UCH-MHS: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- UCH-MHS (EIN 46-0796114)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-15
- IRS object ID
- 201521359349306367
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-15T14:45:24-05:00 | 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 | 460796114 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UCH-MHS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UCH- | BusinessNameControlTxt |
| Phone | 7208488778 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 E BOULDER STREET | AddressLine1 |
| City | COLORADO SPRINGS | City |
| State | CO | State |
| ZIP Code | 80909 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAN RIEBER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7208488778 | 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) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GEORGE HAYES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1400 E BOULDER STREET | AddressLine1 |
| City | COLORADO SPRINGS | City |
| State | CO | State |
| ZIP Code | 80909 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $597,633,573 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MEMORIALHEALTHSYSTEM.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | WE IMPROVE LIVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 4416 | TotalEmployeeCnt |
| Total Volunteers | 674 | TotalVolunteersCnt |
| Total Gross UBI | $312,120 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$13,450 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $794,285 | PYContributionsGrantsAmt |
| CY Contributions Grants | $861,642 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $480,612,968 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $595,414,863 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,442,029 | PYInvestmentIncomeAmt |
| CY Investment Income | -$1,881,358 | CYInvestmentIncomeAmt |
| PY Other Revenue | $120,302 | PYOtherRevenueAmt |
| CY Other Revenue | $182,078 | CYOtherRevenueAmt |
| PY Total Revenue | $482,969,584 | PYTotalRevenueAmt |
| CY Total Revenue | $594,577,225 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,390,780 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,740,904 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $180,593,788 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $242,638,971 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $300,167,266 | PYOtherExpensesAmt |
| CY Other Expenses | $354,102,407 | CYOtherExpensesAmt |
| PY Total Expenses | $484,151,834 | PYTotalExpensesAmt |
| CY Total Expenses | $603,482,282 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,182,250 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,905,057 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $491,120,595 | TotalAssetsBOYAmt |
| Total Assets EOY | $475,332,247 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $492,302,845 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $485,324,333 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,182,250 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$9,992,086 | NetAssetsOrFundBalancesEOYAmt |
| 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 | 0 | SignificantChangeInd |
| Expense | $528,124,132 | ExpenseAmt |
| Grant | $6,740,904 | GrantAmt |
| Revenue | $595,596,941 | RevenueAmt |
| Desc | MEMORIAL HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE TO COLORADO SPRINGS, COLORADO AND THE SURROUNDING COMMUNITIES. DURING FISCAL YEAR 2014, MEMORIAL HOSPITAL PROVIDED 19,261 ADMISSIONS, 6,353 INPATIENT SURGERIES, 14,067 OUTPATIENT SURGERIES, 134,193 EMERGENCY DEPARTMENT VISITS, AND 399,992 OUTPATIENT VISITS. MEMORIAL'S PATIENTS, REGARDLESS OF CIRCUMSTANCE, HAVE ALWAYS COME FIRST. THIS IS ONE OF THE ORGANIZATION'S MOST DEEPLY HELD VALUES. AS PART OF UCHEALTH, MEMORIAL REMAINS COMMITTED TO PROVIDING CHARITY CARE TO PERSONS WHO HAVE HEALTH CARE NEEDS AND ARE UNABLE TO PAY. | Desc |
| Total Program Service Expenses | $528,124,132 | 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 | 0 | 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 | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 594 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4416 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 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 | LAUREN JERVIK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7193652324 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2420 EAST PIKES PEAK AVENUE | AddressLine1 |
