BRIGHTON COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BRIGHTON COMMUNITY HOSPITAL ASSOCIATION (EIN 84-0482695)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-07
- IRS object ID
- 201813119349302186
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-07T14:17:58-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840482695 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRIG | BusinessNameControlTxt |
| Phone | 3034981600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 PRAIRIE CENTER PARKWAY | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SEAN FADDEN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3034981600 | PhoneNum |
| Signature | 2018-11-06 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 170.188.5.33 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-06 | IPDt |
| IP Tm | 11:28:16 | IPTm |
| IP Timezone | MS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B236A6DFE262EFEA572FAB2E373485E7E96D5340 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | DA20D486529A5FD4315A2DABD97CCAE9F7014C42 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLATTE VALLEY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN HICKS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 PRAIRIE CENTER PARKWAY | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $127,826,963 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SEE SCHEDULE O | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | FOSTER OPTIMAL HEALTH FOR ALL | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1036 | TotalEmployeeCnt |
| Total Volunteers | 107 | TotalVolunteersCnt |
| Total Gross UBI | $337,444 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $149,863 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,386,470 | PYContributionsGrantsAmt |
| CY Contributions Grants | $313,529 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $121,616,061 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $120,891,432 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,415,775 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,931,844 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,756,355 | PYOtherRevenueAmt |
| CY Other Revenue | $2,432,558 | CYOtherRevenueAmt |
| PY Total Revenue | $133,174,661 | PYTotalRevenueAmt |
| CY Total Revenue | $126,569,363 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $19,269 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $142,095 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $50,160,915 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $48,142,118 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $70,203,002 | PYOtherExpensesAmt |
| CY Other Expenses | $75,540,338 | CYOtherExpensesAmt |
| PY Total Expenses | $120,383,186 | PYTotalExpensesAmt |
| CY Total Expenses | $123,824,551 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,791,475 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,744,812 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $313,883,643 | TotalAssetsBOYAmt |
| Total Assets EOY | $321,020,154 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $101,428,638 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $104,808,523 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $212,455,005 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $216,211,631 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FOSTER OPTIMAL HEALTH FOR ALL | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $110,369,154 | ExpenseAmt |
| Grant | $142,095 | GrantAmt |
| Revenue | $121,499,504 | RevenueAmt |
| Desc | PLATTE VALLEY MEDICAL CENTER (PVMC) BECAME THE FIRST PRIVATE GENERAL MEDICAL-SURGICAL HOSPITAL IN ADAMS AND SOUTHERN WELD COUNTIES IN 1960. FOR 47 YEARS, PLATTE VALLEY MEDICAL CENTER WAS LOCATED ON SEVEN ACRES AT 18TH AND BRIDGE STREET IN BRIGHTON. IN 2007, PLATTE VALLEY MEDICAL CENTER MOVED TO A 50-ACRE CAMPUS AT I-76 AND 144TH AVENUE.TODAY, PLATTE VALLEY IS A 98-BED COMMUNITY HOSPITAL. AS A MEMBER OF THE SCL HEALTH SYSTEM, PVMC HAS BEEN DESIGNATED ONE OF THE WORLD'S MOST PATIENT-CENTERED HOSPITALS BY PLANETREE, INC. PLATTE VALLEY'S 10 PILLARS OF HEALING ARE INCORPORATED INTO EVERY PATIENT EXPERIENCE. THEY INCLUDE INTEGRATIVE THERAPIES, HUMAN INTERACTIONS, SUPPORT NETWORKS, HEALING DESIGN, EDUCATION AND INFORMATION, HEALTHY AND DELICIOUS MEALS, HEALING ART THERAPY, SPIRITUALITY, HEALING TOUCH, AND HEALTHY COMMUNITIES TO HELP PATIENTS RECOVER.DURING 2017, PVMC HAD THE FOLLOWING RESULTS:3,445 ADMISSIONS83,674 OUTPATIENT VISITS 23,844 EMERGENCY DEPARTMENT VISITS 806 BIRTHS 3,648 SURGERIES533,083 LABORATORY TESTSSERVICESWITH OVER 120 PHYSICIANS REPRESENTING MORE THAN 45 SPECIALTIES, PLATTE VALLEY MEDICAL CENTER OFFERS HIGH-LEVEL SERVICES FOUND IN LARGER METROPOLITAN HOSPITALS. SOME OF THE SERVICES OFFERED INCLUDE:ALLERGY, IMMUNOLOGY & ASTHMA, AMBULANCE SERVICE, CARDIOVASCULAR SERVICES, CRITICAL CARE, DERMATOLOGY, EAR, NOSE, & THROAT, EMERGENCY SERVICES, FAMILY MEDICINE, GASTROENTEROLOGY, HEMATOLOGY, INFECTIOUS DISEASE, INTERNAL MEDICINE, MEDICAL IMAGING, NEONATOLOGY, NEUROSURGERY, NEUROLOGY, OBSTETRICS & GYNECOLOGY, ONCOLOGY, OPHTHALMOLOGY, OPTOMOETRY, ORTHOPEDICS, PEDIATRICS, PHARMACY, PHYSICAL MEDICINE & REHAB, PODIATRY, PULMONARY MEDICINE, SLEEP MEDICINE, STROKE CENTER, UROLOGY, ADVANCED WOUND CENTER. | Desc |
| Total Program Service Expenses | $110,369,154 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 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 | 121 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1036 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KYLE ENGMAN | PersonNm |
| Phone | 3038135543 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 ELDORADO BLVD SUITE 4200 | AddressLine1Txt |
| City | BROOMFIELD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80021 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JEFF BERNARD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROD BLUNCK | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MIKE DOLAN | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SHAWN DUFFORD MD | |||||||||
| DIRECTOR | 1.00 | 50.00 | Yes (X) | $0 | $870,466 | $110,005 | |||
| BOB FEIS | |||||||||
| VICE CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| RICHARD GONZALES | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN HICKS | |||||||||
| CEO/PRESIDENT | 50.00 | 0.00 | Yes (X) | $749,319 | $0 | $15,651 | Yes (X) | ||
| FAYE HUMMEL | |||||||||
| CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MICHELLE LEBLANC-GROSS | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PATTY MURRAY | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SONYA NORMAN MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $167,091 | $0 | $22,122 | |||
| ERIC ROBBINS MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY SIPPEL MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| HEIDI STORZ | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL TAYLOR | |||||||||
| DIRECTOR | 1.00 | 50.00 | Yes (X) | $0 | $1,026,918 | $164,596 | |||
| BRUCE WALKER MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SHAWN WIANT | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| HAROLD DUPPER | |||||||||
| CFO/CORPORATE SECRETARY 1/1-12/12 | 50.00 | 0.00 | $361,635 | $0 | $13,197 | Yes (X) | |||
| SEAN FADDEN | |||||||||
| CFO/CORPORATE SECRETARY 12/13-12/31 | 50.00 | 0.00 | $10,532 | $115,847 | $15,455 | Yes (X) | |||
| KURT GENSERT | |||||||||
| VP OPERATIONS | 50.00 | 0.00 | $358,173 | $0 | $31,415 | Yes (X) | |||
| KIRK QUACKENBUSH MD | |||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 0.00 | $267,078 | $0 | $12,221 | Yes (X) | |||
| ERIC STIRM | |||||||||
| PVMC PHARMACY DIR | 50.00 | 0.00 | $196,532 | $0 | $29,739 | Yes (X) | |||
| KAREN WELZ | |||||||||
| PVMC OR DIRECTOR | 50.00 | 0.00 | $168,061 | $0 | $14,364 | Yes (X) | |||
| JACQUELINE DUNKIN | |||||||||
| PVMC HR DIR | 50.00 | 0.00 | $164,952 | $0 | $18,163 | Yes (X) | |||
| DUANE LIVADNEY | |||||||||
| PVMC MED IMAG SUPR | 50.00 | 0.00 | $160,299 | $0 | $21,385 | Yes (X) | |||
| JENNIFER BUCHLOH | |||||||||
| PVMC EXEC DIR OF PRAC MAN | 50.00 | 0.00 | $153,020 | $0 | $25,390 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,756,692 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,013,231 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $493,703 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 63 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CERNER HEALTH SERVICES | |||||
| PO BOX 959167 | ST LOUIS | MO | 63195 | TECHNOLOGY SERVICES | $815,465 |
| PRISM HEALTHCARE PARTNERS LTD | |||||
| 190 S LA SALLE ST STE 2900 | CHICAGO | IL | 60603 | CONSULTING SERVICES | $403,122 |
| INTEGRAL HEALTHCARE SERVICES | |||||
| 750 W HAMPDEN AVE 510 | ENGLEWOOD | CO | 80110 | CONSULTING SERVICES | $307,457 |
| APP - UNIPATH LLC | |||||
| 103 CONTINENTAL PLACE STE 400 | BRENTWOOD | TN | 37027 | CONTRACT LABOR | $249,491 |
| MAYO MEDICAL LABORITORIES | |||||
| 200 FIRST STREET SOUTHWEST | ROCHESTER | MN | 55905 | MEDICAL SERVICES | $173,834 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $313,529 | RelatedOrganizationsAmt |
| Total Contributions | $313,529 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 622110 | $119,688,625 | $119,660,667 | $27,958 |
