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      <FormersListed>true</FormersListed>
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      <OtherExpenses>
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      </OtherExpenses>
      <OtherExpenses>
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      </OtherExpenses>
      <OtherExpenses>
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    </IRS990>
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        <Identifier>Direct Contact with Legislators, staff, Gov't officials</Identifier>
        <ReturnReference>Form 990, Sch. C, Part II-B, Line 1g</ReturnReference>
        <Explanation>Poudre Valley Hospital pays annual membership dues to CHA and AHA. A percentage of the annual dues are attributable to lobbying. The amount shown on this line is that percentage.</Explanation>
      </Form990ScheduleCPartIV>
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        <Depreciation>1888614</Depreciation>
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        <BookValue>39320959</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
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      <OtherLiabilities>
        <Description>OTHER ACCRUED LIABILITIES</Description>
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      <OtherLiabilities>
        <Description>CASH OVERDRAFTS</Description>
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        <Explanation>At December 31, 2011, all entities included in PVHCs consolidation are exempt from taxation under Section 501(c)(3) of the Internal Revenue Code except for Lakota Lake, LLC, PVHS/Timberline, LLC, Heron Lake, LLC, Poudre Valley Medical Group, LLC, and Innovation Enterprises, Inc., including wholly-owned subsidiary. Lakota Lake, LLC, PVHS/Timberline, LLC, Heron Lake, LLC and Poudre Valley Medical Group, LLC act as tax flow-through entities to PVHC, which, as noted, is tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Innovation Enterprises, Inc. is taxed on its net profit under Subchapter C of the Internal Revenue Code and includes their wholly-owned LLC as a tax flow-through entity. The Foundation has also been classified as an entity that is not a private foundation within the meaning of Section 509(a) and qualifies for deductible contributions as provided in Section 170(b)(1)(A)(vi) of the Internal Revenue Code. Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.</Explanation>
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        <OtherFacilities>
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            <State>CO</State>
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        <OtherFacilities>
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          <Address>
            <AddressLine1>1100 E Prospect Rd</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80524</ZIPCode>
          </Address>
          <FacilityType>Surgery Center BLOOD DRAW</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Pennock Place</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1025 Pennock Place</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80524</ZIPCode>
          </Address>
          <FacilityType>Physician offices, blood bank</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Prospect Medical Plaza</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1106 E Prospect Suite 100</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80524</ZIPCode>
          </Address>
          <FacilityType>Physician offices,</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Loveland OncologyHematology</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2975 Ginnala Drive Suite 120</AddressLine1>
            <City>Loveland</City>
            <State>CO</State>
            <ZIPCode>80538</ZIPCode>
          </Address>
          <FacilityType>Oncology outpatient rehab, neurology, int medicine</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Snow Mesa</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4674 Snow Mesa Drive</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80528</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Windsor Medical Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1455 Main Street</AddressLine1>
            <City>Windsor</City>
            <State>CO</State>
            <ZIPCode>80550</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Express Lab</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1020 Doctors Lane</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80524</ZIPCode>
          </Address>
          <FacilityType>Lab</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Timerline Medical</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>131 Stanley Dr</AddressLine1>
            <City>Estes Park</City>
            <State>CO</State>
            <ZIPCode>80517</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PVMG OBGYN</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1136 E Stuart St 2100</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80525</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Children's Therapy</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1500 S Lemay</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80526</ZIPCode>
          </Address>
          <FacilityType>Therapy</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Family Healthcare of the Rockies</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3000 S College Ave St 210</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80525</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Columbine Poudre Homecare-JV</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>915 Centre Ave</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80526</ZIPCode>
          </Address>
          <FacilityType>Home healthcare</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Poudre Infusion Therapy-JV</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>915 Centre Ave</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80526</ZIPCode>
