FURP.ORG / PUBLIC DATA EXPLORER

BOULDER COMMUNITY HEALTH: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BOULDER COMMUNITY HEALTH (EIN 84-0175870)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201633209349315653
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-15T16:16:50-07:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840175870EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Boulder Community HealthBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBOULBusinessNameControlTxt
Phone3034402358PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 9019 1100 Balsam AveAddressLine1Txt
CityBoulderCityNm
State AbbreviationCOStateAbbreviationCd
ZIP803019019ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWilliam A Munson JrPersonNm
Person TitleCFO & Vice PresidentPersonTitleTxt
Phone3034157433PhoneNum
Signature2016-11-15SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Boulder Community HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRobert J Vissers President and CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 9019AddressLine1Txt
CityBoulderCityNm
State AbbreviationCOStateAbbreviationCd
ZIP803019019ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$538,323,730GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bch.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1922FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionTo provide our community with the safest and highest quality healthcare in an innovative, patient-centered environment.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2786TotalEmployeeCnt
Total Volunteers578TotalVolunteersCnt
Total Gross UBI$1,238,722TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,929,458PYContributionsGrantsAmt
CY Contributions Grants$3,068,851CYContributionsGrantsAmt
PY Program Service Revenue$298,932,421PYProgramServiceRevenueAmt
CY Program Service Revenue$317,641,624CYProgramServiceRevenueAmt
PY Investment Income$21,523,795PYInvestmentIncomeAmt
CY Investment Income$25,456,494CYInvestmentIncomeAmt
PY Other Revenue$16,369,077PYOtherRevenueAmt
CY Other Revenue$18,294,183CYOtherRevenueAmt
PY Total Revenue$339,754,751PYTotalRevenueAmt
CY Total Revenue$364,461,152CYTotalRevenueAmt
PY Grants And Similar Paid$298,436PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$325,749CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$155,461,914PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$167,129,963CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$410,565CYTotalFundraisingExpenseAmt
PY Other Expenses$153,160,845PYOtherExpensesAmt
CY Other Expenses$180,901,161CYOtherExpensesAmt
PY Total Expenses$308,921,195PYTotalExpensesAmt
CY Total Expenses$348,356,873CYTotalExpensesAmt
PY Revenues Less Expenses$30,833,556PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,104,279CYRevenuesLessExpensesAmt
Total Assets BOY$648,918,164TotalAssetsBOYAmt
Total Assets EOY$655,698,658TotalAssetsEOYAmt
Total Liabilities BOY$271,694,024TotalLiabilitiesBOYAmt
Total Liabilities EOY$267,078,954TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$377,224,140NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$388,619,704NetAssetsOrFundBalancesEOYAmt
MissionTo provide our community with the safest and highest quality healthcare in an innovative, patient-centered environment.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$248,329,733ExpenseAmt
Grant$325,749GrantAmt
Revenue$357,549,786RevenueAmt
DescHealth Care Delivery of IP and OP medical care. In 2015, the hospital discharged 8,554 adult & pediatric patients with an average length of stay of 4.4 days. 55,041 patients were seen in our ER/Urgent Care facilities. 5,297 surgeries were performed. The hospital had adjusted patient days of 88,008.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$248,329,733TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document230IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2786EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLisa Rogowski ControllerPersonNm
Phone3034402358PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 9019AddressLine1Txt
Address Line21100 Balsam AveAddressLine2Txt
CityBoulderCityNm
State AbbreviationCOStateAbbreviationCd
ZIP803019019ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Richard Porreca
Chairman40Yes (X)Yes (X)$0$0$0
Janet Martin
Vice Chairman40Yes (X)Yes (X)$1,451$0$0
Jean Dubofsky
Secretary40Yes (X)Yes (X)$0$0$0
Dee Perry
Treasurer40Yes (X)Yes (X)$0$0$0
Randy Bjerke MD
Board Member40.000Yes (X)$83,537$0$8,069
Jeff Morgan
Board Member20Yes (X)$2,137$0$0
Susan Graf
Board Member20Yes (X)$0$0$0
Mako Shimoda MD
Board Member20Yes (X)$0$0$0
Steve Fries MD
Board Member20Yes (X)$1,610$0$0
Harold Flowers
Board Member20Yes (X)$0$0$0
Benita Duran
Board Member20Yes (X)$0$0$0
Suzy Ageton
Board Member20Yes (X)$0$0$0
David Gehant
Exec Director/CEO38.002.00Yes (X)Yes (X)$1,125,904$0$40,941
Robert J Vissers
Exec Director/CEO38.002.00Yes (X)Yes (X)$726,646$0$166,848
Rhonda Williams
Board Member20Yes (X)$0$0$0
Bryan Pieper
Board Member22.00Yes (X)$0$0$0
Paul Kenneth Lewis Jr
VP & Chief Medical Officer400Yes (X)$431,128$0$97,298
William A Munson Jr
VP & CFO400Yes (X)$373,603$0$86,405
Jacqueline M Attlesey-Pries
VP & Chief Nursing Officer400Yes (X)$278,661$0$70,974
Sarah E Meshak
VP & General Counsel400Yes (X)$241,928$0$53,372
Linda S Minghella
VP & Chief Information Officer400Yes (X)$255,633$0$53,722
Ronald Secrist
BCH Foundation President0.0040.00$182,399$0$22,898Yes (X)
Jamie D Jensen
Physician Clinic COO400$197,355$0$38,453Yes (X)
Frank Bruno
BCH Foundation President0.0040.00$141,157$0$18,319Yes (X)
Sameer A Oza
Physician400$683,605$0$55,456Yes (X)
Jamie J Doucet
Physician400$648,294$0$54,940Yes (X)
Nelson P Trujillo Jr
Physician400$676,051$0$57,456Yes (X)
Daniel S White
Physician400$648,661$0$57,316Yes (X)
John A Schutz
Physician400$652,272$0$57,193Yes (X)
James Peters
Former VP00$125,883$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,477,915TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$939,660TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K220IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2TxtBusiness Name Line2ContractorName/BusinessName/BusinessNameLine2Txt
Favorite Healthcare Staffing Inc
PO Box 803356Kansas CityMO641803356agency nursing services$2,152,402
Navin Haffty & Associates LLC
1900 West Park DriveWestboroughMA01581Information Technology Consulting$1,778,460Suite 180
Colorado Cardiovascular Surgical Associates PC
950 E Harvard Ave Suite 550DenverCO80210Cardiovascular surgery coverage and employee lease$1,145,941Suite 203
Boulder Neurosurgical Assoc PLLC
4743 Arapahoe AveBoulderCO80303trauma call$1,020,992Suite 202
Boulder Valley Anesthesiology LLC
1420 28th St Ste 100BoulderCO80303Anesthesiology coverage$961,600c/o Wendll Walker & Assoc
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K30CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$2,574,023RelatedOrganizationsAmt
Government Grants$486,915GovernmentGrantsAmt
All Other Contributions$7,913AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$3,068,851TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescAcute Care HospitalDesc
Business622000BusinessCd
