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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T16:16:50-07:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840175870 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Community Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BOUL | BusinessNameControlTxt |
| Phone | 3034402358 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 9019 1100 Balsam Ave | AddressLine1Txt |
| City | Boulder | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 803019019 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | William A Munson Jr | PersonNm |
| Person Title | CFO & Vice President | PersonTitleTxt |
| Phone | 3034157433 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Robert J Vissers President and CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 9019 | AddressLine1Txt |
| City | Boulder | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 803019019 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $538,323,730 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.bch.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1922 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | To provide our community with the safest and highest quality healthcare in an innovative, patient-centered environment. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 2786 | TotalEmployeeCnt |
| Total Volunteers | 578 | TotalVolunteersCnt |
| Total Gross UBI | $1,238,722 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,929,458 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,068,851 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $298,932,421 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $317,641,624 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,523,795 | PYInvestmentIncomeAmt |
| CY Investment Income | $25,456,494 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,369,077 | PYOtherRevenueAmt |
| CY Other Revenue | $18,294,183 | CYOtherRevenueAmt |
| PY Total Revenue | $339,754,751 | PYTotalRevenueAmt |
| CY Total Revenue | $364,461,152 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $298,436 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $325,749 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $155,461,914 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $167,129,963 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $410,565 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $153,160,845 | PYOtherExpensesAmt |
| CY Other Expenses | $180,901,161 | CYOtherExpensesAmt |
| PY Total Expenses | $308,921,195 | PYTotalExpensesAmt |
| CY Total Expenses | $348,356,873 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $30,833,556 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,104,279 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $648,918,164 | TotalAssetsBOYAmt |
| Total Assets EOY | $655,698,658 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $271,694,024 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $267,078,954 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $377,224,140 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $388,619,704 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide our community with the safest and highest quality healthcare in an innovative, patient-centered environment. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $248,329,733 | ExpenseAmt |
| Grant | $325,749 | GrantAmt |
| Revenue | $357,549,786 | RevenueAmt |
| Desc | Health 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 | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $248,329,733 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (1) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 230 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2786 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lisa Rogowski Controller | PersonNm |
| Phone | 3034402358 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 9019 | AddressLine1Txt |
| Address Line2 | 1100 Balsam Ave | AddressLine2Txt |
| City | Boulder | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 803019019 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Richard Porreca | ||||||||||
| Chairman | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Janet Martin | ||||||||||
| Vice Chairman | 4 | 0 | Yes (X) | Yes (X) | $1,451 | $0 | $0 | |||
| Jean Dubofsky | ||||||||||
| Secretary | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Dee Perry | ||||||||||
| Treasurer | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Randy Bjerke MD | ||||||||||
| Board Member | 40.00 | 0 | Yes (X) | $83,537 | $0 | $8,069 | ||||
| Jeff Morgan | ||||||||||
| Board Member | 2 | 0 | Yes (X) | $2,137 | $0 | $0 | ||||
| Susan Graf | ||||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Mako Shimoda MD | ||||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Steve Fries MD | ||||||||||
| Board Member | 2 | 0 | Yes (X) | $1,610 | $0 | $0 | ||||
| Harold Flowers | ||||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Benita Duran | ||||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Suzy Ageton | ||||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| David Gehant | ||||||||||
| Exec Director/CEO | 38.00 | 2.00 | Yes (X) | Yes (X) | $1,125,904 | $0 | $40,941 | |||
| Robert J Vissers | ||||||||||
| Exec Director/CEO | 38.00 | 2.00 | Yes (X) | Yes (X) | $726,646 | $0 | $166,848 | |||
| Rhonda Williams | ||||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Bryan Pieper | ||||||||||
| Board Member | 2 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Paul Kenneth Lewis Jr | ||||||||||
| VP & Chief Medical Officer | 40 | 0 | Yes (X) | $431,128 | $0 | $97,298 | ||||
| William A Munson Jr | ||||||||||
| VP & CFO | 40 | 0 | Yes (X) | $373,603 | $0 | $86,405 | ||||
| Jacqueline M Attlesey-Pries | ||||||||||
| VP & Chief Nursing Officer | 40 | 0 | Yes (X) | $278,661 | $0 | $70,974 | ||||
| Sarah E Meshak | ||||||||||
| VP & General Counsel | 40 | 0 | Yes (X) | $241,928 | $0 | $53,372 | ||||