| City | COLORADO SPRINGS | City |
| State | CO | State |
| ZIP Code | 80909 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LILY MARKS | ||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ELIZABETH SLIFER | ||||||||
| BOARD OF DIRECTORS | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN A DAWES | ||||||||
| BOARD OF DIRECTORS | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD L MONTFORT | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JERRY RUTLEDGE | ||||||||
| BOARD OF DIRECTORS | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE D BENSON | ||||||||
| BOARD OF DIRECTORS | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD D KRUGMAN MD | ||||||||
| BOARD OF DIRECTORS | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT C MCINTYRE MD | ||||||||
| BOARD OF DIRECTORS | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DENISE O'LEARY | ||||||||
| BOARD OF DIRECTORS | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RAY BAKER | ||||||||
| BOARD OF DIRECTORS | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL SCIALDONE | ||||||||
| CEO, TERM END 1/14 | 40.00 | Yes (X) | $412,832 | $0 | $39,627 | |||
| PATRICK FARICY MD | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $412,995 | $0 | $44,240 | |||
| TRACY NARVET | ||||||||
| CFO, TERM END 1/14 | 40.00 | Yes (X) | $234,012 | $0 | $33,530 | |||
| MICHELLE SMITH | ||||||||
| CHIEF CLINICAL OFFICER | 40.00 | Yes (X) | $292,370 | $0 | $35,886 | |||
| WILLIAM MOHON | ||||||||
| COO, TERM END 1/14 | 40.00 | Yes (X) | $35,271 | $0 | $9,478 | |||
| GEORGE HAYES | ||||||||
| CEO, TERM BEGIN 1/14 | 40.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL RIEBER | ||||||||
| INTERIM CFO, TERM BEGIN 1/14 | 40.00 | Yes (X) | $0 | $0 | $0 | |||
| COLETTE MARTIN | ||||||||
| COO, TERM BEGIN 11/13 | 40.00 | Yes (X) | $22,096 | $0 | $3,459 | |||
| ODA ROOZEBOOM | ||||||||
| VP QUALITY | 40.00 | $230,666 | $0 | $36,926 | Yes (X) | |||
| HELEN MARKLEY | ||||||||
| PHYSICIAN URGENT CARE | 40.00 | $333,065 | $0 | $41,325 | Yes (X) | |||
| CHARLES PECK | ||||||||
| PSYCHIATRIST | 40.00 | $225,295 | $0 | $31,723 | Yes (X) | |||
| IAN TULLBERG | ||||||||
| PHYSICIAN URGENT CARE | 40.00 | $218,667 | $0 | $29,852 | Yes (X) | |||
| SUSAN DERN | ||||||||
| PHYSICIAN URGENT CARE | 40.00 | $215,835 | $0 | $21,410 | Yes (X) | |||
| TIMOTHY COLEMAN | ||||||||
| PHYSICIAN URGENT CARE | 40.00 | $197,585 | $0 | $34,856 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,830,689 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $362,312 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 92 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXHO INC & AFFILIATES | |||||
| 9801 WASHINGTONIAN BLVD | GAITHERSBURG | MD | 20878 | DIETARY/CAFETERIA | $5,871,460 |
| CROTHALL HEALTHCARE | |||||
| 955 CHESTERBROOK BLVD SUITE 300 | WAYNE | PA | 19087 | HOUSEKEEPING | $5,869,812 |
| SHIFTWISE | |||||
| 2501 SW 1ST AVE SUITE 200 | PORTLAND | OR | 97201 | CONTRACT LABOR | $2,786,939 |
| ANESTHESIA ASSOCIATES OF COLO SPGS | |||||
| PO BOX 973354 | DALLAS | TX | 75397 | MEDICAL | $2,236,357 |
| REPUBLIC PARKING SYSTEM | |||||
| 1600 REPUBLIC CTR | CHATTANOOGA | TN | 37450 | VALET | $1,707,551 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $581,017 | GovernmentGrantsAmt |
| All Other Contributions | $280,625 | AllOtherContributionsAmt |
| Total Contributions | $861,642 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SVC REV | 900099 | $532,251,185 | $532,251,185 | |
| PROVIDER FEE INCOME | 621400 | $47,032,586 | $47,032,586 | |
| ANCILLARY SERVICES | 621400 | $9,126,983 | $9,126,983 | |
| RENTAL INCOME | 532000 | $3,155,105 | $3,155,105 | |
| LAB REVENUE | 900099 | $1,934,150 | $1,622,030 | $312,120 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,914,854 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,914,854 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $595,414,863 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $765,234 | TotalRevenueColumnAmt |
| Exclusion | $765,234 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,284 | SecuritiesAmt |