Total Revenue Column$317,641,624TotalRevenueColumnAmt
Related Or Exempt Func Income$317,035,034RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$516,678UnrelatedBusinessRevenueAmt
Exclusion$89,912ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$317,641,624TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,043,121TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,043,121ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$11ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$155,170,188SecuritiesAmt
Other$40,047,556OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$155,665,157SecuritiesAmt
Other$18,139,225OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$494,969SecuritiesAmt
Other$21,908,331OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,413,362TotalRevenueColumnAmt
Related Or Exempt Func Income$21,908,331RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$494,969ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$8,514GamingGrossIncomeAmt
Gaming Direct Expenses$380GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,134TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,134ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$117,464GrossSalesOfInventoryAmt
Cost Of Goods Sold$57,816CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$59,648TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$59,648ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Health Care Joint Ventures621400$7,780,911$7,780,911$0$0
Misc Hospital Revenue622000$10,445,490$9,586,788$722,044$136,658

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$18,226,401OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$364,461,152TotalRevenueColumnAmt
Related Or Exempt Func Income$356,311,064RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,238,722UnrelatedBusinessRevenueAmt
Exclusion$3,842,515ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$149,914TotalAmt
Program Services$149,914ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$105,033TotalAmt
Program Services$105,033ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$70,802TotalAmt
Program Services$70,802ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,173,209TotalAmt
Program Services$92,523ProgramServicesAmt
Management And General$3,787,427ManagementAndGeneralAmt
Fundraising$293,259FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$128,547,464TotalAmt
Program Services$95,105,629ProgramServicesAmt
Management And General$33,405,836ManagementAndGeneralAmt
Fundraising$35,999FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,812,842TotalAmt
Program Services$7,905,093ProgramServicesAmt
Management And General$2,907,749ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,790,353TotalAmt
Program Services$10,616,968ProgramServicesAmt
Management And General$4,142,632ManagementAndGeneralAmt
Fundraising$30,753FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,806,095TotalAmt
Program Services$6,461,078ProgramServicesAmt
Management And General$2,324,863ManagementAndGeneralAmt
Fundraising$20,154FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,074,824TotalAmt
Program Services$180,266ProgramServicesAmt
Management And General$1,894,558ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$221,319TotalAmt
Program Services$0ProgramServicesAmt
Management And General$221,319ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$97,980TotalAmt
Program Services$5,940ProgramServicesAmt
Management And General$92,040ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$749,042TotalAmt
Program Services$0ProgramServicesAmt
Management And General$749,042ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,092,094TotalAmt
Program Services$17,073,070ProgramServicesAmt
Management And General$4,019,024ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$833,492TotalAmt
Program Services$0ProgramServicesAmt
Management And General$833,492ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,429,554TotalAmt
Program Services$2,487,366ProgramServicesAmt
Management And General$2,932,649ManagementAndGeneralAmt
Fundraising$9,539FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,165,863TotalAmt
Program Services$652,009ProgramServicesAmt
Management And General$9,513,854ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,238,607TotalAmt
Program Services$4,036,833ProgramServicesAmt
Management And General$3,182,443ManagementAndGeneralAmt
Fundraising$19,331FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$439,039TotalAmt
Program Services$238,688ProgramServicesAmt
Management And General$200,351ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$326,851TotalAmt
Program Services$149,687ProgramServicesAmt
Management And General$177,164ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,188,663TotalAmt
Program Services$955,958ProgramServicesAmt
Management And General$3,232,705ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$25,000TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$25,000FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$28,567,979TotalAmt
Program Services$10,238,935ProgramServicesAmt
Management And General$18,322,325ManagementAndGeneralAmt
Fundraising$6,719FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,090,950TotalAmt
Program Services$2,090,950ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$49,088,081$48,740,991$347,090$0
Provision for Bad Debts$17,202,933$17,202,933$0$0
Repairs and Maintenance$8,336,995$3,570,524$4,764,360$2,111
Medicaid Provider Fee$18,905,276$18,905,276$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,826,619TotalAmt
Program Services$1,293,267ProgramServicesAmt
Management And General$2,565,652ManagementAndGeneralAmt
Fundraising-$32,300FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$348,356,873TotalAmt
Program Services$248,329,733ProgramServicesAmt
Management And General$99,616,575ManagementAndGeneralAmt
Fundraising$410,565FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,858BOYAmt
EOY$317,773EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,538,828BOYAmt
EOY$4,191,316EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$43,184,328BOYAmt
EOY$47,486,674EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,445,598BOYAmt
EOY$1,354,278EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,394,533BOYAmt
EOY$2,851,629EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,269,204BOYAmt
EOY$7,588,269EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$378,535,850LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$150,302,910LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$253,411,803BOYAmt
EOY$228,232,940EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$194,999,026BOYAmt
EOY$209,922,879EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$89,603,973BOYAmt
EOY$104,986,183EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$4,317,826BOYAmt
EOY$4,938,704EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$303,897BOYAmt
EOY$385,893EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$44,431,290BOYAmt
EOY$43,442,120EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$648,918,164BOYAmt
EOY$655,698,658EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,042,708BOYAmt
