POUDRE VALLEY HEALTH CARE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: POUDRE VALLEY HEALTH CARE INC (EIN 84-1262971)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-15
IRS object ID: 201511359349306451
Schema version: 2013v4.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-15T14:39:27-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	461497033	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	EKS&H LLLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	7979 E TUFTS AVENUE SUITE 400	AddressLine1
City	DENVER	City
State	CO	State
ZIP Code	802372521	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	841262971	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	POUDRE VALLEY HEALTH CARE INC	BusinessNameLine1

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY ROAD NO 200	AddressLine1
City	FORT COLLINS	City
State	CO	State
ZIP Code	80528	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHANIE DOUGHTY	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	9702377000	PhoneNum
Signature	2015-05-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CRAIG R CHOUN	PreparerPersonNm
PTIN	P00173718	PTIN
Phone	3037409400	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY RD 200	AddressLine1
City	FT COLLINS	City
State	CO	State
ZIP Code	80528	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$481,878,053	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UCHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	WE IMPROVE LIVES.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	4388	TotalEmployeeCnt
Total Volunteers	729	TotalVolunteersCnt
Total Gross UBI	$10,121,084	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,401,618	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$25,492,114	PYContributionsGrantsAmt
CY Contributions Grants	$4,199,637	CYContributionsGrantsAmt
PY Program Service Revenue	$545,139,001	PYProgramServiceRevenueAmt
CY Program Service Revenue	$446,107,775	CYProgramServiceRevenueAmt
PY Investment Income	$7,452,561	PYInvestmentIncomeAmt
CY Investment Income	$15,060,636	CYInvestmentIncomeAmt
PY Other Revenue	$9,500,694	PYOtherRevenueAmt
CY Other Revenue	$12,929,131	CYOtherRevenueAmt
PY Total Revenue	$587,584,370	PYTotalRevenueAmt
CY Total Revenue	$478,297,179	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,864,214	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$36,808,195	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$319,437,809	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$186,655,969	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$242,119,517	PYOtherExpensesAmt
CY Other Expenses	$216,747,452	CYOtherExpensesAmt
PY Total Expenses	$563,421,540	PYTotalExpensesAmt
CY Total Expenses	$440,211,616	CYTotalExpensesAmt
PY Revenues Less Expenses	$24,162,830	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$38,085,563	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,036,706,894	TotalAssetsBOYAmt
Total Assets EOY	$1,439,397,024	TotalAssetsEOYAmt
Total Liabilities BOY	$446,760,442	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$687,341,243	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$589,946,452	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$752,055,781	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS, WE IMPROVE LIVES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$384,390,680	ExpenseAmt
Grant	$36,808,195	GrantAmt
Revenue	$443,711,093	RevenueAmt
Desc	POUDRE VALLEY HEALTH CARE INC. (PVHC) PROVIDES TERTIARY, ACUTE, INPATIENT, OUTPATIENT AS WELL AS EMERGENCY CARE. PVHC SERVICES COMMUNITIES IN NORTHERN COLORADO, SOUTHWESTERN NEBRASKA, AND SOUTHEASTERN WYOMING. DURING FISCAL YEAR 2014, PVHC RECORDED 58,001 PATIENT DAYS, 14,668 ADMISSIONS, 209,037 OUTPATIENT VISITS, 55,889 EMERGENCY VISITS, 2,388 DELIVERIES, 4,416 INPATIENT SURGERIES, AND 5,036 OUTPATIENT SURGERIES.	Desc
Total Program Service Expenses	$384,390,680	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	312	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4388	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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	9702377000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY ROAD SUITE 200	AddressLine1
City	FORT COLLINS	City
State	CO	State
ZIP Code	80528	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DANIEL G STROH
BOARD CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
CHRISTINE CHIN
VICE BOARD CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
RICHARD M DELLENBACH
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
JOE D HENDRICKSON
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
DENNIS JOHN HOUSKA
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
THAINE J MICHIE
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
DAVID C OSBORN
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
TODD S SORENSEN
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
JAMES ALAN SPROWELL
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
LAURIE S STEELE
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
RULON STACEY
PVHS, CEO TERM END 11/13	25.00	25.00	Yes (X)	Yes (X)	$2,652,266	$2,652,266	$14,508
KEVIN UNGER
PVH PRESIDENT	25.00	25.00	Yes (X)	Yes (X)	$601,261	$0	$69,026
STEPHANIE DOUGHTY
CFO	25.00	25.00		Yes (X)	$319,094	$319,094	$57,876
DOUG FAUS
VP OPERATIONS	50.00				$308,634	$0	$49,153	Yes (X)
DR WILLIAM NEFF
CMO	50.00				$366,960	$0	$24,345	Yes (X)
DONNA PODUSKA
CNO	50.00				$238,394	$0	$28,041	Yes (X)
DR MICHAEL RANDLE
CMO, CHMG	25.00	25.00			$174,571	$174,571	$19,700	Yes (X)
DAN ROBINSON
CEO, CHMG	25.00	25.00			$175,649	$175,649	$62,756	Yes (X)
STEVEN SCHWARTZ
CFO, CHMG	25.00	25.00			$93,192	$93,192	$26,706	Yes (X)
DR HANS COESTER
PHYSICIAN	25.00	25.00			$743,493	$743,493	$120,974		Yes (X)
DR MARK GUADAGNOLI
PHYSICIAN	25.00	25.00			$441,706	$441,706	$80,830		Yes (X)
DR WILLIAM MILLER
PHYSICIAN	25.00	25.00			$246,693	$246,693	$49,832		Yes (X)
DR JOSH PETIT
PHYSICIAN	25.00	25.00			$663,852	$663,852	$116,340		Yes (X)
DR LARS WIDDEL
PHYSICIAN	25.00	25.00			$472,946	$472,946	$90,508		Yes (X)
RUSS BRANZELL
CEO, CHMG	50.00				$223,020	$0	$28,182			Yes (X)
GRACE KOWALYSHYN-TAYLOR
DIR PHY RELATIONS	50.00				$143,129	$0	$18,235			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,864,860	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,983,462	TotReportableCompRltdOrgAmt
Total Other Compensation	$857,012	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	71	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
NORTHERN COLORADO HOSPITALISTS
2121 E HARMONY RD STE 300	FT COLLINS	CO	80528	MEDICAL	$1,769,589
NUANCE COMMUNICATIONS
ONE WAYSIDE RD	BURLINGTON	MA	01803	IT SUPPORT	$1,638,304
FORT COLLINS WOMEN'S CLINIC
1107 S LEMAY AVE STE 300	FT COLLINS	CO	80524	MEDICAL	$1,635,656
LEIDOS HEALTH HOLDINGS INC
PO BOX 2589	FORT WAYNE	IN	46801	IT CONSULTING	$1,334,813
HOSPITAL SHARED SERVICES
900 S BROADWAY STE 100	DENVER	CO	80209	SECURITY AND MAINTENANCE	$1,300,528

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	78	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,626,893	RelatedOrganizationsAmt
Government Grants	$101,733	GovernmentGrantsAmt
All Other Contributions	$471,011	AllOtherContributionsAmt
Noncash Contributions	$3,454,772	NoncashContributionsAmt
Total Contributions	$4,199,637	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SVC REV	900099	$441,531,095	$441,531,095
PROVIDER FEE INCOME	621400	$24,811,245	$24,811,245
LAB UBI	621500	$2,626,071		$2,626,071
DIETARY SVC INCOME	900099	$1,972,399			$1,972,399
RETAIL SERVICES	900099	$1,215,537	$959,232	$256,305

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$26,048,572	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$26,390,792	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$342,220	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$446,107,775	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,974,939	TotalRevenueColumnAmt
Exclusion	$10,974,939	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$246,357	TotalRevenueColumnAmt
Exclusion	$246,357	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$7,688,458	RealAmt
Personal	$455,166	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,035,638	RealAmt
Personal	$455,166	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,652,820	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,652,820	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,549,451	UnrelatedBusinessRevenueAmt
Exclusion	$3,103,369	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,181,744	SecuritiesAmt
Other	$309,584	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$16,800	SecuritiesAmt
Other	$635,188	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,164,944	SecuritiesAmt
Other	-$325,604	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,839,340	TotalRevenueColumnAmt
Exclusion	$3,839,340	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$687,844	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$438,082	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$249,762	TotalRevenueColumnAmt
Unrelated Business Revenue	$120,801	UnrelatedBusinessRevenueAmt
Exclusion	$128,961	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REIMBURSE- NON-OP DEPT	621400	$4,151,152	$4,151,152
MISCELLANEOUS REVENUE	621400	$2,537,439	$44,033	$2,493,406
INCOME TAX REFUND	621400	$306,907		$306,907