          </Address>
          <FacilityType>Infusion</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HCORScottsbluff</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2 W 42nd St 2200</AddressLine1>
            <City>Scottsbluff</City>
            <State>NE</State>
            <ZIPCode>69361</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Primary Care-Sterling</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>620 Iris Drive</AddressLine1>
            <City>Sterling</City>
            <State>CO</State>
            <ZIPCode>80751</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Foxtrail Family Medicine</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1625 Foxtrail Dr</AddressLine1>
            <City>Loveland</City>
            <State>CO</State>
            <ZIPCode>80538</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Endocrinolgy</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1040 E Elizabeth Street</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80524</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HCORSteamboat</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>940 Central Park Dr 290</AddressLine1>
            <City>Steamboat Springs</City>
            <State>CO</State>
            <ZIPCode>80487</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>West Loveland</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3850 N Grant Ave</AddressLine1>
            <City>Loveland</City>
            <State>CO</State>
            <ZIPCode>80538</ZIPCode>
          </Address>
          <FacilityType>Urgent Care, Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HCOREstes Park</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>555 Prospect Ave</AddressLine1>
            <City>Estes Park</City>
            <State>CO</State>
            <ZIPCode>80517</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HCORFort Morgan</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1000 Lincoln Street 207</AddressLine1>
            <City>Fort Morgan</City>
            <State>CO</State>
            <ZIPCode>80701</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Thompson Valley Towne Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1327 Eagle Drive</AddressLine1>
            <City>Loveland</City>
            <State>CO</State>
            <ZIPCode>80537</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HCORCraig</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>595 Russell Street</AddressLine1>
            <City>Craig</City>
            <State>CO</State>
            <ZIPCode>81625</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HCORLaramie</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3116 Willet Drive</AddressLine1>
            <City>Laramie</City>
            <State>WY</State>
            <ZIPCode>82070</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HCORSidney</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1625 Dorwart Drive</AddressLine1>
            <City>Sidney</City>
            <State>NE</State>
            <ZIPCode>69162</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HCORAlliance</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2101 Box Butte Ave</AddressLine1>
            <City>Alliance</City>
            <State>NE</State>
            <ZIPCode>69301</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HCORYuma</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>910 S Main Street</AddressLine1>
            <City>Yuma</City>
            <State>CO</State>
            <ZIPCode>80759</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HCORKremmling</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>214 S 4th Street</AddressLine1>
            <City>Kremmling</City>
            <State>CO</State>
            <ZIPCode>80459</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HCORWalden</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>350 McKingley St</AddressLine1>
            <City>Walden</City>
            <State>CO</State>
            <ZIPCode>80480</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Lab Draws</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>708 22nd Street</AddressLine1>
            <City>Greeley</City>
            <State>CO</State>
            <ZIPCode>80631</ZIPCode>
          </Address>
          <FacilityType>Lab</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>GMCBrush</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2400 Edison Street</AddressLine1>
            <City>Brush</City>
            <State>CO</State>
            <ZIPCode>80723</ZIPCode>
          </Address>
          <FacilityType>Physician Offices</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Phlebotomy Station</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1113 Oakridge Drive</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80525</ZIPCode>
          </Address>
          <FacilityType>Lab draws</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Phlebotomy Station</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2001 S Shields</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80526</ZIPCode>
          </Address>
          <FacilityType>Lab draws</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Phlebotomy Station</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2025 Big Horn Drive</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80525</ZIPCode>
          </Address>
          <FacilityType>Lab draws</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Phlebotomy Station</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3519 Richmond Drive</AddressLine1>
            <City>Fort Collins</City>
            <State>CO</State>
            <ZIPCode>80526</ZIPCode>
          </Address>
          <FacilityType>Lab draws</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7, COLUMN F</Identifier>