| Linda S Minghella | ||||||||||
| VP & Chief Information Officer | 40 | 0 | Yes (X) | $255,633 | $0 | $53,722 | ||||
| Ronald Secrist | ||||||||||
| BCH Foundation President | 0.00 | 40.00 | $182,399 | $0 | $22,898 | Yes (X) | ||||
| Jamie D Jensen | ||||||||||
| Physician Clinic COO | 40 | 0 | $197,355 | $0 | $38,453 | Yes (X) | ||||
| Frank Bruno | ||||||||||
| BCH Foundation President | 0.00 | 40.00 | $141,157 | $0 | $18,319 | Yes (X) | ||||
| Sameer A Oza | ||||||||||
| Physician | 40 | 0 | $683,605 | $0 | $55,456 | Yes (X) | ||||
| Jamie J Doucet | ||||||||||
| Physician | 40 | 0 | $648,294 | $0 | $54,940 | Yes (X) | ||||
| Nelson P Trujillo Jr | ||||||||||
| Physician | 40 | 0 | $676,051 | $0 | $57,456 | Yes (X) | ||||
| Daniel S White | ||||||||||
| Physician | 40 | 0 | $648,661 | $0 | $57,316 | Yes (X) | ||||
| John A Schutz | ||||||||||
| Physician | 40 | 0 | $652,272 | $0 | $57,193 | Yes (X) | ||||
| James Peters | ||||||||||
| Former VP | 0 | 0 | $125,883 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,477,915 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $939,660 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 220 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | Business Name Line2ContractorName/BusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|
| Favorite Healthcare Staffing Inc | |||||||
| PO Box 803356 | Kansas City | MO | 641803356 | agency nursing services | $2,152,402 | ||
| Navin Haffty & Associates LLC | |||||||
| 1900 West Park Drive | Westborough | MA | 01581 | Information Technology Consulting | $1,778,460 | Suite 180 | |
| Colorado Cardiovascular Surgical Associates PC | |||||||
| 950 E Harvard Ave Suite 550 | Denver | CO | 80210 | Cardiovascular surgery coverage and employee lease | $1,145,941 | Suite 203 | |
| Boulder Neurosurgical Assoc PLLC | |||||||
| 4743 Arapahoe Ave | Boulder | CO | 80303 | trauma call | $1,020,992 | Suite 202 | |
| Boulder Valley Anesthesiology LLC | |||||||
| 1420 28th St Ste 100 | Boulder | CO | 80303 | Anesthesiology coverage | $961,600 | c/o Wendll Walker & Assoc | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 30 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $2,574,023 | RelatedOrganizationsAmt |
| Government Grants | $486,915 | GovernmentGrantsAmt |
| All Other Contributions | $7,913 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $3,068,851 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Acute Care Hospital | Desc |
| Business | 622000 | BusinessCd |
| Total Revenue Column | $317,641,624 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $317,035,034 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $516,678 | UnrelatedBusinessRevenueAmt |
| Exclusion | $89,912 | ExclusionAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $317,641,624 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,043,121 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,043,121 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $155,170,188 | SecuritiesAmt |
| Other | $40,047,556 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $155,665,157 | SecuritiesAmt |
| Other | $18,139,225 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$494,969 | SecuritiesAmt |
| Other | $21,908,331 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,413,362 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,908,331 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$494,969 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $8,514 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $380 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,134 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,134 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $117,464 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $57,816 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,648 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $59,648 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Health Care Joint Ventures | 621400 | $7,780,911 | $7,780,911 | $0 | $0 |
| Misc Hospital Revenue | 622000 | $10,445,490 | $9,586,788 | $722,044 | $136,658 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $18,226,401 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $364,461,152 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $356,311,064 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,238,722 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,842,515 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,914 | TotalAmt |
| Program Services | $149,914 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,033 | TotalAmt |
| Program Services | $105,033 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,802 | TotalAmt |
| Program Services | $70,802 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,173,209 | TotalAmt |
| Program Services | $92,523 | ProgramServicesAmt |
| Management And General | $3,787,427 | ManagementAndGeneralAmt |
| Fundraising | $293,259 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,547,464 | TotalAmt |
| Program Services | $95,105,629 | ProgramServicesAmt |
| Management And General | $33,405,836 | ManagementAndGeneralAmt |
| Fundraising | $35,999 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,812,842 | TotalAmt |
| Program Services | $7,905,093 | ProgramServicesAmt |
| Management And General | $2,907,749 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,790,353 | TotalAmt |
| Program Services | $10,616,968 | ProgramServicesAmt |
| Management And General | $4,142,632 | ManagementAndGeneralAmt |
| Fundraising | $30,753 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,806,095 | TotalAmt |
| Program Services | $6,461,078 | ProgramServicesAmt |
| Management And General | $2,324,863 | ManagementAndGeneralAmt |
| Fundraising | $20,154 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,074,824 | TotalAmt |
| Program Services | $180,266 | ProgramServicesAmt |