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,051	TotalRevenueColumnAmt
Unrelated Business Revenue	$31,051	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,026,549	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$478,297,179	TotalRevenueColumnAmt
Related Or Exempt Func Income	$443,711,093	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$10,121,084	UnrelatedBusinessRevenueAmt
Exclusion	$20,265,365	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$36,808,195	TotalAmt
Program Services	$36,808,195	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,190,359	TotalAmt
Program Services	$624,222	ProgramServicesAmt
Management And General	$4,566,137	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$60,807	TotalAmt
Program Services	$60,807	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$140,727,709	TotalAmt
Program Services	$126,946,159	ProgramServicesAmt
Management And General	$13,781,550	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$18,909,415	TotalAmt
Program Services	$16,552,262	ProgramServicesAmt
Management And General	$2,357,153	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,722,390	TotalAmt
Program Services	$13,744,743	ProgramServicesAmt
Management And General	$5,977,647	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,045,289	TotalAmt
Program Services	$1,790,333	ProgramServicesAmt
Management And General	$254,956	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$41,457	TotalAmt
Program Services	$16,500	ProgramServicesAmt
Management And General	$24,957	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$19,930	TotalAmt
Program Services	$779	ProgramServicesAmt
Management And General	$19,151	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$12,008	TotalAmt
Management And General	$12,008	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$514,660	TotalAmt
Management And General	$514,660	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,732,365	TotalAmt
Program Services	$21,567,292	ProgramServicesAmt
Management And General	$7,165,073	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,401,135	TotalAmt
Program Services	$22,142	ProgramServicesAmt
Management And General	$1,378,993	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,119,033	TotalAmt
Program Services	$3,452,672	ProgramServicesAmt
Management And General	$666,361	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,228,099	TotalAmt
Program Services	$6,212,426	ProgramServicesAmt
Management And General	$2,015,673	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,877,176	TotalAmt
Program Services	$4,269,212	ProgramServicesAmt
Management And General	$607,964	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,144,579	TotalAmt
Program Services	$760,031	ProgramServicesAmt
Management And General	$1,384,548	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$224,568	TotalAmt
Program Services	$135,830	ProgramServicesAmt
Management And General	$88,738	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,885,750	TotalAmt
Program Services	$12,885,750	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,093,223	TotalAmt
Program Services	$15,269,147	ProgramServicesAmt
Management And General	$9,824,076	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,931,037	TotalAmt
Program Services	$1,792,739	ProgramServicesAmt
Management And General	$138,298	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$71,411,014	$71,104,546	$306,468
BAD DEBT	$26,221,519	$26,221,519
PROVIDER FEE EXPENSE	$17,414,458	$17,414,458
UBI TAXES	$1,188,447	$184	$1,188,263

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,286,994	TotalAmt
Program Services	$6,738,732	ProgramServicesAmt
Management And General	$3,548,262	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$440,211,616	TotalAmt
Program Services	$384,390,680	ProgramServicesAmt
Management And General	$55,820,936	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$16,706,035	BOYAmt
EOY	$3,709,644	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$299,523	BOYAmt
EOY	$1,026,320	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$73,303,366	BOYAmt
EOY	$56,214,512	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,483,125	BOYAmt
EOY	$1,364,113	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,266,869	BOYAmt
EOY	$6,500,134	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,517,958	BOYAmt
EOY	$3,427,999	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$549,638,934	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$287,789,700	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$267,813,924	BOYAmt
EOY	$261,849,234	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$5,485,130	BOYAmt
EOY	$6,123,945	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,997,063	BOYAmt
EOY	$2,997,063	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$29,654,266	BOYAmt
EOY	$24,095,655	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$625,179,635	BOYAmt
EOY	$1,072,088,405	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,036,706,894	BOYAmt
EOY	$1,439,397,024	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$60,962,420	BOYAmt
EOY	$53,074,553	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$65,775	BOYAmt
EOY	$69,473	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$131,119,658	BOYAmt
EOY	$131,401,661	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$136,284,565	BOYAmt
EOY	$131,854,723	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$5,116,039	BOYAmt
EOY	$1,379,436	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$113,211,985	BOYAmt
EOY	$369,561,397	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$446,760,442	BOYAmt
EOY	$687,341,243	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$589,946,452	BOYAmt
EOY	$752,055,781	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$589,946,452	BOYAmt
EOY	$752,055,781	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,036,706,894	BOYAmt
EOY	$1,439,397,024	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$38,085,563	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$42,759,258	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$81,264,508	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$12,008	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$12,008	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,692,037	BeginningYearBalanceAmt
Contributions	$4,841,525	ContributionsAmt
Investment Earnings Or Losses	$985,793	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,756,845	GrantsOrScholarshipsAmt
Other Expenditures	$2,453,518	OtherExpendituresAmt
End Year Balance	$10,308,992	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,938,992	BeginningYearBalanceAmt
Contributions	$2,680,308	ContributionsAmt
Investment Earnings Or Losses	$520,466	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$565,964	GrantsOrScholarshipsAmt
Other Expenditures	$881,765	OtherExpendituresAmt
End Year Balance	$10,692,037	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,589,487	BeginningYearBalanceAmt
Contributions	$1,202,986	ContributionsAmt
Investment Earnings Or Losses	$379,517	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$448,977	GrantsOrScholarshipsAmt
Other Expenditures	$784,021	OtherExpendituresAmt
End Year Balance	$8,938,992	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,012,240	BeginningYearBalanceAmt
Contributions	$3,552,647	ContributionsAmt
Investment Earnings Or Losses	-$345,716	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,678,528	GrantsOrScholarshipsAmt
Other Expenditures	$712,777	OtherExpendituresAmt
Administrative Expenses	$238,379	AdministrativeExpensesAmt
End Year Balance	$8,589,487	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,405,708	BeginningYearBalanceAmt
Contributions	$2,585,645	ContributionsAmt
Investment Earnings Or Losses	$656,963	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$910,474	GrantsOrScholarshipsAmt
Other Expenditures	$1,725,602	OtherExpendituresAmt
End Year Balance	$8,012,240	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.57410	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.42590	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$62,136,902	OtherCostOrOtherBasisAmt
Book Value	$62,136,902	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$194,364,589	OtherCostOrOtherBasisAmt
Depreciation	$103,049,597	DepreciationAmt
Book Value	$91,314,992	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$92,843,116	OtherCostOrOtherBasisAmt
Depreciation	$59,197,318	DepreciationAmt
Book Value	$33,645,798	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$156,434,798	OtherCostOrOtherBasisAmt
Depreciation	$102,136,153	DepreciationAmt
Book Value	$54,298,645	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,859,529	OtherCostOrOtherBasisAmt
Depreciation	$23,406,632	DepreciationAmt
Book Value	$20,452,897	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$261,849,234	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLE	$1,065,398,313
DEFERRED DEBT ISSUANCE COSTS	$3,234,708
OTHER RECEIVABLES	$3,330,806
OTHER ASSETS	$124,578

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,072,088,405	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$365,740,235
ACCRUED INTEREST PAYABLE	$2,248,135
OTHER DEFERRED EXPENSES	$1,573,027