| Other | $226,032 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $33,722 | SecuritiesAmt |
| Other | $2,844,186 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$28,438 | SecuritiesAmt |
| Other | -$2,618,154 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,646,592 | TotalRevenueColumnAmt |
| Exclusion | -$2,646,592 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $360,518 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $178,440 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $182,078 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $182,078 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $594,577,225 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $595,284,821 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $312,120 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$1,881,358 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,740,904 | TotalAmt |
| Program Services | $6,740,904 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,575,796 | TotalAmt |
| Management And General | $1,575,796 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,250,330 | TotalAmt |
| Program Services | $166,579,936 | ProgramServicesAmt |
| Management And General | $25,670,394 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,194,273 | TotalAmt |
| Program Services | $14,741,481 | ProgramServicesAmt |
| Management And General | $452,792 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,618,572 | TotalAmt |
| Program Services | $32,671,662 | ProgramServicesAmt |
| Management And General | $946,910 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,659 | TotalAmt |
| Management And General | $112,659 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,785 | TotalAmt |
| Management And General | $45,785 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,372 | TotalAmt |
| Management And General | $33,372 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $939 | TotalAmt |
| Management And General | $939 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,780,263 | TotalAmt |
| Program Services | $52,002,975 | ProgramServicesAmt |
| Management And General | $12,777,288 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,621,420 | TotalAmt |
| Program Services | $88,972 | ProgramServicesAmt |
| Management And General | $1,532,448 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,406,738 | TotalAmt |
| Program Services | $2,050,915 | ProgramServicesAmt |
| Management And General | $355,823 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,422,466 | TotalAmt |
| Program Services | $149,065 | ProgramServicesAmt |
| Management And General | $2,273,401 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,507,704 | TotalAmt |
| Program Services | $7,929,624 | ProgramServicesAmt |
| Management And General | $2,578,080 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,231,289 | TotalAmt |
| Program Services | $1,205,790 | ProgramServicesAmt |
| Management And General | $25,499 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,243 | TotalAmt |
| Program Services | $212,648 | ProgramServicesAmt |
| Management And General | $5,595 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,770,885 | TotalAmt |
| Program Services | $14,770,885 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,769,322 | TotalAmt |
| Program Services | $13,149,851 | ProgramServicesAmt |
| Management And General | $15,619,471 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,437,341 | TotalAmt |
| Program Services | $47,054 | ProgramServicesAmt |
| Management And General | $2,390,287 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $123,390,457 | $122,892,046 | $498,411 |
| BAD DEBT | $52,300,718 | $52,300,718 | |
| PROVIDER FEE EXPENSE | $28,795,382 | $28,795,382 | |
| REPAIRS & MAINT | $7,611,958 | $6,877,463 | $734,495 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,645,466 | TotalAmt |
| Program Services | $4,916,761 | ProgramServicesAmt |
| Management And General | $7,728,705 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $603,482,282 | TotalAmt |
| Program Services | $528,124,132 | ProgramServicesAmt |
| Management And General | $75,358,150 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,547,935 | BOYAmt |
| EOY | $21,099 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,479,061 | BOYAmt |