| CLINIC SUPPORT SERVICES | 541900 | $1,202,807 | $1,202,807 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $120,891,432 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,009,832 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $309,486 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,700,346 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,969,213 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,144,727 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,824,486 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,824,486 | TotalRevenueColumnAmt |
| Exclusion | $1,824,486 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $34,885 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $112,873 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$77,988 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$77,988 | TotalRevenueColumnAmt |
| Exclusion | -$77,988 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAFETERIA REVENUE | 722310 | $560,617 | $560,617 |
| EDUCATION CLASSES | 900099 | $44,492 | $44,492 |
| VENDING MACHINE REVENUE | 900099 | $2,963 | $2,963 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $608,072 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $126,569,363 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $121,471,546 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $337,444 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,446,844 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,095 | TotalAmt |
| Program Services | $142,095 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,009,722 | TotalAmt |
| Program Services | $1,779,219 | ProgramServicesAmt |
| Management And General | $230,503 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,389,623 | TotalAmt |
| Program Services | $31,732,714 | ProgramServicesAmt |
| Management And General | $5,656,909 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,762,779 | TotalAmt |
| Program Services | $1,735,859 | ProgramServicesAmt |
| Management And General | $26,920 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,074,504 | TotalAmt |
| Program Services | $3,862,338 | ProgramServicesAmt |
| Management And General | $212,166 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,905,490 | TotalAmt |
| Program Services | $2,639,588 | ProgramServicesAmt |
| Management And General | $265,902 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,186 | TotalAmt |
| Management And General | $53,186 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,440 | TotalAmt |
| Management And General | $2,440 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,272,523 | TotalAmt |
| Program Services | $9,000,265 | ProgramServicesAmt |
| Management And General | $1,272,258 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,399 | TotalAmt |
| Program Services | $13,918 | ProgramServicesAmt |
| Management And General | $388,481 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $864,011 | TotalAmt |
| Program Services | $856,399 | ProgramServicesAmt |
| Management And General | $7,612 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,420,233 | TotalAmt |
| Program Services | $4,837,783 | ProgramServicesAmt |
| Management And General | $1,582,450 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,321,679 | TotalAmt |
| Program Services | $1,310,863 | ProgramServicesAmt |
| Management And General | $10,816 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,608 | TotalAmt |
| Program Services | $72,978 | ProgramServicesAmt |
| Management And General | $12,630 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,644 | TotalAmt |
| Program Services | $57,606 | ProgramServicesAmt |
| Management And General | $17,038 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,688,251 | TotalAmt |
| Program Services | $2,688,251 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,813,250 | TotalAmt |
| Program Services | $10,813,250 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $802,148 | TotalAmt |
| Program Services | $802,148 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $15,832,402 | $15,832,402 | |
| CONTRACT SERVICES | $9,193,059 | $8,698,332 | $494,727 |
| 3RD PARTY PROVIDER FEE | $6,420,691 | $6,420,691 | |
| BAD DEBT EXPENSE | $4,038,409 | $4,038,409 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,255,405 | TotalAmt |
| Program Services | $3,034,046 | ProgramServicesAmt |
| Management And General | $3,221,359 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,824,551 | TotalAmt |
| Program Services | $110,369,154 | ProgramServicesAmt |
| Management And General | $13,455,397 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,901,771 | BOYAmt |
| EOY | $4,535,639 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $518,982 | BOYAmt |
| EOY | $166,285 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,995,559 | BOYAmt |
| EOY | $1,995,412 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,584,576 | BOYAmt |
| EOY | $18,238,803 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $62,207 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $762,840 | BOYAmt |
| EOY | $3,549,166 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,167,652 | BOYAmt |
| EOY | $2,044,666 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $178,368,272 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,445,646 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,101,468 | BOYAmt |
| EOY | $156,922,626 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,231,919 | BOYAmt |
| EOY | $12,886,231 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000,000 | BOYAmt |
| EOY | $10,000,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,618,876 | BOYAmt |
| EOY | $110,619,119 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,883,643 | BOYAmt |
| EOY | $321,020,154 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,021,122 | BOYAmt |
| EOY | $32,754,678 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $183,065 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,407,516 | BOYAmt |
| EOY | $70,950,226 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $920,554 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,428,638 | BOYAmt |
| EOY | $104,808,523 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,459,446 | BOYAmt |
| EOY | $214,216,219 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,995,559 | BOYAmt |
| EOY | $1,995,412 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,455,005 | BOYAmt |
| EOY | $216,211,631 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,883,643 | BOYAmt |
| EOY | $321,020,154 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,744,812 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,011,814 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
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 | $2,440 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,440 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PART II-B, LINE (1I): LOBBYING EXPENSES WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE COLORADO HOSPITAL ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,660,267 | BeginningYearBalanceAmt |
| Contributions | $19,481 | ContributionsAmt |
| Investment Earnings Or Losses | $254,286 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $75,000 | GrantsOrScholarshipsAmt |
| Other Expenditures | $37,937 | OtherExpendituresAmt |
| End Year Balance | $1,821,097 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,681,875 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $128,392 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $150,000 | OtherExpendituresAmt |
| End Year Balance | $1,660,267 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,642,857 | BeginningYearBalanceAmt |
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$10,982 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,681,875 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,769,303 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $110,446 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $236,892 | OtherExpendituresAmt |
| End Year Balance | $1,642,857 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,705,773 | BeginningYearBalanceAmt |
| Contributions | $274,017 | ContributionsAmt |
| Investment Earnings Or Losses | $252,829 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $459,444 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,872 | OtherExpendituresAmt |
| End Year Balance | $1,769,303 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.25250 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.61090 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.13660 | 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) |
|---|---|---|
| Other Cost Or Other Basis | $13,705,100 | OtherCostOrOtherBasisAmt |
| Book Value | $13,705,100 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $136,137,549 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,445,658 | DepreciationAmt |
| Book Value | $125,691,891 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,341,175 | OtherCostOrOtherBasisAmt |
| Depreciation | $812,874 | DepreciationAmt |
| Book Value | $5,528,301 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,739,533 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,187,114 | DepreciationAmt |
| Book Value | $10,552,419 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,444,915 | OtherCostOrOtherBasisAmt |
| Book Value | $1,444,915 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $156,922,626 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLES | $109,039,859 |