Field	Value	IRS element (for citing)
Total Liability	$369,561,397	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$521,819,736	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$42,759,258	NetUnrealizedGainsInvstAmt
Other Revenue	$3,021,018	OtherRevenueAmt
Revenue Not Reported	$45,780,276	RevenueNotReportedAmt
Revenue Subtotal	$476,039,460	RevenueSubtotalAmt
Investment Expenses Not Incld	$514,660	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$1,743,059	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,257,719	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$478,297,179	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$411,422,708	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$3,021,018	OtherExpensesIncludedAmt
Expenses Not Reported	$3,021,018	ExpensesNotReportedAmt
Expenses Subtotal	$408,401,690	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$514,660	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$31,295,266	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$31,809,926	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$440,211,616	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	ENDOWMENT FUNDS ARE USED FOR THE INTENDED PURPOSE TO FUND SCHOLARSHIPS, EDUCATION, PROGRAMS, AND COMMUNITY BENEFIT. TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE FOUNDATION HAVE BEEN LIMITED BY THE DONOR TO A SPECIFIC TIME PERIOD OR PURPOSE. THESE NET ASSETS ARE AVAILABLE FOR VARIOUS HEALTH CARE PURPOSES AS DEFINED BY DONORS. THE ENDOWMENT FUND IS OWNED BY POUDRE VALLEY HEALTH SYSTEM FOUNDATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	LOSS ON SALE OF ASSETS 325,604. RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 2,490,804. COST OF GOODS SOLD INCLUDED IN EXPENSE ON AFS 204,610.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT IN AFS INCOME 26,221,520. NON-OPERATING REIMBURSEMENTS INCLUDED IN EXPENSE ON AFS 4,151,152. AUXILIARY INCOME NOT INCLUDED IN AFS INCOME 128,962. CONTRIBUTIONS FROM PV FOUNDATION NOT IN AFS INCOME 264,373. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS -29,819,020. SERVICES PROVIDED TO OUTSIDE ENTITIES IN EXPENSE ON AFS 31,051. VARIOUS UBI INCOME NOT INCLUDED IN AFS INCOME 44,033. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 99,732. RENTAL EXP AS INCOME ON 990 314,349. INCOME TAX REFUND REDUCED EXPENSES ON AFS 306,907.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 2,490,804. COST OF GOODS SOLD INCLUDED IN EXPENSE ON AFS 204,610. LOSS ON SALE OF ASSETS 325,604.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT IN AFS INCOME 26,221,520. NON-OPERATING REIMBURSEMENTS INCLUDED IN EXPENSE ON AFS 4,151,152. AUXILIARY GRANTS NOT ON AFS 126,522. RENTAL EXP AS INCOME ON 990 314,349. SERVICES PROVIDED TO OUTSIDE ENTITIES IN EXPENSE ON AFS 31,051. VARIOUS UBI INCOME NOT INCLUDED IN AFS INCOME 44,033. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 99,732. INCOME TAX REFUND REDUCED EXPENSES ON AFS 306,907.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,467,171	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,467,171	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,014,650	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,773,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,241,250	NetCommunityBenefitExpnsAmt
Total Expense	0.03920	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,517,755	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,912,368	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,605,387	NetCommunityBenefitExpnsAmt
Total Expense	0.01350	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,999,576	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,685,768	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,313,808	NetCommunityBenefitExpnsAmt
Total Expense	0.05870	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,390,244	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$174,023	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,216,221	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,443,017	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$984,932	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,458,085	NetCommunityBenefitExpnsAmt
Total Expense	0.01080	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,522,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,970,176	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,552,134	NetCommunityBenefitExpnsAmt
Total Expense	0.01580	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,476,648	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,476,648	NetCommunityBenefitExpnsAmt
Total Expense	0.08570	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,832,219	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,129,131	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,703,088	NetCommunityBenefitExpnsAmt
Total Expense	0.11770	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$135,831,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,814,899	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,016,896	NetCommunityBenefitExpnsAmt
Total Expense	0.17640	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,300	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,300	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,941	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$104,941	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,740	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$68,740	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$178,981	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$178,981	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$26,221,520	BadDebtExpenseAmt
Reimbursed By Medicare	$122,302,678	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$171,801,041	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$49,498,363	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 (8 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 HARMONY SURGERY CENTER LLC
AMBULATORY SURGERY	0.51000	0.49000
2 PEAK SURGICAL MANAGEMENT
MANAGEMENT SERVICES	0.14000	0.86000
3 HARMONY IMAGING CENTER LLC
MEDICAL IMAGING	0.46000	0.54000
4 SURGERY CENTER OF FORT COLLINS
AMBULATORY SURGERY	0.26000	0.49000
5 GATEWAY MEDICAL SERVICES
REAL ESTATE/MEDICAL EQUIPMENT	0.50000	0.50000
6 EYE AND LASER CENTER OF NORTHERN COLO LLC
LASER SURGERY	0.50000	0.50000
7 VEIN AND LASER CENTER OF N COLO
LASER SURGERY	0.33000	0.67000
8 PVHS-ICM EHW LLC
MEDICAL CLINIC	0.50000	0.50000

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	POUDRE VALLEY HOSPITAL	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1024 S LEMAY	AddressLine1
City	FORT COLLINS	City
State	CO	State
ZIP Code	80524	ZIPCode

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	POUDRE VALLEY HEALTH CARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Lien On Residence	Yes (X)	PermitLienOnResidenceInd
Collection Activities	Yes (1)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Lawsuit	Yes (X)	LawsuitInd
Liens On Residences	Yes (X)	LiensOnResidencesInd
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
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 1J: THE CHNA REPORT ALSO DESCRIBES CLINICAL SERVICES PROVIDED BY HOSPITAL FACILITY ADDRESSING THE FOUR LEADING CAUSES OF MORTALITY IN THE COUNTY.
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 3: TWO COMMUNITY MEETINGS WERE HELD DURING FEBRUARY 2013 WHERE FINDINGS FROM THE CHNA WERE PRESENTED, QUESTIONS AND COMMENTS WERE RECEIVED AND RESPONSES PROVIDED. THE FOLLOWING INDIVIDUALS WERE CONSULTED:ANNETTE ALFANO, UNIVERSITY OF COLORADO HEALTHMARY ATCHISON, KAISER PERMANENTEKRISTIN BIERI, FOOD BANK FOR LARIMER COUNTYDEBORAH CAMPBELL, LARIMER COUNTY COMPASSJENNIFER CHASE, NORTHERN COLORADO AIDS PROJECTANDREA CLEMENT-JOHNSON, LARIMER COUNTY DEPARTMENT OF HEALTH & ENVIRONMENTBRUCE COOPER, HEALTH DISTRICT OF NORTHERN LARIMER COUNTYLORI DAIGLE, NORTHERN COLORADO AIDS PROJECTALISON DAWSON, DISABLED RESOURCE SERVICESEMILY DAWSON PETERSEN, TOUCHSTONE HEALTH PARTNERSTOM DONNELLY, LARIMER COUNTY COMMISSIONERSMICHELE DOYLE, COLUMBINE HEALTH CARE SYSTEMSLINDA FELLION, EARLY CHILDHOOD COUNCIL OF LARIMER COUNTYLEW GAITER, LARIMER COUNTY COMMISSIONERSCHAZZ GLAZE, SALUD FAMILY HEALTH CENTERNEIL GLUCKMAN, LARIMER COUNTY, ASSISTANT COUNTY MANAGERMARTHA HARGRAVES, COMMUNITY MEMBERBARBARA HARTMAN, THOMPSON SCHOOL DISTRICTSUE HEWITT, HEALTH DISTRICT OF NORTHERN LARIMER COUNTYJESSICA HINTERBERG, CANDO WITH UNIVERSITY OF COLORADO HEALTHERICA IVERSON, FOOD BANK FOR LARIMER COUNTYSTEVE JOHNSON, LARIMER COUNTY COMMISSIONERSASHLEY KASPRZAK, TEAM FORT COLLINSKATY KOHNEN, LEAGUE OF WOMEN VOTERSJENNY LANGNESS, ALPHA CENTERJENNIFER LEE, LARIMER COUNTY BOARD OF HEALTHDIANA LINDEN, PLANNED PARENTHOOD OF THE ROCKY MOUNTAIN'S RESPONSIBLE SEX EDUCATION INSTITUTEMARIE MACPHERSON, LARIMER COUNTY DEPT OF HEALTH AND ENVIRONMENTJOHN MCGEE, CROSSROADS SAFEHOUSEDAWN NANNINI, TEAM FORT COLLINSKAREN NICHOLSON, ESTES PARK MEDICAL CENTERTRACI ODDY, BANNER MCKEE MEDICAL CENTERCAROL PLOCK, HEALTH DISTRICT OF NORTHERN LARIMER COUNTYMARK RICHARDS, LARIMER COUNTY BOARD OF HEALTHDOUG RYAN, LARIMER COUNTY DEPARTMENT OF HEALTH & ENVIRONMENTKIM SHARPE, HEALTHIER COMMUNITIES COALITION OF LARIMER COUNTYBILL STOUT, WOMEN'S RESOURCE CENTERAVERIL STRAND, LARIMER COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENTDEIRDRE SULLIVAN, CANDO WITH UNIVERSITY OF COLORADO HEALTHJILL TAYLOR, UNIVERSITY OF COLORADO HEALTHGRACE TAYLOR, UNIVERSITY OF COLORADO HEALTHMARILYN THAYER, COMMUNITY ORGANIZING TO REACH EMPOWERMENT (CORE) CENTERLEE THIELEN, THIELEN CONSULTINGCOLETTE THOMPSON, UNIVERSITY OF COLORADO HEALTHJANE VISTE, LARIMER COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENTSCOTT VON BARGEN, TURNING POINT CENTER FOR YOUTH & FAMILY DEVELOPMENTMARGARET WATSON, UNITED WAY 2-1-1 OF LARIMER COUNTYNANCY WEBER, POUDRE SCHOOL DISTRICTVALERIE WENDELL, BOHEMIAN FOUNDATIONLISE YOUNGBLADE, HUMAN DEVELOPMENT AND FAMILY STUDIES/COLORADO STATE UNIVERSITYSTEVE YURASH, LARIMER COUNTY BOARD OF HEALTH
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 4: MEDICAL CENTER OF THE ROCKIES ALSO PARTICIPATED IN THE 2013 CHNA.
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 5D: E-MAIL DISTRIBUTION OF LINK TO CHNA REPORT ON HOSPITAL WEBSITE TO MEMBERS OF THE COUNTY HEALTH ASSESSMENT PLANNING & PARTNERSHIP TEAM.WEBSITE: HTTPS://WWW.UCHEALTH.ORG/PAGES/ABOUT-UCHEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 7: AN IDENTIFIED HEALTH ISSUE RELATED TO A HIGH RATE OF UNINTENDED TEEN PREGNANCY IN WELD COUNTY IS NOT BEING ADDRESSED WITH DIRECT RESOURCES ALLOCATED FROM POUDRE VALLEY HOSPITAL OR THE MEDICAL CENTER OF THE ROCKIES. THE WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT PROVIDES REPRODUCTIVE HEALTH SERVICES FOR TEENS THROUGH A TITLE X CLINIC. ADDITIONAL EDUCATION AND OUTREACH TO WELD COUNTY TEENS IS PROVIDED BY A COMMUNITY ORGANIZATION; LUTHERAN FAMILY SERVICES. POUDRE VALLEY HOSPITAL AND MEDICAL CENTER OF THE ROCKIES PROVIDED SUPPORT TO THIS ORGANIZATION THROUGH CASH DONATIONS TOTALING $2,460.00 DURING THE 2012/13 FISCAL YEAR AND $2,500 DURING THE 2013/14 FISCAL YEAR. ANOTHER IDENTIFIED HEALTH ISSUE - MOTOR VEHICLE SAFETY FOR TEENS IN WELD COUNTY - IS ALSO NOT BEING DIRECTLY ADDRESSED DUE TO LACK OF RESOURCES. THE ISSUE IS BEING ADDRESSED BY A NON-PROFIT COMMUNITY COALITION - DRIVE SMART WELD COUNTY - WHICH HAS DEDICATED RESOURCES AND ACTION PLANS TO ADDRESS THIS ISSUE.