| EOY | $2,478,871 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,419,453 | BOYAmt |
| EOY | $90,842,513 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,389,563 | BOYAmt |
| EOY | $13,204,012 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,269,346 | BOYAmt |
| EOY | $8,836,103 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $614,902,060 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $304,434,593 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,510,929 | BOYAmt |
| EOY | $310,467,467 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,235,651 | BOYAmt |
| EOY | $1,469,562 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,268,657 | BOYAmt |
| EOY | $48,012,620 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $491,120,595 | BOYAmt |
| EOY | $475,332,247 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,688,951 | BOYAmt |
| EOY | $81,148,227 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,414,261 | BOYAmt |
| EOY | $265,575,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,978,654 | BOYAmt |
| EOY | $105,978,654 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,220,979 | BOYAmt |
| EOY | $32,622,452 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $492,302,845 | BOYAmt |
| EOY | $485,324,333 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,182,250 | BOYAmt |
| EOY | -$9,992,086 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,182,250 | BOYAmt |
| EOY | -$9,992,086 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $491,120,595 | BOYAmt |
| EOY | $475,332,247 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$8,905,057 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $95,221 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
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 | $33,372 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $33,372 | 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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $384,118,102 | OtherCostOrOtherBasisAmt |
| Depreciation | $145,356,114 | DepreciationAmt |
| Book Value | $238,761,988 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,939,603 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,776,044 | DepreciationAmt |
| Book Value | $3,163,559 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $214,759,609 | OtherCostOrOtherBasisAmt |
| Depreciation | $153,678,127 | DepreciationAmt |
| Book Value | $61,081,482 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,084,746 | OtherCostOrOtherBasisAmt |
| Depreciation | $624,308 | DepreciationAmt |
| Book Value | $7,460,438 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $310,467,467 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY RECEIVABLE | Desc |
| Book Value | $48,012,620 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $48,012,620 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLES | $21,102,429 |
| OTHER DEFERRED EXPENSES | $970,134 |
| PAYABLE TO CITY OF CO SPRING | $7,206,900 |
| VEBA TRUST LIABILITY | $3,342,989 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $32,622,452 | TotalLiabilityAmt |
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 | Yes (1) | 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 | $859,847 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $859,847 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $95,504,190 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $72,219,903 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,284,287 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04220 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,602,640 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,989,573 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,613,067 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02650 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $134,966,677 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $96,209,476 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,757,201 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07030 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $835,356 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $835,356 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,928,880 