| OTHER MISC RECEIVABLES | $1,579,260 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $110,619,119 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ACCRUED LIABILITY - DEFINED CONTRIBUTION PLAN | Desc |
| Amt | $920,554 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $920,554 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | PLATTE VALLEY MEDICAL CENTER FOUNDATION HOLDS ENDOWMENTS TO PROVIDE FINANCIAL SUPPORT FOR THE PROGRAMS AND SERVICES OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,859,468 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,859,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03220 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,222,286 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,949,093 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,273,193 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07740 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $202,504 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $116,568 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $85,936 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,284,258 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,065,661 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,218,597 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11030 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $246,243 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,099 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $220,144 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $348,990 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $348,990 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,195,372 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,361,944 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,833,428 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01530 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $274,172 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $274,172 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,064,777 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,388,043 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,676,734 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02230 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,349,035 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,453,704 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,895,331 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13260 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,631 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,631 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,631 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,631 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,038,409 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $20,585,828 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $39,090,245 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$18,504,417 | 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 |
| 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 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 PRAIRIE CENTER PARKWAY | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SCLHEALTH.ORG/LOCATIONS/ | WebsiteAddressTxt |
| State License | 010311 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | 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 PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| 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 PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE 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 (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 5: PVMC CONDUCTED THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT THROUGHOUT THE YEAR AND IT WAS COMPLETED IN DECEMBER 2016. THE FOLLOWING INFORMATION IS BASED ON THE PROCESS FOR THE 2016 CHNA. IN 2016, WE UTILIZED TWO METHODS OF COLLECTING PRIMARY DATA, FOCUS GROUPS AND AN ONLINE SURVEY. FOCUS GROUPSFOCUS GROUPS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY PVMC. THREE FOCUS GROUPS ENGAGING COMMUNITY MEMBERS WERE COMPLETED DURING OCTOBER, 2016. FOR THE FOCUS GROUPS, COMMUNITY STAKEHOLDERS IDENTIFIED BY PVMC WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. FEEDBACK FROM COMMUNITY MEMBERS WAS GATHERED ABOUT THEIR PERCEIVED HEALTH NEEDS AND THEIR IDENTIFICATION OF RESOURCES AVAILABLE TO ADDRESS THOSE NEEDS. THE THREE FOCUS GROUPS WERE 1) THE PASTORAL COUNCIL (LOCAL MINISTERS) 2) THE PATIENT PARTNERSHIP COUNCIL AND 3) RESIDENTS FROM HUGHES STATION, A LOW-INCOME HOUSING COMPLEX ONLINE SURVEYAN ELECTRONIC SURVEY ENGAGED 64 COMMUNITY STAKEHOLDERS TO PROVIDE INPUT ON SIGNIFICANT HEALTH NEEDS. THE ONLINE SURVEY ENGAGED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY."A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY PLATTE VALLEY MEDICAL CENTER; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL.PARTICIPANTS INCLUDED REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS: A WOMAN'S PLACE, INC.ADAMS COUNTYADAMS COUNTY HEAD STARTADAMS COUNTY YOUTH INITIATIVEAIMS COMMUNITY COLLEGEALMOST HOME, INC.BRIGHTON POLICE DEPARTMENTBRIGHTON SCHOOL DISTRICT 27JBRIGHTON SHARES THE HARVESTCASA OF ADAMS/BROOMFIELD COUNTIESCITY OF BRIGHTONCITY OF FORT LUPTONCOAL CREEK ADULT EDUCATION CENTERCOLORADO STATE UNIVERSITY EXTENSIONFRONT RANGE COMMUNITY COLLEGEKEENE CLINICLIFE CHOICESMIRACLE HOUSE CHILDREN'S HOMESPENNOCK CENTER FOR COUNSELINGPLATTE VALLEY MEDICAL CENTERPLATTE VALLEY MEDICAL CENTER BOARDPLATTE VALLEY MEDICAL CENTER FOUNDATIONPREMIER PEDIATRICSSALUD FAMILY HEALTH CENTERSSCL HEALTHTHE SENIOR HUBTRI-COUNTY HEALTH DEPARTMENT (TCHD)UNIVERSITY OF NORTHERN COLORADO SCHOOL OF NURSINGWELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENTWELD COUNTY SCHOOL DISTRICT RE-8WELD FOOD BANKBRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION B, LINE 7A: WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/ |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 7D: COPIES OF THE CHNA WERE DISTRIBUTED AT VARIOUS COMMUNITY COALITIONS AND RESOURCE MEETINGS BY THE DIRECTOR OF COMMUNITY OUTREACH.BRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION B, LINE 10A: WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/ |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 11: IMPROVED ACCESS TO CAREPVMC PROVIDED $3,859,468. IN CHARITY CARE IN 2017.SCREENED PATIENTS FOR MEDICAID QUALIFICATION AND ASSISTED WITH APPLICATIONS: PATIENT FINANCIAL ASSOCIATES ARE LOCATED IN OUR EMERGENCY DEPARTMENT AND IN OUR ADMISSIONS AREA AND ARE AVAILABLE 7 DAYS A WEEK. BETWEEN JUNE- DECEMBER 2017 WE: - ASSISTED 81 PATIENTS WITH CICP APPLICATION - ASSISTED 133 PATIENTS WITH MEDICAID APPLICATION - ASSISTED 1 PERSON OBTAIN COVERAGE THROUGH ACA.IN 2017, PLATTE VALLEY MEDICAL GROUP ADDED ONE FAMILY NURSE PRACTITIONER. IN ADDITION, IT PROVIDED SALARY SUPPORT TO PLATTE VALLEY INTERNAL MEDICINE FOR ONE INTERNAL MEDICINE PHYSICIAN.PARTICIPATED IN COMMUNITY BASED ACTIVITIES THAT INCREASE AWARENESS OF ACCESS TO HEALTHCARE SERVICES AND/OR PROVIDES FREE OR LOW-COST SCREENINGS OR SERVICES (E.G. 9HEALTH FAIR, GIRL'S NIGHT OUT AND EDUCATIONAL SEMINARS).9HEALTH FAIR IN 2017- SERVED 843 PARTICIPANTS: - 91 PEOPLE TOOK ADVANTAGE OF FREE CARDIAC RISK ASSESSMENT - 121 PEOPLE TOOK ADVANTAGE OF FREE BONE DENSITY SCREEN - 34 PEOPLE TOOK ADVANTAGE OF A FREE BREAST SCREEN - 100 PEOPLE TOOK ADVANTAGE OF A FREE FOOT SCREENING - 163 PEOPLE TOOK ADVANTAGE OF A FREE HEARING SCREEN - 41 PEOPLE TOOK ADVANTAGE OF FREE ORAL SCREEN - 24 PEOPLE TOOK ADVANTAGE OF A FREE PAP SMEAR - 158 PEOPLE TOOK ADVANTAGE OF A FREE BLOOD PRESSURE CHECK - 110 PEOPLE TOOK ADVANTAGE OF A FREE SKIN CANCER CHECK - 33 PEOPLE TOOK ADVANTAGE OF A FREE SLEEP APNEA SCREEN - 56 PEOPLE TOOK ADVANTAGE OF A FREE SPINAL CHECK - 30 PEOPLE TOOK ADVANTAGE OF A FREE STRESS MANAGEMENT SCREENGIRL'S NIGHT OUT- SERVED 725 PERSONS AT THIS EVENT.MENTAL HEALTH/SUBSTANCE ABUSE IN THE COMMUNITYDENVER HEALTH PROVIDES PSYCHIATRIC CONSULTS VIA SKYPE AND COMMUNITY REACH PROVIDES ON-SITE COUNSELORS TO WORK WITH PATIENTS THAT ARE DESIGNATED AS AN M-1 HOLD. THESE PATIENTS COULD BE A DANGER TO THEMSELVES OR OTHERS OR EXHIBIT OTHER SERIOUS MENTAL DISABILITIES.PROVIDED A FREE EVIDENCE-BASED TRAINING PROGRAM TO COMMUNITY AND PVMC ASSOCIATES (MENTAL HEALTH FIRST AID). FOUR MENTAL HEALTH FIRST AID TRAININGS WERE SCHEDULED AND 57 PEOPLE WERE TRAINED IN 2017.EXPLORE THE POSSIBILITY OF USING CURRENT SOCIAL WORK STAFF IN ASSESSING FOR SUB-PATHOLOGICAL BEHAVIORAL HEALTH NEEDS, AND WHEN APPROPRIATE, INTERVENING IN REAL TIME WITH ESTABLISHED BEST PRACTICE MODALITIES AND MAKING OUTPATIENT BEHAVIORAL HEALTH REFERRALS. UPDATE: ONE OF THE SOCIAL WORKERS HAS BEEN IDENTIFIED TO LEAD THIS PROGRAM AND AN APPROACH HAS BEEN CHOSEN FOR USE. SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) IS A COMPREHENSIVE APPROACH USED IN MANY HEALTHCARE FACILITIES FOR IDENTIFICATION, INTERVENTION AND REFERRAL OF INDIVIDUALS WITH SUBSTANCE ABUSE DISORDERS OR WHO ARE AT-RISK. INPATIENTS WILL BE SCREENED FOR SUBSTANCE USE AND SEVERITY AND THE LEVEL OF TREATMENT THAT IS APPROPRIATE WILL BE IDENTIFIED. SCREENING QUICKLY ASSESSES THE SEVERITY OF SUBSTANCE USE AND IDENTIFIES THE APPROPRIATE LEVEL OF TREATMENT.PROVIDED EDUCATIONAL OPPORTUNITIES TO THE COMMUNITY TO LEARN ABOUT ISSUES AROUND MENTAL HEALTH AND SUBSTANCE ABUSE. - THREE MENTAL HEALTH COUNSELORS FROM COMMUNITY REACH AND PENNOCK CENTER FOR COUNSELING PROVIDED THE "STRESS MANAGEMENT" SCREENING AT THE 9HEALTH FAIR IN APRIL 2017. 