| Management And General | $1,894,558 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,319 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $221,319 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,980 | TotalAmt |
| Program Services | $5,940 | ProgramServicesAmt |
| Management And General | $92,040 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $749,042 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $749,042 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,092,094 | TotalAmt |
| Program Services | $17,073,070 | ProgramServicesAmt |
| Management And General | $4,019,024 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $833,492 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $833,492 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,429,554 | TotalAmt |
| Program Services | $2,487,366 | ProgramServicesAmt |
| Management And General | $2,932,649 | ManagementAndGeneralAmt |
| Fundraising | $9,539 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,165,863 | TotalAmt |
| Program Services | $652,009 | ProgramServicesAmt |
| Management And General | $9,513,854 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,238,607 | TotalAmt |
| Program Services | $4,036,833 | ProgramServicesAmt |
| Management And General | $3,182,443 | ManagementAndGeneralAmt |
| Fundraising | $19,331 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $439,039 | TotalAmt |
| Program Services | $238,688 | ProgramServicesAmt |
| Management And General | $200,351 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,851 | TotalAmt |
| Program Services | $149,687 | ProgramServicesAmt |
| Management And General | $177,164 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,188,663 | TotalAmt |
| Program Services | $955,958 | ProgramServicesAmt |
| Management And General | $3,232,705 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,000 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $25,000 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,567,979 | TotalAmt |
| Program Services | $10,238,935 | ProgramServicesAmt |
| Management And General | $18,322,325 | ManagementAndGeneralAmt |
| Fundraising | $6,719 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,090,950 | TotalAmt |
| Program Services | $2,090,950 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,826,619 | TotalAmt |
| Program Services | $1,293,267 | ProgramServicesAmt |
| Management And General | $2,565,652 | ManagementAndGeneralAmt |
| Fundraising | -$32,300 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,356,873 | TotalAmt |
| Program Services | $248,329,733 | ProgramServicesAmt |
| Management And General | $99,616,575 | ManagementAndGeneralAmt |
| Fundraising | $410,565 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,858 | BOYAmt |
| EOY | $317,773 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,538,828 | BOYAmt |
| EOY | $4,191,316 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,184,328 | BOYAmt |
| EOY | $47,486,674 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,445,598 | BOYAmt |
| EOY | $1,354,278 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,394,533 | BOYAmt |
| EOY | $2,851,629 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,269,204 | BOYAmt |
| EOY | $7,588,269 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $378,535,850 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $150,302,910 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $253,411,803 | BOYAmt |
| EOY | $228,232,940 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,999,026 | BOYAmt |
| EOY | $209,922,879 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,603,973 | BOYAmt |
| EOY | $104,986,183 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,317,826 | BOYAmt |
| EOY | $4,938,704 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $303,897 | BOYAmt |
| EOY | $385,893 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,431,290 | BOYAmt |
| EOY | $43,442,120 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $648,918,164 | BOYAmt |
| EOY | $655,698,658 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,042,708 | BOYAmt |
| EOY | $46,487,623 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,607,784 | BOYAmt |
| EOY | $170,815,013 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,519 | BOYAmt |
| EOY | $72,066 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,964,013 | BOYAmt |
| EOY | $49,704,252 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,694,024 | BOYAmt |
| EOY | $267,078,954 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $341,473,297 | BOYAmt |
| EOY | $354,798,055 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,495,509 | BOYAmt |
| EOY | $27,376,397 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,255,334 | BOYAmt |
| EOY | $6,445,252 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $377,224,140 | BOYAmt |
| EOY | $388,619,704 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $648,918,164 | BOYAmt |
| EOY | $655,698,658 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $16,104,279 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$9,235,479 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $4,526,764 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $13,312 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $13,312 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 | FormAndLineReferenceDesc |
| Explanation | 6.19% 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $35,750,843 | BeginningYearBalanceAmt |
| Contributions | $2,580,067 | ContributionsAmt |
| Investment Earnings Or Losses | -$402,645 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $4,119,616 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $33,808,649 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $34,604,553 | BeginningYearBalanceAmt |
| Contributions | $4,337,617 | ContributionsAmt |
| Investment Earnings Or Losses | $1,664,839 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $4,856,166 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $35,750,843 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $31,318,621 | BeginningYearBalanceAmt |