Field	Value	IRS element (for citing)
Facility	61	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (61 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
HARMONY CAMPUS MOB
2121 E HARMONY RD	FORT COLLINS	CO	80528	PHYSICIAN OFFICES, ONCOLOGY, HCOR, CANCER CENTER
HARMONY CAMPUS AMBLUATORY CARE CENTER
2127 E HARMONY RD	FORT COLLINS	CO	80528	SURGERY CENTER, DIAGNOSTIC CENTER, IMAGING, URGENT CARE
CHMG CLINICS
1400 E BOULDER STREET	COLORADO SPRINGS	CO	80909	PHYSICIAN OFFICES
MCR NORTH MOB
2500 ROCKY MTN AVE	LOVELAND	CO	80538	PHYSICIAN OFFICES
REDSTONE
2315 E HARMONY RD	FORT COLLINS	CO	80528	OUTPAITENT LAB, PHYSICIAN OFFICE, SSOR, UROLOGY
PEAKVIEW MEDICAL CENTER
5881 W 16TH STREET	GREELEY	CO	80634	PHYSICIAN OFFICES
CHMG THE VEIN CENTER
4110 BRIARGATE PARKWAY SUITE 140	COLORADO SPRINGS	CO	80920	PHYSICIAN OFFICES
GREELEY MEDICAL CLINIC
1900 16TH STREET	GREELEY	CO	80631	PHYSICIAN OFFICES
MCR SOUTH MOB
2500 ROCKY MTN AVE	LOVELAND	CO	80538	PHYSICIAN OFFICES, HCOR, SSOR
CENTRE AVE HEALTH AND REHAB-JV
915 CENTRE AVE	FORT COLLINS	CO	80526	REHAB
PENNOCK PLACE
1025 PENNOCK PLACE	FORT COLLINS	CO	80524	PHYSICIAN OFFICES, BLOOD BANK
CHMG CHEYENNE MEDICAL SPECIALISTS
5050 POWDERHOUSE RD	CHEYENNE	WY	82009	PHYSICIAN OFFICES
PROSPECT MEDICAL PLAZA
1106 E PROSPECT SUITE 100	FORT COLLINS	CO	80524	PHYSICIAN OFFICES, OUTPAITENT REHAB, NEUROLOGY, INT MEDICINE
SURGERY CENTER OF FT COLLINS-JV
1100 E PROSPECT RD	FORT COLLINS	CO	80524	SURGERY CENTER
WESTBRIDGE
1107 S LEMAY	FORT COLLINS	CO	80524	PHYSICIAN OFFICES, MEDICAL SPA, BLOOD DRAW
SNOW MESA
4674 SNOW MESA DRIVE	FORT COLLINS	CO	80528	PHYSICIAN OFFICES
WINDSOR MEDICAL CENTER
1455 MAIN STREET	WINDSOR	CO	80550	PHYSICIAN OFFICES, RAADIOLOGY, LAB
CARDIOTHORACIC SURGERY
525 N FOOTE AVE SUITE 302	COLORADO SPRINGS	CO	80910	PHYSICIAN OFFICES
UROLOGY CENTER OF THE ROCKIES
3520 E 15TH STREET	LOVELAND	CO	80538	PHYSICIAN OFFICES
MEMORIAL NEUROSCIENCES
1725 BOULDER STREET SUITE 101	COLORADO SPRINGS	CO	80909	PHYSICIAN OFFICES
EXPRESS LAB
1020 DOCTORS LANE	FORT COLLINS	CO	80524	LAB
MOUNTAIN CREST BEHAVIORAL HEALTH
4601 CORBETT DR	FORT COLLINS	CO	80528	BEHAVORIAL HEALTH
HEMATOLOGYONCOLOGY
525 N FOOTE AVE SUITE 202	COLORADO SPRINGS	CO	80910	PHYSICIAN OFFICES
CHILDREN'S THERAPY
1500 S LEMAY	FORT COLLINS	CO	80526	THERAPY
WEST LOVELAND
3850 N GRANT AVE	LOVELAND	CO	80538	URGENT CARE, PHYSICIAN OFFICES
BREAST SURGERY
4110 BRIARGATE PARKWAY SUITE 465	COLORADO SPRINGS	CO	80920	PHYSICIAN OFFICES
MEMORIAL SUNFLOWER FAMILY MEDICINE
1730 N CORONA STREET	COLORADO SPRINGS	CO	80907	PHYSICIAN OFFICES
COLUMBINE POUDRE HOMECARE-JV
915 CENTRE AVE	FORT COLLINS	CO	80526	HOME HEALTHCARE
HCORSCOTTSBLUFF
2 W 42ND ST 2200	SCOTTSBLUFF	NE	69361	PHYSICIAN OFFICES
SENIOR CLINIC
175 S UNION BLVD SUITE 300	COLORADO SPRINGS	CO	80910	PHYSICIAN OFFICES
PRIMARY CARE-STERLING
620 IRIS DRIVE	STERLING	CO	80751	PHYSICIAN OFFICES
CHMG PRIMARY CARE AT BRIARGATE
8890 N UNION BLVD SUITE 100B	COLORADO SPRINGS	CO	80920	PHYSICIAN OFFICES
TIMERLINE MEDICAL
131 STANLEY DR	ESTES PARK	CO	80517	PHYSICIAN OFFICES
THE VEIN AND LASER CENTER-JV
2008 CARIBOU DRIVE	FORT COLLINS	CO	80525	PHYSICIAN OFFICES
YAMPA VALLEY STEAMBOAT
940 CENTRAL PARK DR 290	STEAMBOAT SPRINGS	CO	80487	PHYSICIAN OFFICES
THOMPSON VALLEY TOWNE CENTER
1327 EAGLE DRIVE	LOVELAND	CO	80537	PHYSICIAN OFFICES
CHMG PRIMARY CARE - ROCKRIMMON
6615 DELMONICO DRIVE	COLORADO SPRINGS	CO	80919	PHYSICIAN OFFICES
POUDRE INFUSION THERAPY-JV
915 CENTRE AVE	FORT COLLINS	CO	80526	INFUSION
WATER VALLEY
1870 MARINA PLAZA DRIVE	WINDSOR	CO	80550	OUTPATIENT REHAB
FORT MORGAN
1000 LINCOLN STREET 207	FORT MORGAN	CO	80701	PHYSICIAN OFFICES
EYE LASER CENTER OF N COLORADO-JV
1725 EAST PROSPECT RD	FORT COLLINS	CO	80525	PHYSICIAN OFFICES
CRAIG
595 RUSSELL STREET	CRAIG	CO	81625	PHYSICIAN OFFICES
CHMG PRIMARY CARE - NO UNION
5333 N UNION BLVD SUITE 200	COLORADO SPRINGS	CO	80918	PHYSICIAN OFFICES
LARAMIE
3116 WILLET DRIVE	LARAMIE	WY	82070	PHYSICIAN OFFICES
CHMG SLEEP MEDICINE CLINIC
4110 BRIARGATE PARKWAY SUITE 445	COLORADO SPRINGS	CO	80920	PHYSICIAN OFFICES
ESTES PARK
555 PROSPECT AVE	ESTES PARK	CO	80517	PHYSICIAN OFFICES
SIDNEY
1625 DORWART DRIVE	SIDNEY	NE	69162	PHYSICIAN OFFICES
ALLIANCE
2101 BOX BUTTE AVE	ALLIANCE	NE	69301	PHYSICIAN OFFICES
KREMMLING
214 S 4TH STREET	KREMMLING	CO	80459	PHYSICIAN OFFICES
YUMA
910 S MAIN STREET	YUMA	CO	80759	PHYSICIAN OFFICES
CHMG HCOR CV SURGEON
2030 MOUNTAIN VIEW AVE 540	LONGMONT	CO	80503	PHYSICIAN OFFICES
WALDEN
350 MCKINGLEY ST	WALDEN	CO	80480	PHYSICIAN OFFICES
GMCBRUSH
2400 EDISON STREET	BRUSH	CO	80723	PHYSICIAN OFFICES
CHMG OB-GYN CLINIC
1715 61ST AVENUE	GREELEY	CO	80631	PHYSICIAN OFFICES
PHLEBOTOMY STATION
1107 SOUTH LEMAY AVE	FORT COLLINS	CO	80526	LAB DRAWS
PHLEBOTOMY STATION
1113 OAKRIDGE DRIVE	FORT COLLINS	CO	80525	LAB DRAWS
PHLEBOTOMY STATION
2001 S SHIELDS	FORT COLLINS	CO	80526	LAB DRAWS
PHLEBOTOMY STATION
2025 BIG HORN DRIVE	FORT COLLINS	CO	80525	LAB DRAWS
PHLEBOTOMY STATION
3519 RICHMOND DRIVE	FORT COLLINS	CO	80526	LAB DRAWS
LAB DRAWS
708 22ND STREET	GREELEY	CO	80631	LAB
HAYTHORN BROTHERS
7251 W 20TH ST	GREELEY	CO	80631	SLEEP LAB

