BOULDER COMMUNITY HEALTH: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- BOULDER COMMUNITY HEALTH (EIN 84-0175870)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-14
- IRS object ID
- 201933189349312433
- Schema version
- 2018v3.0
- 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 | 2019-11-14T16:53:26-07:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | 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 | 2019-11-14 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 69.161.206.5 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | 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 | $699,494,213 | 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 | 2948 | TotalEmployeeCnt |
| Total Volunteers | 705 | TotalVolunteersCnt |
| Total Gross UBI | $2,235,988 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,065,359 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,385,388 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $340,882,255 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $349,589,866 | CYProgramServiceRevenueAmt |
| PY Investment Income | $44,012,052 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,863,357 | CYInvestmentIncomeAmt |
| PY Other Revenue | $20,098,039 | PYOtherRevenueAmt |
| CY Other Revenue | $23,145,903 | CYOtherRevenueAmt |
| PY Total Revenue | $408,057,705 | PYTotalRevenueAmt |
| CY Total Revenue | $389,984,514 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $259,639 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $257,884 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $192,489,117 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $197,069,773 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $457,506 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $178,480,045 | PYOtherExpensesAmt |
| CY Other Expenses | $184,129,551 | CYOtherExpensesAmt |
| PY Total Expenses | $371,228,801 | PYTotalExpensesAmt |
| CY Total Expenses | $381,457,208 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $36,828,904 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,527,306 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $731,524,575 | TotalAssetsBOYAmt |
| Total Assets EOY | $708,360,010 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $264,712,333 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $264,197,084 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $466,812,242 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $444,162,926 | 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 | $285,595,872 | ExpenseAmt |
| Grant | $258,133 | GrantAmt |
| Revenue | $370,220,185 | RevenueAmt |
| Desc | Health Care Delivery of IP and OP medical care. In 2018, the hospital discharged 7,616 adult & pediatric patients with an average length of stay of 4.5 days. 40,980 patients were seen in our ER facilities and 7,831 in Urgent Care. 5,731 surgeries were performed. The hospital had adjusted patient days of 84,684. | 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 | $285,595,872 | 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 | 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 | 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 | Yes (1) | BusinessRlnWithOfficerEntInd |
| 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 | 233 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2948 | 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 | 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 |
| City | Boulder | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 803019019 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Dee Perry | |||||||||
| Chairman | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jeff Morgan | |||||||||
| Vice Chairman | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Suzy Ageton | |||||||||
| Secretary | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Bryan Pieper | |||||||||
| Treasurer | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Randy Bjerke MD | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Susan Graf | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Mako Shimoda MD | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| John Greff | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Harold Flowers | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Rhonda Wallen | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Debbie Lund MD | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Benita Duran | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Phil DeStefano | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| George Karakehian | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Robert J Vissers | |||||||||
| Exec Director/CEO | 40 | 0 | Yes (X) | Yes (X) | $662,272 | $0 | $180,199 | ||
| Benjamin J Keidan | |||||||||
| VP & Chief Medical Officer | 40 | 0 | Yes (X) | $428,395 | $0 | $107,737 | |||
| William A Munson Jr | |||||||||
| VP & CFO | 40 | 0 | Yes (X) | $333,947 | $0 | $88,759 | |||
| Jacqueline M Attlesey-Pries | |||||||||
| VP , Chief Nursing Officer & Chief Operating Officer | 40 | 0 | Yes (X) | $330,433 | $0 | $81,929 | |||
| Paul R Hinchey | |||||||||
| VP Business Development | 40 | 0 | Yes (X) | $300,584 | $0 | $97,171 | |||
| Michael J Jefferies | |||||||||
| VP & Chief Information Officer | 40 | 0 | Yes (X) | $296,585 | $0 | $64,817 | |||
| Sarah E Meshak | |||||||||
| VP & General Counsel | 40 | Yes (X) | $290,221 | $0 | $74,000 | ||||
| Jamie D Jensen | |||||||||
| VP & Chief Population Health Officer | 40 | 0 | Yes (X) | $276,473 | $0 | $63,585 | |||
| Grant Besser | |||||||||
| Foundation President & VP Public Affairs | 12.00 | 28.00 | Yes (X) | $219,349 | $0 | $55,165 | |||
| Charles Jones | |||||||||
| Physician | 40 | 0 | $1,138,482 | $0 | $228,979 | Yes (X) | |||
| Bryan Mahan | |||||||||
| Physician | 40 | 0 | $1,017,511 | $0 | $26,585 | Yes (X) | |||
| Srinivas Iyengar | |||||||||
| Physician | 40 | 0 | $771,371 | $0 | $36,917 | Yes (X) | |||
| Jamie Doucet | |||||||||
| Physician | 40 | 0 | $758,855 | $0 | $39,582 | Yes (X) | |||
| Sameer A Oza | |||||||||
| Physician | 40 | 0 | $742,203 | $0 | $38,577 | Yes (X) | |||
| Linda S Minghella | |||||||||