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,928,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01440 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,764,236 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,764,236 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01590 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $143,730,913 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $96,209,476 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,521,437 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08620 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,372 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $108,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,372 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $108,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $52,300,718 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $121,844,570 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $153,161,699 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$31,317,129 | 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 (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 BRIARGATE ENDOSCOPY | ||
| GI SERVICES | 0.40000 | 0.60000 |
| 2 THE ORTHOPAEDIC & SPINE CENTER OF SOUTHERN COLORADO | ||
| SURGICAL SERVICES | 0.11490 | 0.88510 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL CENTRAL | |||||||
| 1 | 1400 E BOULDER STREET | COLORADO SPRINGS | CO | 80909 | Yes (X) | Yes (X) | Yes (X) |
| MEMORIAL HOSPITAL NORTH | |||||||
| 2 | 4050 BRIARGATE PARKWAY | COLORADO SPRINGS | CO | 80920 | Yes (X) | Yes (X) | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Develop Community Wide PlanDevelopCommunityWidePlanInd | Exec Community Wide PlanExecCommunityWidePlanInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Asset LevelAssetLevelInd | Medical IndigencyMedicalIndigencyInd | Insurance StatusInsuranceStatusInd | Uninsured DiscountUninsuredDiscountInd | Medicaid MedicareMedicaidMedicareInd | State RegulationStateRegulationInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Available On RequestAvailableOnRequestInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit Lien On ResidencePermitLienOnResidenceInd | Collection ActivitiesCollectionActivitiesInd | Reporting To Credit AgencyReportingToCreditAgencyInd | LawsuitLawsuitInd | Liens On ResidencesLiensOnResidencesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Lowest Negotiated RatesLowestNegotiatedRatesInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Permit Report To Credit AgencyPermitReportToCreditAgencyInd | Permit LawsuitPermitLawsuitInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL CENTRAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 250.000000000000 | Yes (1) | 400.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | ||
| MEMORIAL HOSPITAL NORTH | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 250.000000000000 | Yes (1) | 400.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (1) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) | Yes (X) | ||
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MEMORIAL HOSPITAL CENTRAL | PART V, SECTION B, LINE 3: THE HEALTHY COMMUNITY COLLABORATIVE (HCC) WAS FORMED BY A GROUP OF ROUGHLY 49 COMMUNITY AGENCIES AND OVER 80 MEMBERS BY EL PASO COUNTY DEPARTMENT OF HEALTH & ENVIRONMENT. THE HCC CONSISTS OF REPRESENTATIVES FROM SCHOOLS, HOSPITALS AND HEALTH SYSTEMS (INCLUDING REPRESENTATIVES FROM MEMORIAL HOSPITAL), NON-PROFIT ORGANIZATIONS, CITY AND COUNTY GOVERNMENT AGENCIES, PUBLIC HEALTH, MEDICAL PROVIDERS AND INTERESTED CITIZENS. THROUGHOUT THE HEALTH ASSESSMENT PROCESS, THE HCC ALIGNED ITS WORK WITH COLORADO'S 10 WINNABLE BATTLES (DEVELOPED BY CDPHE) TO PROVIDE A FRAMEWORK FOR SELECTION OF SPECIFIC HEALH INDICATORS AND ASSOCIATED COUNTY-SPECIFIC DATA. COLORADO'S 10 WINNABLE BATTLES ARE PUBLIC HEALTH AND ENVIORNMENTAL PRIORITIES WITH LARGE SCALE IMPACT ON HEALTH AND THE ENVIRONMENT, AND WITH KNOWN, EFFECTIVE STRATEGIES TO ADDRESS THEM. ACKNOWLEDGING THE FINDINGS OF THE HCC, THE ADMINISTRATIVE TEAM CHOSE TO ALSO DIRECT RESOURCES AND IMPLEMENT PLANNING STRATEGIES TO WORK TOWARD IMPROVING HEALTHY EATING AND ACTIVE LIVING FOR RESIDENTS OF EL PASO COUNTY. AN EQUALLY HIGH PRIORITY ISSUE, THE NEED TO INCREASE THE PRIMARY CARE WORKFORCE IN EL PASO COUNTY WAS IDENTIFIED