30 PEOPLE TOOK ADVANTAGE THIS SCREENING TO SPEAK WITH A COUNSELOR. THEY ALSO HANDED OUT PAMPHLETS AND FACT SHEETS RELATED TO MENTAL HEALTH. - BEHAVIORAL HEALTHCARE INC. AND AL-ANON HAD BOOTHS AT THE 9HEALTH FAIR IN APRIL 2017 AND PROVIDED INFORMATION AND RESOURCES TO PARTICIPANTS. - GIRL'S NIGHT OUT IN SEPTEMBER 2017 SPONSORED A SPEAKER AT THEIR EVENT. THE SPEAKER, JENNIFER TRACY, AUTHOR OF THE BOOK "INSIDE "THE MIND" OF SUICIDE" SPOKE TO PARTICIPANTS. SCL HEALTH PROVIDED INFORMATION REGARDING THE MENTAL HEALTH FIRST AID COURSE AT THE EVENT.HEART DISEASE/STROKE (CARDIOVASCULAR) - PROVIDE MONTHLY SUPPORT GROUPS FOR STROKE SURVIVORS OR CAREGIVERS. - IMPLEMENT A PEER VISITING PROGRAM IN 2018 FOR NEW STROKE PATIENTS AND THEIR FAMILIES AND PROVIDE 12-24 VISITS PER YEAR. UPDATE: QTR. 1 2018- PEER VISITORS HAVE BEEN APPROVED TO BE A PART OF THE HOSPITAL VOLUNTEER DEPARTMENT. THEY ARE IN THE PROCESS OF SELECTING 3-5 INITIAL MEMBERS AND DEVELOPING A PROTOCOL FOR THE VISIT. - PROVIDE AT LEAST 4 SCHEDULED EVENTS WHERE THE PUBLIC IS INFORMED ABOUT EARLY HEART ATTACK CARE (EHAC) - 725 PEOPLE ATTENDED THE GIRL'S NIGHT OUT EVENT. INFORMATION ON EHAC WAS INCLUDED IN ALL PARTICIPANTS' BAGS. - 91 PEOPLE PARTICIPATED IN THE CARDIAC RISK ASSESSMENT AT THE 9HEALTH FAIR AND RECEIVED INFORMATION ABOUT EHAC. - OVER 550 PEOPLE VISITED A BOOTH AT THE ADAMS COUNTY FAIR WHICH FOCUSED ON EHAC EDUCATION. - THE STROKE COORDINATOR PROVIDED A SEMINAR ON EHAC AT EAGLE VIEW ADULT CENTER IN APRIL 2017. - HEARTS 4 HEARTS 5K RUN - BOOKMARKS WITH EHAC EDUCATIONAL INFORMATION WERE DISTRIBUTED TO ALL RUN PARTICIPANTS (40). - EHAC BOOKMARKS ON ALL TABLES IN THE BISTRO DURING HEART HEALTH MONTH IN 2017 AND 2018. - PROVIDE ANNUAL EDUCATIONAL EVENTS RELATED TO STROKE AND HEART DISEASE TO LOCAL EMS PROFESSIONALS. THE MAJOR TRAINING EVENT OCCURRED ON MARCH 9, 2017 AND SAW ATTENDANCE OF 42 FROM 15 OUTSIDE AGENCIES. - AN ULTRA-LOW RISK CHEST PAIN PATHWAY TO PREVENT UNNECESSARY HOSPITAL ADMISSIONS AND REDUCE ASSOCIATED COSTS WAS IMPLEMENTED IN Q1 2017 AND IS CURRENTLY IN USE. THE CURRENT ELECTRONIC HEALTH RECORD IN USE DOES NOT HAVE THE ABILITY TO TRACK FOR READMISSIONS. - PVMC WAS RECERTIFIED AS A PRIMARY STROKE CENTER ON AUGUST 25, 2017.NEEDS NOT ADDRESSEDPLATTE VALLEY MEDICAL CENTER HAS CHOSEN NOT TO ACTIVELY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE 2016 CHNA AS THEY WERE NOT SELECTED AS PRIORITY HEALTH NEEDS: DIABETES, CHRONIC LOWER RESPIRATORY DISEASE, NUTRITION, AND PHYSICAL ACTIVITY AND WEIGHT. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION, PLATTE VALLEY MEDICAL CENTER HAS SELECTED TO CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. THEREFORE, THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE SELECTED PRIORITY HEALTH NEEDS. IN ADDITION, SEVERAL OTHER COMMUNITY BASED ORGANIZATIONS ARE ADDRESSING THESE AREAS. THEY INCLUDE: TRI-COUNTY HEALTH DEPARTMENT, COMMUNITY REACH, SALUD FAMILY HEALTH SERVICES, WELD COUNTY HEALTH DEPARTMENT, THE SENIOR HUB AND ADAMS COUNTY HEALTH DEPARTMENT. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 17 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|---|
| 1 - PLATTE VALLEY MEDICAL IMAGING LLC | |||||
| 1606 PRAIRIE CENTER PARKWAY SUITE | 130 | BRIGHTON | CO | 80601 | RADIOLOGY SERVICES |
| 2 - PLATTE VALLEY AMBULANCE SERVICE LLC | |||||
| 1606 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | AMBULANCE SERVICES | |
| 3 - SPECTRUM MEDICAL IMAGING LLC | |||||
| 1610 PRAIRIE CENTER PARKWAY SUITE | 2100 | BRIGHTON | CO | 80601 | RADIOLOGY SERVICES |
| 4 - WORKWELLNESS LLC | |||||
| 1450 DEXTER STREET | FORT LUPTON | CO | 80621 | OCCUPATIONAL HEALTH SERVICES | |
| 5 - PVMG APEX SURGICAL | |||||
| 1610 PRAIRIE CENTER PKWY STE 2300 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC | |
| 6 - PVMG EAGLE-BRIGHTON | |||||
| 1606 PRAIRIE CENTER PKWY STE 240 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC | |
| 7 - PVMG EAGLE-FORT LUPTON | |||||
| 1450 DEXTER ST STE 101 | FORT LUPTON | CO | 80621 | OUTPATIENT PHYSICIAN CLINIC | |
| 8 - PVMG EAGLE-REUNION | |||||
| 10569 CHAMBERS RD STE 102 | COMMERCE CITY | CO | 80022 | OUTPATIENT PHYSICIAN CLINIC | |
| 9 - PVMG HIGH PLNS H&V CTR | |||||
| 1610 PRAIRIE CENTER PKWY STE 2330 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC | |
| 10 - PVMG INT IM - BRIGHTON | |||||
| 1610 PRAIRIE CENTER PKWY STE 2170 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC | |
| 11 - PVMG INT IM - REUNION | |||||
| 10569 CHAMBERS RD STE 102 | COMMERCE CITY | CO | 80022 | OUTPATIENT PHYSICIAN CLINIC | |
| 12 - PVMG MVO - BRIGHTON | |||||
| 1610 PRAIRIE CENTER PKWY STE 2200 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC | |
| 13 - PVMG MVO - FT MORGAN | |||||
| 1000 LINCOLN ST | FORT MORGAN | CO | 80701 | OUTPATIENT PHYSICIAN CLINIC | |
| 14 - PVMG WW-WALK RIGHT | |||||
| 1450 DEXTER ST STE 102 | FORT LUPTON | CO | 80621 | OUTPATIENT PHYSICIAN CLINIC | |
| 15 - PVMG HARMONY WOMEN'S HEALTH | |||||
| 1610 PRAIRIE CENTER PKWY STE 350 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC | |
| 16 - PVMG HARMONY - REUNION | |||||
| 10569 CHAMBERS RD STE 103 | COMMERCE CITY | CO | 80022 | OUTPATIENT PHYSICIAN CLINIC | |
| 17 - PVMG MED ONC | |||||
| 1606 PRAIRIE CENTER PKWY STE 270 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC | |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. |
| PART I, LINE 7: | THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,038,409. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | A VARIETY OF DIRECTORS AND ADMINISTRATORS PARTICIPATED IN COMMUNITY BOARDS AND CHAMBERS IN ORDER TO ASSIST WITH COMMUNITY BUILDING. PVMC ASSOCIATES SERVED ON THE CHAMBER OF COMMERCE OF BRIGHTON AND THE NON-PROFIT COUNCIL OF THE BRIGHTON CHAMBER, FT. LUPTON CHAMBER OF COMMERCE, COMMERCE CITY CHAMBER OF COMMERCE, SOUTHEAST WELD COUNTY CHAMBER OF COMMERCE, BRIGHTON URBAN RENEWAL ASSOCIATION, KIWANIS, ROTARY, STATE NURSING BOARD, ALMOST HOME BOARD, SENIOR CENTER ADVISORY BOARD, AND COLORADO HOSPITAL ASSOCIATION.PVMC HOSTED 4 QUARTERLY NETWORKING MEETINGS OF THE BRIGHTON SERVICE AGENCY (BSAC). THE BSAC WAS HOSTED AT THE HOSPITAL FOR MEMBERS OF THE LOCAL SERVICE AGENCIES. THIS MEETING ALLOWS ORGANIZATIONS TO ANNOUNCE THEIR PROGRAMS AND SPECIAL EVENTS AND TO COLLABORATE WITH OTHER LOCAL AGENCIES. THE MEETING DECREASES DUPLICATION OF SERVICES AND THE PROMOTES THE BEST POSSIBLE USE OF RESOURCES.PVMC'S COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP) PROVIDED NEARLY $190,000 IN GRANTS TO LOCAL NON-PROFIT ORGANIZATIONS SERVING THE PVMC COMMUNITY. ORGANIZATIONS INCLUDED: ADAMS COUNTY CRIMINAL JUSTICE COORDINATING COUNCIL, KEENE CLINIC, BRIGHTON SHARE THE HARVEST, SEVENTH DAY ADVENTIST FOOD BANK, CHAPEL HILL FOOD PANTRY, A PRECIOUS CHILD, GROWING COLORADO KIDS, SPOTLIGHT KIDS THEATRE, WELD CENTRAL HIGH SCHOOL, ALMOST HOME, INC, CASA, BRIGHTON BOYS AND GIRLS CLUB, FT. LUPTON BOYS AND GIRLS CLUB, VIA MOBILITY, CATHOLIC CHARITIES ELDERLY OUTREACH AND THE SENIOR HUB. REQUESTS INCLUDED: SALARY COSTS FOR A HIGH SCHOOL ATHLETIC TRAINER AS WELL AS FOR A SENIOR PROGRAM COORDINATOR FOR PROGRAM FOR CHILDREN IN THE JUDICIAL SYSTEM; COMPUTER EQUIPMENT FOR A HOMELESS SHELTER STAFF AND A SMALL MEDICAL CLINIC; FUNDS TO PURCHASE A TRUCK TO TRANSPORT FOOD FOR A FOOD PANTRY; OPERATING EXPENSES FOR A COUNSELING CENTER OFFERING CARE ON A SLIDING FEE SCALE AND EXPENSES FOR PROGRAMS AT TWO LOCAL BOYS AND GIRLS CLUBS; FUNDS TO SUPPORT NON-MEDICAL IN-HOME SUPPORT CARE AND RESPITE CARE; FUNDS TO SUPPORT A CHILDREN'S COOKING AND NUTRITION PROGRAM; FUNDS TO SUPPORT A COMMUNITY FORUM ON THE OPIOID CRISIS; FUNDS TO PURCHASE BASIC NEEDS (CLOTHING, COATS, SHOES, SCHOOL SUPPLIES, DIAPERS AND FORMULA) FOR HOMELESS CHILDREN; FUNDS FOR PRODUCTS (GLASSES, HEARING AIDS AND DENTURES) FOR SENIORS; FUNDS TO SUPPORT A DOOR TO DOOR TRANSIT SYSTEM FOR SENIORS AND PERSONS WITH DISABILITIES; FUNDS TO BE DISTRIBUTED FOR UTILITY, WATER AND PHONE SERVICE ASSISTANCE FOR PERSONS IN NEED; FUNDS TO PURCHASE FOOD AND HOUSEHOLD PRODUCTS FOR A FOOD PANTRY; AND FUNDS FOR A THEATRICAL NON-PROFIT THAT PROVIDES AN ARTISTIC OUTLET FOR KIDS.PART III, LINE 1: THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT. |
| PART III, LINE 2: | THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. |
| PART III, LINE 4: | THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBE THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE MODIFICATIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCES DUE FROM PATIENTS AFTER INSURANCE. |
| PART III, LINE 8: | THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. |
| PART III, LINE 9B: | AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. |
| PART VI, LINE 2: | PVMC IS ALWAYS WORKING WITH AND REVIEWING THE NEEDS OF THE COMMUNITY IN ORDER TO PROVIDE THE BEST SERVICE TO THOSE IN THE PVMC SERVICE AREA. THROUGH CONTACTS WITH LOCAL AND STATE HEALTH AND SERVICE ORGANIZATIONS (E.G. TRI-COUNTY HEALTH DEPARTMENT, WELD COUNTY HEALTH DEPARTMENT, PENNOCK COUNSELING CENTER, REACH COMMUNITY CENTER, ADAMS COUNTY HEALTH INITIATIVE, CHA, CHAPEL HILL FOOD BACK, ALMOST HOME HOMELESS SHELTER TO NAME A FEW), AND INDEPENDENT CONSULTANTS, PVMC MONITORS AND IDENTIFIES AREAS OF NEEDS IN THE COMMUNITY AND WORKS TO IDENTIFY WAYS TO ENSURE THAT THE NEEDS ARE MET. INTERNAL TRACKING AND REVIEWS ARE COMPLETED IN ORDER TO CONFIRM THAT PROGRAMS ARE MEETING THEIR GOALS TO ADDRESS THE NEEDS OF THE COMMUNITY. |
| PART VI, LINE 3: | THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. |