| VP & Chief Information Officer (former) | 0 | 0 | $137,732 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,704,413 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,184,002 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 268 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | Business Name Line2ContractorName/BusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|
| Favorite Healthcare Staffing Inc | |||||||
| PO Box 803356 | Kansas City | MO | 641803356 | agency nursing services | $1,832,314 | ||
| Boulder Emergency Physicians | |||||||
| CarePoint PC 5600 S Quebec St | Greenwood Village | CO | 80111 | CMC Emergency Room Coverage | $1,429,830 | Suite 312 A | |
| Boulder Neurosurgical Assoc PLLC | |||||||
| 4743 Arapahoe Ave | Boulder | CO | 80303 | trauma call | $1,124,323 | Suite 202 | |
| Boulder Valley Anesthesiology LLC | |||||||
| 1420 28th St Ste 100 | Boulder | CO | 80303 | Anesthesiology coverage | $1,005,071 | c/o Wendll Walker & Assoc | |
| Courier Ventures | |||||||
| 2032 35th Ave | Greeley | CO | 80634 | Courier services | $980,198 | Suite A 104 | DBA Action Stat Logistics |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $3,123 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $2,012,672 | RelatedOrganizationsAmt |
| Government Grants | $354,334 | GovernmentGrantsAmt |
| All Other Contributions | $15,259 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $2,385,388 | 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 | $347,743,850 | $347,672,900 | $0 | $70,950 |
| Lab Service Revenue | 621500 | $1,846,016 | $0 | $1,846,016 | $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 | $349,589,866 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,228,473 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,228,473 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,358 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,358 | 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 | $316,000,783 | SecuritiesAmt |
| Other | $15,530 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $309,256,499 | SecuritiesAmt |
| Other | $134,288 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,744,284 | SecuritiesAmt |
| Other | -$118,758 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,625,526 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$118,758 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,744,284 | 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 | $201,743 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $118,912 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $82,831 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $82,831 | 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 | $7,272,997 | $7,272,997 | $0 | $0 |
| Misc Hospital Revenue | 622000 | $15,400,103 | $15,310,145 | $0 | $89,958 |
| Lab Service Revenue | 621500 | $389,972 | $0 | $389,972 | $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 | $23,063,072 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $389,984,514 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $370,220,115 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,235,988 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,143,023 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,234 | TotalAmt |
| Program Services | $112,234 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,650 | TotalAmt |
| Program Services | $145,650 | 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 | $3,788,164 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $3,589,566 | ManagementAndGeneralAmt |
| Fundraising | $198,598 | 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 | $153,811,194 | TotalAmt |
| Program Services | $117,395,646 | ProgramServicesAmt |
| Management And General | $36,206,923 | ManagementAndGeneralAmt |
| Fundraising | $208,625 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,727,157 | TotalAmt |
| Program Services | $4,181,849 | ProgramServicesAmt |
| Management And General | $6,545,308 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,358,391 | TotalAmt |
| Program Services | $16,157,714 | ProgramServicesAmt |
| Management And General | $2,170,026 | ManagementAndGeneralAmt |
| Fundraising | $30,651 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,384,867 | TotalAmt |
| Program Services | $7,540,466 | ProgramServicesAmt |
| Management And General | $2,823,397 | ManagementAndGeneralAmt |
| Fundraising | $21,004 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,655,962 | TotalAmt |
| Program Services | $241,217 | ProgramServicesAmt |
| Management And General | $2,414,745 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,017 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $181,017 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,444 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $102,444 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,857 | TotalAmt |
| Program Services | $13,857 | 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 | $268,089 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $268,089 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,734,991 | TotalAmt |
| Program Services | $16,189,581 | ProgramServicesAmt |
| Management And General | $4,545,410 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $879,348 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $879,348 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,853,614 | TotalAmt |
| Program Services | $2,540,946 | ProgramServicesAmt |
| Management And General | $2,302,469 | ManagementAndGeneralAmt |
| Fundraising | $10,199 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,742,422 | TotalAmt |
| Program Services | $528,549 | ProgramServicesAmt |
| Management And General | $10,213,873 | 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 | $8,080,522 | TotalAmt |
| Program Services | $5,326,848 | ProgramServicesAmt |
| Management And General | $2,732,856 | ManagementAndGeneralAmt |
| Fundraising | $20,818 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,042 | TotalAmt |
| Program Services | $217,301 | ProgramServicesAmt |
| Management And General | $171,741 | 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 | $252,676 | TotalAmt |
| Program Services | $135,567 | ProgramServicesAmt |
| Management And General | $117,109 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,963,633 | TotalAmt |
| Program Services | $1,736,071 | ProgramServicesAmt |