| Contributions | $3,221,343 | ContributionsAmt |
| Investment Earnings Or Losses | $4,678,434 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $4,613,845 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $34,604,553 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,522,148 | BeginningYearBalanceAmt |
| Contributions | $7,987,150 | ContributionsAmt |
| Investment Earnings Or Losses | $2,442,969 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $2,633,646 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $31,318,621 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,231,845 | BeginningYearBalanceAmt |
| Contributions | $4,805,197 | ContributionsAmt |
| Investment Earnings Or Losses | -$332,547 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,182,347 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $23,522,148 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.19 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.81 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $16,446,336 | OtherCostOrOtherBasisAmt |
| Book Value | $16,446,336 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $207,586,068 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,632,718 | DepreciationAmt |
| Book Value | $143,953,350 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,585,345 | OtherCostOrOtherBasisAmt |
| Depreciation | $534,966 | DepreciationAmt |
| Book Value | $2,050,379 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $150,860,077 | OtherCostOrOtherBasisAmt |
| Depreciation | $86,135,226 | DepreciationAmt |
| Book Value | $64,724,851 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,058,024 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $1,058,024 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $228,232,940 | TotalBookValueLandBuildingsAmt |
Financial Derivatives FinancialDerivativesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | -$5,928,799 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $16,033,952 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
Other Securities OtherSecuritiesGrp (7 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Municipal bonds, infrequently traded | $329,589 | F |
| Corporate bonds and notes, infrequently traded | $19,760,527 | F |
| Asset backed securities, infrequently traded | $7,092,531 | F |
| Long/Short Fixed Income Funds | $38,187,678 | F |
| Long/Short Equity Funds | $22,905,470 | F |
| Real Assets, Infrequently traded | $6,261,797 | F |
| Fund of Hedge Funds | $343,438 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $104,986,183 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $43,442,120 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Pension Liability | $43,508,617 |
| Deferred Compensation Liability | $6,195,635 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $49,704,252 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $341,670,926 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$9,235,479 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | -$12,729,965 | OtherRevenueAmt |
| Revenue Not Reported | -$21,965,444 | RevenueNotReportedAmt |
| Revenue Subtotal | $363,636,370 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $749,042 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $75,740 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $824,782 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $364,461,152 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $330,250,362 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $330,250,362 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $749,042 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $17,357,469 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $18,106,511 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $348,356,873 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 | Boulder Community Hospital Foundation, a related organization, holds permanent endowment funds. The income earned on these endowment funds is used to support hospital programs for diabetes, cancer, neonatology, heart and surgery center, healthcare scholarships, or for the foundation to direct if the endowment fund does not restrict how the income is to be spent. Temporarily restricted funds held by the Foundation include funds for the 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 2d | Other 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 4b | Other of 75,740 = Ambassador expenses reflected as Restricted Contributions in Audit. |
| Schedule D, Part XII, Line 4b | Other 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|---|
| Sub-Saharan Africa | 0 | 0 | Program Services | The 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 Caribbean | 0 | 0 | Program Services | The hospital participated in a medical mission to Haiti. | $46,388 |
| Central America and the Caribbean | 0 | 0 | Investments | Passive 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) | 0 | 0 | Investments | Passive investments in Ireland have a YE market value of $7,134,853 and incurred management fees of $69,208. | $7,204,061 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Spent | $62,386,149 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)
| RegionRegionTxt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Description Of Non Cash AsstDescriptionOfNonCashAsstTxt | Valuation Method UsedValuationMethodUsedDesc | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|