        <Explanation>TOTAL BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR PRIOR TO THE PERCENTAGE CALCULATION = 14,052,108 (13,722,423 REPORTED ON PART IX, AND 279,685 FROM JOINT VENTURES)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7</Identifier>
        <Explanation>The organization used a cost-to charge ratio for lines 7a, 7b, and 7c. The cost-to-charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The information for lines 7e through 7i was derived from information in the general ledger and other financial data related specifically to the various types of community benefits. The information for line 7g includes some computations based upon the cost-to-charge ratio mentioned above. SCHEDULE H, PART I, LINE 7g The organization included as subsidized health services costs that were attributable to physician clinics. The total costs were $7,859,206.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART II</Identifier>
        <ReturnReference>COMMUNITY BUILDING ACTIVITIES</ReturnReference>
        <Explanation>As mentioned under promotion of community health we have a multitude programs designed to address the health of our community involving all age groups and focus on what an individual can do to improve his/her health. Many of the programs reflected in Part II are designed to promote healthy options and choices for our comunity which is an important part of overall community health and therefore a benefit to the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 4</Identifier>
        <ReturnReference>BAD DEBT EXPENSE</ReturnReference>
        <Explanation>Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, PVHC 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 uncollectible accounts. 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, PVHC analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the 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), PVHC records a significant provision for uncollectible accounts 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. PVHCs allowance for doubtful accounts for self-pay patients increased from 62% of self-pay accounts receivable at December 31, 2010, to 63% of self-pay accounts receivable at December 31, 2011. Changes in allowances for self-pay accounts were the result of negative trends experienced in the collection of amounts from self-pay patients in fiscal year 2011. Bad debt expense is determined using the methodology as described in the note to financial statements as shown above. The Patient Business Service team assists all potentially eligible patients with the application process for financial assistance programs (government and internally sponsored). If the application is completed and the patient is eligible, the account balance is not written off to bad debt, instead it is recorded as a charity care adjustment. If the application is not completed, we have no way to determine patient eligibility for charity care classification, and the account is written off as bad debt. At this time community benefit does not include any bad debt amounts.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 5</Identifier>
        <ReturnReference>MEDICARE REVENUE WAS COMPUTED AS FOLLOWS:</ReturnReference>
        <Explanation>Poudre Valley Health Care Cost Report 61,546,870 Poudre Valley Health Care GME Payment (632,755) Centre Ave Health &amp; Rehab Cost Report 3,405,218 Columbine Poudre Homecare Cost Report 1,070,984 PVHC Inc. Medicare disallowed programs 728,488 Disregarded Entities 21,270,768 Joint Ventures 2,764,518 Total to Line 5 90,154,091</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 6</Identifier>
        <Explanation>MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS WERE COMPUTED AS FOLLOWS: Poudre Valley Health Care Cost Report 90,179,009 Centre Ave Health &amp; Rehab Cost Report 3,407,828 Columbine Poudre Homecare Cost Report 1,070,362 PVHC Inc. Medicare disallowed programs 1,033,714 Disregarded Entities 40,068,706 Joint Ventures 2,655,075 Total to Line 6 138,414,694</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 8</Identifier>
        <Explanation>Approximately 22% of net patient service revenue is from participation in the Medicare program, thus providing Medicare services promotes access to healthcare services to a significant portion of the community population. The amount on line 6 was determined by allowable costs as reported on the Poudre Valley Hospital 2011 Cost Report aggregated with disregarded entities and ownership portions of joint ventures.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 9B</Identifier>
        <Explanation>Patient provides documentation based on Colorado Indigent Care guidelines, reviewed by Financial Assistance Committee (FAC), cross functional team chaired by Director Patient Financial Services. Upon approval or denial of the request for charitable aid from the FAC, the patient will be advised of the decision. The bill is partially or totally adjusted as approved by the FAC, no further collection process with the patient. For any portion not adjusted off, the proper sequence of attempts to collect are followed. Final assignment of the bill is to a collection agency.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART V, LINE 19D</Identifier>
        <Explanation>ALL PATIENTS ARE BILLED AT FULL CHARGES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART VI</Identifier>
        <ReturnReference>SUPPLEMENTAL INFORMATION</ReturnReference>