| Management And General | $2,227,562 | 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 | $18,394,414 | TotalAmt |
| Program Services | $7,340,331 | ProgramServicesAmt |
| Management And General | $11,044,104 | ManagementAndGeneralAmt |
| Fundraising | $9,979 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,123,895 | TotalAmt |
| Program Services | $775,641 | ProgramServicesAmt |
| Management And General | $2,348,254 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $54,830,831 | $54,459,397 | $371,401 | $33 |
| Repairs and Maintenance | $6,698,094 | $4,538,510 | $2,159,384 | $200 |
| Medicaid Provider Fee | $23,334,051 | $23,334,051 | $0 | $0 |
| Provision for Bad Debts | $21,162,349 | $21,162,349 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,468,300 | TotalAmt |
| Program Services | $1,522,097 | ProgramServicesAmt |
| Management And General | $1,988,804 | ManagementAndGeneralAmt |
| Fundraising | -$42,601 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,457,208 | TotalAmt |
| Program Services | $285,595,872 | ProgramServicesAmt |
| Management And General | $95,403,830 | ManagementAndGeneralAmt |
| Fundraising | $457,506 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,182 | BOYAmt |
| EOY | $17,374 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $408,897 | BOYAmt |
| EOY | $1,563,438 | 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 | $45,608,961 | BOYAmt |
| EOY | $47,849,131 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $3,692,934 | BOYAmt |
| EOY | $4,232,921 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,755,202 | BOYAmt |
| EOY | $6,418,632 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $451,527,371 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $173,855,872 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,078,503 | BOYAmt |
| EOY | $277,671,499 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $367,188,689 | BOYAmt |
| EOY | $306,650,233 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,869,172 | BOYAmt |
| EOY | $7,776,298 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,174,473 | BOYAmt |
| EOY | $5,427,032 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,326 | BOYAmt |
| EOY | $78,270 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,292,236 | BOYAmt |
| EOY | $50,675,182 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $731,524,575 | BOYAmt |
| EOY | $708,360,010 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,105,693 | BOYAmt |
| EOY | $55,343,756 | 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 | $161,550,892 | BOYAmt |
| EOY | $154,267,777 | 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 | $54,985,748 | BOYAmt |
| EOY | $54,515,551 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,712,333 | BOYAmt |
| EOY | $264,197,084 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $426,200,786 | BOYAmt |
| EOY | $405,294,503 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,293,404 | BOYAmt |
| EOY | $30,564,236 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,318,052 | BOYAmt |
| EOY | $8,304,187 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $466,812,242 | BOYAmt |
| EOY | $444,162,926 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $731,524,575 | BOYAmt |
| EOY | $708,360,010 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,527,306 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$25,873,655 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$5,302,967 | 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 | $13,857 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,857 | 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 | 5.49% of dues paid to the Colorado Hospital Association are spent on lobbying activities, amounting to $4.933. 22.73% of dues paid to the American Hospital Association are spent on lobbying activities, amounting to $8,924. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $40,598,507 | BeginningYearBalanceAmt |
| Contributions | $3,573,511 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,326,363 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $2,977,231 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $38,868,424 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $35,294,066 | BeginningYearBalanceAmt |
| Contributions | $4,976,709 | ContributionsAmt |
| Investment Earnings Or Losses | $4,478,339 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $4,150,607 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $40,598,507 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $33,808,649 | BeginningYearBalanceAmt |
| Contributions | $4,348,700 | ContributionsAmt |
| Investment Earnings Or Losses | $1,349,134 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $4,212,417 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $35,294,066 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $35,750,843 | BeginningYearBalanceAmt |
| Contributions | $2,706,467 | ContributionsAmt |
| Investment Earnings Or Losses | -$402,645 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $4,119,616 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $33,935,049 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $34,604,553 | BeginningYearBalanceAmt |
| Contributions | $4,337,617 | ContributionsAmt |
| Investment Earnings Or Losses | $1,664,839 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $4,856,166 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $35,750,843 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.21 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.79 | 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 | $207,991,921 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,315,599 | DepreciationAmt |
| Book Value | $132,676,322 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $6,847,299 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,327,792 | DepreciationAmt |
| Book Value | $5,519,507 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $151,216,903 | OtherCostOrOtherBasisAmt |
| Depreciation | $97,212,481 | DepreciationAmt |
| Book Value | $54,004,422 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $65,319,646 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $65,319,646 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $277,671,499 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Interest in Net Assets held by Foundation | $38,204,080 |