| Sub-Saharan Africa | The 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. | $24,415 | Airfare, 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 Caribbean | Medical mission to Haiti | $46,388 | Airfare and medical supplies totaling $46,388 | Cost | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule F, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 2.5 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,084,870 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $431,272 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,653,598 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.008 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,179,978 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,293,070 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,886,908 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.061 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $57,264,848 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,724,342 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,540,506 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.069 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $335,085 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,298 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $289,787 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $304,577 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $304,577 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $567,848 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $567,848 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.002 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,207,510 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,298 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,162,212 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.004 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $58,472,358 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,769,640 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,702,718 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.073 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,379 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,131 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,131 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $83,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $83,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $94,833 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $94,833 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $17,702,933 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $53,681,360 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $75,241,376 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$21,560,016 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| Boulder Community Musculoskeletal Surgery Center LLC | |||
| Outpatient Orthopedic Surgery Center | 0.5 | 0 | 0.5 |
| Endoscopy Center of the Rockies LLC | |||
| Outpatient Endoscopy Center | 0.5 | 0 | 0.5 |
| Boulder MRI LLC | |||
| outpatient MRI center | 0.51 | 0 | 0.49 |
| Foothills Surgery Center LLC | |||
| Ambulatory Surgical Center | 0.51 | 0 | 0.49 |
| Riverbend Sleep LLC | |||
| Property ownership and lease to Approved Entities | 0.5 | 0 | 0.5 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Community Foothills Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4747 Arapahoe Avenue | AddressLine1Txt |
| City | Boulder | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.bch.org | WebsiteAddressTxt |
| State License | 010323 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Community Foothills Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.bch.org/media/648783/bch-community-health-needs-assessment-final-august-26-2016.pdf | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.bch.org/media/648783/bch-community-health-needs-assessment-final-august-26-2016.pdf | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.bch.org/media/589901/fin-assis-appl-english-2015.pdf | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.bch.org/media589901/fin-assis-appl-english-2015.pdf | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.bch.org/patientportal/billing-and-payment-policies.aspx | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5-Boulder Community Foothills Hospital | In 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 Hospital | The 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 Hospital | The 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 Hospital | www.bch.org |
| Schedule H, Part V, Section B, Line 16b-Boulder Community Foothills Hospital | www.bch.org |
| Schedule H, Part V, Section B, Line 16c-Boulder Community Foothills Hospital | www.bch.org |
| Schedule H, Part V, Section B, Line 22d-Boulder Community Foothills Hospital | All 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 39 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (39 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt | Business Name Line2BusinessName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|
| BCH Behavioral Health DPU | ||||||
| 1100 Balsam Avenue | Boulder | CO | 80304 | Psych DPU | ||
| Mapleton Center | ||||||
| 311 Mapleton Ave | Boulder | CO | 80304 | Outpatient clinic for rehabilitation, sports medicine, outpatient mental health and homecare. | ||
| BCH Rehabilitation DPU | ||||||
| 1100 Balsam Avenue | Boulder | CO | 80304 | Rehab DPU | ||
| Community Medical Center | ||||||
| 1000 W South Boulder Road | Lafayette | CO | 80026 | Urgent-care center | ||
| BCH at Boulder Medical Center | ||||||
| 2750 Broadway | Boulder | CO | 80304 | laboratory and imaging services | ||
| Boulder Community Musculoskeletal Surgery LLC | ||||||
| 1136 Alpine Avenue | Boulder | CO | 80304 | Ambulatory Surgical Center | ||
| Endoscopy Center of the Rockies in Lafayette | ||||||
| 1000 W South Boulder Road | Lafayette | CO | 80026 | Endoscopic Ambulatory Surgery Center | Suite 202 | |
| Endoscopy Center of the Rockies in Boulder | ||||||
| 1755 48th Street | Boulder | CO | 80303 | Endoscopic Ambulatory Surgical Center | Suite 110 | |
| Endoscopy Cener of the Rockies in Longmont | ||||||
| 1551 Professional Lane | Longmont | CO | 80501 | Endoscopic Ambulatory Surgical Center | Suite 295 | |
| Boulder MRI LLC | ||||||
| 1000 W South Boulder Road | Lafayette | CO | 80026 | MRI Imaging Center | Suite 105 | |
| Foothils Surgery Center LLC | ||||||
| 4743 Arapahoe Avenue | Boulder | CO | 80303 | Ambulatory Surgical Center | Suite 101 | |
| Boulder Heart | ||||||
| 4743 Arapahoe Avenue | Boulder | CO | 80303 | Physician clinic | Suite 201 | |
| Boulder Heart Lafayette | ||||||
| 1000 W South boulder Road | Lafayette | CO | 800262089 | Physician clinic | Suite 216 | |
| Boulder Heart Longmont | ||||||
| 2101 Ken Pratt Blvd | Longmont | CO | 805016568 | Physician clinic | Suite 104 | |
| Internal Medicine Associates | ||||||
| 1155 Alpine | Boulder | CO | 80304 | Physician clinic | Unite 360 | |
| Internal Medical Associates Foothills | ||||||
| 4745 Arapahoe Ave | Boulder | CO | 80303 | Physician clinic | Unit G50 | |
| Boulder Valley Pulmonology | ||||||
| 1155 Alpine | Boulder | CO | 80304 | Physician clinic | Unit 150 | |
| CU Sports Medicine and Performance Center | ||||||
| 2150 Stadium Drive | Boulder | CO | 80309 | outpatient sports medicine clinic | Second Floor | |
| Boulder Community Health Sports Medicine | ||||||
| 2150 Stadium Drive | Boulder | CO | 80309 | Imaging IDTF | Imaging LLC | |
| Beacon Clinic | ||||||
| 1136 Alpine Ave | Boulder | CO | 80304 | Infectious Disease Clinic | Suite 205 | |
| Boulder Community Health Sleep Diagnostice | ||||||
| 4895 Riverbend Rd | Boulder | CO | 80301 | Sleep study center | ||
| Sleep Fit | ||||||
| 13654 Xavier Lane | Broomfield | CO | 80020 | Sleep study center | Suite 210A | |
| Internal Medical Associates of Lafayette | ||||||
| 1000 W South Boulder Rd | Lafayette | CO | 80026 | Physician clinic | Suite 214 | |
| Sports Medicine East | ||||||
| 1000 W South Boulder Rd | Louisville | CO | 80026 | Sports medicine clinic | Suite 212 220 226 | |
| Buffalo Ridge Medical Center | ||||||
| 16677 Lowell Blvd | Broomfield | CO | 80023 | Physician clinic | ||
| Center for Integrative Care | ||||||
| 4715 Arapahoe | Boulder | CO | 80303 | Outpatient integrative care for cancer patients | Unit 100 | |
| Broomfield Imaging | ||||||
| 36 Garden Center | Broomfield | CO | 80020 | Laboratory and imaging services | ||
| Community Medical Associates of Lafayette | ||||||
| 401 E Cleveland Street | Lafayette | CO | 80026 | Physician clinic | ||
| Frontier Internal Medicine | ||||||
| 2101 Ken Pratt Blvd | Longmont | CO | 80501 | Physician clinic | Ste 104 | |
| Holistic Family Practice | ||||||
| 1155 Alpine Avenue | Boulder | CO | 80304 | Physician clinic | Suite 360 | |
| Northwest Family Medicine | ||||||
| 500 Discovery Parkway | Superior | CO | 80027 | Physician clinic | Suite 150 | |
| Family Medical Associates | ||||||
| 1000 W South Boulder Rd | Lafayette | CO | 80026 | Physician clinic | Suite 110 | |
| Spruce Street Internal Medicine | ||||||
| 2575 Spruce Street | Boulder | CO | 80302 | Physician clinic | ||
| Boulder Creek Family Medicine | ||||||
| 1755 48th St | Boulder | CO | 80303 | Physician clinic | Suite 200 | |
| Associated Neurologists of Boulder | ||||||
| 1155 Alpine | Boulder | CO | 80304 | Physician clinic | Suite 320 | |
| Boulder Community Hospital Occupational Medicine | ||||||
| 4745 Arapahoe Ave | Boulder | CO | 80303 | Occupational medicine clinic | Suite G40 | |
| Dakota Ridge Medical Center | ||||||
| 2995 Baseline Road | Boulder | CO | 80303 | Physician clinic | Suite 210 | |
| Gunbarrel Medical Center | ||||||
| 6685 Gunpark Drive | Boulder | CO | 80301 | Physician clinic | Suite 110 | |
| BMC East Laboratory | ||||||
| 80 Health Park Dr | CO | CO | 80027 | Laboratory draw station | Louisville | |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 | Ratio of Patient Cost to Patient Charges |
| Schedule H, Part I, Line 7, Column f | 17,702,933 |
| Schedule H, Part II | Community Support Activities include diaster readiness training in conjunction with numerous local agencies (fire, police, sheriff, other counties, other hospitals) to ensure coordinated and effective response to a disaster. Coalition building includes the hospitals participation in the development of the Colorado Regional Health Information Organization (CORHIO) and Boulder County Health 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 4 | Page 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 8 | 100% and more of Line 7 Medicare shortfall should be treated as community benefit. Boulder County has a demonstrated community need for physicians who accept Medicare. (Many physician providers do not.) The hospital not only serves the Medicare population for hospital services, it also employs numerous primary care, internal medicine, 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 9b | The hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the hospital's charity program (WeCare). Financial arrangements with Emergency Room patients are not discussed until the patient has been assessed and treated in accordance with EMTALA. The hospital's debt collection policy contains a Communications section addressing courtesy, confidentiality, cultural sensitivity, and primary language of a patient. It contains a section on Billing and Collection Practices which addresses when an account will be referred to a licensed collection agency and that those agencies will treat all patients with dignity, compassion and respect, as well as adhering to Colorado State Laws and the Fair Debt Collection Act. Patients may apply/reapply for financial assistance before, during or after care, or after collection agency assignment. |