EOY$46,487,623EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$169,607,784BOYAmt
EOY$170,815,013EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$79,519BOYAmt
EOY$72,066EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,964,013BOYAmt
EOY$49,704,252EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$271,694,024BOYAmt
EOY$267,078,954EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$341,473,297BOYAmt
EOY$354,798,055EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,495,509BOYAmt
EOY$27,376,397EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,255,334BOYAmt
EOY$6,445,252EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$377,224,140BOYAmt
EOY$388,619,704EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$648,918,164BOYAmt
EOY$655,698,658EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$16,104,279ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$9,235,479NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$4,526,764OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$13,312GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$13,312TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1FormAndLineReferenceDesc
Explanation6.19% of dues paid to the Colorado Hospital Association are spent on lobbying activities, amounting to $5,109. 22.12% of dues paid to the American Hospital Association are spent on lobbying activities, amounting to $8,203.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$35,750,843BeginningYearBalanceAmt
Contributions$2,580,067ContributionsAmt
Investment Earnings Or Losses-$402,645InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$4,119,616OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$33,808,649EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$34,604,553BeginningYearBalanceAmt
Contributions$4,337,617ContributionsAmt
Investment Earnings Or Losses$1,664,839InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$4,856,166OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$35,750,843EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$31,318,621BeginningYearBalanceAmt
Contributions$3,221,343ContributionsAmt
Investment Earnings Or Losses$4,678,434InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$4,613,845OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$34,604,553EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$23,522,148BeginningYearBalanceAmt
Contributions$7,987,150ContributionsAmt
Investment Earnings Or Losses$2,442,969InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$2,633,646OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$31,318,621EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,231,845BeginningYearBalanceAmt
Contributions$4,805,197ContributionsAmt
Investment Earnings Or Losses-$332,547InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$3,182,347OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$23,522,148EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.19PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.81TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$16,446,336OtherCostOrOtherBasisAmt
Book Value$16,446,336BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$207,586,068OtherCostOrOtherBasisAmt
Depreciation$63,632,718DepreciationAmt
Book Value$143,953,350BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,585,345OtherCostOrOtherBasisAmt
Depreciation$534,966DepreciationAmt
Book Value$2,050,379BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$150,860,077OtherCostOrOtherBasisAmt
Depreciation$86,135,226DepreciationAmt
Book Value$64,724,851BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,058,024OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$1,058,024BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$228,232,940TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

FieldValueIRS element (for citing)
Book Value-$5,928,799BookValueAmt
Method ValuationFMethodValuationCd

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$16,033,952BookValueAmt
Method ValuationFMethodValuationCd

Other Securities OtherSecuritiesGrp (7 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Municipal bonds, infrequently traded$329,589F
Corporate bonds and notes, infrequently traded$19,760,527F
Asset backed securities, infrequently traded$7,092,531F
Long/Short Fixed Income Funds$38,187,678F
Long/Short Equity Funds$22,905,470F
Real Assets, Infrequently traded$6,261,797F
Fund of Hedge Funds$343,438F
FieldValueIRS element (for citing)
Total Book Value Securities$104,986,183TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Interest in Net Assets Held by Foundation$33,462,084
Unamortized Bond Issue Costs$1,306,783
Deferred Comp Investments$6,195,635
Misc Other AR$2,366,709
Unamortized Swap Fees$110,909
FieldValueIRS element (for citing)
Total Book Value Other Assets$43,442,120TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Accrued Pension Liability$43,508,617
Deferred Compensation Liability$6,195,635
FieldValueIRS element (for citing)
Total Liability$49,704,252TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$341,670,926TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$9,235,479NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue-$12,729,965OtherRevenueAmt
Revenue Not Reported-$21,965,444RevenueNotReportedAmt
Revenue Subtotal$363,636,370RevenueSubtotalAmt
Investment Expenses Not Incld$749,042InvestmentExpensesNotIncldAmt
Other Revenues Not Included$75,740OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$824,782RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$364,461,152TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$330,250,362TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$330,250,362ExpensesSubtotalAmt
Investment Expenses Not Incld2$749,042InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$17,357,469OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$18,106,511ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$348,356,873TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4Boulder Community Hospital Foundation, a related organization, holds permanent endowment funds. The income earned on these endowment funds is used to support hospital programs for diabetes, cancer, neonatology, heart and surgery center, healthcare scholarships, or for the foundation to direct if the endowment fund does not restrict how the income is to be spent. Temporarily restricted funds held by the Foundation include funds for the new Foothills medical office facilities, cancer center, as well as other hospital programs. Any Unrestricted funds held at the Foundation are for the hospital, but designation is decided by the Foundation board when granting to the hospital.
Schedule D, Part XI, Line 2dOther of 12,729,965 included in tax return revenue but not in audited revenue includes Bad Debt Provision of -17,202,933 + Change in foundation Net Assets of -2,005,113 + Change in minimum pension liability of 6,771,512 + Amortization of Effective Loss on Swap of -239,635 + Other Expenses shown net in FS revenue and Gross in Tax return of -122,625 + Ambassador component of Temp Rest Net Assets of 68,829.
Schedule D, Part XI, Line 4bOther of 75,740 = Ambassador expenses reflected as Restricted Contributions in Audit.
