHEST QUALITY PATIENT CARE WITH THE HIGHEST QUALITY PATIENT EXPERIENCE. THE PARTNERSHIP COMBINES POUDRE VALLEY HOSPITAL, MEDICAL CENTER OF THE ROCKIES, UCHEALTH MEDICAL GROUP, UNIVERSITY OF COLORADO HOSPITAL AND MEMORIAL HEALTH SYSTEM INTO AN ORGANIZATION DEDICATED TO BUILDING HEALTHIER COMMUNITIES AND PROVIDING UNMATCHED PATIENT CARE IN THE ROCKY MOUNTAIN WEST. THE ORGANIZATION'S MISSION IS WE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS WE IMPROVE LIVES.
PART VI, LINE 5:	WE HAVE IMPLEMENTED A MULTITUDE OF PROGRAMS AND SERVICES THAT ADDRESS THE HEALTH NEEDS OF OUR BROADER COMMUNITY TARGETING ALL AGE GROUPS WHILE MAINTAINING A SPECIAL FOCUS ON SERVING VULNERABLE POPULATIONS. WE ALSO GIVE DOLLARS TO OTHER ENTITIES THAT WORK TO IMPROVE THE HEALTH OF OUR COMMUNITY. EXAMPLES ARE: TEEN PREGNANCY PREVENTION EDUCATION; SUBSTANCE ABUSE PREVENTION EDUCATION FOR YOUTH AND YOUNG ADULTS; OBESITY PREVENTION; IMPROVED FOOD SECURITY FOR LOW INCOME RESIDENTS; AND MENTAL HEALTH SERVICES FOR THE UNDERSERVED.
PART VI, LINE 6:	ALL THE SERVICES WE OFFER ARE AVAILABLE TO ANYONE THAT USES ANY OF OUR FACILITIES IN THE HEALTH SYSTEM. OUR GEOGRAPHY IS NOT THAT LARGE SO WE ARE ABLE TO ACCOMMODATE THE DIFFERENT COMMUNITIES THAT UTILIZE OUR SERVICES WITH THE SAME LEVEL OF COMMUNITY HEALTH PROGRAMMING.
PART VI, LINE 7, REPORTS FILED WITH STATES	CO

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CITY OF FORT COLLINS
PO BOX 580	FORT COLLINS	CO	80522	846000587	GOVERNMENT	$30,500	SEE SCH I, PART IV
COLO NONPROFIT DEVELOPMENT CENTER
789 SHERMAN STREET SUITE 250	DENVER	CO	80203	841493585	501(C )(3)	$25,000	SEE SCH I, PART IV
FOOD BANK OF LARIMER COUNTY
1301 BLUE SPRUCE DRIVE	FORT COLLINS	CO	80524	742336171	501(C )(3)	$9,940	SEE SCH I, PART IV
IVINSON MEMORIAL HOSPITAL FOUNDATION
255 NORTH 30TH STREET	LARAMIE	WY	82072	836000188	501(C )(3)	$9,000	SEE SCH I, PART IV
LOVELAND CHAMBER OF COMMERCE
5400 STONE CREEK CIRCLE	LOVELAND	CO	80538	840254565	501(C )(6)	$8,200	SEE SCH I, PART IV
UNITED WAY OF LARIMER COUNTY
424 PINE STREET STE 5	FORT COLLINS	CO	80524	846031503	501(C )(3)	$24,473	SEE SCH I, PART IV
PVH FOUNDATION
2315 E HARMONY ROAD 200	FORT COLLINS	CO	80528	741894581	501(C )(3)	$1,304,158	SEE SCH I, PART IV
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
13001 E 17TH PL	AURORA	CO	80045	846000555	GOVERNMENT	$5,051,521	SEE SCH I, PART IV
UCHEALTH MEDICAL GROUP
2315 E HARMONY ROAD 200	FORT COLLINS	CO	80528	800348943	501(C )(3)	$33,077,455	SEE SCH I, PART IV
CHEYENNE REGIONAL MEDICAL CENTER FOUNDATION
214 E 23RD STREET	CHEYENNE	WY	82001	830236858	501(C )(3)	$9,250	SEE SCH I, PART IV
THE FAMILY CENTERLA FAMILIA