| PART VI, LINE 4: | TOTAL POPULATION THE POPULATION OF THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA IS 153,835. POPULATION BY GENDEROF THE SERVICE AREA POPULATION, 49.6% ARE MALE AND 50.4% ARE FEMALE.POPULATION BY AGECHILDREN AND YOUTH, AGES 0-17, MAKE UP 30.4% OF THE POPULATION IN THE SERVICE AREA; 61.4% ARE ADULTS, AGES 18-64; AND 8.2% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. POPULATION BY YOUTH, AGES 0-17 AND SENIORS, AGES 65+, AND MEDIAN AGEWHEN THE HOSPITAL SERVICE AREA IS EXAMINED BY COMMUNITY, COMMERCE CITY HAS THE HIGHEST PERCENTAGE OF YOUTH, AGES 0-17, AT 33%; HUDSON HAS THE SMALLEST PERCENTAGE OF YOUTH (21.2%). KEENESBURG HAS THE LARGEST PERCENTAGE OF SENIORS (14.4%) IN THE SERVICE AREA; HENDERSON THE LOWEST AT 4.6%.RACE/ETHNICITYIN THE PVMC SERVICE AREA, 56.1% OF THE POPULATION IS WHITE; 37.4% OF THE POPULATION IS HISPANIC/LATINO; 2.2% ARE ASIAN; 1.9% IS AFRICAN AMERICAN; AND 2.3% ARE AMERICAN INDIAN/ALASKAN NATIVE OR OTHER RACE/ETHNICITY. THE PVMC SERVICE AREA HAS A SMALLER PERCENTAGE OF WHITES (56.1%) AND LARGER PERCENTAGE OF HISPANICS OR LATINOS (37.4%) THAN ARE FOUND IN THE STATE.RACE/ETHNICITY BY PLACEWHEN RACE AND ETHNICITY ARE EXAMINED BY PLACE, THE MAJORITY OF THE POPULATION IN COMMERCE CITY IS HISPANIC OR LATINO (50.3%). IN KEENESBURG, 78.7% OF THE POPULATION IS WHITE, THE HIGHEST IN THE SERVICE AREA. 5.2% OF THE POPULATION IN BRIGHTON 80602 IS ASIAN. CITIZENSHIPIN THE PVMC SERVICE AREA, 13% OF THE POPULATION IS FOREIGN BORN AND 8.2% OF THE POPULATION IS NOT A U.S. CITIZEN. THIS IS A LOWER PERCENTAGE THAN FOUND IN ADAMS COUNTY (10.6%) BUT HIGHER THAN IN WELD COUNTY (5.6%).LANGUAGE SPOKEN AT HOME FOR THE POPULATION 5 YEARS AND OVERTHE LANGUAGES SPOKEN AT HOME BY AREA RESIDENTS MIRROR THE RACIAL/ETHNIC MAKE-UP OF THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA COMMUNITIES. ENGLISH IS SPOKEN IN THE HOME AMONG 72.8% OF THE SERVICE AREA POPULATION. SPANISH IS SPOKEN AT HOME AMONG 23.9% OF THE POPULATION; 1.2% OF THE POPULATION SPEAKS AN INDO-EUROPEAN LANGUAGE; AND 1.8% OF THE POPULATION SPEAK AN ASIAN LANGUAGE AT HOME. SOCIAL AND ECONOMIC FACTORS RANKINGSTHE COUNTY HEALTH RANKINGS RANKS COUNTIES ACCORDING TO HEALTH FACTORS DATA. SOCIAL AND ECONOMIC INDICATORS ARE EXAMINED AS A CONTRIBUTOR TO THE HEALTH OF A COUNTY'S RESIDENTS. COLORADO'S 64 COUNTIES ARE RANKED ACCORDING TO SOCIAL AND ECONOMIC FACTORS WITH 1 BEING THE COUNTY WITH THE BEST FACTORS TO 64 FOR THAT COUNTY WITH THE POOREST FACTORS. THIS RANKING EXAMINES: HIGH SCHOOL GRADUATION RATES, UNEMPLOYMENT, CHILDREN IN POVERTY, SOCIAL SUPPORT, AND OTHERS. ADAMS COUNTY IS RANKED 39, IN THE BOTTOM QUARTILE OF ALL COLORADO COUNTIES ACCORDING TO SOCIAL AND ECONOMIC FACTORS. WELD COUNTY IS RANKED AS 32, PLACING IT IN THE BOTTOM HALF OF ALL COLORADO COUNTIES.CONTINUED BELOW |
| PART VI, LINE 5: | PVMC OFFERS MANY CLASSES AND EVENTS TO ASSIST THE COMMUNITY IN IMPROVING HEALTH EDUCATION AND AWARENESS. CLASSES AND EVENTS ARE HELD THROUGHOUT THE YEAR OFFERING A VARIETY OF OPPORTUNITIES AT NO COST.THE NUTRITION DEPARTMENT AT PVMC OFFERS MANY SEMINARS GIVING ADVICE AND TIPS ON HEALTHY EATING AND NUTRITION. THE PHYSICAL THERAPY DEPARTMENT OFFERS PILATES AND YOGA CLASSES TO THE COMMUNITY AND PARTNERS WITH THE EAGLE VIEW ADULT CENTER TO OFFER A FIT BALL CLASS AND ADAPTIVE YOGA CLASS. SUPPORT GROUPS ARE OFFERED AT PVMC FOR CANCER, AS WELL AS STROKE SURVIVORS AND CAREGIVERS.PVMC IS VERY PROUD OF THE COMMUNITY HEALTH INVESTMENT PROGRAM (CHIP) WHICH OFFERS GRANTS TO LOCAL NON-PROFIT ORGANIZATIONS THAT NEED ASSISTANCE WITH THEIR HEALTH RELATED PROGRAMS. IN 2017, $274,172 IN CASH OR IN-KIND DONATIONS WERE GIVEN TO COMMUNITY ORGANIZATIONS FOR HEALTH-RELATED PROGRAMS. MANY OF THE HOSPITAL ASSOCIATES SERVE ON BOARDS OF LOCAL NON-PROFITS SUCH AS THE HOMELESS SHELTER, SENIOR CENTER, LOCAL CHAMBERS AND MENTAL HEALTH CENTERS. THE HOSPITAL SPONSORS A QUARTERLY NETWORKING MEETING OF LOCAL SERVICE AGENCIES IN ORDER TO ALLOW FOR THE SHARING OF KNOWLEDGE, RESOURCES AVAILABLE AND UPCOMING EVENTS. ORGANIZATIONS OFTEN TAKE THE TIME TO ASK ABOUT RESOURCES OR ASSISTANCE WITH THEIR CLIENTS.THE COMMUNITY OUTREACH DEPARTMENT OFFERS FLU CLINICS TO THE COMMUNITY AND LOCAL BUSINESSES AT A REDUCED PRICE AND FREE CLINICS FROM JANUARY- APRIL.THE HOSPITAL PARTICIPATES IN THE ANNUAL 9HEALTH FAIR WHICH OFFERS LOW COST LABORATORY TESTS AND FREE SCREENINGS TO THE COMMUNITY. THIS OFFERS ACCESS TO HEALTH SCREENING THAT PEOPLE IN THE COMMUNITY MAY NOT BE ABLE TO AFFORD OR TO WHICH THEY MIGHT NOT HAVE ACCESS.THE HOSPITAL ADDITIONALLY OFFERS AN EVENT, GIRLS NIGHT OUT WHICH IS PRIMARILY TARGETED TOWARDS THE WOMEN OF THE COMMUNITY, OFFERING FREE HEALTH SCREENINGS AND HEALTH EDUCATION. PVMC IS A DISPROPORTIONATE SHARE HOSPITAL (DSH) WHICH MEANS THAT WE SERVE A LARGE PORTION OF PATIENTS THAT ARE UNABLE TO PAY FOR THE COST OF THE MEDICAL CARE RECEIVED.IN 2017, PVMC PARTICIPATED IN A SYSTEM-WIDE PROGRAM TO GET COMMUNITY MEMBERS TRAINED IN MENTAL HEALTH FIRST AID.A 7-WEEK TOBACCO CESSATION PROGRAM IS OFFERED TWICE A YEAR TO THE COMMUNITY MEMBERS AT A REDUCED COST. |
| PART VI, LINE 6: | THE ORGANIZATION IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITY, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES NINE HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 210 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 16,000 FULL-TIME ASSOCIATES AND MORE THAN 600 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION, REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION. |
| SCHEDULE H, PART VI, LINE 4 (CONTINUED) | EMPLOYMENT STATUS FOR THE POPULATION 16 AND OVERTHE UNEMPLOYMENT RATE IN THE HOSPITAL SERVICE AREA AVERAGED OVER 5 YEARS WAS 6.8%, WHICH IS LOWER THAN THE STATE RATE OF 7.9%.POVERTY LEVELSPOVERTY THRESHOLDS ARE USED FOR CALCULATING ALL OFFICIAL POVERTY POPULATION STATISTICS. THEY ARE UPDATED EACH YEAR BY THE CENSUS BUREAU. FOR 2014, THE FEDERAL POVERTY LEVEL (FPL) FOR ONE PERSON WAS $11,670 AND FOR A FAMILY OF FOUR $23,850. AMONG THE RESIDENTS IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA, 10.8% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 29.6% ARE AT 200% OF FPL OR BELOW. THESE RATES OF POVERTY ARE LOWER THAN FOUND IN THE STATE WHERE 13.1% OF RESIDENTS ARE AT POVERTY LEVEL AND 30.2% ARE AT 200% OF FPL OR BELOW.POVERTY LEVELS OF INDIVIDUALS, CHILDREN UNDER AGE 18, AND SENIORS 65+ EXAMINING POVERTY LEVELS BY COMMUNITY PAINTS AN IMPORTANT PICTURE OF THE POPULATION WITHIN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA. IN COMMERCE CITY, 18.4% OF THE POPULATION IS AT POVERTY LEVEL. COMMERCE CITY ALSO HAS THE HIGHEST RATE OF POVERTY AMONG CHILDREN (24.2%) AND SENIORS (18.2%) IN THE SERVICE AREA. BRIGHTON 80602 HAS THE LOWEST RATES OF POVERTY IN THE SERVICE AREA. FREE AND REDUCED PRICE MEALS ELIGIBILITY, 2015THE PERCENTAGE OF STUDENTS ELIGIBLE FOR THE FREE OR REDUCED PRICE MEAL PROGRAM IS ONE INDICATOR OF SOCIOECONOMIC STATUS. IN BOTH ADAMS AND WELD COUNTIES, 46% OF THE STUDENT POPULATION IS ELIGIBLE FOR THE FREE AND REDUCED PRICE MEAL PROGRAM. THESE RATES ARE HIGHER THAN THE STATE RATE OF 34%.MEDIAN HOUSEHOLD INCOMEIN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA THERE ARE 48,531 HOUSEHOLDS. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA RANGES FROM $52,160 IN FT. LUPTON TO $95,346 IN BRIGHTON 80602.HOUSEHOLDS BY TYPEWHEN HOUSEHOLDS ARE EXAMINED BY TYPE, 41.9% OF HOUSEHOLD IN THE PVMC SERVICE AREA HAVE CHILDREN UNDER THE AGE OF 18. 6.6% OF HOUSEHOLDS IN THE SERVICE AREA ARE FEMALE HEADED WITH CHILDREN AND 5.8% OF HOUSEHOLDS ARE SENIORS LIVING ALONE. POPULATION, 25 YEARS AND OLDER, WITH NO HIGH SCHOOL DIPLOMAAMONG ADULTS, AGES 25 AND OLDER, IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA, 17.5% HAVE NO HIGH SCHOOL DIPLOMA, COMPARED TO 9.6% OF THE POPULATION IN THE STATE WITH NO HIGH SCHOOL DIPLOMA.EDUCATIONAL ATTAINMENT (AGE 25+)EDUCATIONAL ATTAINMENT IS A KEY DRIVER OF HEALTH. IN THE HOSPITAL SERVICE AREA, 17.5% OF ADULTS LACK A HIGH SCHOOL DIPLOMA. OVER ONE QUARTER THE POPULATION (30.5%), AGES 25 AND OLDER, HAVE A COLLEGE DEGREE. HIGH SCHOOL GRADUATES, 2010-2011HIGH SCHOOL GRADUATION RATES ARE DETERMINED BY THE PERCENT OF NINTH GRADE STUDENTS IN PUBLIC SCHOOLS WHO GRADUATE IN FOUR YEARS. THE GRADUATION RATE IN ADAMS COUNTY WAS 70%, AND IN WELD COUNTY THE GRADUATION RATE WAS 81%. HOMELESS POINT-IN-TIME COUNT, JANUARY 2015A POINT-IN-TIME COUNT OF HOMELESS PEOPLE WAS CONDUCTED IN 2015 BY THE METRO DENVER HOMELESS INITIATIVE (MDHI). THE 2012 COUNT ESTIMATED 572 HOMELESS INDIVIDUALS IN ADAMS COUNTY. 82% OF THE HOMELESS IN ADAMS COUNTY WERE SHELTERED AND 18% WERE UNSHELTERED, 5.4% OF THE HOMELESS WERE CONSIDERED TO BE CHRONICALLY HOMELESS. ACCORDING TO THE MDHI, "ADAMS COUNTY SHOWED THE MOST DRAMATIC INCREASE IN NUMBER OF HOMELESS PERSONS AS WELL AS THE PROPORTION OF HOMELESS ACROSS THE METRO COUNTIES"LIVE BIRTHS AND AVERAGE ANNUAL CHANGE, FISCAL YEARS (JULY 1 - JUNE 30) 2011-2015IN 2015, THE NUMBER OF BIRTHS IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA WAS 2,379. THE NUMBER OF BIRTHS IN THE SERVICE AREA DECLINED SLIGHTLY OVER THE PAST FIVE YEARS, WHILE BIRTHS IN BOTH COUNTIES AND THE STATE INCREASED.BIRTHS TO TEENAGE MOTHERS, 15-17 YEARS OF AGE, 2015IN 2015, 1.9% OF LIVE BIRTHS IN ADAMS COUNTY WERE TO TEENS, AGES 15-17. IN WELD COUNTY, 1.5% OF THE BIRTHS WERE TO TEENS. BOTH COUNTIES ARE SLIGHTLY ABOVE THE STATE RATE.LATE ENTRY INTO PRENATAL CARE (AFTER FIRST TRIMESTER) / NO CARE, 2015PREGNANT WOMEN IN ADAMS COUNTY ENTERED PRENATAL CARE LATE - AFTER THE FIRST TRIMESTER - AT A RATE OF 251.6 PER 1,000 LIVE BIRTHS, AND IN WELD COUNTY THE RATE OF LATE PRENATAL CARE WAS 362.2. THIS RATE OF LATE ENTRY INTO PRENATAL CARE TRANSLATES TO 74.8% OF WOMEN IN ADAMS COUNTY AND 63.8% IN WELD COUNTY ENTERING PRENATAL CARE WITHIN THE FIRST TRIMESTER. THE HEALTHY PEOPLE 2020 OBJECTIVE IS FOR 78% OF WOMEN TO ENTER PRENATAL CARE IN THE FIRST TRIMESTER. LOW BIRTH WEIGHT (UNDER 2,500 G), 2015LOW BIRTH WEIGHT IS A NEGATIVE BIRTH INDICATOR. BABIES BORN AT A LOW BIRTH WEIGHT ARE AT HIGHER RISK FOR DISEASE, DISABILITY AND POSSIBLY DEATH. FOR THIS MEASUREMENT, A LOWER RATE IS A BETTER INDICATOR. THE ADAMS COUNTY RATE OF LOW BIRTH WEIGHT BABIES IS 9.4% (93.6 PER 1,000 LIVE BIRTHS), AND IN WELD COUNTY IT IS 8.4% (83.7 PER 1,000 LIVE BIRTHS). THIS IS LOWER THAN THE STATE RATE OF 9.1% (91.3 PER 1,000 LIVE BIRTHS). HOWEVER, THE RATE OF LOW BIRTH WEIGHT IN THE SERVICE AREA IS HIGHER THAN THE HEALTHY PEOPLE 2020 OBJECTIVE OF 7.8% OF BIRTHS BEING LOW BIRTH WEIGHT, INDICATING A POOR BIRTH INDICATOR. INFANT MORTALITY RATE, 2015THE INFANT MORTALITY RATE IN ADAMS COUNTY WAS 5.2 DEATHS PER 1,000 LIVE BIRTHS AND IN WELD COUNTY IT WAS 4.7 DEATHS PER 1,000 LIVE BIRTHS. IN COMPARISON, THE INFANT DEATH RATE IN THE STATE WAS 4.6 DEATHS PER 1,000 LIVE BIRTHS. THE INFANT DEATH RATE IN BOTH COUNTIES AND THE STATE ARE BELOW THE HEALTHY PEOPLE 2020 OBJECTIVE OF 6.0 INFANT DEATHS PER 1,000 LIVE BIRTHS.AGE-ADJUSTED DEATH RATE, 2015AGE-ADJUSTED DEATH RATES ARE AN IMPORTANT FACTOR TO EXAMINE WHEN COMPARING MORTALITY DATA. THE CRUDE DEATH RATE IS A RATIO OF THE NUMBER OF DEATHS TO THE ENTIRE POPULATION. AGE-ADJUSTED DEATH RATES ELIMINATE THE BIAS OF AGE IN THE MAKEUP OF THE POPULATIONS BEING COMPARED. WHEN COMPARING ACROSS GEOGRAPHIC AREAS, AGE-ADJUSTING IS TYPICALLY USED TO CONTROL FOR THE INFLUENCE THAT DIFFERENT POPULATION AGE DISTRIBUTIONS MIGHT HAVE ON HEALTH EVENT RATES.WHEN ADJUSTED FOR AGE, THE DEATH RATE IN ADAMS COUNTY WAS 742.3 AND IN WELD COUNTY 690.6. THESE RATES OF DEATH WERE HIGHER THAN FOUND IN COLORADO (657.9). CANCER DEATH RATES, CRUDE AND AGE-ADJUSTED DEATH RATE PER 100,000 PERSONS, 2015THE DEATH RATE IN ADAMS COUNTY FOR BREAST CANCER IS 9.8 AND IN WELD COUNTY IT IS 10.1 PER 100,000 PERSONS. THESE ARE LOWER THAN THE STATE RATE (10.2 PER 100,000 PERSONS). WHEN EXAMINING THE RATE OF DEATH DUE TO COLORECTAL CANCER, THE AGE-ADJUSTED RATE IN ADAMS COUNTY IS 14.7 AND IN WELD COUNTY IT IS 11.8 PER 100,000 PERSONS. WELD COUNTY IS LOWER THAN THE STATE RATE (12.0) AND THE HEALTHY PEOPLE 2020 OBJECTIVE OF 14.5 DEATHS PER 100,000 PERSONS AS A RESULT OF COLORECTAL CANCER. THE AGE-ADJUSTED RATE OF DEATH FOR ALL CANCERS IN ADAMS COUNTY IS 160.6 AND IN WELD COUNTY IT IS 141.0 PER 100,000 PERSONS. THIS IS HIGHER THAN THE STATE RATE OF DEATH BY CANCER (133.4) BUT IS LOWER THAN THE HEALTHY PEOPLE 2020 OBJECTIVE OF 161.4 PER 100,000 PERSONS FOR ALL CANCERS.HEART DISEASE DEATH RATE, AGE-ADJUSTED DEATH RATE PER 100,000 PERSONS, 2015ADAMS COUNTY HAS AN AGE-ADJUSTED RATE OF DEATH DUE TO HEART DISEASE OF 131.7 PER 100,000 PERSONS. IN WELD COUNTY THE HEART DISEASE AGE-ADJUSTED DEATH RATE IS 131.2. THESE RATES EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE OF 103.4 DEATHS PER 100,000 PERSONS. STROKE DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2015THE RATE OF DEATH BY STROKE PER 100,000 PERSONS IN ADAMS COUNTY (36.6) EXCEEDS THE STATE RATE (34.5) AND THE HEALTHY PEOPLE 2020 OBJECTIVE (34.8). UNINTENTIONAL INJURY DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2015IN ADAMS COUNTY THE DEATH RATE FOR UNINTENTIONAL INJURIES IS 53.4 PER 100,000 PERSONS. IN WELD COUNTY THE RATE IS 48.6. THESE EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE FOR UNINTENTIONAL INJURY DEATHS OF 36.4 PER 100,000 PERSONS.DIABETES DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2015THE AGE-ADJUSTED DEATH RATE FOR DIABETES IN ADAMS COUNTY IS 20.1 PER 100,000 PERSONS, AND IN WELD COUNTY IT IS 22. PNEUMONIA DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2015THE DEATH RATE FROM PNEUMONIA IN ADAMS COUNTY IS 10.5 PER 100,000 PERSONS. IN WELD COUNTY THE DEATH RATE IS 12.7 PER 100,000 PERSONS. WELD COUNTY RATES EXCEED THE STATE RATE OF 10.5 DEATHS PER 100,000 PERSONS.SUICIDE DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2015THE RATE OF DEATH BY SUICIDE IN ADAMS COUNTY IS 19.1 AND IN WELD COUNTY IT IS 20 PER 100,000 PERSONS. THESE RATES EXCEED THE HEALTHY PEOPLE OBJECTIVE OF 10.2 DEATHS PER 100,000 PERSONS FROM SUICIDE.DRUG-INDUCED DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2015THE RATE OF DRUG-INDUCED DEATHS IN ADAMS COUNTY (18.4) AND WELD COUNTY (13.9) EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE OF 11.3 DEATHS PER 100,000 PERSONS.ALCOHOLIC LIVER DISEASE, AGE-ADJUSTED PER 100,000 PERSONS, 2015THE RATE OF DEATH DUE TO ALCOHOLIC LIVER DISEASE IS 5.7 PER 100,000 PERSONS IN ADAMS COUNTY AND 9.3 IN WELD COUNTY.CONTINUED BELOW |
| SCHEDULE H, PART VI, LINE 4 (CONTINUED) | HIV/AIDS MORTALITY, AGE-ADJUSTED PER 100,000 PERSONS, 2015THE RATE OF DEATH AS A RESULT OF HIV/AIDS IS HIGHER IN ADAMS COUNTY (1.3) THAN COMPARED TO THE STATE RATE OF 1.0 DEATH PER 100,000 PERSONS.HEALTH INSURANCE COVERAGE, CIVILIAN NON-INSTITUTIONALIZED POPULATION, AGES 18-64HEALTH INSURANCE COVERAGE IS CONSIDERED A KEY COMPONENT TO ACCESSING HEALTH CARE. AMONG THE ADULT POPULATION IN ADAMS COUNTY, 74.3% HAVE HEALTH INSURANCE, A LOWER RATE THAN THE STATE (81.6%). IN WELD COUNTY, 81.2% OF THE POPULATION HAS HEALTH INSURANCE.UNINSURED CHILDREN, AGES 0-17AMONG CHILDREN IN ADAMS COUNTY, 11.5% ARE UNINSURED (88.5% INSURED), COMPARED TO 9.2% WHO ARE UNINSURED (90.8% INSURED) IN WELD COUNTY.ADULTS WITH UNMET MEDICAL NEED DUE TO COST17% OF ADULTS IN ADAMS AND 16% OF ADULTS IN WELD COUNTIES HAD AN UNMET MEDICAL NEED BECAUSE THEY WERE NOT ABLE TO AFFORD CARE. THESE RATES ARE HIGHER THAN FOUND IN THE STATE (14%).PRIMARY CARE PHYSICIANS, NUMBER AND RATIO, 2015THE RATIO OF THE POPULATION TO PRIMARY CARE PHYSICIANS IN ADAMS COUNTY IS 2,158:1, AND IN WELD COUNTY IT IS 2,093:1. THE MEASURE REPRESENTS THE POPULATION TO ONE PROVIDER. DENTISTS, NUMBER AND RATIO, 2015THE RATIO OF POPULATION TO DENTISTS IN ADAMS COUNTY IS 1907:1. IN WELD COUNTY THE RATIO IS 2,594:1. MENTAL HEALTH PROVIDERS, NUMBER AND RATIO, 2015MENTAL HEALTH PROVIDERS INCLUDE PSYCHIATRISTS, CLINICAL PSYCHOLOGISTS, CLINICAL SOCIAL WORKERS, AND CERTIFICATIONS. IN ADAMS COUNTY, THE RATIO OF THE POPULATION TO MENTAL HEALTH PROVIDERS IS 422:1. IN WELD COUNTY THE RATIO IS 616:1. IN THE STATE THE RATIO IS 392:1.FAIR OR POOR HEALTH, ADULTS, 2015WHEN ASKED TO SELF-REPORT ON HEALTH STATUS, 17% OF ADULTS IN ADAMS COUNTY AND 15% IN WELD COUNTY INDICATED THEY WERE IN FAIR OR POOR HEALTH. THESE RATES ARE HIGHER THAN FOUND IN THE STATE (13%).ASTHMA PREVALENCE, PERCENT OF POPULATION, 2013-201413% OF ADULTS IN ADAMS COUNTY AND 12.6% OF ADULTS IN WELD COUNTY HAVE BEEN DIAGNOSED WITH ASTHMA. ADULT DIABETES PREVALENCE, 2013-2014THE PERCENT OF ADULTS, DIAGNOSED WITH DIABETES WAS 8.4% IN ADAMS COUNTY AND 6.7% IN WELD COUNTY. 6.9% OF ADULTS IN THE STATE HAVE BEEN DIAGNOSED WITH DIABETES.HIGH BLOOD PRESSURE, 201322.4% OF ADULTS IN ADAMS COUNTY AND 28.1% IN WELD COUNTY HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE. WELD COUNTY EXCEEDS THE STATE RATE OF 25.9%.COLORECTAL AND BREAST CANCER INCIDENCE BY GENDER, PER 100,000 PERSONS, AGE-ADJUSTEDCOLORECTAL CANCER RATES ARE HIGHER IN MEN THAN IN WOMEN. BOTH ADAMS AND WELD COUNTIES REPORT A RATE OF COLORECTAL CANCER OF 42.7 PER 100,000 MEN; HIGHER THAN THE STATE RATE OF 38.6 PER 100,000 PERSONS. COLORECTAL CANCER RATES AMONG WOMEN IN ADAMS COUNTY OCCUR AT A RATE OF 33.4 PER 100,000 PERSONS; HIGHER THAN BOTH WELD COUNTY (30.7) AND THE STATE (30.9).BREAST CANCER RATES OCCUR AMONG FEMALES AT A RATE OF 110.1 PER 100,000 PERSONS IN ADAMS COUNTY AND 113.3 IN WELD COUNTY. THESE RATES ARE LOWER THAN THE STATE RATE OF 123 PER 100,000 PERSONS.NEW DIAGNOSES OF TB, PER 100,000 PERSONS, 5-YEAR AVERAGE 2011-2015THE RATE OF TUBERCULOSIS AVERAGED OVER FIVE YEARS IS 1.7 PER 100,000 PERSONS IN ADAMS COUNTY, 1.1 PER 100,000 PERSONS IN WELD COUNTY. RACIAL MINORITIES ARE AT THE GREATEST RISK: 83% OF NEW TB CASES OCCURRED IN MINORITY POPULATIONS, YET THEY ONLY COMPRISE 31% OF THE STATE'S POPULATION. 34% OF TB CASES WERE IN THOSE OF ASIAN/PACIFIC ISLANDER ORIGIN, 30% OF CASES WERE IN HISPANICS, AND 19% IN BLACK/AFRICAN AMERICANS. TB INCIDENCE IS 36 TIMES HIGHER AMONG THE FOREIGN-BORN POPULATION THAN THE U.S. BORN INDIVIDUALS IN COLORADO.SEXUALLY TRANSMITTED INFECTIONS, PER 100,000 PERSONS, 2014CHLAMYDIA OCCURS AT A RATE OF 421.2 PER 100,000 PERSONS IN ADAMS COUNTY, WHICH IS HIGHER THAN THE RATE OF CHLAMYDIA IN WELD COUNTY (362.1 PER 100,000 PERSONS) AND COLORADO (410.3 PER 100,000 PERSONS). FEMALES ACCOUNT FOR MORE THAN TWO-THIRDS (68.2%) OF THE CHLAMYDIA CASES WITH THE HIGHEST NUMBER OF CASES IN THE 20-24 YEAR AGE GROUP (33.9% STATE-WIDE), FOLLOWED BY 15-19 YEAR OLDS (25.2% OF REPORTED CASES, STATE-WIDE). THE RATE OF GONORRHEA IN ADAMS COUNTY IS 48.7 AND IN WELD COUNTY 24 PER 100,000 PERSONS. SYPHILIS OCCURS AT A RATE OF 3.3 PER 100,000 PERSONS IN ADAMS COUNTY, ABOUT THE SAME AS COLORADO (3.5). WELD COUNTY HAS A MUCH LOWER RATE, AT 1.5. SYPHILIS OCCURS AT MUCH HIGHER RATES AMONG MALES, AGES 20 AND OLDER. PERSONS OF COLOR CONTINUE TO BE DISPROPORTIONATELY AFFECTED BY STIS.HEALTH BEHAVIORS RANKINGSCOUNTY HEALTH RANKINGS EXAMINES HEALTHY BEHAVIORS AND RANKS COUNTIES ACCORDING TO HEALTH BEHAVIOR DATA. COLORADO'S 64 COUNTIES ARE RANKED FROM 1 (HEALTHIEST) TO 64 (LEAST HEALTHY) BASED ON A NUMBER OF INDICATORS THAT INCLUDE: ADULT SMOKING, OBESITY, PHYSICAL INACTIVITY, EXCESSIVE DRINKING, SEXUALLY TRANSMITTED INFECTIONS, AND OTHERS. A RANKING OF 53 FOR ADAMS COUNTY PUTS IT IN THE BOTTOM THIRD OF COLORADO COUNTIES FOR HEALTH BEHAVIORS. WELD COUNTY'S RANK OF 39 PLACES IT IN THE MIDDLE THIRD.ADULT OVERWEIGHT (BMI 25.5 TO 29.9), 2013-2014AMONG ADULTS IN ADAMS COUNTY, 34.7% ARE OVERWEIGHT. IN WELD COUNTY, 36.1% OF ADULTS ARE OVERWEIGHT.ADULT OBESE (BMI > 30), 2013-2014OVER ONE-FOURTH OF THE ADULT POPULATION IS OBESE IN ADAMS COUNTY (26.6%) AND WELD COUNTY (28%).MODERATELY PHYSICALLY ACTIVE, ADULTS, 2011, 2013THE CDC RECOMMENDATION FOR ADULT PHYSICAL ACTIVITY IS MODERATE ACTIVITY EQUAL TO OR GREATER THAN 150 MINUTES IN A WEEK OR VIGOROUS ACTIVITY EQUAL TO OR GREATER THAN 75 MINUTES A WEEK. IN ADAMS COUNTY, 53% OF ADULTS MEET THE PHYSICAL ACTIVITY RECOMMENDATION. 55% OF ADULTS ARE MODERATELY ACTIVE IN WELD COUNTY.SEDENTARY ADULTS, 2012-201423.5% OF ADULTS IN ADAMS COUNTY ARE SEDENTARY AND DO NOT PARTICIPATE IN ANY LEISURE TIME PHYSICAL ACTIVITY. 20.3% OF ADULTS IN WELD COUNTY ARE SEDENTARY. BOTH COUNTIES HAVE HIGHER RATES THAN THE STATE (17.1%).YOUTH PHYSICAL ACTIVITY, AGES 5-14, 2012-2104THE CDC RECOMMENDATION FOR YOUTH PHYSICAL ACTIVITY IS 60 MINUTES OR MORE EACH DAY. 44% OF ADAMS COUNTY YOUTH, AGES 5 TO 14, MET THIS ACTIVITY RECOMMENDATION ON 7 OF THE PAST 7 DAYS, JUST SLIGHTLY LOWER THAN THE STATE RATE OF 44.7%. BOTH ARE HIGHER THAN THE WELD COUNTY RATE OF 37.6%ADULT SMOKERS, 2013-2014THE PERCENTAGE OF ADULTS, 18 AND OVER, IN ADAMS COUNTY WHO SMOKE CIGARETTES IS 20.3%, AND IN WELD COUNTY IT IS 16.9%. THESE RATES ARE HIGHER THAN THE STATE (16.8%), AND ALL EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE OF 12%. PHYSICAL OR MENTAL UNHEALTHY DAYS IN PREVIOUS 30 DAYS, ADULTS, 3-YEAR AVERAGETHE AVERAGE NUMBER OF PHYSICALLY UNHEALTHY DAYS EXPERIENCED BY ADULTS IN ADAMS COUNTY IN THE LAST 30 DAYS WAS 3.5 DAYS. ADAMS COUNTY ADULTS EXPERIENCED 3.6 MENTALLY UNHEALTHY DAYS A MONTH. IN WELD COUNTY, ADULTS EXPERIENCED AN AVERAGE OF 3.3 PHYSICALLY UNHEALTHY DAYS AND 3 MENTALLY UNHEALTHY DAYS A MONTH.FREQUENT MENTAL DISTRESS, ADULT, 2014THE PERCENTAGE OF THE ADULT POPULATION REPORTING MORE THAN 14 DAYS OF POOR MENTAL HEALTH PER MONTH WAS 10% IN ADAMS COUNTY AND 9% IN WELD COUNTY.BINGE DRINKING, ADULTS, 2013-2014BINGE DRINKING IS DEFINED AS CONSUMING FIVE OR MORE DRINKS ON ONE OCCASION FOR MEN AND FOUR OR MORE FOR WOMEN. 18.4% OF ADULTS IN ADAMS COUNTY AND 16.8% IN WELD COUNTY ENGAGED IN BINGE DRINKING IN THE PAST MONTH. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| PLATTE VALLEY MEDICAL CENTER FOUNDATION | |||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 742255936 | 501(C)(3) | $121,390 | SUPPORT MISSION |
| SOUTHEAST WELD COUNTY JUNIOR FAIR ASSOC | |||||||
| PO BOX 456 | KEENESBURG | CO | 80643 | 237306107 | 501(C)(5) | $5,376 | SUPPORT YOUTH EDUCATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ALL GRANT RECIPIENTS ARE FIRST REQUIRED TO SUBMIT APPLICATIONS WHICH DETAIL THE INTENDED USES OF GRANT FUNDS. AFTER GRANTS HAVE BEEN AWARDED, RECIPIENTS ARE REQUIRED TO COMPLETE A FINAL REPORT INDICATING HOW GRANT FUNDS WERE ACTUALLY SPENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 | 0 | 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 (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHAWN DUFFORD MD | ||||||||||||||
| DIRECTOR | $0 | $488,114 | $0 | $186,058 | $0 | $196,294 | $0 | $89,815 | $0 | $20,190 | $0 | $980,471 | $0 | $181,357 |
| JOHN HICKS | ||||||||||||||
| CEO/PRESIDENT | $739,309 | $0 | $105 | $0 | $9,905 | $0 | $6,594 | $0 | $9,057 | $0 | $764,970 | $0 | $0 | $0 |
| SONYA NORMAN MD | ||||||||||||||
| DIRECTOR | $131,756 | $0 | $34,174 | $0 | $1,161 | $0 | $22,000 | $0 | $122 | $0 | $189,213 | $0 | $0 | $0 |
| MICHAEL TAYLOR | ||||||||||||||
| DIRECTOR | $0 | $717,775 | $0 | $274,192 | $0 | $34,951 | $0 | $133,241 | $0 | $31,355 | $0 | $1,191,514 | $0 | $0 |
| HAROLD DUPPER | ||||||||||||||
| CFO/CORPORATE SECRETARY 1/1-12/12 | $358,458 | $0 | $0 | $0 | $3,177 | $0 | $5,110 | $0 | $8,087 | $0 | $374,832 | $0 | $0 | $0 |
| KURT GENSERT | ||||||||||||||
| VP OPERATIONS | $351,905 | $0 | $105 | $0 | $6,163 | $0 | $5,594 | $0 | $25,821 | $0 | $389,588 | $0 | $0 | $0 |
| KIRK QUACKENBUSH MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $264,253 | $0 | $105 | $0 | $2,720 | $0 | $5,218 | $0 | $7,003 | $0 | $279,299 | $0 | $0 | $0 |
| ERIC STIRM | ||||||||||||||
| PVMC PHARMACY DIR | $192,091 | $0 | $105 | $0 | $4,336 | $0 | $4,073 | $0 | $25,666 | $0 | $226,271 | $0 | $0 | $0 |
| KAREN WELZ | ||||||||||||||
| PVMC OR DIRECTOR | $160,538 | $0 | $105 | $0 | $7,418 | $0 | $2,228 | $0 | $12,136 | $0 | $182,425 | $0 | $0 | $0 |
| JACQUELINE DUNKIN | ||||||||||||||
| PVMC HR DIR | $159,269 | $0 | $105 | $0 | $5,578 | $0 | $0 | $0 | $18,163 | $0 | $183,115 | $0 | $0 | $0 |
| DUANE LIVADNEY | ||||||||||||||
| PVMC MED IMAG SUPR | $156,092 | $0 | $105 | $0 | $4,102 | $0 | $3,226 | $0 | $18,159 | $0 | $181,684 | $0 | $0 | $0 |
| JENNIFER BUCHLOH | ||||||||||||||
| PVMC EXEC DIR OF PRAC MAN | $150,048 | $0 | $105 | $0 | $2,867 | $0 | $1,591 | $0 | $23,799 | $0 | $178,410 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2017 WERE: MICHAEL TAYLOR - $1,397. |
| PART I, LINE 1B | THE ORGANIZATION AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES. |
| PART I, LINE 4B | PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2017 WERE: SEAN FADDEN - $1,025. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2017. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2017 WERE: SHAWN DUFFORD, MD - $64,741. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. |
| PART I, LINE 7 | THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF BOARD APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, PATIENT AND EMPLOYEE SAFETY, PATIENT EXPERIENCE AND COMMUNITY BENEFIT/MISSION TARGETS. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON. |
| ADDITIONAL OFFICER AND BOARD DISCLOSURES | THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF NINE HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 210 AMBULATORY SERVICE CENTERS IN THREE STATES. SCLHS AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON THE BOARD OF DIRECTORS (BOARD) IS COMPENSATED FOR THAT SERVICE. SCLHS' BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 990, PAGE 1, LINE J | WEBSITE HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ PLATTE-VALLEY-MEDICAL-CENTER/ |
| FORM 990, PART VI, SECTION A, LINE 6 | INTEGRITY HEALTH IS THE SOLE MEMBER OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | INTEGRITY HEALTH, THE SOLE MEMBER OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION, APPROVES MEMBERS OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | INTEGRITY HEALTH HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. INTEGRITY HEALTH ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCLHS' PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS SUGGESTIVE OF A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS AND MANAGERS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR EXECUTIVE INTEGRITY AND COMPLIANCE COMMITTEE, THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY THE ORGANIZATION OR BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| PLATTE VALLEY AMBULANCE SERVICE LLC | |||||||||
| 1606 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 814643766 | AMBULANCE SERVICES | CO | $11,422,823 | $0 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| PLATTE VALLEY MEDICAL GROUP LLC | |||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 822778995 | PHYSICIAN SERVICES | CO | $0 | $0 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| CLINIC SUPPORT SERVICES LLC | |||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 453962647 | CLINICAL SERVICES | CO | $7,251,806 | $826,360 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| PLATTE VALLEY MEDICAL IMAGING LLC | |||||||||
| 1606 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 320402320 | IMAGING SERVICES | CO | $0 | $0 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| SPECTRUM MEDICAL IMAGING LLC | |||||||||
| 1610 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 475236844 | IMAGING SERVICES | CO | $5,098,731 | $0 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| WORKWELLNESS LLC | |||||||||
| 1450 DEXTER AVENUE | FORT LUPTON | CO | 80621 | 474891329 | MEDICAL SERVICES | CO | $144,326 | $285,196 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| PLATTE VALLEY MEDICAL PLAZA 1 LLC | |||||||||
| 1606 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 800237029 | RENTAL REAL ESTATE | CO | $820,476 | $0 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| PLATTE VALLEY MEDICAL PLAZA 2 LLC | |||||||||
| 1606 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 822708386 | RENTAL REAL ESTATE | CO | $826,566 | $0 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 237379161 | MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES | KS | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| SCL HEALTH FOUNDATION | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 823290526 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | 0 | SCLHS | |