Schedule D, Part XII, Line 4bOther expenses of 17,357,469 included on TR but not on Audit = Bad Debt provision of 17,202,933 + Non-op Expenses shown in net revenue on audit of 122,625 + Ambassador expenses reflected as Restricted Contribution in Audit of 31,911.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Sub-Saharan Africa00Program ServicesThe hospital is the recipient of a grant from the Department of Health and Human Services via the American International Health Alliance Training Center to help with the development of zonal laboratories in Tanzania, Africa in response to the HIV/AIDS crisis.$24,415
Central America and the Caribbean00Program ServicesThe hospital participated in a medical mission to Haiti.$46,388
Central America and the Caribbean00InvestmentsPassive investments in Cayman Islands have a YE market value of $54,301,732 and incurred management fees of $809,553.$55,111,285
Europe (including Iceland and Greenland)00InvestmentsPassive investments in Ireland have a YE market value of $7,134,853 and incurred management fees of $69,208.$7,204,061
FieldValueIRS element (for citing)
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Total Spent$62,386,149TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)

RegionRegionTxtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtDescription Of Non Cash AsstDescriptionOfNonCashAsstTxtValuation Method UsedValuationMethodUsedDescCash GrantCashGrantAmt
Sub-Saharan AfricaThe hospital is a recipient of a grant from the Department of Health and Human Services via the American International Health Alliance Training Center to help with the development of zonal laboratories in Tanzania, Africa in response to the HIV/AIDS crisis.$24,415Airfare, in-country expenses for mission, and other expenses such as books and computer supplies which total $18,552, as well as in-kind labor of $5,863.Cost
Central America and the CaribbeanMedical mission to Haiti$46,388Airfare and medical supplies totaling $46,388Cost$0
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part I, Line 2FormAndLineReferenceDesc
ExplanationThe Tanzania, Africa project is subject to American International Health Alliance monthly grant reporting requirements. The project requires work plans to be approved by AIHA, quarterly project reporting, and monthly financial reporting.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other2.5FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,084,870TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$431,272DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,653,598NetCommunityBenefitExpnsAmt
Total Expense0.008TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,179,978TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,293,070DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,886,908NetCommunityBenefitExpnsAmt
Total Expense0.061TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$57,264,848TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,724,342DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,540,506NetCommunityBenefitExpnsAmt
Total Expense0.069TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$335,085TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,298DirectOffsettingRevenueAmt
Net Community Benefit Expns$289,787NetCommunityBenefitExpnsAmt
Total Expense0.001TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$304,577TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$304,577NetCommunityBenefitExpnsAmt
Total Expense0.001TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Expense0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Expense0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$567,848TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$567,848NetCommunityBenefitExpnsAmt
Total Expense0.002TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,207,510TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,298DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,162,212NetCommunityBenefitExpnsAmt
Total Expense0.004TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$58,472,358TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,769,640DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,702,718NetCommunityBenefitExpnsAmt
Total Expense0.073TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,379TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,379NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,131TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,131NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$83,323TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$83,323NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$94,833TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$94,833NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$17,702,933BadDebtExpenseAmt
Bad Debt Expense Attributable$1BadDebtExpenseAttributableAmt
Reimbursed By Medicare$53,681,360ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$75,241,376CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$21,560,016MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Boulder Community Musculoskeletal Surgery Center LLC
Outpatient Orthopedic Surgery Center0.500.5
Endoscopy Center of the Rockies LLC
Outpatient Endoscopy Center0.500.5
Boulder MRI LLC
outpatient MRI center0.5100.49
Foothills Surgery Center LLC
Ambulatory Surgical Center0.5100.49
Riverbend Sleep LLC
Property ownership and lease to Approved Entities0.500.5
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility2FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Boulder Community Foothills HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14747 Arapahoe AvenueAddressLine1Txt
CityBoulderCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80303ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.bch.orgWebsiteAddressTxt
State License010323StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Boulder Community Foothills HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility2FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.bch.org/media/648783/bch-community-health-needs-assessment-final-august-26-2016.pdfOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.bch.org/media/648783/bch-community-health-needs-assessment-final-august-26-2016.pdfStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.bch.org/media/589901/fin-assis-appl-english-2015.pdfFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.bch.org/media589901/fin-assis-appl-english-2015.pdfFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.bch.org/patientportal/billing-and-payment-policies.aspxFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Boulder Community Foothills HospitalIn preparing this Community Health Needs Assessment, BCH collaborated with a number of community service agencies and their staff. Focus groups were conducted, consisting of representatives from over 25 agencies and programs, primarily targeting and serving "traditionally under-served" populations within the hospital's service area. The Boulder County Public Health Department, the Community Foundation serving Boulder County, The Boulder County Planning Department and the Boulder Valley School District were important collaborators in the preparation of this report and we express the hospitals thanks to them for their cooperation and for the wonderful services they provide to our jointly-served citizens.
Schedule H, Part V, Section B, Line 7d-Boulder Community Foothills HospitalThe Community Health Needs Assessment for 2014 - 2016 was reviewed and endorsed by the BCH Board of Directors at its meeting on November 19, 2013.
Schedule H, Part V, Section B, Line 11-Boulder Community Foothills HospitalThe strategies to address the community's health needs identified in the Hospital's 2014-2016 Community Health Needs Assessment and the activities undertaken by the Hospital as part of these strategies are as follows: 1. SUPPORT OF COMMUNITY ORGANIZATIONS ADDRESSING UNMET NEEDS: In 2015, the Hospital supported the organizations listed in Schedule I, Part IV, Statement 1with financial grants. These organizations provide services to the safety net populations of the community. The Hospital also supported the Community Foundation, a nonprofit organization which identifies and addresses community trends and service gaps. Additionally, the Hospital, in collaboration with health providers in the community, offered education sessions for the public in 2015 on a variety health issues. . MENTAL HEALTH: The Hospital continued in 2015 to offer inpatient and outpatient mental health services to the community and continues to be the only nonprofit provider of inpatient mental health services in Boulder County. The Hospital continued its planning process to build a new psychiatric hospital on adjacent to the Foothills Campus in order to enhance its psychiatric services and facilitate continuity of care for those services. It obtained local approval for the facility and began construction. These planning and construction efforts will continue through 2017. The Hospital continues to coordinate with the nonprofit mental health service provider in the community to for the evaluation and placement of patients in need of mental health services, regardless of ability to pay. The Hospital also continued the expansion of mental health services in the Hospital's primary care physician practices, and currently has mental health services available to all of its primary care practices. 3. AWARENESS TRAINING: The Hospital trains its employees, including its employed physicians in cultural awareness. The Hospital established a task force to assess the Hospital's efforts in addressing cultural and language differences in its patient populations, enhance the resources offered to these populations, and train employees and medical staff on these issues. This task force has reviewed and revised and provided training to employees on the Hospital's policies related to providing services to patients with disabilities and limited English proficiency and is overseeing the Hospital's efforts to comply with Section 1557 of the Rehabilitation Act. These efforts are ongoing and will continue into 2016. The Hospital continued to offer, through its ethics committee and continuing medical education efforts, forums on addressing the needs of various patient populations. 4. PROGRAM SERVICES TO TARGETED POPULATIONS: In 2015, the Hospital continued and enhanced its palliative care program to assist families with critical end of life decisions, and supported this program with its ethics consultation program and ethics committee, which educate staff and assist in addressing the ethical component of end of life decisions. The Hospital works with community agencies to provide a medical respite program for continuity of care for homeless and indigent patients. The Hospital worked cooperatively with its local hospice provider to furnish space to the provider within one of the Hospital's facilities. The Hospital expanded its cancer navigation program to additional cancer diagnoses. The Hospital also continued and strengthened its patient centered medical home program in its primary care clinics. This program coordinates patient care to improve outcomes, increase patient satisfaction and experience and reduce costs. As part of this program, the Hospital continued its transitional care program in 2015, offering free services to patients discharged from the hospital. The service provides home visits and phone calls from a transitional care nurse to assist patients with their transition to home, including medication management, communication with physicians, identifying health risks, coordinating with community resources and coaching patients on maintaining a health lifestyle. The Hospital expanded this program in 2015 to include patients receiving joint replacements, as part of the Hospital's participation in the CMS comprehensive joint replacement program.