        <Explanation>Needs Assessment: We assess the health care needs of the communities we serve in several ways. First, we complete our own Community Health Survey once every three years. This is a blinded survey sent out to 5,000 residents of the communities we serve. This survey is meant to assess the needs of our community and priorities for health prevention, intervention, and treatment for the people we serve. Alongside of this is an extensive review and assessment of other health data to examine the trends and impact and burden of disease. We partner with the Health District of Northern Larimer County and the Larimer Department of Health and Environment to examine the data and develop action plans to address the needs with high morbidity and mortality rates. We utilize hospital data, state and local health department data, the health district survey, and BRFSS data to examine the health issues that affect the people we serve. We utilize the assistance of Epidemiologist to ensure correct assumptions based upon the data we review. Our marketing department will also administer specific surveys related to services we offer in the community to see if needs are being addressed. We also administer focus groups for specific areas of focus to ensure we are meeting health needs. Patient Education of Eligibility for Assistance: There is documentation in a billing brochure given to patient/families, self-pay inpatients are screened by the Financial Assistance teams, the monthly statements mention a contact if assistance is needed, and if a patient/family call Patient Billing and inform us they need assistance they are put through the screening process. Community Information: Poudre Valley Health System (PVHS) is a locally owned, private, non-profit organization with a strong Vision: to provide world class healthcare. Based in Northern Colorado, PVHS provides evidence-based healthcare and wellness services and products in Colorado, Nebraska, and Wyoming, across a service area covering more than 50,000 square miles. PVHS is a regional medical hub that includes Poudre Valley Hospital, Medical Center of the Rockies, Mountain Crest Behavioral Health Center, Poudre Valley Medical Group, and dozens of associated clinics and outpatient services. The organization's Mission is to be an integrated, independent, non-profit organization providing innovative, comprehensive care of the highest quality while exceeding expectations of the communities we serve. Promotion of Community health: We have implemented a multitude of programs that address the health of our community involving all age groups and focus on what an individual can do to improve his/her health. We also give dollars to other entities that work to improve the health of our community. Examples are: primary care for children, activity programs for developmentally disabled adults, obesity prevention, feeding programs for low income, and mental health services for the underserved. Affiliated Health Care System: All the services we offer are available to anyone that uses any of our facilities in the health system. Our geography is not that large so we are able to accommodate the different communities that utilize our services with the same level of community health programming. State filing of community benefit report: We only submit community benefit data in the state of Colorado.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN CANCER SOCIETY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>8221 W 20th A</AddressLine1>
          <City>Greeley</City>
          <State>CO</State>
          <ZIPCode>80634</ZIPCode>
        </AddressUS>
        <EINOfRecipient>841316555</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>19400</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>BOYS &amp; GIRLS CLUB OF WELD COUNTY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 812</AddressLine1>
          <City>Greeley</City>
          <State>CO</State>
          <ZIPCode>80632</ZIPCode>
        </AddressUS>
        <EINOfRecipient>840529902</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>6125</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CROSSROADS SAFEHOUSE INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 993</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80522</ZIPCode>
        </AddressUS>
        <EINOfRecipient>840786145</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>5900</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Colorado State University</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>601 South Howes St</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80523</ZIPCode>
        </AddressUS>
        <EINOfRecipient>846000545</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>57900</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ENGAGING LOVELAND INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>231 W 4th St</AddressLine1>
          <City>Loveland</City>
          <State>CO</State>
          <ZIPCode>80537</ZIPCode>
        </AddressUS>
        <EINOfRecipient>205257077</EINOfRecipient>
        <IRCSection>501(c)(6)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FORT COLLINS MUSEUM FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>200 Matthews Street</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80524</ZIPCode>
        </AddressUS>
        <EINOfRecipient>742541265</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>41000</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FOUNDATION FOR MALCOM BALDRIGE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>165 Summit Ridge</AddressLine1>
          <City>Maryville</City>
          <State>IL</State>
          <ZIPCode>62062</ZIPCode>
        </AddressUS>
        <EINOfRecipient>592891492</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Front Range Community College</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3645 West 112th Ave</AddressLine1>
          <City>Westminster</City>
          <State>CO</State>
          <ZIPCode>80031</ZIPCode>
        </AddressUS>
        <EINOfRecipient>841311148</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>108995</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FT COLLINS CHAMBER OF COMMERCE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>225 S Meldrum St</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80521</ZIPCode>
        </AddressUS>
        <EINOfRecipient>840201983</EINOfRecipient>
        <IRCSection>501(c)(6)</IRCSection>
        <AmountOfCashGrant>11450</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>GREELEY INDEPENDENCE STAMPEDE INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>600 N 14th Ave</AddressLine1>
          <City>Greeley</City>
          <State>CO</State>
          <ZIPCode>80631</ZIPCode>
        </AddressUS>
        <EINOfRecipient>840722231</EINOfRecipient>
        <IRCSection>501(c)(4)</IRCSection>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HEALTH DISTRICT OF NORTHERN</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>120 Bristlecone Dr</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80524</ZIPCode>
        </AddressUS>
        <EINOfRecipient>840515919</EINOfRecipient>
        <IRCSection>GOVERNMENT</IRCSection>
        <AmountOfCashGrant>23781</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>IVINSON MEMORIAL HOSPITAL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>255 N 30th Street</AddressLine1>
          <City>Laramie</City>
          <State>WY</State>
          <ZIPCode>82072</ZIPCode>
        </AddressUS>
        <EINOfRecipient>836000188</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>13500</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>LOVELAND CHAMBER OF COMMERCE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>5400 Stone Creek Cr 200</AddressLine1>
          <City>Loveland</City>
          <State>CO</State>
          <ZIPCode>80538</ZIPCode>
        </AddressUS>
        <EINOfRecipient>840254565</EINOfRecipient>
        <IRCSection>501(c)(6)</IRCSection>
        <AmountOfCashGrant>18830</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MARCH OF DIMES FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1325 S Colo Blvd B508</AddressLine1>
          <City>Denver</City>
          <State>CO</State>
          <ZIPCode>80222</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131846366</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>5500</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>METRO DENVER SPORTS COMMISSION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>444 ShermanSt 300</AddressLine1>
          <City>Denver</City>
          <State>CO</State>
          <ZIPCode>80203</ZIPCode>
        </AddressUS>
        <EINOfRecipient>202052624</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MOUNTAIN STATES BETTER BUSINESS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>8020 S Cty Rd 5</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80528</ZIPCode>
        </AddressUS>
        <EINOfRecipient>742525298</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>6500</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NATIONAL MULTIPLE SCLEROSIS SOC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>900 S Broadway St 250</AddressLine1>
          <City>Denver</City>
          <State>CO</State>
          <ZIPCode>80209</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135661935</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>5400</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NINE HEALTH SERVICES INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1139 Delaware Street</AddressLine1>
          <City>Denver</City>
          <State>CO</State>
          <ZIPCode>80204</ZIPCode>
        </AddressUS>
        <EINOfRecipient>742452969</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>OPERA FORT COLLINS INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 503</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80522</ZIPCode>
        </AddressUS>
        <EINOfRecipient>841183179</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>6575</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Poudre Valley Health System Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2315 E Harmony Rd</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80528</ZIPCode>
        </AddressUS>
        <EINOfRecipient>741894581</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>423847</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>THE COMMUNITY FOUNDATION SERVING GREELEY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>711 8th Ave</AddressLine1>
          <City>Greeley</City>
          <State>CO</State>
          <ZIPCode>80631</ZIPCode>
        </AddressUS>
        <EINOfRecipient>841315296</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>5510</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>THOMPSON SCHOOL DISTRIC R2-J</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>535 N Douglas Ave</AddressLine1>
          <City>Loveland</City>
          <State>CO</State>
          <ZIPCode>80537</ZIPCode>
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        <EINOfRecipient>846013346</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>24250</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>TOUCHSTONE HEALTH PARTNERS</BusinessNameLine1>
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          <AddressLine1>125 Crestridge</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80525</ZIPCode>
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        <EINOfRecipient>841512383</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
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          <BusinessNameLine1>UNITED WAY OF LARIMER COUNTY</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>424 Pine St 102</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80524</ZIPCode>
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        <EINOfRecipient>846031503</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>15266</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
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          <BusinessNameLine1>University of Northern Colorado</BusinessNameLine1>
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          <City>Greeley</City>
          <State>CO</State>
          <ZIPCode>80639</ZIPCode>
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        <EINOfRecipient>846044833</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>170640</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
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        <AddressUS>
          <AddressLine1>1108 H Street</AddressLine1>
          <City>Greeley</City>
          <State>CO</State>
          <ZIPCode>80631</ZIPCode>
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        <EINOfRecipient>742244826</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>41720</AmountOfCashGrant>
        <PurposeOfGrant>SEE SCH I, PART IV</PurposeOfGrant>
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      <TotalNbrOf501C3AndGovtGrants>26</TotalNbrOf501C3AndGovtGrants>
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        <ReturnReference>Question 1, Part II, Col. H</ReturnReference>
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        <CompReportPrior990FilingOrg>21744</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Patti Oakes</NamePerson>
        <BaseCompensationFilingOrg>223449</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Joshua Petit</NamePerson>
        <BaseCompensationFilingOrg>1202274</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationFilingOrg>39892</OtherCompensationFilingOrg>
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        <DeferredCompFilingOrg>7956</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>27179</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Donna Poduska</NamePerson>
        <BaseCompensationFilingOrg>169750</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>2192</BonusFilingOrg>
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        <DeferredCompFilingOrg>17126</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Dan Robinson</NamePerson>
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        <BonusFilingOrg>1591</BonusFilingOrg>
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        <CompReportPrior990FilingOrg>23610</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Carl Smith</NamePerson>
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        <BonusFilingOrg>1316</BonusFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Kevin Unger</NamePerson>
        <BaseCompensationFilingOrg>359853</BaseCompensationFilingOrg>
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        <BonusFilingOrg>1316</BonusFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Barb Yosses</NamePerson>
        <BaseCompensationFilingOrg>56333</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>1243</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>11554</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Reimbursement or provison of expenses</Identifier>
        <ReturnReference>Part I, Line 1b</ReturnReference>
        <Explanation>Travel for companions: Per system policy, travel for companions is not reimbursable. For convenience of travel arrangements for the annual board member retreat and select conferences, PVHC pays for one companion per board member and employee attending the conference. Each board member receives a 1099 for this income. Each employee has this added to their W-2. Gross-Up Payments: Gross Up Payroll is calculated at year end for special checks created to add specific items to employee's W-s wages including country club dues, personal use of laptop computers and ipads, spouse travel for annual board retreat and select conferences and imputed income on life insurance policies. Club Dues: The health system expects the hospital management to participate in community life and therefore the system pay social club dues for specific members of the senior management group. The club dues are added to the senior management's W-2 on an annual basis.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>PERSONS WHO RECEIVED A SEVERANCE PAYMENT OR CHANGE OF CONTROL</Identifier>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>BARB YOSSES: $330,079 THIS AMOUNT REPRESENTS SEVERANCE PAY AS PART OF THE EMPLOYMENT TERMINATION AGREEMENT.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Nonqualified retirement plan</Identifier>
        <ReturnReference>part I, line 4b</ReturnReference>
        <Explanation>THE FOLLOWING EXECUTIVES PARTICIPATED IN AN EXECUTIVE RETENTION PLAN DURING THE YEAR. THE PLAN PROVIDES THE PARTICIPANT WITH SUPPLEMENTAL DEFERRED COMPENSATION, SUBJECT TO SUBSTANTIAL RISKS OF FORFEITURE, TO ENCOURAGE CONTINUED EMPLOYMENT WITH THE ORGANIZATION FOR A SIGNIFICANT PERIOD OF TIME. THE AMOUNTS LISTED INCLUDE AMOUNTS IN W-2 BOX 5 WAGES AND AMOUNTS INCLUDED IN DEFERRED COMP. W-2 BOX 5 UNFUNDED DEFERRED COMP RULON STACEY 393,088.60 - STEPHANIE DOUGHTY 9,903.78 93,637.36 RUSS BRANZELL 30,621.88 - DIANE GROSS 193,923.34 - CRAIG LUZINSKI 12,629.25 - WILLIAM NEFF 21,745.37 - DAN ROBINSON 23,623.59 - KEVIN UNGER 41,252.87 72,821.04 BARB YOSSES 37,177.06 -</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SPLIT DOLLAR LIFE INSURANCE PLAN</Identifier>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>OFFICERS AND KEY EMPLOYEES PARTICIPATE IN A SPLIT-DOLLAR LIFE INSURANCE PLAN. NORTHWESTERN MUTUAL COMPUTES THE IMPUTED INCOME RELATED TO THE PLANS AND THE AMOUNT IS INCLUDED ON W-2 BOX 5. THE AMOUNT REFLECTED AS DEFERRED INCOME IS THE PREMIUMS PAID, NET OF THE AMOUNT ON THE W-2, AND THE INCREASE IN THE NOTES RECEIVABLE DISCLOSED ON SCHEDULE L. DEFERRED INCOME IMPUTED INCOME ON W-2 RULON STACEY 210,886.15 16,367.92 STEPHANIE DOUGHTY 23,904.16 7,036.90 RUSS BRANZELL 28,508.49 1,734.93 WILLIAM NEFF 35,030.91 1,435.50 PATTI OAKES 14,770.30 209.49 DAN ROBINSON 27,508.26 1,197.62 KEVIN UNGER 19,916.67 2,399.27</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>COLORADO HEALTH FACILITIES AUTHORITY SERIES A</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>840752932</IssuerEIN>
        <CUSIPNumber>196474W48</CUSIPNumber>
        <DateIssued>2005-03-31</DateIssued>
        <IssuePrice>50000000</IssuePrice>