309 HICKORY STREET STE 5	FORT COLLINS	CO	80524	841318219	501(C )(3)	$5,600	SEE SCH I, PART IV

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION AWARDS GRANTS BASED ON THE BENEFIT TO THE COMMUNITY. THE ORGANIZATION REQUESTS INFORMATION FROM THE GRANTEES TO ENSURE THAT THE FUNDS WILL BE USED FOR THE SPECIFIED PURPOSE. QUESTION I, PART II, COLUMN H PURPOSE OF GRANT OR ASSISTANCE FOR RELATED ENTITIES, THE GRANTS ARE RELATED TO SPECIFIC REQUESTS. THE FUNDS ARE TO BE USED TO BENEFIT THE HEALTHCARE COMMUNITY OF NORTHERN COLORADO. EACH REQUEST IS EVALUATED ON AN INDIVIDUAL BASIS. FOR NON-RELATED COMMUNITY AND GOVERNMENTAL ORGANIZATIONS, THE GRANTS ARE MADE AT THE DISCRETION OF THE ORGANIZATION. THESE DISCRETIONARY GRANTS ARE TO BE USED TO BENEFIT THE HEALTHCARE COMMUNITY OF NORTHERN COLORADO.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN UNGER
PRESIDENT/CEO	$258,350	$329,638	$386,604	$493,279	$7,446	$9,500	$43,189	$55,106	$9,498	$12,119	$705,087	$899,642	$0	$0
STEPHANIE DOUGHTY
CHIEF FINANCIAL OFFICER	$216,991	$276,866	$60,184	$76,791	$3,177	$4,054	$21,698	$27,685	$5,506	$7,025	$307,556	$392,421	$0	$0
STEVE SCHWARTZ
INTERIM CFO	$0	$233,186	$0	$66,507	$0	$2,239	$0	$27,561	$0	$14,835	$0	$344,328	$0	$0
DIANA BREYER
CHIEF QUALITY OFFICER	$154,354	$303,526	$28,891	$21,093	$791	$578	$13,064	$12,291	$4,319	$9,933	$201,419	$347,421	$0	$0
THOMAS DOWNES
CHIEF MEDICAL OFFICER	$224,107	$163,620	$63,539	$46,389	$3,306	$2,413	$23,604	$17,233	$10,602	$7,741	$325,158	$237,396	$0	$0
RODNEY GOOD
SR DIRECTOR PHARMACY	$109,622	$80,035	$13,162	$9,609	$151	$110	$10,499	$7,665	$13,388	$9,774	$146,822	$107,193	$0	$0
DONNA PODUSKA
CHIEF NURSING OFFICER	$222,381	$0	$63,322	$0	$5,900	$0	$26,112	$0	$11,706	$0	$329,421	$0	$0	$0
GRACE KOWALYSHYN-TAYLOR
VP ADMINISTRATION	$109,259	$139,407	$31,321	$39,963	$246	$314	$12,811	$16,347	$11,167	$14,248	$164,804	$210,279	$0	$0
RYAN ROHMAN
CHIEF OPERATING OFFICER	$111,019	$141,652	$31,142	$39,735	$227	$290	$12,624	$16,108	$1,545	$1,972	$156,557	$199,757	$0	$0
ROBERT WAGNER JR
SR DIRECTOR CARDIOVASCULAR SERVICES	$81,225	$102,769	$9,806	$12,408	$74	$94	$8,471	$10,719	$7,777	$9,839	$107,353	$135,829	$0	$0
JILLIAN BUSCH
PSYCHIATRIST	$268,406	$0	$6,892	$0	$29,760	$0	$25,355	$0	$20,043	$0	$350,456	$0	$0	$0
JOSEPH GOTTFRIED
PSYCHIATRIST	$264,833	$0	$7,051	$0	$1,093	$0	$25,229	$0	$25,383	$0	$323,589	$0	$0	$0
HERMANN MORENO
PSYCHIATRIST	$290,762	$0	$7,516	$0	$607	$0	$25,355	$0	$23,738	$0	$347,978	$0	$0	$0
KENNETH WATANABE
MED DIRECTOR/MTN CREST	$295,039	$0	$34,933	$0	$683	$0	$25,355	$0	$23,604	$0	$379,614	$0	$0	$0
JANELL WOZNIAK