BY THE MEMORIAL HOSPITAL ADMINISTRATIVE TEAM.THE LIST OF COMMUNITY AGENCIES THAT PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AS FOLLOWS:ACADEMY SCHOOL DISTRICT 20ALLIANCE FOR DRUG ENDANGERED CHILDRENAMERICAN CANCER SOCIETYAMERICAN MEDICAL RESPONSEASPEN POINTECARE AND SHARE FOOD BANK FOR SOUTHERN COLORADOCEDAR SPRINGS BEHAVIORAL HEALTHCENTRO DE LA FAMILIACITY OF COLORADO SPRINGSCITY OF COLORADO SPRINGS PARKS, RECREATION & CULTURAL SERVICESCITY OF FOUNTAINCITY OF MANITOU SPRINGSCOLORADO BUSINESS GROUP ON HEALTHCOLORADO SPRINGS CHAMBER OF COMMERCECOLORADO SPRINGS FIRE DEPARTMENTCOLORADO SPRINGS HEALTH PARTNERSCOLORADO SPRINGS REGIONAL BUSINESS ALLIANCECOLORADO SPRINGS SCHOOL DISTRICT 11COMMUNITY HEALTH PARTNERSHIPCOMMUNITY PARTNERSHIP FOR CHILD DEVELOPMENTEL PASO COUNTYEL PASO COUNTY COMMUNITY SERVICESEL PASO COUNTY MEDICAL SOCIETYEL PASO COUNTY PUBLIC HEALTHFORT CARSON WELLNESS SERVICESFOUNTAIN VALLEY COMMUNITY ACTIVITY AND NUTRITIONGOLDEN LOTUS FOUNDATIONHARRISON SCHOOL DISTRICT 2HEARTSMARTKIDSHUNGER FREE COLORADOKAISER PERMANENTEKING SOOPERS/CITY MARKETLATINO AMERICAN HEALTH NETWORKLIVEWELL COLORADO SPRINGSMANITOU SPRINGS SCHOOL DISTRICT 14MEDICALVOYCEMEMORIAL HEALTH SYSTEMNAACPOPEN BIBLE MEDICAL CLINICOWN YOUR OWN HEALTHPARTNERS FOR HEALTHY CHOICESPEAK VISTA COMMUNITY HEALTH CENTERSPENROSE-ST. FRANCIS HEALTH SERVICESPFIZER, INC.PHIL LONG DEALERSHIPSPIKES PEAK AREA COUNCIL OF GOVERNMENTSPIKES PEAK REGION HEALTHIER SCHOOLSROCKY MOUNTAIN HEALTH CARE SERVICESST. FRANCIS MISSION OUTREACHSET FAMILY MEDICAL CLINICSUICIDE PREVENTION PARTNERSHIPTELLER COUNTY PUBLIC HEALTHTRAILS AND OPEN SPACE COALITIONUCCS BETH-EL COLLEGE OF NURSING AND HEALTH SCIENCESURBAN PEAKUS FOODSWELLCENTERSYMCA OF THE PIKES PEAK REGION |
| MEMORIAL HOSPITAL CENTRAL | PART V, SECTION B, LINE 4: MEMORIAL HOSPITAL NORTHPART V, SECTION B, LINE 5A: HTTPS://WWW.UCHEALTH.ORG/PAGES/ABOUT-UCHEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX |
| MEMORIAL HOSPITAL NORTH | PART V, SECTION B, LINE 4: MEMORIAL HOSPITAL CENTRALPART V, SECTION B, LINE 5A: HTTPS://WWW.UCHEALTH.ORG/PAGES/ABOUT-UCHEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPX |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| PRINTERS PARK MEDICAL PLAZA | ||||
| 175 S UNION BLVD | COLORADO SPRINGS | CO | 80910 | LAB, RADIOLOGY, REHABILITATION |
| MEMORIAL MEDICAL BUILDING | ||||
| 525 N FOOTE AVE | COLORADO SPRINGS | CO | 80909 | ONCOLOGY |
| CIRCLE SQUARE URGENT CARE | ||||
| 2767 JANITELL RD | COLORADO SPRINGS | CO | 80906 | URGENT CARE |
| BRIARGATE MEDICAL CAMPUS | ||||
| 8890 N UNION BLVD | COLORADO SPRINGS | CO | 80920 | LAB, RADIOLOGY, URGENT CARE |
| MEDICAL OFFICE BLDG ONE | ||||
| 4110 BRIARGATE PARKWAY | COLORADO SPRINGS | CO | 80920 | SLEEP STUDIES |
| OP REHAB - POWERS BLVD | ||||
| 2999 NEW CENTER POINT | COLORADO SPRINGS | CO | 80922 | REHABILITATION |
| OP REHAB - ROCKRIMMON | ||||
| 415 ROCKRIMMON BLVD | COLORADO SPRINGS | CO | 80919 | REHABILITATION |
| WESTSIDE SERVICES | ||||
| 1902 W COLORADO AVE | COLORADO SPRINGS | CO | 80904 | REHABILITATION |
| OP REHAB - STAR RANCH | ||||
| 3663 STAR RANCH ROAD | COLORADO SPRINGS | CO | 80906 | REHABILITATION |
| DUBLIN RADIOLOGY | ||||
| 2685 DUBLIN BLVD | COLORADO SPRINGS | CO | 80918 | RADIOLOGY |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LN 7 COL (F) | TOTAL BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR PRIOR TO THE PERCENTAGE CALCULATION = $52,300,718 |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ALLOWANCES FOR DOUBTFUL ACCOUNTS, CONTRACTUAL ADJUSTMENTS, AND MEDICALLY INDIGENT ALLOWANCES.PART III, LINE 8: THE MEDICARE SHORTFALL IS NOT CONSIDERED COMMUNITY BENEFIT BUT IT DOES INCREASE THE ACCESS TO HEALTH CARE WITHIN THE COMMUNITY. THE COST TO CHARGE RATIO IS PREPARED IN ACCORDANCE WITH THE RULES REQUIRED FOR THE MEDICARE COST REPORT. |
| PART III, LINE 9B: | PATIENTS MAY APPLY OR REQUEST FOR FINANCIAL ASSISTANCE OR CHARITY CARE VIA PATIENT FINANCIAL SERVICES REPRESENTATIVES. |
| 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 VI, LINE 2: | MEMORIAL HOSPITAL RECEIVES INPUT VIA THE HOSPITAL BOARD MEMBERS AND VARIOUS COMMUNITY GROUPS THAT IT MEETS WITH ON A REGULAR BASIS WHERE COMMUNITY HEALTH NEEDS ARE DISCUSSED. |