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINE 7B AND 7C. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE TO COST-TO-CHARGES.LINE 7A WAS DERIVED USING A COST-TO-CHARGE RATIO FROM THE COST REPORT.THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
PART I, LINE 7G:	INCLUDES PHYSICIAN GROUPS AS A SUBSIDIZED SERVICE. THESE CLINICS PROVIDE SERVICES IN UNDERSERVED AREAS IN COLORADO, NEBRASKA AND WYOMING.
PART I, LN 7 COL(F):	TOTAL BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR PRIOR TO THE PERCENTAGE CALCULATION = $26,221,520.
PART II, COMMUNITY BUILDING ACTIVITIES:	AS MENTIONED UNDER PROMOTION OF COMMUNITY HEALTH WE HAVE A MULTITUDE OF PROGRAMS DESIGNED TO ADDRESS THE HEALTH OF OUR COMMUNITY INVOLVING ALL AGE GROUPS AND FOCUS ON WHAT AN INDIVIDUAL CAN DO TO IMPROVE HIS/HER HEALTH. MANY OF THE PROGRAMS REFLECTED IN PART II ARE DESIGNED TO PROMOTE HEALTHY OPTIONS AND CHOICES FOR OUR COMMUNITY WHICH IS AN IMPORTANT PART OF OVERALL COMMUNITY HEALTH AND THEREFORE A BENEFIT TO THE COMMUNITY.PART III, LINE 2: ACCOUNTS WITH UNRESOLVED PATIENT LIABILITY AFTER REASONABLE COLLECTION EFFORTS, SET BY POLICY AND IN CONJUNCTION WITH FEDERAL, STATE, AND PAYOR SPECIFIC REGULATIONS, WILL BE ASSIGNED TO BAD DEBT. THESE ACCOUNTS SHALL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY, OR IN SELECTED INSTANCES, ATTORNEYS, FOR ADDITIONAL COLLECTION ACTIVITIES.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ALLOWANCES FOR DOUBTFUL ACCOUNTS, CONTRACTUAL ADJUSTMENTS, AND MEDICALLY INDIGENT ALLOWANCES.PART III, LINE 5: MEDICARE REVENUE WAS COMPUTED AS FOLLOWS:POUDRE VALLEY HEALTH CARE COST REPORT 72,782,447POUDRE VALLEY HEALTH CARE GME PAYMENT (683,147)CENTRE AVE HEALTH & REHAB COST REPORT 3,776,993COLUMBINE POUDRE HOMECARE COST REPORT 1,167,553PVHC INC. MEDICARE DISALLOWED PROGRAMS 911,223JOINT VENTURES 44,347,609TOTAL TO LINE 5 122,302,678PART III, LINE 6: ALLOWABLE COSTS AS REPORTED ON THE POUDRE VALLEY HEALTH CARE INC. 2014 COST REPORT.PART III, LINE 6: MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS WAS COMPUTED AS FOLLOWS:POUDRE VALLEY HEALTH CARE COST REPORT 106,763,826CENTRE AVE HEALTH & REHAB COST REPORT 5,486,056COLUMBINE POUDRE HOMECARE COST REPORT 1,273,777PVHC INC. MEDICARE DISALLOWED PROGRAMS 1,019,905JOINT VENTURES 57,257,477TOTAL TO LINE 6 171,801,041
PART III, LINE 8:	APPROXIMATELY 19.4% OF NET PATIENT SERVICE REVENUE IS FROM PARTICIPATION IN THE MEDICARE PROGRAM, THUS PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES TO A SIGNIFICANT PORTION OF THE COMMUNITY POPULATION.
PART III, LINE 9B:	PATIENT PROVIDES DOCUMENTATION BASED ON COLORADO INDIGENT CARE GUIDELINES, REVIEWED BY FINANCIAL ASSISTANCE COMMITTEE (FAC), CROSS FUNCTIONAL TEAM CHAIRED BY DIRECTOR PATIENT FINANCIAL SERVICES. UPON APPROVAL OR DENIAL OF THE REQUEST FOR CHARITABLE AID FROM THE FAC, THE PATIENT WILL BE ADVISED OF THE DECISION. THE BILL IS PARTIALLY OR TOTALLY ADJUSTED AS APPROVED BY THE FAC, NO FURTHER COLLECTION PROCESS WITH THE PATIENT. FOR ANY PORTION NOT ADJUSTED OFF, THE PROPER SEQUENCE OF ATTEMPTS TO COLLECT ARE FOLLOWED. FINAL ASSIGNMENT OF THE BILL IS TO A COLLECTION AGENCY.
PART VI, LINE 2:	HEALTH CARE NEEDS ARE ADDITIONALLY IDENTIFIED THROUGH COLLABORATIVE RELATIONSHIPS WITH HEALTHCARE PROVIDERS IN THE COMMUNITIES WE SERVE. AN EXAMPLE IS OUR CARE COORDINATION INITIATIVE TARGETED TO AT-RISK CHILDREN WITH SPECIAL HEALTHCARE NEEDS . PHYSICIANS IDENTIFIED THE NEED TO IMPROVE THE COORDINATION AND TIMELINESS OF CARE FOR THIS POPULATION; WE RESPONDED BY DEVELOPING AND STAFFING A CARE COORDINATION / PATIENT NAVIGATION SERVICE MODEL (HEALTHY HARBORS).
PART VI, LINE 3:	THERE ARE SEVERAL WAYS WE NOTIFY THE PATIENT AND ATTEMPT TO ASSIST THEM. FOR SURGERIES AND HIGH DOLLAR SCHEDULED PROCEDURES, WE PROVIDE THEM WITH AN ESTIMATE AT REGISTRATION AND GO OVER ALL FINANCIAL ASSISTANCE OPTIONS AVAILABLE IF THEY ARE INTERESTED. WE ALSO HAVE FINANCIAL COUNSELORS AVAILABLE EACH DAY THAT CAN ANSWER QUESTIONS AND HELP THEM FILL OUT CHARITY APPLICATIONS. FOR THOSE THAT ARE UNINSURED, OUR CONDITIONS OF SERVICE FORM HAS A SPOT THEY INITIAL STATING THAT WE HAVE OFFERED ASSISTANCE AND MADE THEM AWARE OF PROGRAMS AVAILABLE TO THEM. ONCE A PERSON HAS RECEIVED CARE IN THE EMERGENCY DEPARTMENT, WE ALSO HAVE EDUCATED STAFF THAT ASSISTS THEM AND EDUCATES THEM OF WHAT IS AVAILABLE FOR FINANCIAL ASSISTANCE. IN ADDITION, ONCE A PATIENT DOES RECEIVE A STATEMENT OR BILL, THERE IS INFORMATION ON THE BILL OF WHO THEY CAN CALL TO GET INFORMATION ON FINANCIAL ASSISTANCE.
PART VI, LINE 4:	POUDRE VALLEY HEALTH CARE INC. IS A LOCALLY OWNED, PRIVATE, NON-PROFIT ORGANIZATION WITH A STRONG VISION: FROM HEALTH CARE TO HEALTH. BASED IN NORTHERN COLORADO, PVHC PROVIDES EVIDENCE-BASED HEALTHCARE AND WELLNESS SERVICES AND PRODUCTS IN COLORADO, NEBRASKA AND WYOMING, ACROSS A SERVICE AREA COVERING MORE THAN 50,000 SQUARE MILES.PVHC IS A PART OF THE UNIVERSITY OF COLORADO HEALTH WHICH AIMS TO DELIVER THE HIGHEST QUALITY PATIENT CARE WITH THE HIGHEST QUALITY PATIENT EXPERIENCE. THE PARTNERSHIP COMBINES POUDRE VALLEY HOSPITAL, MEDICAL CENTER OF THE ROCKIES, COLORADO HEALTH MEDICAL GROUP, UNIVERSITY OF COLORADO HOSPITAL AND MEMORIAL HEALTH SYSTEM INTO AN ORGANIZATION DEDICATED TO BUILDING HEALTHIER COMMUNITIES AND PROVIDING UNMATCHED PATIENT CARE IN THE ROCKY MOUNTAIN WEST. THE ORGANIZATION'S MISSION IS AS FOLLOWS: WE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS, WE IMPROVE LIVES.
PART VI, LINE 5:	WE HAVE IMPLEMENTED A MULTITUDE OF PROGRAMS AND SERVICES THAT ADDRESS THE HEALTH NEEDS OF OUR BROADER COMMUNITY TARGETING ALL AGE GROUPS WHILE MAINTAINING A SPECIAL FOCUS ON SERVING VULNERABLE POPULATIONS . WE ALSO GIVE DOLLARS TO OTHER ENTITIES THAT WORK TO IMPROVE THE HEALTH OF OUR COMMUNITY. EXAMPLES ARE: TEEN PREGNANCY PREVENTION EDUCATION; SUBSTANCE ABUSE PREVENTION EDUCATION FOR YOUTH AND YOUNG ADULTS; OBESITY PREVENTION; IMPROVED FOOD SECURITY FOR LOW INCOME RESIDENTS; AND MENTAL HEALTH SERVICES FOR THE UNDERSERVED.
PART VI, LINE 6:	ALL THE SERVICES WE OFFER ARE AVAILABLE TO ANYONE THAT USES ANY OF OUR FACILITIES IN THE HEALTH SYSTEM. OUR GEOGRAPHY IS NOT THAT LARGE SO WE ARE ABLE TO ACCOMMODATE THE DIFFERENT COMMUNITIES THAT UTILIZE OUR SERVICES WITH THE SAME LEVEL OF COMMUNITY HEALTH PROGRAMMING.
PART VI, LINE 7, REPORTS FILED WITH STATES	CO