| Schedule H, Part VI, Line 2 | In 2010, a comprehensive facilities study was performed to evaluate each of the existing hospital campuses and determine the most efficient and effective methods of delivering the safest, highest quality health care. The Planning Committee uses the Community Health Needs Assessment, the Comprehensive Facilities study, as well as market and demographic studies to ensure BCH meets the future health care needs of our community. BCH is in the midst of a 10 year transitional strategy to consolidate health care delivery in order to meet the needs of the community in a safe and sustainable manner. As of October, 2014 all acute care inpatient services have been consolidated at the Foothills campus. BCH 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 3 | The Hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the Hospitals charity program (WeCare). The hospital employs Spanish speaking financial counselors and would utilize interpreter services for other languages. Financial Assistance programs are referenced in patient discharge information, billing statements, and on the hospitals web site. |
| Schedule H, Part VI, Line 4 | Boulder 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 5 | The Hospital is governed by a volunteer community board. The Hospital has an open medical staff. All surplus funds are reinvested in the hospital to fund charity, subsidize under performing health programs, develop new health programs, or as an investment in plant, equipment and technology. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Business Name Line2RecipientBusinessName/BusinessNameLine2Txt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceDesc | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Boulder County Fire Fighters Assoc | ||||||||||||
| Sunshine Fire Protection District | PO Box 7461 | Golden | CO | 80302 | 846000600 | 501 (c)3 | $24,000 | $0 | FMV | Support for local fire association. | ||
| Boulder Valley School District | ||||||||||||
| 6500 E Arapahoe | Boulder | CO | 80303 | 846014683 | 501 (c)3 | $0 | $73,677 | FMV | Support high school athletics and help to reduce student athlete injuries. | Provide athletic trainer to school district | ||
| The Community Foundation | ||||||||||||
| 1123 Spruce St | Boulder | CO | 80302 | 841171836 | 501(c)3 | $12,000 | $0 | FMV | To support civic forum on health care and sponsorship of the Conversation | |||
| Justin Parker Neurological Institute | ||||||||||||
| 4743 Arapahoe Ave | Boulder | CO | 80303 | 263588986 | 501 (c)3 | $7,500 | $0 | FMV | To support education related to brain and trauma disorders. | Ste 202 | ||
| American Red Cross | ||||||||||||
| 444 Sherman St | Denver | CO | 80203 | 530196605 | 501 (c) 3 | $6,000 | FMV | Nepal Relief 5,000 General 1,000 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| Healthcare educational scholarships | 22 | $44,840 | $0 | Cost | |
| Assistance for IP rehab patients | 11 | $7,383 | $0 | Cost | |
| Assistance with RX post-discharge for indigent patients | 50 | $12,024 | Cost | Take home medications donated to indigent patients post-discharge | |
| Assistance with food, housing and transportation post=discharge for indigent patients | 111 | $40,306 | cost | ||
| Assistance with pro fee for reading for indigent mammography | 6 | $480 | cost |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | Grants are only made to non profit 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a | The 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 1b | Travel 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 3 | The 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 4 | Ln 4b--The hospital contributes to a nonqualified 457(f) plan for the benefit of its executive leadership. Participants include: Robert Vissers, Pres & CEO ($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 7 | The hospital has an Incentive Compensation Plan for Vice Presidents and Directors whereby a percentage of base salary is paid out if goals are met and if authorized by the Board of Directors. For Vice-Presidents, one-third of their incentive is based upon the Hospital meeting at least 85% of its budgeted net operating income before interest expense. One-third VP incentive is based on Safety goals and one-third is based on Performance Goals. The one-third financial goal for Directors is based on meeting their departmental financial targets, as well as a one-third safety goal and a one-third performance goal. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Business Name Line2IssuerName/BusinessNameLine2Txt | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|---|
| Colorado Health Facilities | |||||||||
| A | Authority | 840752932 | 19648AVF9 | 2010-12-01 | $93,535,431 | Foothills expansion; balance for debt refunding | 0 | 0 | 0 |
| Colorado Health Facilities | |||||||||
| B | Authority | 840752932 | 19648AZL2 | 2012-08-28 | $31,748,673 | Foothills hospital expansion | 0 | 0 | 0 |
| Colorado Health Facilities Authority | |||||||||
| C | 840752932 | 2014-12-30 | $30,000,000 | acquiring,constructing & equipping Financed Facilities | 0 | 0 | 0 | ||
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate 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 | $0 | 2014 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $1,640,000 | $0 | $31,815,214 | $0 | $0 | $0 | $452,449 | $0 | $0 | $31,362,765 | $0 | $0 | 2014 | 0 | 0 | Yes (1) | Yes (1) |
| C | $0 | $0 | $18,305,000 | $0 | $0 | $0 | $153,502 | $0 | $0 | $18,151,500 | $0 | $0 | 2017 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I, Column e-12/01/2010 93,535,431 Colorado Health Facilities | Ln A(e) of $93,535,431 < Pt II Ln 3(A) of 93,716,361 by the cumulative trust fund interest income of $180,930. |
| Schedule K, Part I, Column e-08/28/2012 31,748,673 Colorado Health Facilities | Ln B(e) of $31,748,673 < than Pt II Ln 3(B) of 31,815,214 by the cumulative trust fund interest income of $66,541. |
| Schedule K, Part I, Column e-12/30/2014 30,000,000 Colorado Health Facilities Authority | Ln C(e) of $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 Facilities | Lines 4 through 12 > Ln 3 by 4,121 which is the amount transferred into the 2010 Cost of Issuance Bond Trust Account from the close-out of the 2003 Bond Fund. |
| Schedule K, Part II, Line 11-12/01/2010 93,535,431 Colorado Health Facilities | Other Spent Proceeds includes $14,546,298 to refund Series 1994B, $26,456,321 to refund Series 2003A and $26,456,321 to refund Series 2003B. |
| Schedule K, Part IV, Line 2c-12/01/2010 93,535,431 Colorado Health Facilities | Rebate calculation 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 DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing 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. | $666,359 | BVP 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 | $84,454 | Employee 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11b | Form 990 is prepared by the Controller based upon audited financial statements. The 990 is reviewed by the nonprofit tax manager of our external audit firm, by the CEO, CFO, VP & General Counsel, Compliance Officer, and the Audit Committee of the Board of Directors. Final copies are provided to each voting Board member electronically before filing with the IRS. |
| Form 990, Part VI, Section B, Line 12c | The hospital has a conflict of interest policy for all staff, and requires that staff members director level and above complete an annual conflict of interest questionnaire that is reviewed by the compliance department. The hospital also has a conflict of interest policy for all medical staff members that requires disclosure on a conflict of interest statement form during the credentialing and/or re-credentialing periods. Board members complete an annual statement of interest form which discloses employment, family member employment, business relationships, service on other Boards or governance positions and identifies other conflicts of interest. The statement of interest also identifies transactions requiring disclosure. |
| Form 990, Part VI, Section B, Line 15 | The 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 19 | The hospital's web site is www.bch.org. The web site includes the hospital's Mission, Vision and Beliefs Statement, our financial assistance policies, the Community Health Needs Assessment, the Board of Directors, and the Annual Report which contains key financial data, and information on new programs, patient safety and quality, and community benefits. The web site also has a section for Compliance policies including the Code of Conduct and Conflict of Interest. Annual audited financial statements are made available to the public at the Annual Meeting of 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 9 | Other 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Community Health Sports Medicine Imaging LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2150 Stadium Drive | AddressLine1Txt |
| Address Line2 | 2nd Floor | AddressLine2Txt |
| City | Boulder | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 474243430 | EIN |
| Primary Activities | imaging services | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Total Income | -$144,783 | TotalIncomeAmt |
| End Of Year Assets | $1,911,287 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Communty Health | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Community Hospital Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1155 Alpine Avenue | AddressLine1Txt |
| Address Line2 | Suite G40 | AddressLine2Txt |
| City | Boulder | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80304 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840772664 | EIN |
| Primary Activities | Fundraising for Boulder Community Health | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Exempt Code Section | 501(c)3 | ExemptCodeSectionTxt |
| Public Charity Status | 509(a)3 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Address Line2USAddress/AddressLine2Txt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Boulder Community Musculoskeletal Surgery Center LLC | ||||||||||||||||
| 1136 Alpine Avenue | Boulder | CO | 80304 | 201391702 | Outpatient surgery center | CO | N/A | Related | $2,631,148 | $2,452,562 | 0 | $0 | 0 | 0.5 | ||
| Endoscopy Center of the Rockies LLC | ||||||||||||||||
| 382 S Arthur Ave | Louisville | CO | 80027 | 841562782 | Outpatient Endoscopy | CO | N/A | Related | $4,726,415 | $1,299,096 | 0 | $0 | 0 | 0.5 | Ste 140 | |
| Boulder MRI LLC | ||||||||||||||||
| 1000 W South Boulder Road | Lafayette | CO | 80026 | 452676500 | outpaient MRI center | CO | Related | $678,398 | $356,544 | 0 | $0 | 0 | 0.51 | Suite 105 | Boulder Community Health | |
| Foothills Surgery Center LLC | ||||||||||||||||
| 4743 Arapahoe Avenue | Boulder | CO | 80303 | 455328252 | Ambulatory Surgical Center | CO | Related | $1,031,026 | $2,489,789 | 0 | $0 | 0 | 0.51 | Suite 101 | Boulder Community Health | |
| Riverbend Sleep LLC | ||||||||||||||||
| 4895 Riverbend Road | Boulder | CO | 80301 | 464514151 | own building and lease to Approved Entities | CO | N/A | Excluded | $13,778 | $1,144,279 | 0 | $0 | 0 | 0.5 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Boulder Community Musculoskeletal Surgery Center LLC | ||
| c | $2,275,000 | K-1 capital distributions |
| Boulder Community Musculoskeletal Surgery Center LLC | ||
| j | $381,635 | Lease receipts |
| Boulder Community Musculoskeletal Surgery Center LLC | ||
| q | $18,569 | Recap of expenditures reimbursed per contract |
| Endoscopy Center of the Rockies LLC | ||
| c | $4,750,000 | K-1 capital distributions |
| Boulder MRI LLC | ||
| c | $663,000 | K-1 capital distributions |
| Boulder MRI LLC | ||
| d | $1,338,750 | Loan Guaranty document (not > ownership %) |
| Boulder MRI LLC | ||
| j | $61,763 | Lease Agmt |
| Boulder MRI LLC | ||
| q | $71,850 | Receipts from PACS agreement |
| Riverbend Sleep LLC | ||
| c | $50,000 | K-1 capital distribution |
| Riverbend Sleep LLC | ||
| b | $50,000 | K-1 capital contribution |
| Foothills Surgery Center LLC | ||
| c | $1,157,700 | K-1 capital distribution |
| Foothills Surgery Center LLC | ||
| d | $1,026,348 | Loan document: 35% of Loan outstanding at YE |
| Foothills Surgery Center LLC | ||
| j | $355,308 | Lease payments received |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | CP211A dated June 13,2016 grants a filing extension to November 15, 2016. | ExplanationTxt |