PROGRAM DIRECTOR/FMC	$281,733	$0	$31,927	$0	$417	$0	$25,355	$0	$18,253	$0	$357,685	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 1A	FormAndLineReferenceDesc
Explanation	GROSS-UP PAYMENTS: GROSS UP PAYROLL IS CALCULATED AT YEAR END FOR SPECIAL CHECKS CREATED TO ADD SPECIFIC ITEMS TO EMPLOYEE'S FORM W-2 WAGES INCLUDING COUNTRY CLUB DUES, SPOUSE TRAVEL FOR ANNUAL BOARD RETREAT AND SELECT CONFERENCES, AND IMPUTED INCOME ON LIFE INSURANCE POLICIES. CLUB DUES: THE HEALTH SYSTEM EXPECTS THE HOSPITAL MANAGEMENT TO PARTICIPATE IN COMMUNITY LIFE AND THEREFORE THE SYSTEM PAYS SOCIAL CLUB DUES FOR SPECIFIC MEMBERS OF THE SENIOR MANAGEMENT GROUP. THE CLUB DUES ARE ADDED TO THE SENIOR MANAGEMENT'S FORM W-2 ON AN ANNUAL BASIS.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2018 SERIES A
A	841179794	914183BH0	2018-07-26	$45,915,000	REFUNDING 2005A BONDS	0	0	0
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2018 SERIES B
B	841179794	914183BJ6	2018-07-26	$24,374,400	REFUNDING 2005B BONDS	0	0	0
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2017 SERIES A
C	841179794	914183BB3	2017-02-16	$43,493,450	REFUNDING 2015A BONDS	0	0	0
UNIVERISTY OF COLORADO HOSPITAL AUTHORITY 2017 SERIES B1B2
D	841179794	914183BC1	2017-02-16	$44,630,000	REFUNDING 2015BC BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$45,915,000	$318,692	$45,596,308	2018	Yes (1)	Yes (1)	Yes (1)
B	$24,374,400	$169,360	$24,205,040	2018	Yes (1)	Yes (1)	Yes (1)
C	$43,493,450		$43,493,450	2017	Yes (1)	Yes (1)	Yes (1)
D	$44,630,000	$85,278	$44,544,722	2017	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	UNIVERISTY OF COLORADO HOSPITAL AUTHORITY 2017 SERIES C1C2	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	841179794	BondIssuerEIN
CUSIP	914183AZ1	CUSIPNum
Bond Issued	2017-02-16	BondIssuedDt
Issue Price	$13,098,078	IssuePriceAmt
Purpose	NEW CONSTRUCTION ON PVH	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$13,098,078	TotalProceedsAmt
Issuance Costs From Proceeds	$37,902	IssuanceCostsFromProceedsAmt
Capital Expenditures	$13,060,176	CapitalExpendituresAmt
Substantial Completion	2017	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MEDICAL EQUIPMENT	Desc
Contribution	31	ContributionCnt
Noncash Contributions Rpt F990	$533,326	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6	PVH HAS 476 ACTIVE VOLUNTEERS IN FISCAL YEAR 2019. AT POUDRE VALLEY HOSPITAL, MEDICAL CENTER OF THE ROCKIES, AND OFF-SITE LOCATIONS, VOLUNTEERS PLAY AN INTEGRAL ROLE IN PROVIDING MUCH NEEDED SUPPORT FOR PATIENTS, VISITORS, PHYSICIANS, AND STAFF. FROM ASSISTING IN SURGERY AND CARDIAC WAITING ROOMS, INFORMATION DESK, VOLUNTEER PATIENT LIASONS, BABY KNITTERS, VOLUNTEENS, AND PET THERAPY TO NAME JUST A FEW OF THE MANY PROGRAMS, EVERY VOLUNTEER CONTRIBUTES TO THE SUCCESS OF POUDRE VALLEY HEALTH SYSTEM TO ENHANCE THE COMFORT AND CARE OF THE PATIENTS AND THEIR FAMILIES.