Schedule H, Part V, Section B, Line 16a-Boulder Community Foothills Hospitalwww.bch.org
Schedule H, Part V, Section B, Line 16b-Boulder Community Foothills Hospitalwww.bch.org
Schedule H, Part V, Section B, Line 16c-Boulder Community Foothills Hospitalwww.bch.org
Schedule H, Part V, Section B, Line 22d-Boulder Community Foothills HospitalAll patients without insurance are eligible for a 60% prompt pay discount if payment is made at time of service (or within 72 hours following discharge for emergencies) or a 50% discount if paid within 30 days for medically urgent, emergency, prenatal, and obstetric services. Those patients who qualify for financial assistance receive a discount rate that exceeds the lowest negotiated commercial discount rate.
FieldValueIRS element (for citing)
Facility39FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (39 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2TxtBusiness Name Line2BusinessName/BusinessNameLine2Txt
BCH Behavioral Health DPU
1100 Balsam AvenueBoulderCO80304Psych DPU
Mapleton Center
311 Mapleton AveBoulderCO80304Outpatient clinic for rehabilitation, sports medicine, outpatient mental health and homecare.
BCH Rehabilitation DPU
1100 Balsam AvenueBoulderCO80304Rehab DPU
Community Medical Center
1000 W South Boulder RoadLafayetteCO80026Urgent-care center
BCH at Boulder Medical Center
2750 BroadwayBoulderCO80304laboratory and imaging services
Boulder Community Musculoskeletal Surgery LLC
1136 Alpine AvenueBoulderCO80304Ambulatory Surgical Center
Endoscopy Center of the Rockies in Lafayette
1000 W South Boulder RoadLafayetteCO80026Endoscopic Ambulatory Surgery CenterSuite 202
Endoscopy Center of the Rockies in Boulder
1755 48th StreetBoulderCO80303Endoscopic Ambulatory Surgical CenterSuite 110
Endoscopy Cener of the Rockies in Longmont
1551 Professional LaneLongmontCO80501Endoscopic Ambulatory Surgical CenterSuite 295
Boulder MRI LLC
1000 W South Boulder RoadLafayetteCO80026MRI Imaging CenterSuite 105
Foothils Surgery Center LLC
4743 Arapahoe AvenueBoulderCO80303Ambulatory Surgical CenterSuite 101
Boulder Heart
4743 Arapahoe AvenueBoulderCO80303Physician clinicSuite 201
Boulder Heart Lafayette
1000 W South boulder RoadLafayetteCO800262089Physician clinicSuite 216
Boulder Heart Longmont
2101 Ken Pratt BlvdLongmontCO805016568Physician clinicSuite 104
Internal Medicine Associates
1155 AlpineBoulderCO80304Physician clinicUnite 360
Internal Medical Associates Foothills
4745 Arapahoe AveBoulderCO80303Physician clinicUnit G50
Boulder Valley Pulmonology
1155 AlpineBoulderCO80304Physician clinicUnit 150
CU Sports Medicine and Performance Center
2150 Stadium DriveBoulderCO80309outpatient sports medicine clinicSecond Floor
Boulder Community Health Sports Medicine
2150 Stadium DriveBoulderCO80309Imaging IDTFImaging LLC
Beacon Clinic
1136 Alpine AveBoulderCO80304Infectious Disease ClinicSuite 205
Boulder Community Health Sleep Diagnostice
4895 Riverbend RdBoulderCO80301Sleep study center
Sleep Fit
13654 Xavier LaneBroomfieldCO80020Sleep study centerSuite 210A
Internal Medical Associates of Lafayette
1000 W South Boulder RdLafayetteCO80026Physician clinicSuite 214
Sports Medicine East
1000 W South Boulder RdLouisvilleCO80026Sports medicine clinicSuite 212 220 226
Buffalo Ridge Medical Center
16677 Lowell BlvdBroomfieldCO80023Physician clinic
Center for Integrative Care
4715 ArapahoeBoulderCO80303Outpatient integrative care for cancer patientsUnit 100
Broomfield Imaging
36 Garden CenterBroomfieldCO80020Laboratory and imaging services
Community Medical Associates of Lafayette
401 E Cleveland StreetLafayetteCO80026Physician clinic
Frontier Internal Medicine
2101 Ken Pratt BlvdLongmontCO80501Physician clinicSte 104
Holistic Family Practice
1155 Alpine AvenueBoulderCO80304Physician clinicSuite 360
Northwest Family Medicine
500 Discovery ParkwaySuperiorCO80027Physician clinicSuite 150
Family Medical Associates
1000 W South Boulder RdLafayetteCO80026Physician clinicSuite 110
Spruce Street Internal Medicine
2575 Spruce StreetBoulderCO80302Physician clinic
Boulder Creek Family Medicine
1755 48th StBoulderCO80303Physician clinicSuite 200
Associated Neurologists of Boulder
1155 AlpineBoulderCO80304Physician clinicSuite 320
Boulder Community Hospital Occupational Medicine
4745 Arapahoe AveBoulderCO80303Occupational medicine clinicSuite G40
Dakota Ridge Medical Center
2995 Baseline RoadBoulderCO80303Physician clinicSuite 210
Gunbarrel Medical Center
6685 Gunpark DriveBoulderCO80301Physician clinicSuite 110
BMC East Laboratory
80 Health Park DrCOCO80027Laboratory draw stationLouisville

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7Ratio of Patient Cost to Patient Charges
Schedule H, Part I, Line 7, Column f17,702,933
Schedule H, Part IICommunity Support Activities include diaster readiness training in conjunction with numerous local agencies (fire, police, sheriff, other counties, other hospitals) to ensure coordinated and effective response to a disaster. Coalition building includes the hospitals participation in the development of the Colorado Regional Health Information Organization (CORHIO) and Boulder County Health Information Exchange (BCHIE), which are both electronic health exchanges aimed at promoting effective and efficient health care delivery as well as information for community health assessments. Workforce development includes physician recruitment for physicians not employed by the hospital. Boulder is a Medically Underserved Area for low income and Medicare.