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
PVHMCR HOSPITAL FOUNDATION
2315 E HARMONY RD 200	FORT COLLINS	CO	80528	741894581	501(C)(3)	$844,463	SEE SCH I, PART IV
UNIVERSITY OF N COLORADO
501 20TH STREET	GREELEY	CO	80639	846000546	GOVERNMENT	$88,820	SEE SCH I, PART IV
IVINSON MEMORIAL HOSPITAL FOUNDATION
255 N 30TH STREET	LARAMIE	CO	82072	836000188	501(C)(3)	$6,500	SEE SCH I, PART IV
GREELEY CENTENNIAL ROTARY
1035 37TH AVE CT	GREELEY	CO	80634	840714073	501(C)(3)	$7,500	SEE SCH I, PART IV
ALTERNATIVES TO VIOLENCE
313 E 4TH STREET	LOVELAND	CO	80537	840886127	501(C)(3)	$6,060	SEE SCH I, PART IV
UNITED WAY OF LARIMER COUNTY
424 PINE ST 102	FORT COLLINS	CO	80524	846031503	501(C)(3)	$81,759	SEE SCH I, PART IV
NORTHERN COLORADO CYCLING
5280 ARENA CIRCLE 100	LOVELAND	CO	80538	462713441	501(C)(3)	$13,000	SEE SCH I, PART IV
DOWNTOWN BUSINESS ASSOCIATION
19 OLD TOWN SQUARE 230	FORT COLLINS	CO	80524	840535419	501(C)(3)	$25,000	SEE SCH I, PART IV
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
13001 E 17TH PLACE	AURORA	CO	80045	846000555	501(C)(3)	$1,659,574	SEE SCH I, PART IV
POUDRE VALLEY MEDICAL GROUP LLC
2315 EAST HARMONY ROAD SUITE 200	FORT COLLINS	CO	80528	800348943	N/A	$33,095,072	SEE SCH I, PART IV

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	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	0	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
RULON STACEY
PVHS, CEO TERM END 11/13	$248,085	$248,085	$1,014,515	$1,014,515	$1,389,666	$1,389,666	$0	$0	$7,254	$7,254	$2,659,520	$2,659,520	$964,577	$964,577
KEVIN UNGER
PVH PRESIDENT	$389,433	$0	$198,764	$0	$13,064	$0	$7,650	$0	$61,376	$0	$670,287	$0	$0	$0
STEPHANIE DOUGHTY
CFO	$239,996	$239,996	$77,640	$77,640	$1,458	$1,458	$3,825	$3,825	$25,113	$25,113	$348,032	$348,032	$0	$0
DOUG FAUS
VP OPERATIONS	$218,053	$0	$89,863	$0	$718	$0	$7,650	$0	$41,503	$0	$357,787	$0	$0	$0
DR WILLIAM NEFF
CMO	$281,996	$0	$83,647	$0	$1,317	$0	$7,650	$0	$16,695	$0	$391,305	$0	$0	$0
DONNA PODUSKA
CNO	$183,272	$0	$52,730	$0	$2,392	$0	$5,551	$0	$22,490	$0	$266,435	$0	$0	$0
DR MICHAEL RANDLE
CMO, CHMG	$173,702	$173,702	$0	$0	$869	$869	$3,825	$3,825	$6,025	$6,025	$184,421	$184,421	$0	$0
DAN ROBINSON
CEO, CHMG	$130,341	$130,341	$44,185	$44,185	$1,123	$1,123	$3,825	$3,825	$27,553	$27,553	$207,027	$207,027	$0	$0
STEVEN SCHWARTZ
CFO, CHMG	$86,437	$86,437	$6,148	$6,148	$607	$607	$2,823	$2,823	$10,530	$10,530	$106,545	$106,545	$0	$0
DR HANS COESTER
PHYSICIAN	$740,674	$740,674	$0	$0	$2,819	$2,819	$3,825	$3,825	$56,662	$56,662	$803,980	$803,980	$0	$0
DR MARK GUADAGNOLI
PHYSICIAN	$426,467	$426,467	$13,750	$13,750	$1,489	$1,489	$3,825	$3,825	$36,590	$36,590	$482,121	$482,121	$0	$0
DR WILLIAM MILLER
PHYSICIAN	$245,542	$245,542	$0	$0	$1,151	$1,151	$3,825	$3,825	$21,091	$21,091	$271,609	$271,609	$0	$0
DR JOSH PETIT
PHYSICIAN	$663,307	$663,307	$0	$0	$545	$545	$3,825	$3,825	$54,345	$54,345	$722,022	$722,022	$0	$0
DR LARS WIDDEL
PHYSICIAN	$472,649	$472,649	$0	$0	$297	$297	$3,825	$3,825	$41,429	$41,429	$518,200	$518,200	$0	$0
RUSS BRANZELL
CEO, CHMG	$116,806	$0	$71,737	$0	$34,477	$0	$4,609	$0	$23,573	$0	$251,202	$0	$0	$0
GRACE KOWALYSHYN-TAYLOR
DIR PHY RELATIONS	$118,396	$0	$24,040	$0	$693	$0	$3,847	$0	$14,388	$0	$161,364	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

TRAVEL FOR COMPANIONS: PER SYSTEM POLICY, TRAVEL FOR COMPANIONS IS NOT REIMBURSABLE. FOR CONVENIENCE OF TRAVEL ARRANGEMENTS FOR THE ANNUAL BOARD MEMBER RETREAT AND SELECT CONFERENCES, PVHC PAYS FOR ONE COMPANION PER BOARD MEMBER AND EMPLOYEE ATTENDING THE CONFERENCE. EACH BOARD MEMBER RECEIVES A 1099 FOR THIS INCOME. EACH EMPLOYEE HAS THIS ADDED TO THEIR FORM W-2 GROSS-UP PAYMENTS: GROSS UP PAYROLL IS CALCULATED AT YEAR END FOR SPECIAL CHECKS CREATED TO ADD SPECIFIC ITEMS TO EMPLOYEE'S FORM W-2 WAGES INCLUDING COUNTRY CLUB DUES, PERSONAL USE OF LAPTOP COMPUTERS AND IPADS, SPOUSE TRAVEL FOR ANNUAL BOARD RETREAT AND SELECT CONFERENCES AND IMPUTED INCOME ON LIFE INSURANCE POLICIES. CLUB DUES: THE HEALTH SYSTEM EXPECTS THE HOSPITAL MANAGEMENT TO PARTICIPATE IN COMMUNITY LIFE AND THEREFORE THE SYSTEM PAYS SOCIAL CLUB DUES FOR SPECIFIC MEMBERS OF THE SENIOR MANAGEMENT GROUP. THE CLUB DUES ARE ADDED TO THE SENIOR MANAGEMENT'S FORM W-2 ON AN ANNUAL BASIS.

