BOULDER COMMUNITY HEALTH: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- BOULDER COMMUNITY HEALTH (EIN 84-0175870)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201423219349305222
- Schema version
- 2013v3.0
- 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 F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T11:53:53-07:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840175870 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Community Health | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BOUL | BusinessNameControlTxt |
| Phone | 3034402358 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 9019 | AddressLine1 |
| Address Line2 | 1100 Balsam Ave | AddressLine2 |
| City | Boulder | City |
| State | CO | State |
| ZIP Code | 803019019 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | William A Munson Jr | PersonNm |
| Person Title | CFO & Vice President | PersonTitleTxt |
| Phone | 3034157433 | PhoneNum |
| Signature | 2014-11-17 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Community Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | David P Gehant | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 9019 | AddressLine1 |
| City | Boulder | City |
| State | CO | State |
| ZIP Code | 803019019 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $722,557,596 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.bch.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1922 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | To provide our community with the safest and highest quality healthcare in an innovative, patient-centered environment. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 2814 | TotalEmployeeCnt |
| Total Volunteers | 563 | TotalVolunteersCnt |
| Total Gross UBI | $2,214,924 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,170,727 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,358,726 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $292,245,681 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $291,528,637 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,821,051 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,680,487 | CYInvestmentIncomeAmt |
| PY Other Revenue | $18,580,776 | PYOtherRevenueAmt |
| CY Other Revenue | $14,726,569 | CYOtherRevenueAmt |
| PY Total Revenue | $323,818,235 | PYTotalRevenueAmt |
| CY Total Revenue | $325,294,419 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $397,939 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $363,851 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $147,908,726 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $153,542,796 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $321,261 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $151,796,746 | PYOtherExpensesAmt |
| CY Other Expenses | $156,469,324 | CYOtherExpensesAmt |
| PY Total Expenses | $300,103,411 | PYTotalExpensesAmt |
| CY Total Expenses | $310,375,971 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $23,714,824 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,918,448 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $584,504,013 | TotalAssetsBOYAmt |
| Total Assets EOY | $627,149,726 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $279,157,334 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $253,465,927 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $305,346,679 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $373,683,799 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide our community with the safest and highest quality healthcare in an innovative, patient-centered environment. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $230,067,179 | ExpenseAmt |
| Grant | $363,851 | GrantAmt |
| Revenue | $305,508,083 | RevenueAmt |
| Desc | Health Care Delivery of IP and OP medical care. In 2013, the hospital discharged 8,316 adult & pediatric patients with an average length of stay of 4.5 days. 49,411 patients were seen in our ER/Urgent Care facilities. 6,652 surgeries were performed. The hospital had adjusted patient days of 86,871. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $230,067,179 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (1) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 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 | 257 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2814 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lisa Rogowski Controller | PersonNm |
| Phone | 3034402358 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 9019 | AddressLine1 |
| Address Line2 | 1100 Balsam Ave | AddressLine2 |
| City | Boulder | City |
| State | CO | State |
| ZIP Code | 803019019 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 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 |
|---|---|---|---|---|---|---|---|---|---|
| Lou DellaCava | |||||||||
| Chairman | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Richard Porreca | |||||||||
| Vice Chairman | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jean Dubofsky | |||||||||
| Secretary | 4 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| R David Hoover | |||||||||
| Treasurer | 4 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Randy Bjerke MD | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Richard V Lopez | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Jeff Morgan | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| David Gehant | |||||||||
| Exec Director/CEO | 40 | 0 | Yes (X) | Yes (X) | $908,121 | $0 | $37,793 | ||
| Tom Metz | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Janet Martin | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Mako Shimoda MD | |||||||||
| Board Member | 2 | 0 | Yes (X) | $8,550 | $0 | $0 | |||
| Steve Fries MD | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Harold Flowers | |||||||||
| Board Member | 2 | 0 | Yes (X) | $1,399 | $0 | $0 | |||
| Susan Graf | |||||||||
| Board Member | 2 | 0 | Yes (X) | $1,025 | $0 | $0 | |||
| Dee Perry | |||||||||
| Board Member | 2 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Paul Kenneth Lewis Jr | |||||||||
| VP & Chief Medical Officer | 40 | Yes (X) | $380,118 | $0 | $104,060 | ||||
| William A Munson Jr | |||||||||
| VP & CFO | 40 | 0 | Yes (X) | $363,410 | $0 | $91,251 | |||
| Jacqueline M Attlesey-Pries | |||||||||
| VP & Chief Nursing Officer | 40 | 0 | Yes (X) | $258,879 | $0 | $70,761 | |||
| Sarah E Meshak | |||||||||
| VP & General Counsel | 40 | 0 | Yes (X) | $253,333 | $0 | $54,800 | |||
| James Peters | |||||||||
| VP | 40 | 0 | Yes (X) | $246,433 | $0 | $59,337 | |||
| Linda S Minghella | |||||||||
| VP & Chief Information Officer | 40 | 0 | Yes (X) | $229,679 | $0 | $50,769 | |||
| Ronald Secrist | |||||||||
| BCH Foundation President | 40 | 0 | $208,684 | $0 | $48,231 | Yes (X) | |||
| Jamie D Jensen | |||||||||
| Physician Clinic COO | 40 | 0 | $173,643 | $0 | $37,644 | Yes (X) | |||
| Sameer A Oza | |||||||||
| Physician | 40 | 0 | $684,106 | $0 | $53,664 | Yes (X) | |||
| Jamie J Doucet | |||||||||
| Physician | 40 | 0 | $633,408 | $0 | $54,376 | Yes (X) | |||
| Nelson P Trujillo Jr | |||||||||
| Physician | 40 | 0 | $642,717 | $0 | $53,663 | Yes (X) | |||
| Daniel S White | |||||||||
| Physician | 40 | 0 | $642,375 | $0 | $55,528 | Yes (X) | |||
| John A Schutz | |||||||||
| Physician | 40 | 0 | $639,830 | $0 | $54,667 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,275,710 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $826,544 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 162 | 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 | Address Line2ContractorAddress/USAddress/AddressLine2 | Business Name Line2ContractorName/BusinessName/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|
| Favorite Healthcare Staffing Inc | |||||||
| PO Box 803356 | Kansas City | MO | 641803356 | agency nursing services | $1,858,289 | ||
| Colorado Cardiovascular Surgical Associates PC | |||||||
| 950 E Harvard Ave Suite 550 | Denver | CO | 80210 | Cardiovascular surgery coverage and employee lease | $1,219,392 | Suite 203 | |
| Dr Laurie Coryell | |||||||
| Community Medical Center | Lafayette | CO | 80026 | Urgent Care Phys. Group | $1,169,542 | 1000 W So Boulder Rd Suite 100 | |
| Boulder Valley Anesthesiology LLC | |||||||
| 1420 28th St Ste 100 | Boulder | CO | 80303 | Anesthesiology coverage | $979,585 | c/o Wendll Walker & Assoc | |
| Emergency Courier Services | |||||||
| in care of Aaron Ramsey | Niwot | CO | 80503 | medical courier service | $734,098 | 7713 N 41st St | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $3,665 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $2,744,953 | RelatedOrganizationsAmt |