Schedule H, Part III, Section A, Line 4Page 10 and 11 of the audited financial statements contains Note 2(f) which describes the significant accounting policies related to Patient Accounts Receivable. The amount reported on Line 2 as bad debt is the actual balance on account written off to bad debt. It is not reduced to cost, since our system does not track what is a gross charge write-off versus what is a patient responsibility write -off after insurance and insurance discounts have been recognized, The hospital does not have a mechanism to reasonably estimate the amount bad debt cost that would reasonably relate to patients who would qualify for financial assistance under the hospital's financial assistance policy, but for whom sufficient information was not obtained to make a determination of their eligibility. However, surely there are significant bad debts that would qualify for charity if the information were known.
Schedule H, Part III, Section B, Line 8100% and more of Line 7 Medicare shortfall should be treated as community benefit. Boulder County has a demonstrated community need for physicians who accept Medicare. (Many physician providers do not.) The hospital not only serves the Medicare population for hospital services, it also employs numerous primary care, internal medicine, pulmonology and cardiology providers who accept Medicare in order to provide our community with adequate coverage. The Cost Report shortfall reported on Line 7 excludes Medicare HMO enrollee shortfalls, excludes shortfalls from ancillary procedures which are paid by fee schedule and are therefore not included in the Cost Report, and excludes the shortfall related to employed physicians serving the Medicare population. The hospitals total Medicare shortfall, including these programs, is actually $26,858,811.
Schedule H, Part III, Section C, Line 9bThe hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the hospital's charity program (WeCare). Financial arrangements with Emergency Room patients are not discussed until the patient has been assessed and treated in accordance with EMTALA. The hospital's debt collection policy contains a Communications section addressing courtesy, confidentiality, cultural sensitivity, and primary language of a patient. It contains a section on Billing and Collection Practices which addresses when an account will be referred to a licensed collection agency and that those agencies will treat all patients with dignity, compassion and respect, as well as adhering to Colorado State Laws and the Fair Debt Collection Act. Patients may apply/reapply for financial assistance before, during or after care, or after collection agency assignment.
Schedule H, Part VI, Line 2In 2010, a comprehensive facilities study was performed to evaluate each of the existing hospital campuses and determine the most efficient and effective methods of delivering the safest, highest quality health care. The Planning Committee uses the Community Health Needs Assessment, the Comprehensive Facilities study, as well as market and demographic studies to ensure BCH meets the future health care needs of our community. BCH is in the midst of a 10 year transitional strategy to consolidate health care delivery in order to meet the needs of the community in a safe and sustainable manner. As of October, 2014 all acute care inpatient services have been consolidated at the Foothills campus. BCH is constructing a new facility adjacent to the Foothills hospital to move the Rehabilitation and Behavioral Health services, and is expected to complete this facility in early 2018.
Schedule H, Part VI, Line 3The Hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the Hospitals charity program (WeCare). The hospital employs Spanish speaking financial counselors and would utilize interpreter services for other languages. Financial Assistance programs are referenced in patient discharge information, billing statements, and on the hospitals web site.
Schedule H, Part VI, Line 4Boulder Community Hospital is dedicated to providing access to high quality health care while continuously responding to the evolving healthcare needs of our community. The hospitals primary service areas in Boulder County include the cities of Boulder, Erie, Lafayette, Longmont, Louisville, Nederland, Superior and Ward. Additionally, BCH also serves a growing portion of the City and County of Broomfield. According to the most recent population data, the following population trends have been identified for Boulder County: The population of Boulder County is growing slowly compared to neighboring counties. The population of Boulder County is aging .The population of Boulder County is becoming more diverse, specifically more Hispanic and Latino.
Schedule H, Part VI, Line 5The Hospital is governed by a volunteer community board. The Hospital has an open medical staff. All surplus funds are reinvested in the hospital to fund charity, subsidize under performing health programs, develop new health programs, or as an investment in plant, equipment and technology.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Business Name Line2RecipientBusinessName/BusinessNameLine2TxtAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceDescAddress Line2USAddress/AddressLine2Txt
Boulder County Fire Fighters Assoc
Sunshine Fire Protection DistrictPO Box 7461GoldenCO80302846000600501 (c)3$24,000$0FMVSupport for local fire association.
Boulder Valley School District
6500 E ArapahoeBoulderCO80303846014683501 (c)3$0$73,677FMVSupport high school athletics and help to reduce student athlete injuries.Provide athletic trainer to school district
The Community Foundation
1123 Spruce StBoulderCO80302841171836501(c)3$12,000$0FMVTo support civic forum on health care and sponsorship of the Conversation
Justin Parker Neurological Institute
4743 Arapahoe AveBoulderCO80303263588986501 (c)3$7,500$0FMVTo support education related to brain and trauma disorders.Ste 202
American Red Cross
444 Sherman StDenverCO80203530196605501 (c) 3$6,000FMVNepal Relief 5,000 General 1,000
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
Healthcare educational scholarships22$44,840$0Cost
Assistance for IP rehab patients11$7,383$0Cost
Assistance with RX post-discharge for indigent patients50$12,024CostTake home medications donated to indigent patients post-discharge
Assistance with food, housing and transportation post=discharge for indigent patients111$40,306cost
Assistance with pro fee for reading for indigent mammography6$480cost

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationGrants are only made to non profit agencies supporting our local community with health and welfare services. Grants in excess of $10,000 are specifically approved by the hospital board of directors during the budget process. The CEO has a discretionary budget allocation for which he may approve disbursements less than $10,000. Monitoring of grants over $10,000 is done by having representation on their non profit board. Scholarship applications for healthcare education are reviewed by a committee, and payments are sent directly to the schools on the student's behalf with a letter indicating the money should be returned to the hospital if the student does not register.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David Gehant
Exec Director/CEO$752,621$0$0$0$373,283$0$23,791$0$20,019$0$1,169,714$0$331,283$0
Robert J Vissers
Exec Director/CEO$533,564$0$157,082$0$36,000$0$144,222$0$23,606$0$894,474$0$0$0
Paul Kenneth Lewis Jr
VP & Chief Medical Officer$320,282$0$69,827$0$41,019$0$83,276$0$15,002$0$529,406$0$0$0
William A Munson Jr
VP & CFO$281,744$0$73,859$0$18,000$0$61,279$0$26,106$0$460,988$0$0$0
Jacqueline M Attlesey-Pries
VP & Chief Nursing Officer$238,417$0$32,144$0$8,100$0$54,102$0$17,852$0$350,615$0$0$0
Linda S Minghella
VP & Chief Information Officer$174,198$0$39,723$0$41,712$0$52,973$0$1,728$0$310,334$0$0$0
Sarah E Meshak
VP & General Counsel$172,301$0$27,627$0$42,000$0$53,372$0$980$0$296,280$0$0$0
Jamie D Jensen
Physician Clinic COO$149,883$0$24,548$0$22,924$0$16,149$0$23,169$0$236,673$0$0$0
Ronald Secrist
BCH Foundation President$90,279$0$28,312$0$63,808$0$11,555$0$11,811$0$205,765$0$42,230$0
Frank Bruno
BCH Foundation President$133,015$0$0$0$8,142$0$0$0$19,039$0$160,196$0$0$0
Sameer A Oza
Physician$502,480$0$145,126$0$36,000$0$32,935$0$23,501$0$740,042$0$0$0
Nelson P Trujillo Jr
Physician$508,200$0$125,851$0$42,000$0$32,935$0$25,502$0$734,488$0$0$0
John A Schutz
Physician$500,641$0$115,632$0$36,000$0$32,935$0$28,965$0$714,173$0$0$0
Daniel S White
Physician$490,451$0$116,210$0$42,000$0$32,935$0$25,361$0$706,957$0$0$0
Jamie J Doucet
Physician$499,810$0$112,484$0$36,000$0$32,935$0$22,985$0$704,214$0$0$0
James Peters
VP$0$0$0$0$125,883$0$0$0$0$0$125,883$0$125,883$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aThe hospital pays for board member companion travel at its annual educational conference. Companion travel is reported as Misc Income on the 1099 of the board member.
Schedule J, Part I, Line 1bTravel for companions is only reimbursed for board members attending the annual educational conference. Companion travel is reimbursed based upon substantiated receipts and is reported as Miscellaneous Income on 1099 of the board member. In all other circumstances, companion travel is not reimbursable by the hospital.
Schedule J, Part I, Line 3The hospital has a Compensation Committee as specified by the bylaws of the hospital (Article V, D). The Compensation Committee is comprised of the Chairman, Vice Chairman, Secretary and a member of the Finance Committee. The committee meets approximately three times per year to review the CEO compensation and approve annual contract changes. Compensation and contract changes are reported to the Board. The Committee engages a consulting firm to provide comparative compensation studies for similarly qualified persons in functionally comparable positions at similarly situated organizations. Compensation study and performance review are considered in developing the compensation decision. Compensation ranges and Benefit changes for Vice President level employees are reviewed and approved by the Compensation Committee if the are outside of hospital wide treatment. Compensation studies are also used for VP level assessment. All Compensation Committee meetings are formally documented through minutes.
Schedule J, Part I, Line 4Ln 4b--The hospital contributes to a nonqualified 457(f) plan for the benefit of its executive leadership. Participants include: Robert Vissers, Pres & CEO ($141,731 contributed, Paul Lewis Jr, VP & Chief Medical Officer ($59,485 contributed), , William Munson Jr, VP & CFO ($41,463 contributed), Sarah Meshak, VP & General Counsel ($34,235 contributed), Linda Minghella, VP & CIO ($33,618 contributed), Ron Secrist, Foundation President ($1,419 contributed), and Jacqueline Attlesey-Pries, VP & CNO ($50,335) contributed
Schedule J, Part I, Line 7The hospital has an Incentive Compensation Plan for Vice Presidents and Directors whereby a percentage of base salary is paid out if goals are met and if authorized by the Board of Directors. For Vice-Presidents, one-third of their incentive is based upon the Hospital meeting at least 85% of its budgeted net operating income before interest expense. One-third VP incentive is based on Safety goals and one-third is based on Performance Goals. The one-third financial goal for Directors is based on meeting their departmental financial targets, as well as a one-third safety goal and a one-third performance goal.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBusiness Name Line2IssuerName/BusinessNameLine2TxtBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Colorado Health Facilities
AAuthority84075293219648AVF92010-12-01$93,535,431Foothills expansion; balance for debt refunding000
Colorado Health Facilities
BAuthority84075293219648AZL22012-08-28$31,748,673Foothills hospital expansion000
Colorado Health Facilities Authority
C8407529322014-12-30$30,000,000acquiring,constructing & equipping Financed Facilities000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$17,485,000$0$93,716,361$0$0$0$1,080,618$0$0$25,180,923$67,458,941$02014Yes (1)0Yes (1)Yes (1)
B$1,640,000$0$31,815,214$0$0$0$452,449$0$0$31,362,765$0$0201400Yes (1)Yes (1)
C$0$0$18,305,000$0$0$0$153,502$0$0$18,151,500$0$02017000Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)000000Yes (1)
B00Yes (1)Yes (1)000000Yes (1)
C00Yes (1)Yes (1)000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)Yes (1)000Yes (1)
B0Yes (1)Yes (1)00000Yes (1)
C0Yes (1)Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column e-12/01/2010 93,535,431 Colorado Health FacilitiesLn A(e) of $93,535,431 < Pt II Ln 3(A) of 93,716,361 by the cumulative trust fund interest income of $180,930.
Schedule K, Part I, Column e-08/28/2012 31,748,673 Colorado Health FacilitiesLn B(e) of $31,748,673 < than Pt II Ln 3(B) of 31,815,214 by the cumulative trust fund interest income of $66,541.
Schedule K, Part I, Column e-12/30/2014 30,000,000 Colorado Health Facilities AuthorityLn C(e) of $18,305,000 < Pt II Line 3(B) of 18,305,002 by the cumulative trust fund interest income of $2.
Schedule K, Part II, Line 3-12/01/2010 93,535,431 Colorado Health FacilitiesLines 4 through 12 > Ln 3 by 4,121 which is the amount transferred into the 2010 Cost of Issuance Bond Trust Account from the close-out of the 2003 Bond Fund.
Schedule K, Part II, Line 11-12/01/2010 93,535,431 Colorado Health FacilitiesOther Spent Proceeds includes $14,546,298 to refund Series 1994B, $26,456,321 to refund Series 2003A and $26,456,321 to refund Series 2003B.
Schedule K, Part IV, Line 2c-12/01/2010 93,535,431 Colorado Health FacilitiesRebate calculation performed by Kutak Rock Arbtrage Consulting LLC for the period 12/1/2010 to 10/1/2015, the end of the first five-year rebate calculation period. The report concludes that there is no arbitrage rebate liability as of 10/1/2015.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Boulder Valley Pulmonology PC (BVP)
Dr. Randall Bjerke, Boardmember, is a >5% member of BVP, and as of 10/1/2015 is employed by BCH.$666,359BVP was paid $310,250 for intensivist coverage in the ICU, #11,400 for trauma call, $6,000 for Medical Directorship of ICU, and $338,709 for practice aquisition.0
Randall Bjerke MD
Boardmember$84,454Employee compensation. Dr. Bjerke became an employee of BCH on 10/01/15.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bForm 990 is prepared by the Controller based upon audited financial statements. The 990 is reviewed by the nonprofit tax manager of our external audit firm, by the CEO, CFO, VP & General Counsel, Compliance Officer, and the Audit Committee of the Board of Directors. Final copies are provided to each voting Board member electronically before filing with the IRS.
Form 990, Part VI, Section B, Line 12cThe hospital has a conflict of interest policy for all staff, and requires that staff members director level and above complete an annual conflict of interest questionnaire that is reviewed by the compliance department. The hospital also has a conflict of interest policy for all medical staff members that requires disclosure on a conflict of interest statement form during the credentialing and/or re-credentialing periods. Board members complete an annual statement of interest form which discloses employment, family member employment, business relationships, service on other Boards or governance positions and identifies other conflicts of interest. The statement of interest also identifies transactions requiring disclosure.
Form 990, Part VI, Section B, Line 15The hospital has a Compensation Committee as specified by the bylaws of the hospital (Article V, D). The Compensation Committee is comprised of the Chairman, Vice Chairman, Secretary and a member of the Finance Committee. The committee meets approximately three times per year to review the CEO compensation and approve annual contract changes. Compensation and contract changes are reported to the Board. The Committee engages a consulting firm to provide comparative compensation studies for similarly qualified persons in functionally comparable positions at similarly situated organizations. Compensation study and performance review are considered in developing the compensation decision. Compensation ranges and Benefit changes for Vice President level employees are reviewed and approved by the Compensation Committee if they are outside of hospital wide treatment. Compensation studies are also used for VP level assessment. All Compensation Committee meetings are formally documented through minutes.
Form 990, Part VI, Section C, Line 19The hospital's web site is www.bch.org. The web site includes the hospital's Mission, Vision and Beliefs Statement, our financial assistance policies, the Community Health Needs Assessment, the Board of Directors, and the Annual Report which contains key financial data, and information on new programs, patient safety and quality, and community benefits. The web site also has a section for Compliance policies including the Code of Conduct and Conflict of Interest. Annual audited financial statements are made available to the public at the Annual Meeting of The Community Hospital Association. The tax return is made available to anyone who requests the return through our Public Information Office.
Form 990, Part XI, Line 9Other Change in Net Assets of $4,526,764 = Change in Foundation Assets of -2,005,113 + Change in Minimum Pension Liability of 6,771,512 + charge for amortization of ineffective loss on swap of -239,635.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Boulder Community Health Sports Medicine Imaging LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12150 Stadium DriveAddressLine1Txt
Address Line22nd FloorAddressLine2Txt
CityBoulderCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80309ZIPCd
FieldValueIRS element (for citing)
EIN474243430EIN
Primary Activitiesimaging servicesPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Total Income-$144,783TotalIncomeAmt
End Of Year Assets$1,911,287EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Boulder Communty HealthBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Boulder Community Hospital FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11155 Alpine AvenueAddressLine1Txt
Address Line2Suite G40AddressLine2Txt
CityBoulderCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80304ZIPCd
FieldValueIRS element (for citing)
EIN840772664EIN
Primary ActivitiesFundraising for Boulder Community HealthPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Exempt Code Section501(c)3ExemptCodeSectionTxt
Public Charity Status509(a)3PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctAddress Line2USAddress/AddressLine2TxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Boulder Community Musculoskeletal Surgery Center LLC
1136 Alpine AvenueBoulderCO80304201391702Outpatient surgery centerCON/ARelated$2,631,148$2,452,5620$000.5
Endoscopy Center of the Rockies LLC
382 S Arthur AveLouisvilleCO80027841562782Outpatient EndoscopyCON/ARelated$4,726,415$1,299,0960$000.5Ste 140
Boulder MRI LLC
1000 W South Boulder RoadLafayetteCO80026452676500outpaient MRI centerCORelated$678,398$356,5440$000.51Suite 105Boulder Community Health
Foothills Surgery Center LLC
4743 Arapahoe AvenueBoulderCO80303455328252Ambulatory Surgical CenterCORelated$1,031,026$2,489,7890$000.51Suite 101Boulder Community Health
Riverbend Sleep LLC
4895 Riverbend RoadBoulderCO80301464514151own building and lease to Approved EntitiesCON/AExcluded$13,778$1,144,2790$000.5
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Boulder Community Musculoskeletal Surgery Center LLC
c$2,275,000K-1 capital distributions
Boulder Community Musculoskeletal Surgery Center LLC
j$381,635Lease receipts
Boulder Community Musculoskeletal Surgery Center LLC
q$18,569Recap of expenditures reimbursed per contract
Endoscopy Center of the Rockies LLC
c$4,750,000K-1 capital distributions
Boulder MRI LLC
c$663,000K-1 capital distributions
Boulder MRI LLC
d$1,338,750Loan Guaranty document (not > ownership %)
Boulder MRI LLC
j$61,763Lease Agmt
Boulder MRI LLC
q$71,850Receipts from PACS agreement
Riverbend Sleep LLC
c$50,000K-1 capital distribution
Riverbend Sleep LLC
b$50,000K-1 capital contribution
Foothills Surgery Center LLC
c$1,157,700K-1 capital distribution
Foothills Surgery Center LLC
d$1,026,348Loan document: 35% of Loan outstanding at YE
Foothills Surgery Center LLC
j$355,308Lease payments received

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationCP211A dated June 13,2016 grants a filing extension to November 15, 2016.ExplanationTxt