| PART VI, LINE 3: | INFORMATION IS GIVEN TO PATIENTS UPON ADMISSION FOR CARE AND IS AVAILABLE ON MEMORIAL HOSPITAL'S WEBSITE DESCRIBING THE BILLING PROCESS, INCLUDING BILLING TO GOVERNMENT AND INSURANCE COMPANIES. INFORMATION REGARDING ELIGIBILITY FOR FEDERAL, STATE AND LOCAL INSURANCE AND ASSISTANCE PROGRAMS IS ALSO GIVEN TO PATIENTS AND AVAILABLE ON THE HOSPITAL'S WEBSITE. THE CHARITY POLICY AND FINANCIAL ASSISTANCE POLICY AND PROCESS ARE ALSO GIVEN TO PATIENTS AND AVAILABLE ON THE HOSPITAL'S WEBSITE. |
| PART VI, LINE 4: | MEMORIAL HOSPITAL AND CHMG SOUTH SERVE SOUTHERN COLORADO AREA. EL PASO COUNTY IS THE PRIMARY DEMOGRAPHIC AREA AND BY POPULATION IS COLORADO'S LARGEST COUNTY WITH OVER 622,000 REPORTED IN THE 2010 CENSUS. 91% OF EL PASO COUNTY RESIDENTS ARE CONSIDERED URBAN WITH 9% POPULATION RURAL. MEMORIAL HOSPITAL ALSO SERVES NEARBY TELLER AND PARK COUNTIES. MEMORIAL HAS THE LARGEST EMERGENCY ROOM IN THE STATE WITH OVER 100,000 VISITS ANNUALLY. DEMOGRAPHICALLY BY AGE, EL PASO COUNTY IS VERY EVENLY DISTRIBUTED WITH SLIGHTLY HIGHER CONCENTRATIONS OF POPULATION IN THE 20-24 AND 25-29 AGE CATEGORIES. COLORADO SPRINGS IS HOME TO FORT CARSON ARMY BASE, PETERSON FIELD AIR FORCE BASE, SCHRIEVER AIR FORCE BASE AND THE AIR FORCE ACADEMY. COLORADO SPRINGS IS ALSO HOME TO UNIVERSITY OF COLORADO COLORADO SPRINGS CAMPUS AND COLORADO COLLEGE. CHILDRENS HOSPITAL OF COLORADO OPERATES THE ONLY LEVEL III NICU IN SOUTHERN COLORADO LOCATED AT MEMORIAL HOSPITAL AND MEMORIAL HOSPITAL EMERGENCY DEPARTMENT IS A LEVEL II TRAUMA CENTER. PATIENTS ARE SERVED FROM SOUTH WESTERN COLORADO TO SOUTH EASTERN COLORADO INCLUDING WESTERN KANSAS. |
| PART VI, LINE 5: | WE HAVE IMPLEMENTED A BROAD VARIETY OF HEALTHCARE PROGRAMS AND SERVICES TO SPECIFICALLY ADDRESS THE NEEDS OF OUR COMMUNITY, PARTICULARLY THOSE WHO ARE VULNERABLE AND HAVE DIFFICULTY IN RECEIVING HEALTH CARE. MEMORIAL PARTICIPATES IN SEVERAL GRANTS TO HELP OFFSET THE COST OF PROVIDING NEEDED SERVICES TO THE COMMUNITY SUCH AS HEALTHY COMMUNITIES, MEDICAL HOME, SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM AND A CAR SEAT SAFETY PROGRAM. |
| PART VI, LINE 6: | MEMORIAL HOSPITAL IS PART OF THE UNIVERSITY OF COLORADO HEALTH ORGANIZATION THAT ALSO INCLUDES POUDRE VALLEY HOSPITAL AND MEDICAL CENTER OF THE ROCKIES IN NORTHERN COLORADO AS WELL AS UNIVERSITY OF COLORADO HOSPITAL IN DENVER. THE ORGANIZATION ALSO INCLUDES COLORADO HEALTH MEDICAL GROUP WHICH IS COMPRISED OF A LARGE NUMBER OF PHYSICIANS IN SOUTHERN AND NORTHERN COLORADO. IN SOUTHERN COLORADO, MEMORIAL HOSPITAL AND CHMG SOUTH PROVIDE SERVICES TO RESIDENTS OF SOUTHERN COLORADO COMPREHENSIVE ARRAY OF SERVICES. MEMORIAL AND CHMG ALSO PROVIDE OUTREACH CLINICS FOR SPECIALTY CARE IN MANY LOCATIONS OF SOUTHERN COLORADO FROM THE EASTERN TO WESTERN BORDERS SERVING THE RURAL COMMUNITIES AND IMPROVING ACCESS TO CARE. MEMORIAL HOSPITAL IS ALSO IN PARTNERSHIP WITH CHILDRENS HOSPITAL OF COLORADO WHICH PROVIDES ON SITE CARE FOR ALL PEDIATRIC PATIENTS. |
| 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 (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF COLORADO MEDICAL SCHOOL | |||||||
| 13001 E 17TH PL | AURORA | CO | 80045 | 846000555 | 501(C)3 | $5,486,181 | TO SUPPORT MEDICAL SCHOOL |
| EL PASO COUNTY | |||||||
| 2721 E LAS VEGAS ST | COLORADO SPRINGS | CO | 80906 | 846000764 | GOVERNMENT | $423,649 | DETOX CENTER |
| MEMORIAL HOSPITAL FOUNDATION | |||||||
| 1511 E BOULDER STREET | COLORADO SPRINGS | CO | 80909 | 841576338 | 501(C)3 | $726,790 | PHILANTHROPIC RESOURCES TO ASSIST MEDICAL HEALTH SYSTEM |
| PEAK VISTA COMMUNITY HEALTH CTRS FOUNDATION | |||||||
| 722 S WAHSATCH AVENUE | COLORADO SPRINGS | CO | 80903 | 203640104 | 501(C)3 | $93,562 | LEASE PAYMENTS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FUNDS ARE RECORDED AND ANALYZED MONTHLY. MEMORIAL HEALTH SYSTEM RECONCILES AND RECORDS ALL EXPENSES AS FINANCIAL STATEMENTS ARE PREPARED FOR THE FOUNDATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL SCIALDONE | ||||||||||||||
| CEO, TERM END 1/14 | $348,480 | $0 | $64,352 | $0 | $0 | $0 | $25,596 | $0 | $14,031 | $0 | $452,459 | $0 | $0 | $0 |
| PATRICK FARICY MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $375,935 | $0 | $37,060 | $0 | $0 | $0 | $33,182 | $0 | $11,058 | $0 | $457,235 | $0 | $0 | $0 |
| TRACY NARVET | ||||||||||||||