| Government Grants | $580,460 | GovernmentGrantsAmt |
| All Other Contributions | $29,648 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $3,358,726 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Acute care hospital | Desc |
| Business | 622000 | BusinessCd |
| Total Revenue Column | $291,528,637 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $289,641,138 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,820,650 | UnrelatedBusinessRevenueAmt |
| Exclusion | $66,849 | ExclusionAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $291,528,637 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,992,776 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,992,776 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,830 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $72,830 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $398,656,983 | SecuritiesAmt |
| Other | $10,148,101 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $386,854,075 | SecuritiesAmt |
| Other | $10,336,128 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,802,908 | SecuritiesAmt |
| Other | -$188,027 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,614,881 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$188,027 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,802,908 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $10,005 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $215 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,790 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,790 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $106,200 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $72,759 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,441 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $33,441 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Health Care Joint Ventures | 621400 | $6,152,018 | $6,152,018 | $0 | $0 |
| Misc Hospital Revenue | 622000 | $8,531,320 | $7,688,030 | $394,274 | $449,016 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,683,338 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $325,294,419 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $303,293,159 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,214,924 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,427,610 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,718 | TotalAmt |
| Program Services | $189,718 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,364 | TotalAmt |
| Program Services | $85,364 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,769 | TotalAmt |
| Program Services | $88,769 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,551,536 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $3,299,751 | ManagementAndGeneralAmt |
| Fundraising | $251,785 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,632,883 | TotalAmt |
| Program Services | $92,964,887 | ProgramServicesAmt |
| Management And General | $27,641,314 | ManagementAndGeneralAmt |
| Fundraising | $26,682 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,050,011 | TotalAmt |
| Program Services | $9,132,420 | ProgramServicesAmt |
| Management And General | $2,909,178 | ManagementAndGeneralAmt |
| Fundraising | $8,413 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,735,923 | TotalAmt |
| Program Services | $6,744,957 | ProgramServicesAmt |
| Management And General | $1,990,199 | ManagementAndGeneralAmt |
| Fundraising | $767 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,572,443 | TotalAmt |
| Program Services | $6,385,879 | ProgramServicesAmt |
| Management And General | $2,173,959 | ManagementAndGeneralAmt |
| Fundraising | $12,605 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,158,759 | TotalAmt |
| Program Services | $219,217 | ProgramServicesAmt |
| Management And General | $1,939,542 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,283 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $257,283 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,234 | TotalAmt |
| Program Services | $4,234 | ProgramServicesAmt |
| Management And General | $85,000 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $626,790 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $626,790 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,213,918 | TotalAmt |
| Program Services | $17,165,779 | ProgramServicesAmt |
| Management And General | $4,027,570 | ManagementAndGeneralAmt |
| Fundraising | $20,569 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $787,829 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $787,829 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,583,865 | TotalAmt |
| Program Services | $2,332,273 | ProgramServicesAmt |
| Management And General | $3,240,091 | ManagementAndGeneralAmt |
| Fundraising | $11,501 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,884,665 | TotalAmt |
| Program Services | $489,744 | ProgramServicesAmt |
| Management And General | $8,394,921 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,839,637 | TotalAmt |
| Program Services | $3,652,478 | ProgramServicesAmt |
| Management And General | $2,185,266 | ManagementAndGeneralAmt |
| Fundraising | $1,893 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500,861 | TotalAmt |
| Program Services | $222,917 | ProgramServicesAmt |
| Management And General | $277,504 | ManagementAndGeneralAmt |
| Fundraising | $440 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,646 | TotalAmt |
| Program Services | $121,033 | ProgramServicesAmt |
| Management And General | $206,613 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,276,265 | TotalAmt |
| Program Services | $997,004 | ProgramServicesAmt |
| Management And General | $1,279,261 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,715,739 | TotalAmt |
| Program Services | $8,159,606 | ProgramServicesAmt |
| Management And General | $9,542,695 | ManagementAndGeneralAmt |
| Fundraising | $13,438 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,047,881 | TotalAmt |
| Program Services | $540,054 | ProgramServicesAmt |
| Management And General | $507,827 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $44,828,762 | $44,647,989 | $180,773 | $0 |
| Provision for Bad Debts | $17,048,384 | $17,048,384 | $0 | $0 |
| Repairs & Maintenance | $7,157,892 | $536,176 | $6,621,343 | $373 |
| Medicaid Provider Fee | $17,976,220 | $17,976,220 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,147,694 | TotalAmt |
| Program Services | $362,077 | ProgramServicesAmt |
| Management And General | $1,812,822 | ManagementAndGeneralAmt |
| Fundraising | -$27,205 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,375,971 | TotalAmt |
| Program Services | $230,067,179 | ProgramServicesAmt |
| Management And General | $79,987,531 | ManagementAndGeneralAmt |
| Fundraising | $321,261 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $976,885 | BOYAmt |
| EOY | $1,389,445 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,771,613 | BOYAmt |
| EOY | $13,817,848 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,303,088 | BOYAmt |
| EOY | $35,009,275 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,241,430 | BOYAmt |
| EOY | $10,156,572 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,871,946 | BOYAmt |
| EOY | $2,688,826 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,638,310 | BOYAmt |
| EOY | $3,934,441 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $403,970,231 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $196,269,189 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,335,480 | BOYAmt |
| EOY | $207,701,042 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,533,177 | BOYAmt |
| EOY | $228,890,116 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,215,850 | BOYAmt |
| EOY | $75,764,948 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,325,638 | BOYAmt |
| EOY | $3,072,181 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,020 | BOYAmt |
| EOY | $424,077 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,970,576 | BOYAmt |
| EOY | $44,300,955 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $584,504,013 | BOYAmt |
| EOY | $627,149,726 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,848,302 | BOYAmt |
| EOY | $57,490,284 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,359,214 | BOYAmt |
| EOY | $168,701,018 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,599 | BOYAmt |
| EOY | $86,140 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,851,219 | BOYAmt |
| EOY | $27,188,485 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $279,157,334 | BOYAmt |
| EOY | $253,465,927 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,028,058 | BOYAmt |
| EOY | $339,079,246 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,307,590 | BOYAmt |
| EOY | $29,432,103 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,011,031 | BOYAmt |
| EOY | $5,172,450 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,346,679 | BOYAmt |
| EOY | $373,683,799 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $584,504,013 | BOYAmt |
| EOY | $627,149,726 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $14,918,448 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $17,762,604 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $35,656,068 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $16,050 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $16,050 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 | FormAndLineReferenceDesc |
| Explanation | 11.45% of dues paid to the Colorado Hospital Association are spent on lobbying activities, amounting to $8,764. 23.65% of dues paid to the American Hospital Association are spent on lobbying activities, amounting to $8,472. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $31,318,621 | BeginningYearBalanceAmt |
| Contributions | $3,221,343 | ContributionsAmt |
| Investment Earnings Or Losses | $4,678,434 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $4,613,845 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $34,604,553 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,522,148 | BeginningYearBalanceAmt |
| Contributions | $7,987,150 | ContributionsAmt |
| Investment Earnings Or Losses | $2,442,969 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $2,633,646 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $31,318,621 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,231,845 | BeginningYearBalanceAmt |
| Contributions | $4,805,197 | ContributionsAmt |
| Investment Earnings Or Losses | -$332,547 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,182,347 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $23,522,148 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,637,790 | BeginningYearBalanceAmt |
| Contributions | $3,702,912 | ContributionsAmt |
| Investment Earnings Or Losses | $2,390,484 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $4,499,341 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $22,231,845 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,569,973 | BeginningYearBalanceAmt |
| Contributions | $3,021,313 | ContributionsAmt |
| Investment Earnings Or Losses | $3,252,269 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,205,765 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $20,637,790 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.15 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.85 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $19,801,120 | OtherCostOrOtherBasisAmt |
| Book Value | $19,801,120 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $191,801,624 | OtherCostOrOtherBasisAmt |
| Depreciation | $114,471,973 | DepreciationAmt |
| Book Value | $77,329,651 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $758,406 | OtherCostOrOtherBasisAmt |
| Depreciation | $486,825 | DepreciationAmt |
| Book Value | $271,581 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $112,688,238 | OtherCostOrOtherBasisAmt |
| Depreciation | $81,310,391 | DepreciationAmt |
| Book Value | $31,377,847 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $78,920,843 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $78,920,843 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $207,701,042 | TotalBookValueLandBuildingsAmt |
Financial Derivatives FinancialDerivativesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | -$8,155,305 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $21,386,213 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
Other Securities OtherSecuritiesGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Municipal bonds, infrequently traded | $6,043,821 | F |
| Asset Backed Securitites, infrequently traded | $11,369,815 | F |
| Long/Short Fixed Income Funds | $35,321,122 | F |
| Fund of Hedge Funds | $885,051 | F |
| Real Assets, infrequently traded | $8,914,231 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $75,764,948 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Interest in Net Assets Held by Foundation | $34,277,582 |
| Unamortized Bond Issue Costs | $1,394,537 |
| Deferred Comp Investments | $5,236,014 |
| Misc Other AR | $3,256,351 |
| Unamortized Swap Fees | $136,471 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $44,300,955 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Pension Liability | $21,952,471 |
| Deferred Compensation Liability | $5,236,014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $27,188,485 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $359,975,554 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $17,762,604 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $18,565,065 | OtherRevenueAmt |
| Revenue Not Reported | $36,327,669 | RevenueNotReportedAmt |
| Revenue Subtotal | $323,647,885 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $626,790 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $1,019,744 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,646,534 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $325,294,419 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $291,638,434 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $291,638,434 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $626,790 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $18,110,747 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $18,737,537 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $310,375,971 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 | Boulder Community Hospital Foundation, a related organization, holds permanent endowment funds. The income earned on these endowment funds is used to support hospital programs for diabetes, cancer, neonatology, heart and surgery center, healthcare scholarships, or for the foundation to direct if the endowment fund does not restrict how the income is to be spent. Temporarily restricted funds held by the Foundation include funds for the new Foothills medical office facilities, cancer center, as well as other hospital programs. Any Unrestricted funds held at the Foundation are for the hospital, but designation is decided by the Foundation board when granting to the hospital. |
| Schedule D, Part XI, Line 2d | Other of 18,565,065 included in tax return revenue but not in audited revenue includes Bad Debt Provision of -17,048,384 + Change in Foundation Net Assets of 3,318,818 + Change in Minimum Pension Liability of 32,576,886+Amortization of Effective Loss on Swap of -239,635 + Other Expenses shown net in FS rev and Gross in Tax return of -113,441 + Auxiliary component of Temp Rest Net Assets of 70,821 |
| Schedule D, Part XI, Line 4b | Other of 1,019,744 = Flood Expenses of 930,805 related to the Sept 2013 Federally Declared Disaster and Auxiliary expenses reflected as Restricted Contributions in Audit of $88939. |
| Schedule D, Part XII, Line 4b | Other expenses of 18,110,747 included on TR but not on Audit = Bad Debt provision of 17,048,384 + Non - Op Flood Expenses shown in net revenue on audit of 930,805 + Other non-op expenses shown in net revenue on audit of 113,441 + Auxiliary expenses reflected as Restricted Contribution in Audit of 18,117. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|---|
| Sub-Saharan Africa | 0 | 0 | Program Services | The hospital is the recipient of a grant from the Department of Health and Human Services via the American International Health Alliance Training Center to help with the development of zonal laboratories in Tanzania, Africa in response to the HIV/AIDS crisis. | $88,769 |
| Central America and the Caribbean | 0 | 0 | Investments | Passive investments in Cayman Islands have a YE market value of $43,304,076 and incurred management fees of $584,289 | $43,888,365 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Spent | $43,977,134 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Sub-Saharan Africa | RegionTxt |
| Purpose Of Grant | The hospital is the recipient of a grant from the Department of Health and Human Services via the American International Health Alliance Training Center to help with the development of zonal laboratories in Tanzania, Africa in response to the HIV/AIDS crisis. | PurposeOfGrantTxt |
| Cash Grant | $0 | CashGrantAmt |
| Non Cash Assistance | $88,769 | NonCashAssistanceAmt |
| Description Of Non Cash Asst | Airfare, in-country expenses for mission, and other expenses such as books and computer supplies which totalled $57,567. In-kind labor cost totalled $31,202. | DescriptionOfNonCashAsstTxt |
| Valuation Method Used | cost | ValuationMethodUsedDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule F, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | The Tanzania, Africa project is subject to American International Health Alliance monthly grant reporting requirements. The project requires work plans to be approved by AIHA, quarterly project reporting, and monthly financial reporting. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 2.5 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,830,487 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,362,456 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,468,391 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.025 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,277,150 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,735,288 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,541,861 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.032 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Expense | 0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $40,107,637 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,097,744 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,010,252 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.057 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $295,729 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,738 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $239,991 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $302,088 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $697 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $301,391 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $772,947 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $772,947 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.003 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $1,370,764 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $56,435 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,314,329 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.005 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $41,478,401 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,154,179 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,324,581 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.062 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $83,590 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $86,590 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,247 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $150,073 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $150,073 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $236,910 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $239,910 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.001 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $17,048,384 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $48,540,747 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $62,802,386 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,261,639 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| Boulder Community Musculoskeletal Surgery Center LLC | |||
| Outpatient Orthopedic Surgery Center | 0.5 | 0 | 0.5 |
| Endoscopy Center of the Rockies LLC | |||
| Outpatient Endoscopy Center | 0.5 | 0 | 0.5 |
| Boulder Community Sleep Services LLC | |||
| Sleep Lab Services | 0.45 | 0 | 0.55 |
| Boulder MRI LLC | |||
| outpatient MRI center | 0.51 | 0 | 0.49 |
| Foothills Surgery Center LLC | |||
| Ambulatory Surgical Center | 0.51 | 0 | 0.49 |
| 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 | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Boulder Community Hospital | |||||||||||
| 1 | 1100 Balsam Avenue | Boulder | CO | 80304 | www.bch.org | 010323 | Yes (X) | Yes (X) | Yes (X) | Rehab DPU, Psych DPU | A |
| Boulder Community Foothills Hospital | |||||||||||
| 2 | 4747 Arapahoe Avenue | Boulder | CO | 80303 | www.bch.org | 01W737 | Yes (X) | Yes (X) | Yes (X) | A | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.bch.org | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| Other Needs Addressed | Yes (X) | OtherNeedsAddressedInd |
| All Needs Addressed | Yes (1) | 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 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400 | 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 |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3-Group A | In preparing this Community Health Needs Assessment, BCH collaborated with a number of community service agencies and their staff. Focus groups were conducted, consisting of representatives from over 25 agencies and programs, primarily targeting and serving "traditionally under-served" populations within the hospitals service area. The Boulder County Public Health Department, the Community Foundation serving Boulder County, The Boulder County Planning Department and the Boulder Valley School District were important collaborators in the preparation of this report and we express the hospitals thanks to them for their cooperation and for the wonderful services they provide to our jointly-served citizens. |
| Schedule H, Part V, Section B, Line 4-Group A | The Community Health Needs Assessment includes both the Boulder Community Hospital and the Boulder Community Foothills Hospital. |
| Schedule H, Part V, Section B, Line 5-Group A | The Community Health Needs Assessment for 2014 to 2016 was reviewed and endorsed by the BCH Board of Directors at its meeting on November 19, 2013. |
| Schedule H, Part V, Section B, Line 6-Group A | The Hospital's 2010-2013 Community Health Needs Assessment identified four key strategies to guide Hospital leadership in addressing the community's health needs: 1. STRENGTHEN PARTNERSHIPS WITH KEY COMMUNITY HEALTH PROVIDERS 2. EXPAND PRIMARY CARE ACCESS 3. PREVENTATIVE CARE FOCUS 4. HEALTH INFORMATION EXCHANGE & INTEGRATED CARE A status report on each strategy follows: STRENGTHEN PARTNERSHIPS WITH KEY COMMUNITY HEALTH PROVIDERS Joint initiatives and direct support funding from BCH were provided to community organizations providing health care related services during 2011-2013. EXPAND PRIMARY CARE ACCESS Since January 1, 2011, Boulder Community Hospital has employed 18 additional Primary Care Providers and now employs 54 in 12 clinics located throughout the Hospital's service area. All BCH-owned clinics are accessible to Medicare patients and all also accept Medicaid patients. Through our collaborative efforts with direct community health service providers the Hospital is committed to improved access to primary care regardless of a patient's medical insurance status. In addition, during the term of this needs assessment, BCH employs 45 specialists in seven locations for a total of 99 physicians in 22 different locations throughout the Hospital's service area. PREVENTATIVE CARE FOCUS Certified Diabetes Educator Program: Since inception (and through April 30, 2013) the Diabetes Educator has served 709 patients and the program has been accredited by the American Association of Diabetes Education. Blood glucose levels of participants have decreased 26% since the program was initiated. Boulder Valley Care Network: BCH continues to be an active partner in this collaborative effort involving the Boulder Valley School District and Longmont United Hospital. Talks are underway to add the St. Vrain Valley School District as well. The Network submitted a major preventative care grant for funding consideration in 2012, however the grant was not funded. Anderson Medical Center: The new facility opened in early 2013 and offers, conveniently located and well designed facilities for out-patient, preventative care in cardiology, urology, general surgery, neurosurgery and spine care. In addition, the new state of the art facility includes an out-patient surgery center expected to perform 4,000 surgeries annually. Electroconvulsive Therapy (ECT): This new service targeted to patients with depression and other mental disorders began in 2011 and through April 30, 2013 performed 6,615 procedures. An estimated 25% of these procedures were covered by Medicare, Medicaid or charity care programs. HEALTH INFORMATION EXCHANGE & INTEGRATED CARE Colorado Regional Health Information Organization (CORHIO): BCH was the first hospital in the state to submit data to this health information exchange. Today, three of the four hospitals in Boulder County are connected to and are sending medical information to CORHIO. There are 40 hospitals and more than 1,000 physician offices across Colorado that are part of the network. In 2013, BCH rolled out the CORHIO Patient Care 360 Portal to all employed and contracted physicians, including emergency room and urgent care physicians. Physicians can now access any medical history information on presenting patients. BCH Home Care staff were the first participants with the CORHIO Long Term and Post Acute Care Pilot Program. Our hospital is pursuing efforts to increase the amount of information shared on CORHIO, including electronic orders for outpatient diagnostic services. Discharge Planning & Transitional Care: BCH has Case Manager RNs staff the Emergency Department seven days per week. These nurses have dramatically improved the patient intake and continuity of care for the uninsured population. They have partnered with the Hospital Medicine and key Medical Staff departments to closely monitor level of care, readmissions, Primary Care Physician assignment, as well as coupling with Boulder County resources to ensure continuity of care after discharge. The Case Management function has also been enhanced in the area of Utilization Review. A Complex Care and Coordination Team (CCCT-including Case Managers and ED Leadership) meets weekly. to analyze high risk, high duration, and high frequency hospital stays. Experts from clinical areas attend, including the Social Work Discharge Planning Coordinator, the Director of Hospital Medicine, Directors of Nursing Units and the Chief Medical Office. The hospital's Chief Revenue Officer, Financial Counseling and County Medicaid Specialist also attend this important weekly gathering, insuring that patients in our community are appropriately placed and transitioned to the optimal level of care. BCH is partnering with the Colorado Department of Public Health and Environment (CDPHE) in the Hospital Outstation Program. This partnership with the State affords uninsured patients quicker screening and enrollment into the State Insurance Programs such as Medicaid and CHP+. Through this program, there are also future plans to help patients navigate enrollment into the State Health Insurance Exchanges (under the ARRA), as well as provide assistance with food stamp and other State-held programs. BCH has partnered with Clinica Campesina/People's Clinic and the Boulder Shelter for the Homeless in a grassroots effort to create and sustain a Respite Program for underserved Boulder County Patients. The program allows for patients to be discharged earlier, and stay in local hotel/motels where Home Health RNs visit the patient daily. A follow-up visit is also scheduled for the patient with a Primary Care Physician at People's Clinic. Hospitalists Program: BCH assumed responsibility for the Hospitalist Program within the Hospital in 2011. The hospital medicine program has expanded over the ensuing years. Today, 17 physicians and three mid-level medical professionals serve hospital patents and are integrated into the discharge planning and the coordinated transitional care process. Recommendations and Action Plan from 2014-2016 CHNA: Given the demographic influences upon our region and the input from other non-profit organizations, providing services to targeted populations within our service area, Boulder Community Hospital commits to the following Health Needs Assessment Action Plan for 2014-2016. SUPPORT OF COMMUNITY ORGANIZATIONS ADDRESSING UNMET NEEDS Continue the funding of community organizations that provide direct health care services to the underserved and to residents of the Boulder Valley particularly in the areas of mental health, the homeless, aged, teens and immigrant populations. ill look to collaborate with these and other health care providers, particularly the Boulder County Public Health Department in doing our part in sponsoring and directly participating in community forums and discussion sessions pertaining to new health care laws and initiatives that will impact the communities we serve. We will continue to be an active supporter of the Community Foundation serving Boulder County in their on-going efforts to research and identify community trends and service gaps. This data is critical to assessing the outstanding health related needs in the communities we serve. MENTAL HEALTH Given the overarching impact a multitude of mental health issues have upon the targeted populations within the communities we serve, we wish to further strengthen our partnership and relationship with mental health service providers over the next three years. In addition, we will be examining and improving, where indicated, our internal care to patients who are waiting for behavioral health inpatient placement. In particular, we will target care of patients waiting in our Emergency Department to deescalate acute episodes to facilitate more timely and appropriate placement of patients. AWARENESS TRAINING We will provide training opportunities to the BCH medical staff in understanding the differing cultures and languages within the Boulder Valley and enriching our sensitivity in serving these residents. During the term of this assessment, we will annually sponsor a discussion group session with key health care partners to assess changing conditions and trends and demographics that are impacting the delivery of health care services in the communities we serve. PROGRAM SERVICES TO TARGETED POPULATIONS BCH intends to continue its Palliative Care Program in an effort to assist families with critical end of life decisions, the Transitional Care Program which addresses pre and post hospital care and reduces readmissions to the hospital and the Medical Respite Program which provides continuity of care for homeless and indigent patients, post hospital and recovery. |
| Schedule H, Part V, Section B, Line 20-Group A | All patients without insurance are eligible for a 60% prompt pay discount if payment made at time or service (or within 72 hours following discharge for emergencies) or a 50% discount if paid within 30 days for medically urgent, emergency, prenatal, and obstetric services. Those patients who qualify for financial assistance receive a discount rate that exceeds the lowest negotiated commercial discount rate. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 35 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (36 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt | Address Line2USAddress/AddressLine2 |
|---|---|---|---|---|---|
| Community Medical Center | |||||
| 1000 W South Boulder Road | Lafayette | CO | 80026 | Urgent-care center | |
| Mapleton Center | |||||
| 311 Mapleton Ave | Boulder | CO | 80304 | Outpatient clinic for rehabilitation, sports medicine, outpatient mental health and homecare. | |
| BCH at Boulder Medical Center | |||||
| 2750 Broadway | Boulder | CO | 80304 | laboratory and imaging services | |
| Boulder Community Musculoskeletal Surgery LLC | |||||
| 1136 Alpine Avenue | Boulder | CO | 80304 | Ambulatory Surgical Center | |
| Endoscopy Center of the Rockies in Lafayette | |||||
| 1000 W South Boulder Road | Lafayette | CO | 80026 | Endoscopic Ambulatory Surgery Center | Suite 202 |
| Endoscopy Center of the Rockies in Boulder | |||||
| 1755 48th Street | Boulder | CO | 80303 | Endoscopic Ambulatory Surgical Center | Suite 110 |
| Endoscopy Cener of the Rockies in Longmont | |||||
| 1551 Professional Lane | Longmont | CO | 80501 | Endoscopic Ambulatory Surgical Center | Suite 295 |
| Boulder MRI LLC | |||||
| 1000 W South Boulder Road | Lafayette | CO | 80026 | MRI Imaging Center | Suite 105 |
| Foothils Surgery Center LLC | |||||
| 4743 Arapahoe Avenue | Boulder | CO | 80303 | Ambulatory Surgical Center | Suite 101 |
| Boulder Heart | |||||
| 4743 Arapahoe Avenue | Boulder | CO | 80303 | Physician clinic | Suite 201 |
| Boulder Heart Broomfield | |||||
| 16677 Lowell Blvd | Broomfield | CO | 800238053 | Physician clinic | |
| Boulder Heart Lafayette | |||||
| 1000 W South boulder Road | Lafayette | CO | 800262089 | Physician clinic | Suite 216 |
| Boulder Heart Longmont | |||||
| 2101 Ken Pratt Blvd | Longmont | CO | 805016568 | Physician clinic | Suite 104 |
| Internal Medicine Associates | |||||
| 1155 Alpine | Boulder | CO | 80304 | Physician clinic | Unite 360 |
| Internal Medical Associates Foothills | |||||
| 4745 Arapahoe Ave | Boulder | CO | 80303 | Physician clinic | Unit G50 |
| Beacon Clinic | |||||
| 1136 Alpine Ave | Boulder | CO | 80304 | Infectious Disease Clinic | Suite 205 |
| Boulder Community Sleep Services LLC | |||||
| 1000 Alpine Ave | Boulder | CO | 80304 | Sleep study center | Suite 201 |
| Boulder Community Sleep Services LLC | |||||
| 13654 Xavier Lane | Broomfield | CO | 80020 | Sleep study center | Suite 210A |
| Internal Medical Associates of Lafayette | |||||
| 1000 W South Boulder Rd | Lafayette | CO | 80026 | Physician clinic | Suite 214 |
| Sports Medicine East | |||||
| 1000 W South Boulder Rd | Louisville | CO | 80026 | Sports medicine clinic | Suite 212 220 226 |
| Buffalo Ridge Medical Center | |||||
| 16677 Lowell Blvd | Broomfield | CO | 80023 | Physician clinic | |
| Center for Integrative Care | |||||
| 4715 Arapahoe | Boulder | CO | 80303 | Outpatient integrative care for cancer patients | Unit 100 |
| Broomfield Imaging | |||||
| 36 Garden Center | Broomfield | CO | 80020 | Laboratory and imaging services | |
| IMA at Balfour Clinic | |||||
| 1336 Hecla Drive | Louisville | CO | 80027 | physician clinic | |
| Community Medical Associates of Lafayette | |||||
| 401 E Cleveland Street | Lafayette | CO | 80026 | Physician clinic | |
| Frontier Internal Medicine | |||||
| 2101 Ken Pratt Blvd | Longmont | CO | 80501 | Physician clinic | Ste 104 |
| Holistic Family Practice | |||||
| 1155 Alpine Avenue | Boulder | CO | 80304 | Physician clinic | Suite 360 |
| Northwest Family Medicine | |||||
| 500 Discovery Parkway | Superior | CO | 80027 | Physician clinic | Suite 150 |
| Family Medical Associates | |||||
| 1000 W South Boulder Rd | Lafayette | CO | 80026 | Physician clinic | Suite 110 |
| Table Mesa Family Medicine | |||||
| 1755 48th St | Boulder | CO | 80303 | Physician clinic | Suite 200 |
| Boulder Community Hospital Occupational Medicine | |||||
| 4745 Arapahoe Ave | Boulder | CO | 80303 | Occupational medicine clinic | Suite G40 |
| Gunbarrel Medical Center | |||||
| 6685 Gunpark Drive | Boulder | CO | 80301 | Physician clinic | Suite 110 |
| Spruce Street Internal Medicine | |||||
| 2575 Spruce Street | Boulder | CO | 80302 | Physician clinic | |
| Associated Neurologists of Boulder | |||||
| 1155 Alpine | Boulder | CO | 80304 | Physician clinic | Suite 320 |
| Dakota Ridge Medical Center | |||||
| 2995 Baseline Road | Boulder | CO | 80303 | Physician clinic | Suite 210 |
| BMC East Laboratory | |||||
| 80 Health Park Dr | CO | CO | 80027 | Laboratory draw station | Louisville |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 7 | Ratio of Patient Care Costs to Patient Care Charges |
| Schedule H, Part I, Line 7, Column f | $17,048,384 |
| Schedule H, Part II | Community Support Activities include diaster readiness training in conjunction with numerous local agencies (fire, police, sheriff, other counties, other hospitals) to ensure coordinated and effective response to a disaster. Coalition building includes the hospitals participation in the development of the Colorado Regional Health Information Organization (CORHIO) and Boulder County Health Information Exchange (BCHIE), which are both electronic health exchanges aimed at promoting effective and efficient health care delivery as well as information for community health assessments. Workforce development includes physician recruitment for physicians not employed by the hospital. Boulder is a Medically Underserved Area for low income and Medicare. |
| Schedule H, Part III, Section A, Line 4 | 2. See 4. for methodolog 3.The hospital does not have a mechanism to reasonable estimate the amount of bad debts which would reasonably relate to patients who would qualify for financial assistance under the hospitals financial assistance policy, but for whom sufficient information was not obtained to make a determination of their eligibility. However, surely there are significant bad debts that would qualify for charity if the information were known. 4. Footnote 2 Summary of Significant Accounting Policies (f) Patient Accounts Receivable. Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which third party payer has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third party coverage exists for part of the bill), the Hospital records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Hospitals allowance for doubtful accounts for self-pay patients decreased from 112 percent of self-pay accounts receivable at December 31, 2012, to 108 percent of self-pay accounts receivable at December 31, 2013. The allowance includes a reserve for deductible and copayments classified within insured accounts receivable at year end. In addition, the Hospitals write-offs decreased approximately $4,409,000 from approximately $20,223,000 for the year ended December 31, 2012, to approximately $15,814,000 for the year ended December 31, 2013. The decrease in bad debt write offs results from a focused effort to identify patients eligible for charity care and an expansion of the Hospitals prompt pay discount program. |
| Schedule H, Part III, Section B, Line 8 | 100% and more of Line 7 Medicare shortfall should be treated as community benefit. Boulder County has a demonstrated community need for physicians who accept Medicare. (Many physician providers do not.) The hospital not only serves the Medicare population for hospital services, it also employs numerous primary care, internal medicine and cardiology providers who accept Medicare in order to provide our community with adequate coverage. The Cost Report shortfall reported on Line 7 excludes Medicare HMO enrollee shortfalls, excludes shortfalls from ancillary procedures which are paid by fee schedule and are therefore not included in the Cost Report, and excludes the shortfall related to employed physicians serving the Medicare population. The hospitals total Medicare shortfall, including these programs, is actually $33,998,573. |
| Schedule H, Part III, Section C, Line 9b | The hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the hospitals charity program (WeCare). Financial arrangements with Emergency Room patients are not discussed until the patient has been assessed and treated in accordance with EMTALA. The hospitals debt collection policy contains a Communications section addressing courtesy, confidentiality, cultural sensitivity, and primary language of a patient. It contains a section on Billing and Collection Practices which addresses when an account will be referred to a licensed collection agency and that those agencies will treat all patients with dignity, compassion and respect, as well as adhering to Colorado State Laws and the Fair Debt Collection Act. Patients may apply/reapply for financial assistance before, during or after care, or after collection agency assignment. |
| Schedule H, Part VI, Line 2 | In 2010 a comprehensive facilities study was performed to evaluate each of the existing hospital campuses and determine the most efficient and effective methods of delivering the safest, highest quality and efficient health care. The Hospitals Board Planning Committee uses the Community Health Needs Assessment, the Comprehensive Facilities study, as well as market and demographic studies to ensure the Hospital meets the future health care needs of our community. The Hospital is in the midst of a 10 year transitional strategy to consolidate health care delivery in order to meet the needs of the community in a safe and sustainable manner. As of October, 2014 all acute care inpatient services have been consolidated at the Foothills campus. |
| Schedule H, Part VI, Line 3 | The Hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the Hospitals charity program (WeCare). The hospital employs Spanish speaking financial counselors and would utilize interpreter services for other languages. Financial Assistance programs are referenced in patient discharge information, billing statements, and on the hospitals web site. |
| Schedule H, Part VI, Line 4 | Age 50+ |
| Schedule H, Part VI, Line 5 | The Hospital is governed by a volunteer community board. The Hospital has an open medical staff. All surplus funds are reinvested in the hospital to fund charity, subsidize under performing health programs, develop new health programs, or as an investment in plant, equipment and technology. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (8 entries)
| Business Name Line2RecipientBusinessName/BusinessNameLine2 | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceDesc | Address Line2USAddress/AddressLine2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Boulder County Fire Fighters Assoc | ||||||||||||
| Sunshine Fire Protection District | po bOX 7461 | Golden | CO | 80302 | 846000600 | 501 (c) 3 | $22,000 | $0 | FMV | support for local fire association | ||
| Boulder Valley Women's Health Center | ||||||||||||
| 2855 Valmont Rd | Boulder | CO | 803011374 | 840645786 | 501 (c) 3 | $12,500 | $0 | FMV | to support women's health | |||
| Boulder Valley School District | ||||||||||||
| 6500 E Arapahoe | Boulder | CO | 80303 | 846014683 | 501 (c) 3 | $0 | $68,277 | Cost | Support high school athletics and help to reduce student athlete injuries. | Provide athletic trainer to school district | ||
| Boulder Chamber of Commerce | ||||||||||||
| dba Boulder Economic Council | 2440 Pearl St | Boulder | CO | 80302 | 840152700 | 501 (c) 6 | $5,250 | $0 | FMV | to support the business sector necessary to sustain the cultural amenities, education, transit, open space and other facets of the Boulder community | ||
| Boulder Shelter for the Homeless Inc | ||||||||||||
| 4869 N Broadway | Boulder | CO | 80304 | 841041149 | 501 (c) 3 | $10,000 | $0 | FMV | to support respite care for the homeless | |||
| The Community Foundation | ||||||||||||
| 1123 Spruce St | Boulder | CO | 80302 | 841171836 | 501 (c) 3 | $11,000 | $0 | FMV | to support civic forum on health care and sponsorship of the Conversation project. | |||
| Justin Parker Neurological Institue | ||||||||||||
| 4743 Arapahoe Ave | Boulder | CO | 80303 | 263588986 | 501 (c) 3 | $10,000 | $0 | FMV | To support education related to brain and trauma disorders | Ste 202 | ||
| Via | ||||||||||||
| 2855 N 63rd Street | Boulder | CO | 80301 | 840777296 | 501 (c) 3 | $15,000 | $0 | FMV | Support for transportaion of the disabled | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 7 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (6 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| Healthcare educational scholarships | 24 | $36,250 | $0 | cost | |
| Assistance with chemotherapy treatment expenses, mammography expenses and other cancer related expenses | 27 | $5,911 | $0 | cost | |
| Charity drugs given after discharge | 24 | $5,710 | cost | Pharmaceutical prescriptions filled at cost for patients discharged with inability to pay. | |
| Temporary housing for homeless post discharge | 25 | $18,354 | cost | Temporary housing provided to indigent for respite care. | |
| Transportation, meals, and cobra payments for indigant | 446 | $14,549 | cost | ||
| Assistance fund for IP rehab patients. | 11 | $4,605 | cost | Support for patients and family with living and medical expenses. |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | Grants are only made to non profit agencies supporting our local community with health and welfare services. Grants in excess of $10,000 are specifically approved by the hospital board of directors during the budget process. The CEO has a discretionary budget allocation for which he may approve disbursements less than $10,000. Monitoring of grants over $10,000 is done by having representation on their non profit board. Scholarship applications for healthcare education are reviewed by a committee, and payments are sent directly to the schools on the students behalf with a letter indicating the money should be returned to the hospital if the student does not register. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| David Gehant | ||||||||||||||
| Exec Director/CEO | $867,621 | $0 | $0 | $0 | $40,500 | $0 | $20,860 | $0 | $21,593 | $0 | $950,574 | $0 | $0 | |
| Paul Kenneth Lewis Jr | ||||||||||||||
| VP & Chief Medical Officer | $299,989 | $0 | $45,072 | $0 | $35,058 | $0 | $82,233 | $0 | $22,547 | $0 | $484,899 | $0 | $0 | |
| William A Munson Jr | ||||||||||||||
| VP & CFO | $257,752 | $0 | $70,658 | $0 | $35,000 | $0 | $66,406 | $0 | $25,566 | $0 | $455,382 | $0 | $0 | |
| Jacqueline M Attlesey-Pries | ||||||||||||||
| VP & Chief Nursing Officer | $210,109 | $0 | $31,105 | $0 | $17,665 | $0 | $47,985 | $0 | $23,495 | $0 | $330,359 | $0 | $0 | $0 |
| Sarah E Meshak | ||||||||||||||
| VP & General Counsel | $168,202 | $0 | $49,878 | $0 | $35,252 | $0 | $54,300 | $0 | $1,220 | $0 | $308,852 | $0 | $0 | $0 |
| James Peters | ||||||||||||||
| VP | $164,757 | $0 | $41,176 | $0 | $40,500 | $0 | $41,358 | $0 | $19,800 | $0 | $307,591 | $0 | $0 | $0 |
| Ronald Secrist | ||||||||||||||
| BCH Foundation President | $167,500 | $0 | $18,183 | $0 | $23,000 | $0 | $30,085 | $0 | $18,812 | $0 | $257,580 | $0 | $0 | $0 |
| Linda S Minghella | ||||||||||||||
| VP & Chief Information Officer | $151,568 | $0 | $37,611 | $0 | $40,500 | $0 | $50,789 | $0 | $689 | $0 | $281,157 | $0 | $0 | $0 |
| Jamie D Jensen | ||||||||||||||
| Physician Clinic COO | $132,511 | $0 | $23,650 | $0 | $17,482 | $0 | $13,125 | $0 | $25,096 | $0 | $211,864 | $0 | $0 | $0 |
| Sameer A Oza | ||||||||||||||
| Physician | $483,982 | $0 | $165,124 | $0 | $35,000 | $0 | $32,785 | $0 | $21,599 | $0 | $738,490 | $0 | $28,960 | $0 |
| Jamie J Doucet | ||||||||||||||
| Physician | $484,329 | $0 | $114,080 | $0 | $35,000 | $0 | $32,785 | $0 | $22,311 | $0 | $688,505 | $0 | $0 | |
| Nelson P Trujillo Jr | ||||||||||||||
| Physician | $475,865 | $0 | $126,352 | $0 | $40,500 | $0 | $32,785 | $0 | $21,599 | $0 | $697,101 | $0 | $28,960 | $0 |
| Daniel S White | ||||||||||||||
| Physician | $478,476 | $0 | $128,902 | $0 | $35,000 | $0 | $32,785 | $0 | $23,464 | $0 | $698,627 | $0 | $28,960 | $0 |
| John A Schutz | ||||||||||||||
| Physician | $479,459 | $0 | $125,371 | $0 | $35,000 | $0 | $32,785 | $0 | $22,602 | $0 | $695,217 | $0 | $28,960 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a | The hospital pays for board member companion travel at its annual educational conference. Companion travel is reported as Misc Income on the 1099 of the board member. |
| Schedule J, Part I, Line 1b | Travel for companions is only reimbursed for board members attending the annual educational conference. Companion travel is reimbursed based upon substantiated receipts and is reported as Miscellaneous Income on 1099 of the board member. In all other circumstances, companion travel is not reimbursable by the hospital. |
| Schedule J, Part I, Line 3 | The hospital has a Compensation Committee as specified by the bylaws of the hospital (Article V, D). The Compensation Committee is comprised of the Chairman, Vice Chairman, Secretary and a member of the Finance Committee. The committee meets approximately three times per year to review the CEO compensation and approve annual contract changes. Compensation and contract changes are reported to the Board. The Committee engages a consulting firm to provide comparative compensation studies for similarly qualified persons in functionally comparable positions at similarly situated organizations. Compensation study and performance review are considered in developing the compensation decision. Compensation ranges and Benefit changes for Vice President level employees are reviewed and approved by the Compensation Committee if the are outside of hospital wide treatment. Compensation studies are also used for VP level assessment. All Compensation Committee meetings are formally documented through minutes. |
| Schedule J, Part I, Line 4 | Ln 4b- The hospital contributes to a nonqualified 457(f) plan for the benefit of its executive leadership. Participants include: Paul Lewis Jr, VP & Chief Medical Officer ($61,373 contributed), William Munson Jr, VP & CFO ($45,546 contributed), Sarah Meshak, VP & General Counsel ($37,691 contributed), James Peters, VP ($24,220 contributed), Linda Minghella, VP & CIO ($35,115 contributed), Ron Secrist, Foundation President ($14,948 contributed), and Jacqueline Attlesey-Pries, VP & CNO ($44,442) contributed. |
| Schedule J, Part I, Line 7 | The hospital has an Incentive Compensation Plan for Vice Presidents and Directors whereby a percentage of base salary is paid out if goals are met and if authorized by the Board of Directors. For Vice-Presidents, one-third of their incentive is based upon the Hospital meeting at least 85% of its budgeted net operating income before interest expense. One-third VP incentive is based on Safety goals and one-third is based on Performance Goals. The one-third financial goal for Directors is based on meeting their departmental financial targets, as well as a one-third safety goal and a one-third performance goal. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Business Name Line2IssuerName/BusinessNameLine2 | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|---|
| Colorado Health Facilities | |||||||||
| A | Authority | 840752932 | 19648AVF9 | 2010-12-01 | $93,535,431 | Foothills expansion; balance for debt refunding | 0 | 0 | 0 |
| Colorado Health Facilities | |||||||||
| B | Authority | 840752932 | 19648AZL2 | 2012-08-28 | $31,748,673 | Foothills hospital expansion | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $5,645,000 | $0 | $93,716,361 | $0 | $0 | $0 | $1,080,618 | $0 | $0 | $25,180,893 | $67,458,941 | $30 | 2014 | Yes (1) | 0 | 0 | Yes (1) |
| B | $0 | $0 | $31,816,782 | $0 | $0 | $0 | $452,449 | $0 | $0 | $29,281,683 | $0 | $2,082,651 | 2014 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I, Column e-12/01/2010 93,535,431 Colorado Health Facilities | Ln A(e) $93,535,431< Pt II Ln 3(A) 93,716,361 by the cum. trust fund interest inc of $180,930 |
| Schedule K, Part I, Column e-08/28/2012 31,748,673 Colorado Health Facilities | Ln B(e) $31,748,673 < Pt II Ln 3(B)of $31,816,782 by the cumulative trust fund interest inc of $68,109. |
| Schedule K, Part II, Line 3-12/01/2010 93,535,431 Colorado Health Facilities | Lns 4 thru 12>Ln 3 by 4,121= amount transferred to 2010 COI Fd from close-out of the 2003 Bond Fund |
| Schedule K, Part II, Line 11-12/01/2010 93,535,431 Colorado Health Facilities | Inculdes refunding amounts: 1994B $14,546,298, 2003A $26,456,321, 2003B $26,456,321 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Boulder Valley Pulmonology PC | |||
| Dr. Randal Bjerke,Boardmember, is a > 5% member of Boulder Valley Pulmonology PC | $365,507 | Boulder Valley Pulmonology PC was paid $351,557 for the provision of intensivist coverage in the ICU , and $13,950 for trauma call coverage. | 0 |
| Boulder Medical Center PC (BMC) | |||
| Dr. Fries, boardmember, is a board member of BMC and a pediatrician with BMC | $650,907 | The hospital paid BMC $352,055for ER trauma call coverage provided by the physicians who are a part of BMC. The hospital paid BMC $298,852 under a lab and imaging space lease agreement. The hospital has an agreement with BMC to provide on-site lab and imaging services to BMC patients. All lab and imaging charges are billed directly to patients and third party insurances by the hospital. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 4 | The name of the organization was changed to Boulder Community Health from The Community Hospital Association effective April 22,2014. The Articles of Amendment were filed with the Colorado Secretary of State. The Internal Revenue Service was notified of the name change on April 22, 2014 and a new determination letter reflecting exemption under section 501 (c) 3 under our new name has been received. |
| Form 990, Part VI, Section B, Line 11b | Form 990 is prepared by the Controller based upon audited financial statements. The 990 is reviewed by the nonprofit tax manager of our external audit firm, by the CEO, COO, CFO, VP & General Counsel, Compliance Officer, and the Audit Committee of the Board of Directors. Final copies are provided to each voting Board member electronically before filing with the IRS. |
| Form 990, Part VI, Section B, Line 12c | The hospital has a Conflict of Interest policy for staff, A Conflict of Interest policy for Board Members, and a Conflict of Interest disclosure form for physicians serving on committees. Boardmembers complete an annual Statement of Interest form which discloses employment, family member employment, business relationships, service on other Boards or governance positions and identifies other conflicts of interest. The Statement of Interest also identifies transactions requiring disclosure. |
| Form 990, Part VI, Section B, Line 15 | The hospital has a Compensation Committee as specified by the bylaws of the hospital (Article V, D). The Compensation Committee is comprised of the Chairman, Vice Chairman, Secretary and a member of the Finance Committee. The committee meets approximately three times per year to review the CEO compensation and approve annual contract changes. Compensation and contract changes are reported to the Board. The Committee engages a consulting firm to provide comparative compensation studies for similarly qualified persons in functionally comparable positions at similarly situated organizations. Compensation study and performance review are considered in developing the compensation decision. Compensation ranges and Benefit changes for Vice President level employees are reviewed and approved by the Compensation Committee if they are outside of hospital wide treatment. Compensation studies are also used for VP level assessment. All Compensation Committee meetings are formally documented through minutes. |
| Form 990, Part VI, Section C, Line 19 | The hospitals web site is www.bch.org. The web site includes the hospitals Mission, Vision and Beliefs Statement. The web site. includes our Financial Assisstance policies. It also includes the Annual Report which contains the hospital Board members, key financial data, and information on new programs, patient safety and quality, and community benefits. The web site also has a section for Compliance policies including the Code of Conduct and Conflict of Interest. Annual audited financial statements are made available to the public at the Annual Meeting of The Community Hospital Association. The tax return is made available to anyone who requests the return through our Public Information Office. |
| Form 990, Part XI, Line 9 | Other Change in Net Assets of $35,656,068 = Change in Foundation Assets of 3,318,818 plus Change in Minimum Pension Liability of 32,576,886 plus charge for amortization of ineffective loss on swap of -239,635 plus -1 rounding. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Boulder Community Hospital Foundation | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1155 Alpine Avenue | AddressLine1 |
| Address Line2 | Suite G40 | AddressLine2 |
| City | Boulder | City |
| State | CO | State |
| ZIP Code | 80304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840772664 | EIN |
| Primary Activities | Fundraising for hosp | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Exempt Code Section | 501(c)3 | ExemptCodeSectionTxt |
| Public Charity Status | 509(a)3 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/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 | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Address Line2USAddress/AddressLine2 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Boulder Community Musculoskeletal Surgery Center LLC | ||||||||||||||||
| 1136 Alpine Avenue | Boulder | CO | 80304 | 201391702 | Outpatient surgery center | CO | N/A | Related | $1,878,894 | $1,212,487 | 0 | $0 | 0 | 0.5 | ||
| Endoscopy Center of the Rockies LLC | ||||||||||||||||
| 382 S Arthur Ave | Louisville | CO | 80027 | 841562782 | Outpatient Endoscopy | CO | N/A | Related | $4,082,493 | $923,058 | 0 | $0 | 0 | 0.5 | Ste 140 | |
| Boulder Community Sleep Services LLC | ||||||||||||||||
| 1100 Balsam Ave | Boulder | CO | 80304 | 262429064 | Sleep Lab Services | CO | N/A | Related | $150,637 | $41,484 | 0 | $0 | Yes (1) | 0.45 | ||
| Boulder MRI LLC | ||||||||||||||||
| 1000 W South Boulder Road | Lafayette | CO | 80026 | 452676500 | outpaient MRI center | CO | Related | $822,845 | $387,489 | 0 | $0 | 0 | 0.51 | Suite 105 | The Community Hospital Association dba Boulder Community Hospital | |
| Foothills Surgery Center LLC | ||||||||||||||||
| 4743 Arapahoe Avenue | Boulder | CO | 80303 | 455328252 | Ambulatory Surgical Center | CO | N/A | Related | -$561,974 | $2,993,717 | 0 | $0 | 0 | 0.51 | Suite 101 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 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 | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (15 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Boulder Community Musculoskeletal Surgery Center LLC | ||
| c | $1,800,000 | K-1 |
| Boulder Community Musculoskeletal Surgery Center LLC | ||
| j | $701,205 | Lease receipts |
| Boulder Community Musculoskeletal Surgery Center LLC | ||
| q | $62,151 | Recap of expenditures reimbursed per contract |
| Endoscopy Center of the Rockies LLC | ||
| c | $4,200,000 | K-1 |
| Boulder Community Sleep Services LLC | ||
| c | $134,721 | K-1 |
| Boulder Community Sleep Services LLC | ||
| q | $453,687 | Reimbursement per Contract for Services |
| Boulder Community Sleep Services LLC | ||
| m | $826,500 | Payment per Contract for Services |
| Boulder MRI LLC | ||
| c | $1,045,000 | K-1 |
| Boulder MRI LLC | ||
| d | $1,338,750 | Loan Guaranty document (not > ownership %). |
| Boulder MRI LLC | ||
| j | $51,305 | Lease Agreement |
| Boulder MRI LLC | ||
| q | $65,550 | Receipts from PACS agreement |
| Foothills Surgery Center LLC | ||
| b | $725,135 | K-1 |
| Foothills Surgery Center LLC | ||
| d | $1,367,298 | Loan Document: 35% of Loan outstanding at YE |
| Foothills Surgery Center LLC | ||
| j | $1,817,297 | Review of Lease: $260,730 was received in monthly lease payments; $1,556,567 was received for Excess Tenant Finish above TI allowance. |
| Boulder Community Sleep Services LLC | ||
| h | $112,000 | FMV |