PART I, LINES 4A-B

RULON STACEY RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $2,666,667. THE ORGANIZATION PAID $105,244 INTO A DEFERRED COMPENSATION PLAN FOR RULON STACEY AND $105,244 WAS INCLUDED IN TAXABLE WAGES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COLORADO HEALTH FACILITIES AUTHORITY SERIES A
A	840752932	196474W48	2005-03-31	$50,000,000	REFUNDING 1999A BONDS	0	0	0
COLORADO HEALTH FACILITIES AUTHORITY SERIES B
B	840752932	196474W48	2005-03-31	$26,294,807	PAYMENT OF COMMERCIAL PAPER DEBT	0	0	0
COLORADO HEALTH FACILITIES AUTHORITY SERIES F
C	840752932	196474W48	2005-03-31	$55,000,000	REFUNDING 1999A BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$50,000,000	$3,133,031	$46,468,713	$433,893	$3,097,393	2005	0	Yes (1)	Yes (1)	Yes (1)
B	$26,294,807	$1,644,630	$25,000,000	$397,052	$897,754	2005	Yes (1)	0	Yes (1)	Yes (1)
C	$55,000,000	$3,474,651	$54,542,446	$795,916		2005	0	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	0.00310	0.00310	Yes (1)
B	Yes (1)	0.00310	0.00310	Yes (1)
C	Yes (1)	0.00310	0.00310	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	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
JP MORGAN CHASE
A	0	0	0	Yes (1)	0	Yes (1)	25.670000000000	Yes (1)	0	0	0	Yes (1)
JP MORGAN CHASE
B	0	0	0	Yes (1)	0	Yes (1)	30.830000000000	Yes (1)	0	0	0	Yes (1)
(no name)
C	0	0	0	Yes (1)	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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN E	BOND ISSUE PRICE THE BOND ISSUE PRICE FOR THE SERIES B BOND DOES NOT EQUAL THE ISSUE PRICE LISTED ON THE FILED FORM 8038 AS THIS BOND WAS SPLIT WITH A RELATED ENTITY. ISSUE PRICE AS REPORTED ON FORM 8038: $83,000,000.
SCHEDULE K, PART IV, LINE 2C	THE REBATE CALCULATION WAS PERFORMED IN APRIL 2015 FOR THE THREE BOND ISSUANCES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	KATHLEEN MICHIE	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$60,807	TransactionAmt
Transaction	SEE PART V	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	(A) NAME OF PERSON: KATHLEEN MICHIE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: KATHLEEN MICHIE IS A FAMILY MEMBER OF THAINE MICHIE, DIRECTOR(D) DESCRIPTION OF TRANSACTION: W-2 WAGES	ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MEDICAL EQUIP	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$3,362,520	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6	VOLUNTEERS PVH HAS 729 ACTIVE VOLUNTEERS IN FISCAL YEAR 2014. AT POUDRE VALLEY HOSPITAL, MEDICAL CENTER OF THE ROCKIES, AND OFF-SITE LOCATIONS, VOLUNTEERS PLAY AN INTEGRAL ROLE IN PROVIDING MUCH NEEDED SUPPORT FOR PATIENTS, VISITORS, PHYSICIANS, AND STAFF. FROM ASSISTING IN SURGERY AND CARDIAC WAITING ROOMS, INFORMATION DESK, VOLUNTEER PATIENT LIASONS, BABY KNITTERS, VOLUNTEERS, AND PET THERAPY TO NAME JUST A FEW OF THE MANY PROGRAMS, EVERY VOLUNTEER CONTRIBUTES TO THE SUCCESS OF POUDRE VALLEY HEALTH SYSTEM TO ENHANCE THE COMFORT AND CARE OF THE PATIENTS AND THEIR FAMILIES.
FORM 990, PART III, LINE 3	IN PRIOR YEARS, PVHC REPORTED THE OPERATIONS OF ITS PHYSICIAN NETWORKS AS A SEPARATE PROGRAM ACTIVITY. THESE PHYSICIAN NETWORKS WERE OPERATED IN SINGLE MEMBER LLCS, WHICH ARE TREATED AS DISREGARDED ENTITIES FOR TAX PURPOSES. THE LARGEST OF THE PHYSICIAN NETWORKS, POUDRE VALLEY MEDICAL GROUP, BECAME A TWO-MEMBER LLC AND HENCE IS NO LONGER A DISREGARDED ENTITY. ITS FINANCIAL ACTIVITY IS REPORTED AS PART OF PART VIII, LINE 2F. THE PROGRAM SERVICE ACCOMPLISHMENTS OF THE REMAINING PHYSICIAN NETWORKS HAVE BEEN ROLLED UP INTO THE PROGRAM SERVICE ACCOMPLISHMENTS REPORTED ON LINE 4A.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY INDEPENDENT CPAS. A PRELIMINARY DRAFT IS REVIEWED BY THE INTERNAL FINANCE DEPARTMENT. THE FINAL COPY OF THE FORM 990 IS PROVIDED IN AN ELECTRONIC FORMAT TO ALL BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES COMPLETION OF THE FORM ON AN ANNUAL BASIS BY THE BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. COMPLETED FORMS ARE SUBMITTED AND REVIEWED BY THE INTERNAL COMPLIANCE DEPARTMENT TO ENSURE COMPLIANCE WITH THE WRITTEN POLICY. ANY QUESTIONS OR ULTIMATE ENFORCEMENT WOULD BE HANDLED BY THE COMPLIANCE DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION IS PART OF THE UC HEALTH SYSTEM. THE SYSTEM PRESIDENT AND CEO DETERMINES THE SALARY OF THE ENTITY CEO'S COMPENSATION ANNUALLY. THIS DETERMINATION IS ACCOMPLISHED THROUGH THE USE OF THE HAYGROUP. THESE SERVICES ANNUALLY COLLECT LIKE DATA ON LIKE JOBS FROM LIKE ORGANIZATIONS. THE DATA IS SUBMITTED TO THE CHIEF HUMAN RESOURCES OFFICER WHO ADVISES THE SYSTEM PRESIDENT AND CEO ON COMPENSATION DECISIONS FOR SENIOR EXECUTIVES.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC BASED ON THE BUSINESS PURPOSE FOR THE REQUEST. THESE REQUESTS ARE ADDRESSED BY THE SENIOR MANAGEMENT TEAM ON A CASE BY CASE BASIS.
FORM 990, PART XI, LINE 9:	MCR DISTRIBUTIONS TO PVH 28,884,981. UMA BEGINNING NET EARNINGS 925,833. INVESTMENT IN CHMG ELIMINATED IN PY 7,870,287. REMOVE CHMG BEGINNING BALANCE 14,031,200. AUXILLIARY INCOME ON 990, NOT IN AUDIT -128,962. DONATION TO FOUNDATION FROM AUXILLIARY NOT IN AUDIT EXPENSE 126,522. CONTRIBUTION FROM FOUNDATION -264,373. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS 29,819,020.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
TIMBERLINE MEDICAL CLINIC
131 STANLEY AVE	ESTES PARK	CO	80517	043772090	OUTPATIENT	CO	$727,514	$259,460	PVHC INC
LAKOTA LAKE LLC
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	841447761	OUTPATIENT	CO	$3,331,747	$11,345,569	PVHC INC
HERON LAKE LLC
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	264189163	OUTPATIENT	CO	$680,017	$866,902	PVHC INC
UNITED MED ALLIANCE
2021 BATTLECREEK DRIVE STE A	FORT COLLINS	CO	80528	820572743	OUTPATIENT	CO	$87,263	$0	PVHC INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
MEDICAL CENTER OF THE ROCKIES
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	043730045	TERTIARY CARE	CO	501(C)(3)	LINE 3	PVHC INC	Yes (1)
PVHS FOUNDATION
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	741894581	BENEFIT HEALTH	CO	501(C)(3)	LINE 7	PVHC INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HARMONY SURGERY CENTER
2127 E HARMONY RD 200	FT COLLINS	CO	80528	841479751	AMBULATORY SURG	CO	N/A	RELATED	$2,097,104	$2,974,838	0	0	0.51100
CENTRE AVENUE HEALTH & REHAB FACILITY
947 WORTHINGTON CIRCLE	FT COLLINS	CO	80526	841560494	NURSING FACILITY	CO	N/A	RELATED	$118,071	$839,998	0	0	0.50000
COLUMBINE POUDRE HOME CARE
947 WORTHINGTON CIRCLE	FT COLLINS	CO	80526	841529817	NURSING CARE	CO	N/A	RELATED	$19,654	$339,036	0	0	0.50000
EYE LASER CENTER OF NO COLORADO
1725 E PROSPECT RD	FORT COLLINS	CO	80525	841518334	LASER SURGERY	CO	N/A	UNRELATED	$69,802	$72,233	0	0	0.50000
GATEWAY MEDICAL SERVICES
2500 E PROSPECT RD	FORT COLLINS	CO	80525	841427970	REAL EST/MED	CO	N/A	UNRELATED	$2,681,931	$9,178,946	0	0	0.50000
POUDRE INFUSION THERAPY
947 WORTHINGTON CIRCLE	FORT COLLINS	CO	80526	841530973	MEDICAL SERVICES	CO	N/A	RELATED	-$74,044	$140,209	0	0	0.50000
PVHS HOME MEDICAL SUPPLY
6820 N COUNTY RD 13	LOVELAND	CO	80538	202034599	MEDICAL SUPPLY	CO	N/A	UNRELATED	$350,972	$1,116,658	0	Yes (1)	0.50000
THE VEIN AND LASER CENTER OF NO COLORADO
2008 CARIBOU DRIVE	FORT COLLINS	CO	80525	204943970	MEDICAL SERVICES	CO	N/A	UNRELATED	-$229	$47,152	0	0	0.33330
HARMONY IMAGING CENTER
1951 WILMINGTON DRIVE	FORT COLLINS	CO	80528	582479187	MEDICAL IMAGING	CO	N/A	RELATED	$972,329	$1,589,587	0	0	0.46000
PEAK SURGICAL MANAGEMENT
2127 E HARMONY RD STE 200	FORT COLLINS	CO	80528	260899618	SURGICAL MGMT	CO	N/A	RELATED	$145,094	$65,013	0	0	0.14290
SURGERY CENTER OF FORT COLLINS
1100 E PROSPECT ROAD	FORT COLLINS	CO	80525	841541559	SURGICAL PROC	CO	N/A	UNRELATED	$456,641	$1,109,052	0	0	0.26000
POUDRE VALLEY MEDICAL GROUP LLC
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	800348943	MEDICAL SERVICES	CO	N/A	RELATED	-$29,907,356	$28,887,868	0	Yes (1)	0.99000
PVHS-ICM EHW
3702 AUTOMATION WAY 103	FORT COLLINS	CO	80525	463311308	MEDICAL SERVICES	CO	N/A	RELATED	$17,064	$19,064	0	0	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY RD STE 200	AddressLine1
City	FORT COLLINS	City
State	CO	State
ZIP Code	80528	ZIPCode

Field	Value	IRS element (for citing)
EIN	202036774	EIN
Primary Activities	IT CONSULTING	PrimaryActivitiesTxt
Legal Domicile State	CO	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Share Of Total Income	$985,241	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,250,634	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp (20 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HARMONY SURGERY CENTER
A	$872,457	TRANSACTION TOTAL
HARMONY SURGERY CENTER
Q	$605,914	TRANSACTION TOTAL
HARMONY SURGERY CENTER
S	$1,058,220	TRANSACTION TOTAL
UNITED MEDICAL ALLIANCE
M	$68,003	TRANSACTION TOTAL
CENTRE AVENUE HEALTH & REHAB FACILITY
S	$150,000	TRANSACTION TOTAL
COLUMBINE POUDRE HOME CARE
S	$125,000	TRANSACTION TOTAL
EYE LASER CENTER OF NO COLORADO
M	$102,092	TRANSACTION TOTAL
GATEWAY MEDICAL SERVICES
S	$3,290,000	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
L	$6,927,402	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
M	$6,097,437	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
S	$28,884,981	TRANSACTION TOTAL
PVHS FOUNDATION
B	$844,463	TRANSACTION TOTAL
PVHS FOUNDATION
C	$3,626,893	TRANSACTION TOTAL
INNOVATION ENTERPRISES
A	$122,788	TRANSACTION TOTAL
INNOVATION ENTERPRISES
A	$290,897	TRANSACTION TOTAL
INNOVATION ENTERPRISES
S	$50,530	TRANSACTION TOTAL
PVHS-ICM EHW
D	$50,621	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
B	$33,095,072	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
J	$3,227,785	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
M	$3,874,347	TRANSACTION TOTAL