        <DescriptionOfPurpose>REFUNDING 1999A BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>COLORADO HEALTH FACILITIES AUTHORITY SERIES B</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>840752932</IssuerEIN>
        <CUSIPNumber>196474W48</CUSIPNumber>
        <DateIssued>2005-03-31</DateIssued>
        <IssuePrice>26294807</IssuePrice>
        <DescriptionOfPurpose>PAYMENT OF COMMERCIAL PAPER DEBT</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>COLORADO HEALTH FACILITIES AUTHORITY SERIES F</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>840752932</IssuerEIN>
        <CUSIPNumber>196474W48</CUSIPNumber>
        <DateIssued>2005-03-31</DateIssued>
        <IssuePrice>55343750</IssuePrice>
        <DescriptionOfPurpose>REFUNDING 1999A BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>50000000</TotalProceeds>
        <AmountInReserveFund>3187873</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>46468713</RefundingEscrow>
        <IssuanceCostsFromProceeds>433893</IssuanceCostsFromProceeds>
        <CreditEnhancement>3097393</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>26294807</TotalProceeds>
        <AmountInReserveFund>1673498</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>25000000</RefundingEscrow>
        <IssuanceCostsFromProceeds>397052</IssuanceCostsFromProceeds>
        <CreditEnhancement>897754</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>55000000</TotalProceeds>
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        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>54542446</RefundingEscrow>
        <IssuanceCostsFromProceeds>795916</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00460</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00460</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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      <Form990ScheduleKPartIII>
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        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00460</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00460</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00460</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00460</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>JP MORGAN CHASE</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>25.67</TermOfHedge>
        <SuperintegratedHedge>true</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
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        <NameOfHedgeProvider>
          <BusinessNameLine1>JP MORGAN CHASE</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>30.83</TermOfHedge>
        <SuperintegratedHedge>true</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>true</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
      <Form990ScheduleKPartVI>
        <Identifier>BOND ISSUE PRICE - SCHEDULE K, PART I, COLUMN E</Identifier>
        <ReturnReference>0</ReturnReference>
        <Explanation>THE BOND ISSUE PRICE FOR THE SERIES B BOND DOES NOT EQUAL THE ISSUE PRICE LISTED ON THE FILED FORM 8038 AS THIS BOND WAS SPLIT WITH A RELATED ENTITY. ISSUE PRICE AS REPORTED ON FORM 8038: $83,000,000.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoanTable>
        <NamePerson>STEPHANIE DOUGHTY</NamePerson>
        <PurposeOfLoan>Split-$ Life Ins Prm</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>753315</OriginalPrincipalAmount>
        <BalanceDue>649479</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>KEVIN UNGER</NamePerson>
        <PurposeOfLoan>Split-$ Life Ins Prm</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>306862</OriginalPrincipalAmount>
        <BalanceDue>269285</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>RUSS BRANZELL</NamePerson>
        <PurposeOfLoan>Split-$ Life Ins Prm</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>430876</OriginalPrincipalAmount>
        <BalanceDue>353640</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>BILL NEFF</NamePerson>
        <PurposeOfLoan>Split-$ Life Ins Prm</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>295528</OriginalPrincipalAmount>
        <BalanceDue>247018</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>DAN ROBINSON</NamePerson>
        <PurposeOfLoan>Split-$ Life Ins Prm</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>288284</OriginalPrincipalAmount>
        <BalanceDue>228996</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>BARB YOSSES</NamePerson>
        <PurposeOfLoan>Split-$ Life Ins Prm</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>95743</OriginalPrincipalAmount>
        <BalanceDue>69761</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>PATTI OAKES</NamePerson>
        <PurposeOfLoan>Split-$ Life Ins Prm</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>91653</OriginalPrincipalAmount>
        <BalanceDue>73761</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>GRACE TAYLOR</NamePerson>
        <PurposeOfLoan>Split-$ Life Ins Prm</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>20247</OriginalPrincipalAmount>
        <BalanceDue>20247</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>JOSHUA PETIT</NamePerson>
        <PurposeOfLoan>Recruitment loan</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>75000</OriginalPrincipalAmount>
        <BalanceDue>37500</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>1949687</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Cindy Luzinski</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>31816</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT WAGES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Jenna Bernklau</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>17413</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT WAGES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>KATHLEEN MICHIE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>64155</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT WAGES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SCOTT OVERLY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>52036</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT WAGES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>STAMPEDE PROPERTIES</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>411840</AmountOfTransaction>