| INTEGRITY HEALTH | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 474520350 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12C, III-FI | 0 | SCLHS | |
| PLATTE VALLEY MEDICAL CENTER FOUNDATION | |||||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 742255936 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12A, I | Yes (1) | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | |
| MOUNT ST VINCENT HOME INC | |||||||||||
| 4159 LOWELL BOULEVARD | DENVER | CO | 80211 | 840405260 | RESIDENT CARE | CO | 501(C)(3) | LINE 10 | 0 | SCLHS | |
| NJH-SJH INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | DENVER | CO | 80211 | 471194849 | MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES | CO | 501(C)(3) | LINE 12A, I | 0 | SCLHS | |
| SAINT JOSEPH HOSPITAL INC | |||||||||||
| 1375 EAST 19TH AVENUE | DENVER | CO | 80218 | 840417134 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | 0 | SCLHS | |
| SAINT JOSEPH HOSPITAL FOUNDATION | |||||||||||
| 1375 EAST 19TH AVENUE | DENVER | CO | 80218 | 840735096 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | 0 | SAINT JOSEPH HOSPITAL INC | |
| SCL HEALTH - FRONT RANGE INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 841103606 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | 0 | SCLHS | |
| GOOD SAMARITAN MEDICAL CENTER FOUNDATION | |||||||||||
| 200 EXEMPLA CIRCLE | LAFAYETTE | CO | 80026 | 841649162 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | 0 | SCL HEALTH-FRONT RANGE INC | |
| LUTHERAN MEDICAL CENTER FOUNDATION | |||||||||||
| 8300 WEST 38TH AVENUE | WHEAT RIDGE | CO | 80033 | 208846152 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | 0 | SCL HEALTH-FRONT RANGE INC | |
| ST MARYS HOSPITAL & MEDICAL CENTER INC | |||||||||||
| 2635 NORTH 7TH STREET | GRAND JUNCTION | CO | 81501 | 840425720 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | 0 | SCLHS | |
| ST MARYS HOSPITAL FOUNDATION | |||||||||||
| 2635 NORTH 7TH STREET | GRAND JUNCTION | CO | 81501 | 237001007 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12A, I | 0 | ST MARYS HOSPITAL & MEDICAL CENTER INC | |
| CARITAS CLINICS INC | |||||||||||
| 818 NORTH 7TH STREET | LEAVENWORTH | KS | 66048 | 481009910 | CLINIC SERVICES | KS | 501(C)(3) | LINE 3 | 0 | SCLHS | |
| MARIAN CLINIC INC | |||||||||||
| 3164 EAST 6TH AVENUE | TOPEKA | KS | 66607 | 481046905 | CLINIC SERVICES | KS | 501(C)(3) | LINE 3 | 0 | SCLHS | |
| ST FRANCIS HEALTH CENTER INC | |||||||||||
| 1700 SOUTHWEST 7TH STREET | TOPEKA | KS | 66606 | 480547719 | HOSPITAL SERVICES | KS | 501(C)(3) | LINE 3 | 0 | SCLHS | |
| ST FRANCIS HEALTH CENTER FOUNDATION | |||||||||||
| 1700 SOUTHWEST 7TH STREET | TOPEKA | KS | 66606 | 481092520 | SUPPORTING ORGANIZATION | KS | 501(C)(3) | LINE 12A, I | 0 | ST FRANCIS HEALTH CENTER INC | |
| HOLY ROSARY HEALTHCARE | |||||||||||
| 2600 WILSON STREET | MILES CITY | MT | 59301 | 810231792 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | 0 | SCLHS | |
| HOLY ROSARY HEALTHCARE FOUNDATION INC | |||||||||||
| 2600 WILSON STREET | MILES CITY | MT | 59301 | 202270238 | SUPPORTING ORGANIZATION | MT | 501(C)(3) | LINE 12A, I | 0 | HOLY ROSARY HEALTHCARE | |
| ST JAMES HEALTHCARE | |||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 810231785 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | 0 | SCLHS | |
| ST JAMES HEALTHCARE FOUNDATION INC | |||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 651202190 | SUPPORTING ORGANIZATION | MT | 501(C)(3) | LINE 12A, I | 0 | ST JAMES HEALTHCARE | |
| ST VINCENT HEALTHCARE | |||||||||||
| 1233 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810232124 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | 0 | SCLHS | |
| ST VINCENT HEALTHCARE FOUNDATION INC | |||||||||||
| 1106 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810468034 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | MT | 501(C)(3) | LINE 7 | 0 | ST VINCENT HEALTHCARE | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| DENVER WEST ENDOSCOPY CENTER LLC | |||||||
| 382 S ARTHUR AVENUE | LOUISVILLE | CO | 80027 | 460788218 | OP ENDOSCOPY | CO | N/A |
| LUTHERAN CAMPUS ASC LLC | |||||||
| 3455 LUTHERAN PKWY STE 150 | WHEATRIDGE | CO | 80033 | 020749532 | OP SURGERY | CO | N/A |
| SCL HEALTH - EMERUS LLC | |||||||
| 8686 NEW TRAILS DRIVE | THE WOODLANDS | TX | 77381 | 800958129 | EMERGENCY CARE | CO | N/A |
| SCLH-GI ENDOSCOPY HOLDINGS LLC | |||||||
| 382 S ARTHUR AVENUE | LOUISVILLE | CO | 80027 | 812979243 | OP ENDOSCOPY | CO | N/A |
| SCLTDI JV LLC | |||||||
| 1431 PERRONE WAY | FRANKLIN | TN | 37069 | 472294770 | RADIOLOGY | DE | N/A |
| ATHLETIC MEDICINE & PERFORMANCE LLC | |||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 272270640 | PHYSICAL THERAPY | MT | N/A |
| GRAND VALLEY SURGICAL CENTER LLC | |||||||
| 710 WELLINGTON AVENUE SUITE 21 | GRAND JUNCTION | CO | 81501 | 841505075 | OP SURGERY | CO | N/A |
| HEALTHCARE MANAGEMENT LLC | |||||||
| PO BOX 1929 | GRAND JUNCTION | CO | 81502 | 841238904 | MANAGEMENT SERVICES | CO | N/A |
| PAVILION IMAGING LLC | |||||||
| 750 WELLINGTON AVENUE | GRAND JUNCTION | CO | 81501 | 030516198 | RADIOLOGY | CO | N/A |
| SAN JUAN CANCER CENTER LLC | |||||||
| 600 SOUTH 5TH STREET | MONTROSE | CO | 81401 | 202856331 | OP CANCER | CO | N/A |
| SMHMMH AIR MEDICAL TRANSPORT LLC | |||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 473525381 | MEDICAL AIR TRANSPORT | CO | N/A |
| EKG INTERPRETATION SERVICE | |||||||
| 3464 S WILLOW STREET SUITE 111 | DENVER | CO | 80231 | 840927945 | EKG INTERPRETATION | CO | N/A |
| ST JOSEPH EKG READER PANEL | |||||||
| 3464 S WILLOW STREET SUITE 174 | DENVER | CO | 80231 | 841269895 | EKG READING | CO | N/A |
| MED-MAP LLC | |||||||
| PO BOX 1295 | BILLINGS | MT | 59103 | 810491356 | RENTAL REAL ESTATE | MT | N/A |
| YELLOWSTONE SURGERY CENTER LLC | |||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 721519467 | OP SURGERY | MT | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| APEX SURGICAL PARTNERS INC | ||||||||||||||||||
| 1610 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 473268324 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | $1,439,603 | $224,391 | 1.00000 | Yes (1) | ||||||
| EAGLE RIDGE MEDICAL INC | ||||||||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 462387681 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | $3,510,458 | $621,914 | 1.00000 | Yes (1) | ||||||
| HIGH PLAINS HEART AND VASCULAR CENTER INC | ||||||||||||||||||
| 1610 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 272038197 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | $2,132,198 | $280,617 | 1.00000 | Yes (1) | ||||||
| INTEGRATIVE INTERNAL MEDICINE AND MEDICAL ACUPUNCTURE INC | ||||||||||||||||||
| 1610 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 274433325 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | $734,280 | $97,629 | 1.00000 | Yes (1) | ||||||
| MOUNTAIN VIEW ORTHOPEDICS INC | ||||||||||||||||||
| 1610 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 275382523 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | $3,593,896 | $349,755 | 1.00000 | Yes (1) | ||||||
| PVMC MEDICAL TEAM INC | ||||||||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 473988808 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | 1.00000 | Yes (1) | ||||||||
| PVMC PHYSICIAN SERVICES INC | ||||||||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 943458548 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | 1.00000 | Yes (1) | ||||||||
| PLATTE VALLEY MEDICAL TEAM INC | ||||||||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 841110470 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | 1.00000 | Yes (1) | ||||||||
| CARITAS INC AND SUBSIDIARIES | ||||||||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 480941069 | HEALTHCARE | KS | C | 0 | N/A | |||||||||
| ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC | ||||||||||||||||||
| 1700 SOUTHWEST 7TH STREET | TOPEKA | KS | 66606 | 462874128 | HEALTHCARE | KS | C | 0 | N/A | |||||||||
| LEAVEN INSURANCE COMPANY LTD | ||||||||||||||||||
| 980370522 | INSURANCE | C | 0 | N/A | 23 LIME TREE BAY AVENUE WEST BAY R | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| APEX SURGICAL PARTNERS INC | ||
| A | $21,129 | BOOK |
| EAGLE RIDGE MEDICAL INC | ||
| A | $42,307 | BOOK |
| HIGH PLAINS HEART & VASCULAR CENTER INC | ||
| A | $101,272 | BOOK |
| INTEGRATIVE INTERNAL MED & ACUPUNCTURE | ||
| A | $37,764 | BOOK |
| MOUNTAIN VIEW ORTHOPEDICS INC | ||
| A | $106,730 | BOOK |
| PVMC PHYSICIAN SERVICES INC | ||
| A | $284 | BOOK |
| PLATTE VALLEY MEDICAL CENTER FOUNDATION | ||
| B | $121,390 | CASH |
| PLATTE VALLEY MEDICAL CENTER FOUNDATION | ||
| C | $308,529 | CASH |
| APEX SURGICAL PARTNERS INC | ||
| D | $688,951 | BOOK |
| EAGLE RIDGE MEDICAL INC | ||
| D | $1,175,257 | BOOK |
| HIGH PLAINS HEART & VASCULAR CENTER INC | ||
| D | $2,009,161 | BOOK |
| INTEGRATIVE INTERNAL MED & ACUPUNCTURE | ||
| D | $511,765 | BOOK |
| MOUNTAIN VIEW ORTHOPEDICS INC | ||
| D | $1,975,432 | BOOK |
| MOUNTAIN VIEW ORTHOPEDICS INC | ||
| Q | $2,135,046 | BOOK |
| HIGH PLAINS HEART & VASCULAR CENTER INC | ||
| Q | $1,649,887 | BOOK |
| INTEGRATIVE INTERNAL MED & ACUPUNCTURE | ||
| Q | $579,931 | BOOK |
| EAGLE RIDGE MEDICAL INC | ||
| Q | $1,753,808 | BOOK |
| APEX SURGICAL PARTNERS INC | ||
| Q | $501,398 | BOOK |
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