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY INDEPENDENT CPAS. A PRELIMINARY DRAFT IS REVIEWED BY THE INTERNAL FINANCE DEPARTMENT. THE FINAL COPY OF THE FORM 990 IS PROVIDED IN AN ELECTRONIC FORMAT TO ALL BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES COMPLETION OF THE FORM ON AN ANNUAL BASIS BY THE BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. COMPLETED FORMS ARE SUBMITTED AND REVIEWED BY THE INTERNAL COMPLIANCE DEPARTMENT TO ENSURE COMPLIANCE WITH THE WRITTEN POLICY. ANY QUESTIONS OR ULTIMATE ENFORCEMENT WOULD BE HANDLED BY THE COMPLIANCE DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15	UCHEALTH CONTRACTS WITH SULLIVAN COTTER FOR EXECUTIVE COMPENSATION CONSULTING SERVICES. ON OUR BEHALF, THE SULLIVAN COTTER COLLECTS AND REVIEWS COMPENSATION LEVELS FROM LIKE ORGANIZATIONS FOR LIKE JOBS AND PROVIDES UCHEALTH WITH THE COMPARATIVE MARKET DATA. THE DATA IS SUBMITTED TO THE CHIEF HUMAN RESOURCES OFFICER WHO ADVISES THE SYSTEM PRESIDENT AND CEO ON COMPENSATION DECISIONS FOR SENIOR EXECUTIVES. BASED ON THE MARKET DATA, THE SYSTEM PRESIDENT AND CEO DETERMINE THE SALARY OF THE ENTITY CEO'S COMPENSATION ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC BASED ON THE BUSINESS PURPOSE FOR THE REQUEST. THESE REQUESTS ARE ADDRESSED BY THE SENIOR MANAGEMENT TEAM ON A CASE BY CASE BASIS.
FORM 990, PART XI, LINE 9:	MCR DISTRIBUTIONS TO PVH 65,778,513. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS 730,220. YAMPA EPIC TRANSFER -471,649.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Total IncomeTotalIncomeAmt
TIMBERLINE MEDICAL CLINIC
131 STANLEY AVE	ESTES PARK	CO	80517	043772090	OUTPATIENT	CO	-$16,785	PVHC INC
LAKOTA LAKE LLC
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	841447761	OUTPATIENT	CO	$45,798,093	PVHC INC	$7,240,206
HERON LAKE LLC
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	264189163	OUTPATIENT	CO	$657,338	PVHC INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HARMONY SURGERY CENTER
2127 E HARMONY RD 200	FT COLLINS	CO	80528	841479751	AMBULATORY SURG	CO	N/A	RELATED	$2,590,942	$3,084,406	0	0	0.50000
CENTRE AVENUE HEALTH & REHAB FACILITY
947 WORTHINGTON CIRCLE	FT COLLINS	CO	80526	841560494	NURSING FACILITY	CO	N/A	RELATED	-$532,081	$438,768	0	0	0.50000
COLUMBINE POUDRE HOME CARE
947 WORTHINGTON CIRCLE	FT COLLINS	CO	80526	841529817	NURSING CARE	CO	N/A	RELATED	$303,544	$449,672	0	0	0.50000
EYE LASER CENTER OF NO COLORADO
1725 E PROSPECT RD	FT COLLINS	CO	80525	841518334	LASER SURGERY	CO	N/A	UNRELATED	$94,587	$205,652	0	0
GATEWAY MEDICAL SERVICES
2500 E PROSPECT RD	FT COLLINS	CO	80525	841427970	REAL EST/MED	CO	N/A	UNRELATED	$7,692,193	$11,530,842	0	0	0.50000
PVHS HOME MEDICAL SUPPLY
6820 N COUNTY RD 13	LOVELAND	CO	80538	202034599	MEDICAL SUPPLY	CO	N/A	UNRELATED	-$303,743	$519,445	0	Yes (1)	0.50000
THE VEIN AND LASER CENTER OF NO COLORADO
2008 CARIBOU DRIVE	FT COLLINS	CO	80525	204943970	MEDICAL SERVICES	CO	N/A	UNRELATED	$14,667	$45,951	0	0	0.33330
HARMONY IMAGING CENTER
1951 WILMINGTON DRIVE	FT COLLINS	CO	80528	582479187	MEDICAL IMAGING	CO	N/A	RELATED	$797,369	$1,679,813	0	0	0.46000
SURGERY CENTER OF FORT COLLINS
1100 E PROSPECT ROAD	FT COLLINS	CO	80525	841541559	SURGICAL PROC	CO	N/A	UNRELATED	$155,036	$953,704	0	0	0.26000
OCR LOVELAND
2500 E PROSPECT RD	FT COLLINS	CO	80525	301069701	AMBULATORY SURG	CO	N/A	UNRELATED			0	0	0.10000
PVHS-ICM EHW
2315 E HARMONY RD STE 200	FT COLLINS	CO	80528	463311308	MEDICAL SERVICES	CO	N/A	RELATED	$97,035	$585,462	0	0	0.50000
PEAK SURGICAL MANAGEMENT
2127 E HARMONY RD 200	FT COLLINS	CO	80528	260899618	SURGICAL MGMT	CO	N/A	UNRELATED	$177,604	$106,121	0	0	0.14290

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$36,007	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,638,940	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (22 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MEDICAL CENTER OF THE ROCKIES
S	$65,778,513	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
B	$33,077,455	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
L	$9,848,194	TRANSACTION TOTAL
GATEWAY MEDICAL SERVICES
S	$7,836,454	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
M	$5,163,672	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
L	$4,581,199	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
N	$2,790,933	TRANSACTION TOTAL
HARMONY SURGERY CENTER
S	$2,375,000	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
J	$2,134,677	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
N	$2,008,113	TRANSACTION TOTAL
PVHS FOUNDATION
B	$1,304,158	TRANSACTION TOTAL
HARMONY SURGERY CENTER
A	$1,011,365	TRANSACTION TOTAL
CENTRE AVENUE HEALTH AND REHAB
B	$936,116	TRANSACTION TOTAL
UCHEALTH NORTHERN REGION FOUNDATION
C	$842,274	TRANSACTION TOTAL
HARMONY SURGERY CENTER
Q	$654,446	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
H	$367,829	TRANSACTION TOTAL
INNOVATION ENTERPRISES
A	$276,436	TRANSACTION TOTAL
COLUMBINE POUDRE HOMECARE
S	$200,000	TRANSACTION TOTAL
EYE LASER CENTER OF NO COLO
S	$166,255	TRANSACTION TOTAL
EYE LASER CENTER OF NO COLO
M	$141,737	TRANSACTION TOTAL
INNOVATION ENTERPRISES
A	$118,042	TRANSACTION TOTAL
INNOVATION ENTERPRISES
S	$55,815	TRANSACTION TOTAL