| CFO, TERM END 1/14 | $202,962 | $0 | $31,050 | $0 | $0 | $0 | $20,910 | $0 | $12,620 | $0 | $267,542 | $0 | $0 | $0 |
| MICHELLE SMITH | ||||||||||||||
| CHIEF CLINICAL OFFICER | $265,026 | $0 | $27,344 | $0 | $0 | $0 | $25,769 | $0 | $10,117 | $0 | $328,256 | $0 | $0 | $0 |
| ODA ROOZEBOOM | ||||||||||||||
| VP QUALITY | $208,786 | $0 | $21,880 | $0 | $0 | $0 | $6,476 | $0 | $30,450 | $0 | $267,592 | $0 | $0 | $0 |
| HELEN MARKLEY | ||||||||||||||
| PHYSICIAN URGENT CARE | $315,951 | $0 | $17,114 | $0 | $0 | $0 | $7,650 | $0 | $33,675 | $0 | $374,390 | $0 | $0 | $0 |
| CHARLES PECK | ||||||||||||||
| PSYCHIATRIST | $223,233 | $0 | $2,062 | $0 | $0 | $0 | $6,816 | $0 | $24,907 | $0 | $257,018 | $0 | $0 | $0 |
| IAN TULLBERG | ||||||||||||||
| PHYSICIAN URGENT CARE | $207,248 | $0 | $11,419 | $0 | $0 | $0 | $3,570 | $0 | $26,282 | $0 | $248,519 | $0 | $0 | $0 |
| SUSAN DERN | ||||||||||||||
| PHYSICIAN URGENT CARE | $199,617 | $0 | $16,218 | $0 | $0 | $0 | $0 | $0 | $21,410 | $0 | $237,245 | $0 | $0 | $0 |
| TIMOTHY COLEMAN | ||||||||||||||
| PHYSICIAN URGENT CARE | $191,573 | $0 | $6,012 | $0 | $0 | $0 | $5,789 | $0 | $29,067 | $0 | $232,441 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | WILLIAM MOHON RECEIVED A SEVERENCE PAYMENT OF $293,136. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIV OF CO HOSPITAL AUTH SERIES 2012A | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 841179794 | BondIssuerEIN |
| CUSIP | 914183AT5 | CUSIPNum |
| Bond Issued | 2012-10-01 | BondIssuedDt |
| Issue Price | $272,090,000 | IssuePriceAmt |
| Purpose | FUND ACQUISITION COST OF MEMORIAL HOSPITAL | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $272,090,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $3,154,664 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $268,935,336 | CapitalExpendituresAmt |
| Substantial Completion | 2012 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS ONE MEMBER, WHICH IS THE UNIVERSITY OF COLORADO HOSPITAL AUTHORITY. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER HAS THE AUTHORITY TO APPOINT INDIVIDUALS TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER MUST APPROVE ANY AMENDMENTS OR MODIFICATIONS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION OR BY-LAWS. |
| 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 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 MEMERS, OFFICERS, AND KEY EMPLOYEES OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE SYSTEM PRESIDENT AND CEO DETERMINES THE SALARY OF THE ENTITY CEOS 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 ADVICES 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 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 IX, LINE 11G | TRANSCRIPTION: PROGRAM SERVICE EXPENSES 791,926. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 791,926. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES -723. MANAGEMENT AND GENERAL EXPENSES 31,908. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,185. CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 23,550,054. MANAGEMENT AND GENERAL EXPENSES 11,674,036. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,224,090. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 16,786,493. MANAGEMENT AND GENERAL EXPENSES 162,186. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,948,679. CONTRACT LABOR SERVICES: PROGRAM SERVICE EXPENSES 5,126,150. MANAGEMENT AND GENERAL EXPENSES 909,158. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,035,308. COURIER SERVICES: PROGRAM SERVICE EXPENSES 620,247. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 620,247. LAB SERVICES: PROGRAM SERVICE EXPENSES 5,128,828. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,128,828. |
Schedule R IRS990ScheduleR
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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | |||||||||||
| 12401 E 17TH AVE MAIL STOP F417 | AURORA | CO | 80045 | 841179794 | HEALTHCARE | CO | 501(C)(3) | LINE 3 | YES | 0 | |
| UNIVERSITY OF COLORADO HOSPITAL FOUNDATION | |||||||||||
| PO BOX 6510 MAIL STOP F485 | AURORA | CO | 80045 | 208575263 | FUNDRAISING | CO | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| 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 | 0 | 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 | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |