BOULDER COMMUNITY HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: BOULDER COMMUNITY HEALTH (EIN 84-0175870)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-13
IRS object ID: 201213199349303181
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-13T18:49:29-07:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	840175870	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE COMMUNITY HOSPITAL ASSOCIATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COMM	NameControl
Phone	3034402358	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	William A Munson Jr	Name
Title	CFO & Vice President	Title
Phone	3034402214	Phone
Date Signed	2012-11-14	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	Boulder Community Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	William A Munson Jr - VP and CFO	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	498937231	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.bch.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1922	YearFormation
State Legal Domicile	CO	StateLegalDomicile
Activity Or Mission Description	To provide our community with the safest and highest quality healthcare in an innovative, patient-centered environment.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	2674	TotalNbrEmployees
Total Nbr Volunteers	525	TotalNbrVolunteers
Total Gross UBI	2758216	TotalGrossUBI
Net Unrelated Business Txbl Income	-718621	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3015535	ContributionsGrantsPriorYear
Contributions Grants Current Year	2061134	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	259222326	ProgramServiceRevenuePriorYear
Program Service Revenue CY	285658576	ProgramServiceRevenueCY
Investment Income Prior Year	8552011	InvestmentIncomePriorYear
Investment Income Current Year	10288445	InvestmentIncomeCurrentYear
Other Revenue Prior Year	11034954	OtherRevenuePriorYear
Other Revenue Current Year	11726464	OtherRevenueCurrentYear
Total Revenue Prior Year	281824826	TotalRevenuePriorYear
Total Revenue Current Year	309734619	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	607040	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	359389	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	126118985	SalariesEtcPriorYear
Salaries Etc Current Year	136024969	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	332911	TotalFundrsngExpCurrentYear
Other Expense Prior Year	141832782	OtherExpensePriorYear
Other Expenses Current Year	150357124	OtherExpensesCurrentYear
Total Expenses Prior Year	268558807	TotalExpensesPriorYear
Total Expenses Current Year	286741482	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13266019	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	22993137	RevenuesLessExpensesCY
Total Assets BOY	484095441	TotalAssetsBOY
Total Assets EOY	493392565	TotalAssetsEOY
Total Liabilities BOY	210902522	TotalLiabilitiesBOY
Total Liabilities EOY	223315809	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	273192919	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	270076756	NetAssetsOrFundBalancesEOY
Mission Description	To provide our community with the safest and highest quality healthcare in an innovative, patient-centered environment.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	211102446	Expense
Grants	359359	Grants
Revenue	295768879	Revenue
Description	Health Care Delivery of IP and OP medical care. In 2011, the hospital discharged 8,729 adult & pediatric patients with an average length of stay of 4.3 days. 48,513 patients were seen in our ER/urgent care facilities. 7,120 surgeries were performed. The hospital had adjusted patient days of 87,602.	Description
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	211102446	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	1	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	226	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2674	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Lisa Rogowski Controller	NamePerson
Telephone Number	3034402358	TelephoneNumber

Address US AddressUS

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 Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
David Gehant
Exec Director/CEO	40	X	X	879566	0	30070
Rich Lopez
Chairman	4	X	X	1275	0	0
Lou DellaCava
Vice Chairman	4	X	X	0	0	0
Karen McMurry
Secretary	4	X	X	0	0	0
Tom Metz
Treasurer	4	X	X	0	0	0
Jim Williams
Board Member	2	X		0	0	0
Richard Porreca
Board Member	2	X		0	0	0
John Meyer MD
Board Member	2	X		0	0	0
R David Hoover
Board Member	2	X		0	0	0
Jean Dubofsky
Board Member	2	X		0	0	0
Janet Martin
Board Member	2	X		0	0	0
Steve Fries MD
Board Member	2	X		3317	0	0
Mako Shimoda MD
Board Member	2	X		25100	0	0
Susan Graf
Board Member	2	X		0	0	0
Dee Perry
Board Member	2	X		0	0	0
Paul Kenneth Lewis Jr
VP & Chief Medical Officer	39		X	362002	0	156633
William A Munson Jr
VP & CFO	40		X	265691	0	111459
Sarah E Meshak
VP & General Counsel	40		X	214664	0	90247
James Peters
VP	40		X	228982	0	86037
Linda S Minghella
VP & Chief Information Officer	40		X	191859	0	86582
Gail Osterbur
VP & Chief Nursing Officer	19.00		X	212183	0	22002
Jacqueline M Attlesey-Pries
VP & Chief Nursing Officer	11		X	127047	0	19344
Ronald Secrist
BCH Foundation President	40			201184	0	43178	X
Robert W Thorn
Associate VP Business Development	38.0			164501	0	87192	X
Jamie D Jensen
Physician Clinic COO	40			145315	0	50455	X
John A Schutz
Physician	18			292735	0	11939		X
Eugene S Chu
Physician	40			329765	0	8020		X
Daniel S White
Physician	18			299616	0	11541		X
Sameer A Oza
Physician	18			297079	0	11294		X
Nelson P Trujillo Jr
Physician	18			295278	0	15661		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4537159	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	841654	TotalOtherCompensation
Number Individuals GT100 K	146	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation	Address Line2AddressOfContractor/AddressUS/AddressLine2	Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2
CK Leasing LLC
PO BOX 6600	Newport Beach	CA	92658	Cyberknife services	1354894
Dr Laurie Coryell
Community Medical Center	Lafayette	CO	80026	Urgent Care Phys. Group	1146480	1000 W So Boulder Rd Suite 100
Boulder Valley Anesthesiology LLC
1420 28th St Ste 100	Boulder	CO	80303	Anesthesiology coverage	856999		c/o Wendll Walker & Assoc
Boulder Valley Thoracic and Cardiovascular Surgery
6800 N 79th St	Niwot	CO	80503	Cardiovascular surgery coverage	767220	Suite 203
Emergency Courier Services
in care of Aaron Ramsey	Niwot	CO	80503	medical courier service	707958	7713 N 41st St

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	17	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	6160	MembershipDues
Fundraising Events	0	FundraisingEvents
Related Organizations	1468748	RelatedOrganizations
Government Grants	527375	GovernmentGrants
All Other Contributions	58851	AllOtherContributions
Noncash Contributions	0	NoncashContributions
Total Contributions	2061134	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Acute care hospital	Description
Business Code	622000	BusinessCode
Total Revenue Column	285658576	TotalRevenueColumn
Related Or Exempt Function Income	283598951	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1992149	UnrelatedBusinessRevenue
Exclusion	$67,476	ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	285658576	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6327803	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$6,327,803	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	339004	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$339,004	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	192555045	Securities
Other	189941	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	188745850	Securities
Other	377498	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3809195	Securities
Other	-187557	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3621638	TotalRevenueColumn
Related Or Exempt Function Income	-187557	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$3,809,195	ExclusionAmount

Field	Value	IRS element (for citing)
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents
Gross Income Gaming	7950	GrossIncomeGaming
Gaming Direct Expenses	219	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	7731	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$7,731	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	158202	GrossSalesOfInventory
Cost Of Goods Sold	79045	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	79157	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$79,157	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Health Care Joint Ventures	621400	5586555	5586555	0	$0
Misc Hospital Revenue	622000	6053021	4012714	766067	$1,274,240

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	11639576	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	309734619	TotalRevenueColumn
Related Or Exempt Function Income	293010663	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2758216	UnrelatedBusinessRevenue
Exclusion	$11,904,606	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	188567	Total
Program Services	188567	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	80258	Total
Program Services	80258	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	90564	Total
Program Services	90564	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3108382	Total
Program Services	0	ProgramServices
Management And General	2909722	ManagementAndGeneral
Fundraising	198660	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	108548692	Total
Program Services	84838224	ProgramServices
Management And General	23657469	ManagementAndGeneral
Fundraising	52999	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6972625	Total
Program Services	5383004	ProgramServices
Management And General	1585148	ManagementAndGeneral
Fundraising	4473	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	9497140	Total
Program Services	7386872	ProgramServices
Management And General	2096434	ManagementAndGeneral
Fundraising	13834	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7898130	Total
Program Services	5984577	ProgramServices
Management And General	1901360	ManagementAndGeneral
Fundraising	12193	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1967134	Total
Program Services	118098	ProgramServices
Management And General	1849036	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	110552	Total
Program Services	0	ProgramServices
Management And General	110552	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	85180	Total
Program Services	0	ProgramServices
Management And General	85180	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	522199	Total
Program Services	0	ProgramServices
Management And General	522199	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	18598885	Total
Program Services	15127767	ProgramServices
Management And General	3420955	ManagementAndGeneral
Fundraising	50163	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1037122	Total
Program Services	0	ProgramServices
Management And General	1037122	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6259320	Total
Program Services	2356804	ProgramServices
Management And General	3888240	ManagementAndGeneral
Fundraising	14276	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5250726	Total
Program Services	552775	ProgramServices
Management And General	4697951	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4979009	Total
Program Services	2072969	ProgramServices
Management And General	2904253	ManagementAndGeneral
Fundraising	1787	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	326346	Total
Program Services	203675	ProgramServices
Management And General	122082	ManagementAndGeneral
Fundraising	589	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	215622	Total
Program Services	106665	ProgramServices
Management And General	108957	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2927582	Total
Program Services	0	ProgramServices
Management And General	2927582	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	18037316	Total
Program Services	6819515	ProgramServices
Management And General	11205987	ManagementAndGeneral
Fundraising	11814	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2448824	Total
Program Services	579041	ProgramServices
Management And General	1869783	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Repairs & Maintenance	6499582	546529	5952476	577
Provision for Bad Debts	23573766	23573766	0	0
Medical Supplies	42046894	41846719	200173	2
Medicaid Provider Fee	12392020	12392020	0	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3079045	Total
Program Services	854037	ProgramServices
Management And General	2253464	ManagementAndGeneral
Fundraising	-28456	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	286741482	Total
Program Services	211102446	ProgramServices
Management And General	75306125	ManagementAndGeneral
Fundraising	332911	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	778067	BOY
EOY	1140091	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	6138195	BOY
EOY	1557558	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	33865301	BOY
EOY	37424133	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3048524	BOY
EOY	2426771	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1368422	BOY
EOY	3111110	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2464216	BOY
EOY	3342813	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	330842186	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	183121819	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	144890564	BOY
EOY	147720367	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	222110411	BOY
EOY	223005143	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	41351004	BOY
EOY	43170874	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	2391182	BOY
EOY	2583946	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	370417	BOY
EOY	307310	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	25319138	BOY
EOY	27602449	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	484095441	BOY
EOY	493392565	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	35101226	BOY
EOY	38322850	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	157613306	BOY
EOY	151405644	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	70000	BOY
EOY	128475	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	18117990	BOY
EOY	33458840	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	210902522	BOY
EOY	223315809	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	250961074	BOY
EOY	246554608	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	17224476	BOY
EOY	18646896	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5007369	BOY
EOY	4875252	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	273192919	BOY
EOY	270076756	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	484095441	BOY
EOY	493392565	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	22993137	ReconcilationRevenueExpenses
Reconcilation Other Changes	-26109300	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$14,619	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	14619	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SchC_P2B_S00_L01	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	8.79% of dues paid to the Colorado Hospital Association are spent on lobbying activities, amounting to $6,149. 24.6% ot dues paid to the American Hospital Associationare spent on lobbying activities, amounting to $8,469.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	22231845	BeginningOfYearBalance
Contributions	4805197	Contributions
Investment Earnings Or Losses	-332547	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	3182347	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	23522148	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	20637790	BeginningOfYearBalance
Contributions	3702912	Contributions
Investment Earnings Or Losses	2390484	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	4499341	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	22231845	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	17569973	BeginningOfYearBalance
Contributions	3021313	Contributions
Investment Earnings Or Losses	3252269	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	3205765	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	20637790	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	22397933	BeginningOfYearBalance
Contributions	3484109	Contributions
Investment Earnings Or Losses	-4795385	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	3516684	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	17569973	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.21	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.79	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	25150958	OtherCostOrOtherBasis
Book Value	25150958	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	193757139	OtherCostOrOtherBasis
Depreciation	114317435	Depreciation
Book Value	79439704	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	678303	OtherCostOrOtherBasis
Depreciation	479246	Depreciation
Book Value	199057	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	103030107	OtherCostOrOtherBasis
Depreciation	68325138	Depreciation
Book Value	34704969	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	8225679	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	8225679	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	147720367	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

Field	Value	IRS element (for citing)
Book Value	-16353952	BookValue
Method Of Valuation	F	MethodOfValuation

Closely Held Equity Interests CloselyHeldEquityInterests

Field	Value	IRS element (for citing)
Book Value	21651876	BookValue
Method Of Valuation	F	MethodOfValuation

Other Securities OtherSecurities (4 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Municipal bonds, infrequently traded	9819461	F
Corp Bonds and Notes, infrequently traded	10625252	F
Long/Short Fixed Income Funds	14582864	F
Fund of Hedge Funds	2845373	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	43170874	TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
Interest in Net Asses Held by Foundation	23140442
Unamortized Bond Issue Costs	1185794
Deferred Comp Investments	1865336
Misc Other A/F	1247971
Unamortized Swap Fees	162906

Field	Value	IRS element (for citing)
Total Book Value Other Assets	27602449	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Accrued Pension Liability	$31,593,504
Deferred Compensation Liability	$1,865,336

Field	Value	IRS element (for citing)
Total Of Amounts	33458840	TotalOfAmounts
Total Revenue	309734619	TotalRevenue
Total Expenses	286741482	TotalExpenses
Excess Or Deficit For Year	22993137	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-14740245	NetUnrealizedGLOnInvestments
Donated Services And Facilities	0	DonatedServicesAndFacilities
Investment Expenses	0	InvestmentExpenses
Prior Period Adjustments	0	PriorPeriodAdjustments
Other	-$11,357,716	OtherAmount
Total Adjustments	-26097961	TotalAdjustments
Excess Or Deficit Per FS	-3104824	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	259385584	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-14740245	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	0	DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants	0	RecoveriesOfPriorYearGrants
Other Revenues	-34978331	OtherRevenues
Revenue Not Rptd F990	-49718576	RevenueNotRptdF990
Revenue Subtotal	309104160	RevenueSubtotal
Investment Expenses Not Included	522199	InvestmentExpensesNotIncluded
Other Revenues Not Included	108260	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	630459	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	309734619	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	262490408	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	0	DonatedServicesUseOfFacilities
Prior Year Adjustments	0	PriorYearAdjustments
Losses Reported	0	LossesReported
Other Expenses Included	0	OtherExpensesIncluded
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	262490408	ExpensesSubtotal
Investment Expenses Not Included2	522199	InvestmentExpensesNotIncluded2
Other Expenses Not Included	23728875	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	24251074	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	286741482	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchD_P05_S00_L04	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. Term 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.
SchD_P11_S00_L08	Schedule D, Part XI, Line 8	Other of -26,097,961 = -12,615,797 Change in Minimum Pension Liability + 1,246,704 Change in Foundation Net Assets + 11,340 Tax vs Book JV Income + 37 rounding.
SchD_P12_S00_L02d	Schedule D, Part XII, Line 2d	Other of -34,978,331 included in audited revenue but not on TR includes Bad Debt Provision of -23,573,766 + Change in Fdtn Assets of 1,246,704 - Change in minimum pension liability of 12,615,797 + Tax vs. Book JV Income recognition of 11,340 -Other exp shown net in Audit and gross in Tax return of 130,971 + Auxiliary component of Temp Rest Net assets on Audit of 84,159.
SchD_P12_S00_L04b	Schedule D, Part XII, Line 4b	Other 108,260 = Ausiliary revenue rerflected in Rev on TR but as restricted donation on Audit.
SchD_P13_S00_L04b	Schedule D, Part XIII, Line 4b	Other expenses of 23,728,875 included on TR but not on audit = Bad debt provision of 23,573,766 + 130,971 of expenses shown in net revenue on audit + 155,109 of Auxiliary expenses reflected as net Restricted Contribution on audit -1 rounding.

Schedule F IRS990ScheduleF

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

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Number Of OfficesNumberOfOffices	Number Of EmployeesNumberOfEmployees	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
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. The hospital also incurred $9,144 of expense on a trip to Tanzania to explore other mission opportunities.	90564
Central America and the Caribbean	0	0	Investments	Passive investments in Cayman Islands have a YE market value of $31,286,585 and incurred management fees of $259,707.	31546292

Field	Value	IRS element (for citing)
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Total Amount Spent	31636856	TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

Field	Value	IRS element (for citing)
Region	Sub-Saharan Africa	Region
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.	PurposeOfGrant
Amount Of Non Cash Assistance	81420	AmountOfNonCashAssistance
Description Of Non Cash Assistance	Airfare, in-country expenses for mission, and other expenses such as books, computer supplies totalling $41,956. In-kind labor totalling $39,464.	DescriptionOfNonCashAssistance
Method Of Valuation	Cost	MethodOfValuation

Field	Value	IRS element (for citing)
Total Number Of501c3 Orgs	1	TotalNumberOf501c3Orgs
Total Number Of Other Orgs	0	TotalNumberOfOtherOrgs
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	1	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	SchF_P01_S00_L02	Identifier
Return Reference	Schedule F, Part I, Line 2	ReturnReference
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.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	2.5	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	8.0	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12608332	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4304373	DirectOffsettingRevenue
Net Community Benefit Expense	8303959	NetCommunityBenefitExpense
Percent Of Total Expense	0.031	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18925745	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11375831	DirectOffsettingRevenue
Net Community Benefit Expense	7549914	NetCommunityBenefitExpense
Percent Of Total Expense	0.028	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	31534077	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15680204	DirectOffsettingRevenue
Net Community Benefit Expense	15853873	NetCommunityBenefitExpense
Percent Of Total Expense	0.059	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	341050	TotalCommunityBenefitExpense
Direct Offsetting Revenue	63298	DirectOffsettingRevenue
Net Community Benefit Expense	277752	NetCommunityBenefitExpense
Percent Of Total Expense	0.001	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	282853	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	282853	NetCommunityBenefitExpense
Percent Of Total Expense	0.001	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	562444	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	562444	NetCommunityBenefitExpense
Percent Of Total Expense	0.002	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	1186347	TotalCommunityBenefitExpense
Direct Offsetting Revenue	63298	DirectOffsettingRevenue
Net Community Benefit Expense	1123049	NetCommunityBenefitExpense
Percent Of Total Expense	0.004	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	32720424	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15743502	DirectOffsettingRevenue
Net Community Benefit Expense	16976922	NetCommunityBenefitExpense
Percent Of Total Expense	0.063	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	37446	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	37446	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	2855	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	2855	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	296616	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	296616	NetCommunityBuildingExpense
Percent Of Total Expense	0.001	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	336917	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	336917	NetCommunityBuildingExpense
Percent Of Total Expense	0.001	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$23,597,326	BadDebtExpenseAmount
Amount Attributable To	1	AmountAttributableTo
Amount Reimbursed By Medicare	44223752	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	55705355	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-11481603	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
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

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
Boulder Community Hospital
1	1100 Balsam Avenue	Boulder	CO	80304	X	X	X	Rehab DPU, Psych DPU
Boulder Community Foothills Hospital
2	4747 Arapahoe Avenue	Boulder	CO	80303	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Other MethodOtherMethod	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	Other Needs AddressedOtherNeedsAddressed	All Needs AddressedAllNeedsAddressed	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
Boulder Community Hospital
1	1	X	X	X	X	X	X	X	X	11	1	1	1	X	X	X	X	X	X	X	X	X	X	X	X	1	1	1	250	1	400	1	X	X	X	X	X	1	1	X	X	X	X	X	1	1	X	X	X	X	1	X	0	0
Boulder Community Foothills Hospital
2	1	X	X	X	X	X	X	X	X	11	1	1	1	X	X	X	X	X	X	X	X	X	X	X	X	1	1	1	250	1	400	1	X	X	X	X	X	1	1	X	X	X	X	X	1	1	X	X	X	X	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	33	NumberOfOtherFacilities

Other Facilities OtherFacilities (33 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/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 Bouolder 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
BCH Cyberknife Services
905 Alpine	Boulder	CO	80304	outpatient cyberknife services
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
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
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
100 W South Boulder Rd	Lafayette	CO	80026	Physician clinic	Suite 214
Sports Medicine East
400 S McCaslin Blvd	Louisville	CO	80027	Sports medicine clinic
Foothills Gynecology
4745 Arapahoe	Boulder	CO	80303	Physician clinic	Suite G50
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
Boulder Gynecology and Minimally Invasive Surgery
4800 Riverbend Road	Boulder	CO	80301	Physician clinic	Suite 200
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
Rocky Mountain Cardiology Boulder
2505 4th Street	Boulder	CO	80304	Physician clinic
Rocky Mountain Cardiology Broomfield
16677 Lowell Blvd	Broomfield	CO	800238053	Physician clinic
Rocky Mountain Cardiology Lafayette
1000 W South boulder Road	Lafayette	CO	800262089	Physician clinic	Suite 216
Rocky Mountain Cardilogy Longmont
2101 Ken Pratt Blvd	Longmont	CO	805016568	Physician clinic	Suite 104

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchH_P01_S00_L07	Schedule H, Part I, Line 7	Ratio of Patient Care Costs to Patient Care Charges
SchH_P01_S00_L072f	Schedule H, Part I, Line 7, Column f	23,573,766
SchH_P02_S00_L00	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)-both are 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
SchH_P03_S0A_L04	Schedule H, Part III, Section A, Line 4	1. The amount reported on Line 2 as bad debt is the actual balance on account written off to bad debt. It is not reduced to cost, since our system does not track what is a gross charge write-off versus what is a patient responsibility write -off after insurance and insurance discounts have been recognized, 2. The hospital does not have a mechanism to reasonably estimate the amount bad debt cost that would reasonably relate to patients who would qualify for financial assistance under the hospital's financial assistance policy, but for whom sufficient information was not obtained to make a determination of their eligibility. However, surely there are significant bad debts that would qualify for charity if the information were known. 3. See 2. 4. F/N 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 Hospital's allowance for doubtful accounts for self-pay patients increased from 100% of self-pay accounts receivable at December 31, 2010, to 105% of self-pay accounts receivable at December 31, 2011. The allowance includes a reserve for deductible and copayments classified within insured accounts receivable at year end. In addition, the Hospital's write-offs decrease approximately $2,070,000 from approximately $23,072,000 for the year ended December 31, 2010, to approximately $21,002,000 for the year ended December 31, 2011.
SchH_P03_S0B_L08	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 $18,994,932.
SchH_P03_S0C_L09b	Schedule H, Part III, Section C, Line 9b	The hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the hospital's charity program (WeCare). Financial arrangements with Emergency Room patients are not discussed until the patient has been assessed and treated in accordance with EMTALA. The hospital's debt collection policy contains a Communications section addressing courtesy, confidentiality, cultural sensitivity, and primary language of a patient. It contains a section on Billing and Collection Practices which addresses when an account will be referred to a licensed collection agency and that those agencies will treat all patients with dignity, compassion and respect, as well as adhering to Colorado State Laws and the Fair Debt Collection Act. Patients may apply/reapply for financial assistance before, during or after care, or after collection agency assignment.
SchH_P05_S0B_L04	Schedule H, Part V, Section B, Line 4	The Community Health Needs Assessment includes both the Boulder Community Hospital and the Boulder Community Foothills Hospital.
SchH_P05_S0B_L05	Schedule H, Part V, Section B, Line 5	The Community Health Needs Assessment was reviewed and endorsed by the BCH Board of Directors at its meeting on February 22, 2011.
SchH_P05_S0B_L06	Schedule H, Part V, Section B, Line 6	BCH STRATEGIES FOR ADDRESSING COMMUNITY HEALTH NEEDS 2011-2013 As a result of the research and recommendations that appear in this assessment report and further dialog with the BCH Board of Directors and medical staff, the following four strategies will guide BCH leadership in addressing our community's health needs over the next three years: 1. STRENGTHEN PARTNERSHIPS WITH KEY COMMUNITY HEALTH PROVIDERS BCH will focus on strengthening institutional relationships with the following local organizations, developing collaborative efforts to improve health care within the Boulder Valley. Partnerships may include joint funding of initiatives, direct support funding, providing leadership to governing boards, information sharing and other possible cooperative ventures. While this listing includes many major community health providers in the Boulder Valley, it is not meant to be exhaustive and other organizations that address community health needs identified in this assessment may be added. According to our assessment, these agencies directly address identified community health needs and serve the populations in most need within the BCH service area: Boulder County Public Health Department Boulder Shelter for the Homeless Boulder Valley Women's Health Center Clinica Campensina Family Health Services/People's Clinic Dental Aid Intercambio de Communidades Mental Health Partners (The Mental Health Center Serving Boulder & Broomfield Counties) St. Benedict Health & Healing Ministry 2. EXPAND PRIMARY CARE ACCESS BCH intends to continue to increase the number of primary care providers within the hospital's service area. All BCH-owned clinics are accessible to patients with Medicare and many accept Medicaid. Through our collaborative relationship with Clinica/Peoples Clinic, we are committed to improving patient access to primary care providers regardless of a patient's medical insurance status. 10 Recognizing the Boulder area population is both aging and expanding to the east and south of Boulder proper, BCH has embarked upon an aggressive $125 million, 10-year transitional facilities plan that will expand and improve access to hospital facilities and clinics throughout the decade ahead. 3. PREVENTATIVE CARE FOCUS In 2011, BCH initiated a Certified Diabetes Educator program in the hospital's nine primary care clinics located throughout the Boulder Valley. Each clinic will identify patients with diabetes and afford them enhanced opportunities for one-on- one counseling, chronic disease management education and peer coaching. In addition, this clinic-wide initiative will identify and interview patients with pre- diabetic symptoms and offer patient education and, support and counseling to mitigate future impacts. Using the Diabetes Educator initiative as a model, BCH will consider similar strategies in future years that address other chronic diseases (asthma, hypertension, heart disease and depression) impacting Boulder Valley residents. BCH is an active partner in the Boulder Valley Care Network, a unique and innovative joint community effort of area hospitals and clinics assisting employees and families of the Boulder Valley School District (one of the area's larger employers) in improving preventative care and managing chronic diseases. A significant aspect of the Hospital Transition Plan described above is the development of a state-of-the art Heart Center on the Foothills campus, slated to open in 2014. The Hospital is aggressively striving for preeminence in cardiac care by directly addressing the chronic heart disease and hypertension. In 2011, BCH began providing Electroconvulsive Therapy (ECT), a treatment for certain mental disorders, most notably severe depression. In bringing this medical service to the community, allowances were made to treat selective Medicare, Medicaid and uninsured patients. 4. HEALTH INFORMATON EXCHANGE & INTEGRATED CARE BCH is an active leader and collaborator in the Colorado Regional Health Information Organization and will be the first hospital in the state to submit data to this health information exchange. This information exchange will help integrate care throughout the county by enabling all health care providers to have access to the medical information placed on the electronic system. At least 300 physicians and the four hospitals in the county will be involved in this record sharing project. Having ready access to extensive patient medical records will improve the quality and efficiency of care, enhance patient safety and assist health care providers and public health officials in identifying health needs and developing future initiatives to address those needs. 11 BCH has recently initiated a program in the Emergency Department (ED) designed to improve discharge planning and transitional care. A Registered Nurse will act as a Case Manager in the ED and will work directly with indigent and homeless patients, performing needs assessments and arranging for a primary care provider to continue the patient's treatment plan following release from the Emergency Department. BCH Social Workers will also be involved in this effort. Similarily, BCH is an active partner in the recently created Boulder County Respite Program designed to improve discharge planning and transitional care for homeless patients. Beginning in 2011, BCH has assumed full responsibility for its Hospitalists Program. The group's new Director comes to BCH from Denver Health and has extensive leadership experience in discharge planning for needy and underserved patients. BCH will be a collaborative leader in promoting increased cooperation and coordination among area health care providers to improve discharge planning and coordinated care. Endorsed by BCH Board of Directors February 22, 2011
SchH_P05_S0B_L19	Schedule H, Part V, Section B, Line 19	All patients without insurance are eligible for a 50% prompt pay discount if payment made at time or service (or within 72 hours following discharge for emergencies) or a 40% 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.
SchH_P06_S00_L02	Schedule H, Part VI, Line 2	The hospital collaborated with the Boulder County Public Health Department, the Community Foundation Serving Boulder County and over 50 other community organizations who participated in community health focus groups to prepare a Community Health Needs Assessment. The report was issued February 22, 2011. 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 Hospital's 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 embarking on 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.
SchH_P06_S00_L03	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 Hospital's 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 hospital's web site.
SchH_P06_S00_L04	Schedule H, Part VI, Line 4	The Corporation provides comprehensive health services to a diverse population of more than 300,000 people who reside in Boulder County and an adjacent portion of the City and County of Broomfield. The Corporation has refined delineation of its primary and secondary service areas based on its market share by zip code. The primary service area includes the Cities of Boulder, Lafayette (approximately 15 miles east of the Broadway Campus and 11 miles southeast of the Foothills Campus), and Louisville (approximately 11 miles southeast of the Broadway Campus) as well as the western portion of the City and County of Broomfield. The secondary service area encompasses the rest of Boulder County, including the City of Longmont, which is approximately 15 miles northeast of the Broadway Campus. According to the Community Foundation's Boulder County Trends report published in 2009, the Boulder community enjoys good health which appears to be related directly to the community's higher-than-average education and economic levels. However, the Foundation Trends Report estimates that 15% to 20% of adults in Boulder County are without health insurance and a disproportionate number of the uninsured are Latino. The community's teen fertility rate is low compared to state and national benchmarks, but 70% of teen mothers are Latina and Latinas also lag in receiving prenatal care. The Trends study states that Boulder County children are generally rather fortunate, since 91% of the estimated 69,000 children under age 18 have access to health insurance. However, just 45% of Boulder County residents report having dental insurance coverage.
SchH_P06_S00_L05	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)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (5 entries)

Business Name Line2RecipientNameBusiness/BusinessNameLine2	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Purpose Of GrantPurposeOfGrant	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Boulder County Fire Fighters Assoc
Sunshine Fire Protection District	311 County Road 83	Boulder	CO	80302	846000600	501 (c)3	22000	0	FMV	support for local fire associataion
Mental Health Partners Foundation
	1333 Iris Avenue	Boulder	CO	80304	840520493	501 (c)3	15000		FMV	Support for non-profit community mental health center serving Boulder and Broomfield counties.
The Community Foundation
	1123 Spruce St	Boulder	CO	80302	841171836	501 (c) 3	10000		FMV	Sponsorship of civic forum on healthcare.
Clinica Campesina Family Health Services
	2000 W South Boulder Rd	Lafayette	CO	80026	840743432	501 (c) 3	37500		FMV	Support for low income community health clinic.
Boulder Valley School District
	6500 E Arapahoe	Boulder	CO	80303	846014683	501 (c) 3		66340	cost	Support high school athletics and help to reduce injuries to student athletes.	Provide athletic trainer to the school district

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	5	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Healthcare educational scholarships	25	50562	Cost
Asistance fund for IP rehab patients to be used to support patient and family with living and medical expenses	9	10268	Cost
Assistance with chemotherapy treatment expenses, mammorgraphy expenses and other cancer related espenses	5	2524	Cost
Charity drugs given after discharge	32			7691	Pharmaceutical prescriptions filled at cost for patients discharged with inability to pay.
Transportation and housing for indigent patients	50	9213	cost

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SchI_P01_S00_L02	Identifier
Return Reference	Schedule I, Part I, Line 2	ReturnReference
Explanation	Grants are only made to non profit agencies supporting our local community with health and welfare services. Grants in excess of $10,000 are specifically approved by the hospital board of directors during the budget process. The CEO has a discretionary budget allocation for which he may approve disbursements less than $10,000. Monitoring of grants over $10,000 is done by having representation on their non profit board. Scholarship applications for healthcare education are reviewed by a committee, and payments are sent directly to the schools on the student's behalf with a letter indicating the money should be returned to the hospital if the student does not register.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Written Policy Re T And E Expenses	0	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
David Gehant
841066	0	0	0	38500	0	15267	0	19462	0	914295	0	0
Paul Kenneth Lewis Jr
279507	0	43994	0	38500	0	70495	0	22463	0	454959	0	43994	0
William A Munson Jr
203152	0	29554	0	32985	0	48842	0	30287	0	344820	0	29544	0
Sarah E Meshak
161951	0	36213	0	16500	0	50656	0	1204	0	266524	0	36213	0
James Peters
156704	0	33778	0	38500	0	33915	0	27053	0	289950	0	33778	0
Linda S Minghella
150705	0	19653	0	21500	0	43615	0	619	0	236092	0	19653	0
Ronald Secrist
161668	0	17516	0	22000	0	11100	0	14906	0	227190	0	17516	0
Gail Osterbur
58414	0	41320	0	112449	0	10784	0	12759	0	235726	0	41320	0
Robert W Thorn
129864	0	0	0	34637	0	29529	0	23965	0	217995	0	0	0
Eugene S Chu
257174	0	56090	0	16500	0	16576	0	8414	0	354754	0	0	0
Daniel S White
217439	0	65678	0	16500	0	27651	0	11901	0	339169	0	0	0
Sameer A Oza
217275	0	63304	0	16500	0	29017	0	11654	0	337750	0	0	0
Nelson P Trujillo Jr
213318	0	65460	0	16500	0	29989	0	16021	0	341288	0	0	0
John A Schutz
216903	0	59332	0	16500	0	27651	0	12299	0	332685	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchJ_P01_S00_L01a	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.
SchJ_P01_S00_L01b	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.
SchJ_P01_S00_L03	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.
SchJ_P01_S00_L04	Schedule J, Part I, Line 4	Ln 4a--Gail Osterbur, VP & Chief Nursing Officer, received $77,757 of severance pay from the hospital. Ln 4b--The hospital has a nonqualified 457(b) plan in which employee's may defer salary. Participants include: David Gehant, Paul Lewis Jr, William Munson Jr, Gail Osterbur, Sameer Oza, James Peters, John Schutz, Robert Thorn, Nelson Trujillo Jr and Daniel White. 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 ($55,228 contributed), William Munson Jr, VP & CFO ($33,575 contributed), Sarah Meshak, VP & General Counsel ($38,476 contributed), James Peters, VP ($21,347 contributed), Linda Minghella, VP & CIO ($32,905 contributed), Robert Thorn, Assoc VP Business Development ($29,529 contributed), and Jacqueline Attlesey-Pries, VP & CNO ($13,947) contributed.
SchJ_P01_S00_L07	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

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Colorado Health Facilities Authority	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	840752932	IssuerEIN
CUSIP Number	19648AVF9	CUSIPNumber
Date Issued	2010-12-01	DateIssued
Issue Price	93535431	IssuePrice
Description Of Purpose	Foothills expansion; balance for debt refunding	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	93708680	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	1025584	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	26311	CapitalExpenditures
Other Spent Proceeds	67458941	OtherSpentProceeds
Amount Unspent	25146938	AmountUnspent
Year Of Subst Completion	2013	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	1	EngageBondCounselContracts
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	1	ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchK_P01_S00_L00	Schedule K, Part I	Part I, Ln A(e) of $93,535,431 is less than Part II Line 3(A) of $93,708,684 by the trust fund interest income of $173,256 .
SchK_P02_S00_L03	Schedule K, Part II, Line 3	Schedule K, Part II, Line 3 - Part II Lines 4 through 12 exceeds Part II Line 3 by 4,121 the amount transferred into the 2010 Cost of Issuance Bond Trust Account from the close-out of the 2003 Bond Interest Trust Fund.
SchK_P02_S00_L11	Schedule K, Part II, Line 11	Other Spent Proceeds includes $14,546,298 to refund Series 1994B, $26,456,321 to refund Series 2003A and $26,456,321 to refund Series 2003B.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Boulder Valley Pathology PC
Dr. John Meyer is a Board member and also ia a member of Boulder Valley Pathology PC	-266222	BVP has an exclusive agreement to provide Anatomical and Pathology Services at Boulder Community Hospital. Payment to BVP and (reimbursements) from BVP are as follows: Lab medical directorship, $84,890; payment of professional component of global fee arrangements, $438,455; reimb. to BCH of the per slide cost of private BVP pathology services done at the hospital, ($766,067); reimb. to BCH of space costs, ($23,500) per year.	0
Boulder Medical Center PC (BMC)
Dr. Fries is a Board member of the hospital, a board member of BMC, and a pediatrician with BMC.	432163	Dr. Fries was paid $2,400 as a Pediatric Rehab Medical Director, and 917 for spousal travel for BCH Board conference. The hospital paid BMC $4,200 for call coverage by Dr. Fries. The hospital paid BMC $298,646 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 insurance by the hospital. The hospital loand BMC $126,000 for the recruitment of OB's;this loan will be forgiven as long as the OB serves the community for at least 18 months.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0B_L11b	Form 990, Part VI, Section B, Line 11b	Form 990 is prepared by the Controller based upon audited financial statements. The 990 is reviewed by the nonprofit tax manager of our external audit firm, by the CEO, CFO, VP & General Counsel, Compliance Officer, and the Audit Committee of the Board of Directors. Final copies are provided to each voting Board member electronically before filing with the IRS.
F990_P06_S0B_L12c	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. Board members complete an annual Statement of Interest form which discloses employment, family member employment, business relationships, service on other Boards or governance positions and identifies other conflicts of interest. The Statement of Interest also identifies transactions requiring disclosure.
F990_P06_S0B_L15	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 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.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	The hospital's web site is www.bch.org. The web site includes the hospital's Mission, Vision and Beliefs Statement. 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.
F990_P11_S00_L05	Form 990, Part XI, Line 5	Other Change in Net Assets of -26,109,300 = Change in Foundation Assets of 1,246,704 plus Unrealized Losses on investments and derivatives of -14,740,245 plus charge for Minimum Pension Liability of -12,615,797 plus rounding of 38.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Boulder Community Hospital Foundation	BusinessNameLine1

Address US AddressUS

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	PrimaryActivities
Legal Domicile State	CO	LegalDomicileState
Exempt Code Section	509(c)3	ExemptCodeSection
Public Charity Status	509(a)3	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	0	ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Address Line2AddressUS/AddressLine2
Boulder Community Musculoskeletal Surgery Center LLC
1136 Alpine Avenue	Boulder	CO	80304	201391702	Outpatient surgery center	CO	N/A	Related	1713971	980017	0	$0	1	0.5
Endoscopy Center of the Rockies LLC
382 S Arthur Ave	Louisville	CO	80027	841562782	Outpatient Endoscopy	CO	N/A	Related	3739831	1137723	0	$0	1	0.5	Ste 140
Boulder Community Sleep Services LLC
1136 Alpine Avenue	Boulder	CO	80304	262429064	Sleep Lab Services	CO	N/A	Related	133015	29039	0	$0	1	0.45

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Boulder Community Musculoskeletal Surgery Center LLC
i	683177	Rental Agreement
Boulder Community Musculoskeletal Surgery Center LLC
p	63186	Recap of contracted amounts
Boulder Community Sleep Services LLC
l	962095	Contract for Services
Boulder Community Sleep Services LLC
p	438957	Recap of contract

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	Notice Number CP211A approved Form 990 filing extension request to November 15,2012. Extension granted due to additional time needed for audit completion, 990-T filing, and Schedule H preparation.	Explanation