| Unamortized Swap Fees | $74,372 |
| Unamortized BIC | $965,897 |
| Deferred Comp Investments | $9,206,565 |
| Deposits | $3,016 |
| Misc Other A/R | $2,221,252 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $50,675,182 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Pension Liability | $45,185,978 |
| Deferred Compensation Liability | $9,329,573 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $54,515,551 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $337,322,914 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$25,873,655 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | -$26,412,956 | OtherRevenueAmt |
| Revenue Not Reported | -$52,286,611 | RevenueNotReportedAmt |
| Revenue Subtotal | $389,609,525 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $268,089 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $106,900 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $374,989 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $389,984,514 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $357,514,602 | 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 | $357,514,602 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $268,089 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $23,674,517 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $23,942,606 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $381,457,208 | 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, or for the foundation to direct if the endowment fund does not restrict how the income is to be spent. Temporarily restricted funds held by the Foundation include funds for the 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 -$52,286,611 included in TR revenue by not in audited revenue includes Bad Debt Provisions of -$21,162,349 + Change in Foundation Net Assets of -$2,187,431 + Change in minimum pension liability of -$2,875,899 + Amortization ineffective loss on swap of -$239,635 + Other expenses shown net in FS revenue and gross in TR of -$40,036 + Ambassador component of Temp Rest Net Assets of $92,394 |
| Schedule D, Part XI, Line 4b | Other of $106,900 = Ambassador net revenues reflected as Restricted Contributions in Audit of $106,900 |
| Schedule D, Part XII, Line 4b | Other expenses of $2,472,132 included on TR but not on Audit = Bad Debt Provision of $21,162,349 + Other non-operating expenses shown in net revenue on audit of $40,036 + Ambassador expenses reflected as Restricted Contributions in Audit of $14,504 + Non-op Expenses of Pension Contributions of $2,457,629 |
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 in Cayman Islands. | SpecificServicesProvidedTxt |
| Region Total Expenditures | $3,902,191 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Spent | $3,902,191 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
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 | $6,023,218 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,625,161 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,398,056 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.009 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,392,208 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,317,841 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,074,368 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.059 | 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 | $63,415,426 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,943,002 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,472,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.068 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $490,184 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,898 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $439,286 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $320,872 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $320,872 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $512,576 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $512,576 | 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 | $1,323,632 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,898 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,272,734 | 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 | $64,739,058 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,993,900 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,745,158 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.071 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,761 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,761 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,282 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $45,282 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $158,518 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $158,518 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | 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 | $210,561 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $210,561 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,840,662 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,710,166 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $60,362,070 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $85,961,919 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$25,599,849 | 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 | 16 | 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 | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.bch.org/documents/CHNA-Implementation-Strategy.pdf | 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 pages 7 through 10 of the 2017-2019 CHNA. |
| Schedule H, Part V, Section B, Line 7a-Boulder Community Foothills Hospital | https://www.bch.org/documents/bch-community-health-needs-assessment-final-august-26-2016.pdf |
| Schedule H, Part V, Section B, Line 11-Boulder Community Foothills Hospital | BCH, with its Board of Directors and the community, is continually assessing the implementation of the CHNA. The strategies to address the community's health needs identified in the Hospital's 2017-2019 Community Health Needs Assessment and the activities undertaken by the Hospital as part of these strategies are as follows: 1. Chronic Disease Management. BCH has committed extensive resources to its chronic disease programs in the areas of personnel, supplies, and technology. Chronic disease self-management support groups, high risk patient care management and registries, diabetes and pre-diabetes group classes and individual support are included within this commitment. All of BCH's primary care clinics have an RN Care Manager on site to coach patients to better manage their chronic disease preventing complications. BCH hired its first ambulatory care pharmacist to focus on improving diabetes care and depression care for the community. BCH has a team of transitional care nurses that provide education and support to our highest risk patients after a hospitalization. Continuous collaboration across BCH departments and providers, community medical partners and agencies, skilled nursing facilities, and social support organizations provide patients with coordinated care. BCH has continued to enhance the infrastructure of its transitional care program and coordinated patient care material across the continuum of care so that all providers are teaching to the same material. The Boulder Valley Care Network, of which BCH is a collaborator, has recently added BCH transitional care services for its patients. 2. Mental Health. BCH has continued to expand our integrated behavioral health model into 10 primary care clinics. This model adds social workers to address the behavioral health needs common in primary care, such as insomnia, anxiety, depression, and substance abuse. Social Workers provide short term solution focused counseling, quick interventions for anxiety, depression and stress management, consult with primary care providers for assistance with diagnosis and treatment of mental health conditions, direct patient therapy, and assistance with support and referrals to higher levels of service. The practitioners also perform depression screening and higher intensity follow up for newly diagnosed depressed patients. Boulder Community Health is an active participant in a "Community Mental Health Initiative" and has added additional safe areas within its emergency room and a behavioral health nurse and therapist who facilitate mental health care prior to admission or transfer. BCH is the only comprehensive health system provider of both inpatient and outpatient mental health services within Boulder County. The new 70,000 square foot building includes an 18 bed inpatient behavioral health unit and outpatient behavioral therapy clinic. Inpatient behavioral health patients will benefit from earlier access and referral to outpatient therapy in the building, increasing continuity of care from the inpatient to outpatient setting. BCH Primary Care Clinics have identified dementia patients and their caregivers as an important focus population for complex care management. Twice yearly a registry of those patients is run through the EMR for RN Care Managers to reach out, assess for needed medical interventions and resources to support the patient and family. Linkages are provided to the Alzheimer's Association, The Area Agency on Aging and other community agencies that can provide in home services, respite, help with Advanced Care planning, transportation and other issues. The RN Care Managers and Behavioral Health Specialists help provide emotional support and resources to deal with diagnosis acceptance, grief and anger, and at transitions to higher levels of care. 3. Chronic Pain Management and Substance Abuse. BCH has trained practitioners in medication assisted treatment (MAT) techniques that reduce the use of opioids and embedded them within its primary care clinics. In 2019 BCH began initiating MAT for opioid dependence in the ED, one of the early adopters of this approach in Colorado that has been demonstrated to greatly reduce opioid related morbidity and mortality through eliminating barriers to treatment and capturing patients when they are most motivated and vulnerable. In 2019 BCH received a Health Equity Grant from the City of Boulder that allowed us to launch a Chronic Pain and Opioid Response Program (CPORP). Staffed by a Program Coordinator and a Patient Navigator, the program is available to all community members who need assistance linking to services to address chronic pain or substance use treatment. BCH has made scholarship dollars available for Medication Assisted Treatment and Alternatives to Opioid Therapy. 4. Wellness and Preventative Health (including aging of the population and access to care). Boulder Community Health began screening all primary care patients over the age of 60 for social determinants of health needs including: housing, transportation, food insecurity, financial need, literacy, child care, and safety in the home. Since piloting the screening, we have expanded to an annual social needs assessment for all primary care patients age 18 years and older. The care coordination team facilitates referrals to community support. BCH has specific programs in place to improve Influenza Vaccination rates, HPV vaccination rates using data transparency, retina screening to assist in detecting diabetes, and process improvement to increase rates of screening examinations with the goal of beating national benchmarks. BCH is partnering and leading various programs such as the Walk with a Doc, which couples a healthy walk around various locations in the community with current health topics, blood pressure screenings, and healthy food. Programs particular to child and teen safety include education partnering with Lake Eldora Ski Race team, Emergency Family Assistance Association (Boulder), Community Cycles Kids and Adult Cycling Programs through RETAC (Regional Trauma Medical Advisory Council), and Boulder Valley School District. New programs include ThinkFirst (concussion awareness and injury prevention), distracted driving awareness and training, Brain Injury Resource Team (BIRT), STOP the Bleed, and hands only CPR programs have been held at many community events where BCH personnel volunteer. BCH assists adults and seniors through partnership with the City of Boulder Senior Services (Area Agency on Aging), Boulder Fire, and others in fall prevention day, a car fit program, and other programs. Regular outreach to patients who have identified gaps in their care are performed electronically via a website portal, by phone call, or mail. BCH opened a 40,000 s.f. medical center in Erie which includes urgent care, primary care, cardiology, obstetrics and gynecology, diagnostic imaging laboratory services in Erie, allowing greater access to its services. The hospital partnered with community not for profits including other hospitals, Clinica, Salud, Mental Health Partners, and Boulder County Health to improve access to specialists for patients with Medicaid under the Boulder County Health Improvement Collaborative (BCHIC). In addition to providing significant sponsorship to the initiative, BCH spearheaded a specialty referral project for the Medicaid population which added 100 specialist appointments per month. BCH added Nurse Care Managers who identify high-risk patients in need of additional support. They provide telephonic and episodic outreach for patients with complex healthcare needs and work with patients to manage chronic conditions and encourage patient participation in self-management of chronic conditions. BCH also added Care Coordinator(s) who call patients after ER visits and schedule primary care follow-up appointments, review positive social determinants screenings, and connect patients with community resources for support with transportation, finances, housing, childcare, literacy, etc. The Coordinators also forward complex patients to a RN Care Manager or Behavioral Health Specialist, connect population health outreach for patients with chronic conditions, and facilitate Boulder County Medicaid specialist referrals through the Boulder County Health Improvement Collaborative. Foothills Hospital continues to participate in the Colorado Household Medication Take-Back Program. In our first 10 months participating in the program, we have collected over 1,000 pounds of medications. Boulder Community Health organized multiple flu vaccine clinics during the 2018/2019 flu season. BCH teamed up with the community organization, Bridge House to provide free flu vaccines to members of the community that may not have otherwise sought out an immunization and/or did not have the means to pay for a vaccination. In total, we vaccinated 150 community members and hope to expand the program for the 2019/2020 flu season. |
| Schedule H, Part V, Section B, Line 16a-Boulder Community Foothills Hospital | https://www.bch.org/Pay-My-Bill/FINANCIAL-ASSISTANCE.aspx |
| Schedule H, Part V, Section B, Line 16b-Boulder Community Foothills Hospital | https://www.bch.org/documents/Pay-My-Bill/FINANCIAL-ASSISTANCE-APPLICATION-New-2017.pdf |
| Schedule H, Part V, Section B, Line 16c-Boulder Community Foothills Hospital | https://www.bch.org/Pay-My-Bill/FINANCIAL-ASSISTANCE.aspx |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 37 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (37 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt | Business Name Line2BusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|
| BCH Behavioral Health DPU | ||||||
| 1100 Balsam Avenue | Boulder | CO | 80304 | Psych DPU | ||
| BCH Rehabilitation DPU | ||||||
| 1100 Balsam Avenue | Boulder | CO | 80304 | Rehab 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 | ||||||
| 1136 Alpine Avenue | Boulder | CO | 80304 | 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 | |
| Foothils Surgery Center LLC | ||||||
| 4743 Arapahoe Avenue | Boulder | CO | 80303 | Ambulatory Surgical Center | Suite 101 | |
| Boulder Heart | ||||||
| 4743 Arapahoe Avenue | Boulder | CO | 80303 | Physician clinic | Suite 201 | |
| Boulder Heart Lafayette | ||||||
| 1000 W South boulder Road | Lafayette | CO | 800262089 | Physician clinic | Suite 216 | |
| Boulder Heart Longmont | ||||||
| 2101 Ken Pratt Blvd | Longmont | CO | 805016568 | Physician clinic | Suite 104 | |
| Internal Medicine Associates | ||||||
| 1155 Alpine | Boulder | CO | 80304 | Physician clinic | Unite 360 | |
| Internal Medical Associates Foothills | ||||||
| 4820 Riverbend Rd | Boulder | CO | 80301 | Physician clinic | ||
| Boulder Valley Surgical Associates | ||||||
| 4743 Arapahoe Avenue | Boulder | CO | 80303 | Surgical services | ||
| Boulder Valley Pulmonology | ||||||
| 1155 Alpine | Boulder | CO | 80304 | Physician clinic | Unit 150 | |
| 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 Clinic | ||||||
| 4800 Riverbend Rd | Boulder | CO | 80301 | Infectious Disease Clinic | ||
| Boulder Community Health Sleep Diagnostice | ||||||
| 4895 Riverbend Rd | Boulder | CO | 80301 | Sleep study center | ||
| Sleep Fit | ||||||
| 13654 Xavier Lane | Broomfield | CO | 80020 | Sleep study center | Suite 210A | |
| Internal Medical Associates of Lafayette | ||||||
| 1000 W South Boulder Rd | Lafayette | CO | 80026 | Physician clinic | Suite 214 | |
| Buffalo Ridge Medical Center | ||||||
| 16677 Lowell Blvd | Broomfield | CO | 80023 | 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 | |
| Holistic Family Practice | ||||||
| 1155 Alpine Avenue | Boulder | CO | 80304 | Physician clinic | Suite 360 | |
| Northwest Family Medicine | ||||||
| 500 Discovery Parkway | Superior | CO | 80027 | Physician clinic | Suite 150 | |
| 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 | ||||||
| 1155 Alpine | Boulder | CO | 80304 | Physician clinic | Suite 180 | |
| Boulder Community Hospital Occupational Medicine | ||||||
| 4745 Arapahoe Ave | Boulder | CO | 80303 | Occupational medicine clinic | Suite G40 | |
| Dakota Ridge Medical Center | ||||||
| 2995 Baseline Road | Boulder | CO | 80303 | Physician clinic | Suite 210 | |
| Gunbarrel Medical Center | ||||||
| 6685 Gunpark Drive | Boulder | CO | 80301 | Physician clinic | Suite 110 | |
| BMC East Laboratory | ||||||
| 80 Health Park Dr | CO | CO | 80027 | Laboratory draw station | Louisville | |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 I, Line 7, Column f | $21,162,349 |
| Schedule H, Part II | Community Support Activities include diaster 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. 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 | Page 14 of the audited financial statements contains an explanation of how 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. 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, 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 $35.527.708. 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 in the midst of 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 7 through 10 of the 2017-2019 CHNA. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Business Name Line2RecipientBusinessName/BusinessNameLine2Txt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Boulder County Fire Fighters Association | |||||||||||
| Sunshine Fire Protection District | PO Box 7461 | Golden | CO | 80403 | 846000600 | 501(c)3 | $12,000 | $0 | FMV | Support for local fire association | |
| Boulder Valley School District | |||||||||||
| 6500 E Arapahoe Ave | Boulder | CO | 80303 | 846014683 | 501(c)3 | $75,113 | FMV | To support high school athletics and help to reduce student athlete injuries | Provide athletic trainer to school district | ||
| Boulder Community Health Foundation | |||||||||||
| PO Box 19320 | Boulder | CO | 80308 | 840772664 | 501(c)3 | $18,000 | FMV | To support the efforts of the BCH Foundation in the form of rental space | Rent paid on behalf of Foundation | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| Assistance for IP rehab patients | 11 | $11,701 | $0 | Cost | |
| Healthcare education scholarships | 17 | $36,500 | $0 | Cost | |
| Assistance with housing post-discharge for indigent patients | 58 | $32,375 | $0 | Cost | |
| Assistance with food and transportation post-discharge for indigent patients | 43 | $61,183 | $0 | Cost | |
| Assistance with RX post-discharge for indigent patients | 31 | $36,515 | Cost | Take home medications donated to indigent patients post-discharge |
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 our local community with health and welfare services. Grants in excess of $10,000 are specifically approved by the hospital board of directors during the budget process. The CEO has a discretionary budget 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 directly to the school on the student's behalf with a letter indicating 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 (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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert J Vissers | ||||||||||||||
| Exec Director/CEO | $605,272 | $0 | $20,000 | $0 | $37,000 | $0 | $152,882 | $0 | $28,847 | $0 | $844,001 | $0 | $20,000 | $0 |
| Benjamin J Keidan | ||||||||||||||
| VP & Chief Medical Officer | $389,207 | $0 | $18,654 | $0 | $20,534 | $0 | $92,806 | $0 | $16,458 | $0 | $537,659 | $0 | $0 | $0 |
| William A Munson Jr | ||||||||||||||
| VP & CFO | $260,874 | $0 | $30,561 | $0 | $42,513 | $0 | $58,792 | $0 | $31,497 | $0 | $424,237 | $0 | $0 | $0 |
| Jacqueline M Attlesey-Pries | ||||||||||||||
| VP , Chief Nursing Officer & Chief Operating Officer | $275,939 | $0 | $30,002 | $0 | $24,492 | $0 | $57,959 | $0 | $25,500 | $0 | $413,892 | $0 | $0 | $0 |
| Paul R Hinchey | ||||||||||||||
| VP Business Development | $247,587 | $0 | $10,000 | $0 | $42,996 | $0 | $76,293 | $0 | $22,153 | $0 | $399,029 | $0 | $0 | $0 |
| Michael J Jefferies | ||||||||||||||
| VP & Chief Information Officer | $246,243 | $0 | $34,033 | $0 | $16,309 | $0 | $64,817 | $0 | $1,337 | $0 | $362,739 | $0 | $0 | $0 |
| Sarah E Meshak | ||||||||||||||
| VP & General Counsel | $239,849 | $0 | $26,000 | $0 | $24,373 | $0 | $64,664 | $0 | $10,689 | $0 | $365,575 | $0 | $0 | $0 |
| Jamie D Jensen | ||||||||||||||
| VP & Chief Population Health Officer | $232,971 | $0 | $25,002 | $0 | $18,500 | $0 | $44,120 | $0 | $20,766 | $0 | $341,359 | $0 | $0 | $0 |
| Grant Besser | ||||||||||||||
| Foundation President & VP Public Affairs | $188,191 | $0 | $18,892 | $0 | $12,266 | $0 | $26,847 | $0 | $29,350 | $0 | $275,546 | $0 | $0 | $0 |
| Charles Jones | ||||||||||||||
| Physician | $785,585 | $0 | $334,396 | $0 | $18,500 | $0 | $219,786 | $0 | $10,723 | $0 | $1,368,990 | $0 | $245,708 | $0 |
| Bryan Mahan | ||||||||||||||
| Physician | $832,437 | $0 | $142,073 | $0 | $43,000 | $0 | $5,590 | $0 | $22,525 | $0 | $1,045,625 | $0 | $0 | $0 |
| Srinivas Iyengar | ||||||||||||||
| Physician | $599,939 | $0 | $134,432 | $0 | $37,000 | $0 | $9,600 | $0 | $28,847 | $0 | $809,818 | $0 | $0 | $0 |
| Jamie Doucet | ||||||||||||||
| Physician | $508,466 | $0 | $208,159 | $0 | $42,231 | $0 | $10,275 | $0 | $30,837 | $0 | $799,968 | $0 | $0 | $0 |
| Sameer A Oza | ||||||||||||||
| Physician | $510,961 | $0 | $194,256 | $0 | $36,986 | $0 | $10,275 | $0 | $29,832 | $0 | $782,310 | $0 | $0 | $0 |
| Linda S Minghella | ||||||||||||||
| VP & Chief Information Officer (former) | $0 | $0 | $0 | $0 | $137,732 | $0 | $0 | $0 | $0 | $0 | $137,732 | $0 | $137,732 | $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: Robert Vissers, Pres & CEO ($144,297 contributed), Benjamin Keidan, VP & Chief Medical Officer ($82,531 contributed), William Munson Jr, VP & CFO ($48,517 contributed), Jacqueline Attlesey-Pries, VP ,COO & CNO ($47,684 contributed), Paul Hinchey, VP Business Development ($68,043 contributed), Michael Jefferies, VP & CIO ($55,762 contributed), Sarah Meshak, VP & General Counsel ($54,899 contributed), Jamie Jensen, VP & Chief Population Officer ($26,682 contributed), and Grant Besser, Foundation President & VP Public Affairs ($19,837 contributed). |
| Schedule J, Part I, Line 6 | J, Ln 6 See response to Line 7. Board approval required for any payment |
| Schedule J, Part I, Line 7 | For 2017, the hospital has 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 Vice-Presidents, one-third of their incentive is based upon the Hospital meeting at least 85% of its budgeted net operating income before interest expense. One-third VP incentive is based on Safety goals and one-third is based on Performance Goals. The one-third financial goal for Directors is based on meeting their departmental financial targets, as well as a one-third safety goal and a one-third performance goal. Incentive Compensation payouts were made in February, 2018 for the 2017 plan year. For 2018, the Incentive Compensation Plan was modified to include meeting a net operating income before interest expense gate. This gate was not met and therefore no Incentive compensation expense was accrued for the 2018 plan year and no payments were made in early 2019 for 2018 incentive compensation. The exception to this was the Foundation President & VP Public Affairs, who was paid incentive compensation in February 2019 for the plan year 2018 based upon achieving goals set by the Foundation Board. |
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 | 19648AVF9 | 2010-12-01 | $93,535,431 | Foothills expansion; balance for debt refunding | 0 | 0 | 0 |
| Colorado Health Facilities | |||||||||
| B | Authority | 840752932 | 19648AZL2 | 2012-08-28 | $31,748,673 | Foothills hospital expansion | 0 | 0 | 0 |
| Colorado Health Facilities Authority | |||||||||
| C | 840752932 | 2014-12-30 | $30,000,000 | acquiring,constructing & equipping Financed Facilities | 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 | $35,800,000 | $270,000 | $93,716,361 | $0 | $0 | $0 | $1,080,618 | $0 | $0 | $25,180,923 | $67,458,941 | $0 | 2014 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $3,460,000 | $0 | $31,815,214 | $0 | $0 | $0 | $452,449 | $0 | $0 | $31,362,765 | $0 | $0 | 2014 | 0 | 0 | Yes (1) | Yes (1) |
| C | $0 | $0 | $30,041,484 | $0 | $0 | $0 | $153,502 | $0 | $0 | $29,887,982 | $0 | $0 | 2019 | 0 | 0 | 0 | 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 | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) | 0.00308 | Yes (1) | 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) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I, Column e-12/01/2010 93,535,431 Colorado Health Facilities | Ln A(e) of $93,535,431 < Pt II Ln 3(A) of 93,716,361 by the cumulative trust fund interest income of $180,930. |
| Schedule K, Part I, Column e-08/28/2012 31,748,673 Colorado Health Facilities | Ln B(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 C(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 II, Line 3-12/01/2010 93,535,431 Colorado Health Facilities | Lines 4 through 12 > Ln 3 by 4,121 which is the amount transferred into the 2010 Cost of Issuance Bond Trust Account from the close-out of the 2003 Bond Fund. |
| Schedule K, Part II, Line 11-12/01/2010 93,535,431 Colorado Health Facilities | Other Spent Proceeds includes $14,546,298 to refund Series 1994B, $26,456,321 to refund Series 2003A and $26,456,321 to refund Series 2003B. |
| Schedule K, Part IV, Line 2c-12/01/2010 93,535,431 Colorado Health Facilities | Rebate calculation for Series 2010 performed by Kutak Rock Arbitrage Consulting LLC for the period 12/1/2010 to 10/01/2015, the end of the first five-year rebate calculation period. The report concludes that there is no arbitrage rebate liability as of 10/01/2015 and no federal reporting requirement. |
| 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 L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Interface Communications Co | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Jeff Morgan, Boardmember, is a 75% owner of Interface Communications | RelationshipDescriptionTxt |
| Transaction | $261,717 | TransactionAmt |
| Transaction | BCH pays Interface Communications for communications services | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
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 changes in Net Assets of -$5,302,967 = Change in Foundation Assets of -$2,187,431 + Change in minimum pension liability of -$2,875,899 + Charge for amortization ineffective loss on swaps -$239,635 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 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 | $1,199,603 | $1,731,932 | Boulder Communty Health |
| Boulder Valley Care Network LLC | ||||||||||
| 4141 Arapahoe Avenue | Suite 200 | Boulder | CO | 80303 | 821488664 | Clincally Integrated Provider Network | CO | $211,120 | $0 | 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 | 509(a)3 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| 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 | ||||||||||||||||
| 4740 Pearl Parkway | Suite 100 | Boulder | CO | 80301 | 201391702 | Outpatient surgery center | CO | N/A | Related | $2,261,693 | $4,120,540 | 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 | $49,060,200 | $1,207,266 | 0 | $0 | 0 | 0.5 | |
| Boulder MRI LLC | ||||||||||||||||
| 1000 W South Boulder Road | Suite 105 | Lafayette | CO | 80026 | 452676500 | outpaient MRI center | CO | Related | $348,752 | $100,469 | 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 | $1,945,205 | $2,264,136 | 0 | $0 | 0 | 0.51 | Boulder Community Health | |
| Riverbend Sleep LLC | ||||||||||||||||
| 4895 Riverbend Road | Boulder | CO | 80301 | 464514151 | own building and lease to Approved Entities | CO | N/A | Excluded | $57,686 | $1,052,569 | 0 | $44,090 | 0 | 0.5 | ||
| Premier Eye Surgery Center of Colorado | ||||||||||||||||
| 4545 Arapahoe | Suite 100 | Boulder | CO | 80303 | 823760640 | Outpatient Eye Surgery Center | CO | Related | -$25,050 | $24,950 | 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 | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 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 | Yes (1) | 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 (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Boulder Community Musculoskeletal Surgery Center LLC | ||
| c | $2,025,000 | K-1 capital distribution |
| Boulder Community Musculoskeletal Surgery Center LLC | ||
| d | $1,808,294 | Loan guarantee document (not > ownership %) |
| Endoscopy Center of the Rockies LLC | ||
| c | $5,050,000 | K-1 capital distribution |
| Boulder MRI LLC | ||
| c | $395,250 | K-1 capital distribution |
| Boulder MRI LLC | ||
| j | $59,160 | Property Manager Recap of Income |
| Boulder MRI LLC | ||
| q | $216,610 | 59,160 for PACS agreement, 12,500 for managed care contracting, 144,950 for pass-thru of MRI service contract. |
| Riverbend Sleep LLC | ||
| c | $55,000 | K-1 capital distribution |
| Riverbend Sleep LLC | ||
| k | $179,848 | Vendor history recap |
| Foothills Surgery Center LLC | ||
| c | $1,759,500 | K-1 capital distribution |
| Foothills Surgery Center LLC | ||
| d | $469,033 | Loan document guarantees 35% of Loan outstanding at YE |
| Foothills Surgery Center LLC | ||
| j | $369,950 | Lease payments received |
| Premier Eye Surgery Center of Colorado | ||
| b | $50,000 | K-1 capital contribution to Premier Eye Surgery Center of Colorado. |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | CP211A dated May 20, 2019 approved Form 8868, Application for Extension of Time to File an Exempt Organization Return to November 15, 2019. | ExplanationTxt |