        <DescriptionOfTransaction>1099 INCOME PAID TO ENTITY</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Paul Poduska</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>88856</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT WAGES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS</Identifier>
        <ReturnReference>SCHEDULE L, PART IV, COLUMN B, RELATIONSHIPS</ReturnReference>
        <Explanation>CINDY LUZINSKI IS A FAMILY MEMBER OF CRAIG LUZINSKI, KEY EMPLOYEE OF THE ORGANIZATION JENNA BERNKLAU IS A FAMILY MEMBER OF CRAIG LUZINSKI, KEY EMPLOYEE OF THE ORGANIZATION KATHLEEN MICHIE IS A FAMILY MEMBER OF THAINE MICHIE, DIRECTOR OF THE ORGANIZATION SCOTT OVERLY IS A FAMILY MEMBER OF PATTI OAKES, KEY EMPLOYEE OF THE ORGANIZATION DAN STROH, A DIRECTOR OF THE ORGANIZATION, HAS OWNERSHIP IN STAMPEDE PROPERTIES, AN ENITY TO WHICH 1099 INCOME WAS PAID. PAUL PODUSKA IS A FAMILY MEMBER OF DONNA PODUSKA, KEY EMPLOYEE OF THE ORGANIZATION</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt />
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded />
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>LEASEHOLD IMPROVEMENTS</Description>
        <NumberOfContributions>2</NumberOfContributions>
        <NoncashContribsRptdF990>32695</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>MAJOR MOVEABLE EQUIPMENT</Description>
        <NumberOfContributions>18</NumberOfContributions>
        <NoncashContribsRptdF990>318907</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>true</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>SCHEDULE M, PART I, LINE 32A</Identifier>
        <ReturnReference>USE OF RELATED ORGANIZATIONS TO SOLICIT NON-CASH CONTRIBUTIONS</ReturnReference>
        <Explanation>Poudre Valley Health System Foundation, a related organization, receives, administers and distributes cash and non-cash contributions to Poudre Valley Healthcare Inc., other related organizations, and the surrounding communities.</Explanation>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>SCHEDULE M, PART I, COLUMN B</Identifier>
        <ReturnReference>CONTRIBUTIONS</ReturnReference>
        <Explanation>THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>990 Review Process</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11B</ReturnReference>
        <Explanation>The Form 990 is prepared by independent CPAs. A preliminary draft is presented by the organization's CFO to the finance committee of the board of directors for the detailed review. The final copy of the 990 is provided in an electronic format to all board of directors prior to filing with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>How conflict of interest policy is monitored &amp; enforced</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12C</ReturnReference>
        <Explanation>The organization's conflict of interest policy requires completion of the form on an annual basis by the board members, officers and key employees of the organization. Completed forms are submitted and reviewed by the internal compliance department to ensure compliance with the written policy. Any questions or ultimate enforcement would be handled by the compliance department.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Compensation Determination</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15a &amp;15b</ReturnReference>
        <Explanation>Poudre Valley Healthcare, Inc. determines CEO, Executive Director, Top management officials and other officers and key employees compensation annually. This determination is accomplished through the use of the Hay group. These services annually collect like data on like jobs from like organizations. The data is submitted to the VP of Human Resources who takes the information to the compensation committee of the governing board of directors where any new compensation is then adopted and recorded appropriately in the minutes. Employment agreements are kept on file for the CEO and an additional document that outlines the senior management annual incentive plan is made available.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing Documents</Identifier>
        <ReturnReference>Form 990, Part VI, Section X, Line 19</ReturnReference>
        <Explanation>Governing documents, conflict of interest policies, and financial statements are provided to the public based on the business purpose for the request. These requests are addressed by the senior management team on a case by case basis.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Volunteers</Identifier>
        <ReturnReference>Form 990, Part I, Line 6</ReturnReference>
        <Explanation>PVH had 693 active volunteers in 2011. At Poudre Valley Hospital, Medical Center of the Rockies, and off-site locations, volunteers play an integral role in providing much needed support for patients, visitors, physicians, and staff. From assisting in Surgery and Cardiac waiting rooms, Information Desk, Volunteer Patient Liaisons, baby knitters, Volunteens, and pet therapy to name just a few of the many programs. Every volunteer contributes to the success of Poudre Valley Health System to enhance the comfort and care of the patients and their families.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>POLICIES</Identifier>
        <ReturnReference>FORM 990, PART VI, Section B</ReturnReference>
        <Explanation>All answers marked "yes" on under policies section B part VI apply to Poudre Valley Health Care Inc. and Lakota Lake LLC. Questions 15a and 15b apply to Timberline Medical LLC as well as Poudre Valley Health Care Inc., Lakota Lake LLC., and Poudre Valley Medical Group, LLC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS OR FUND BALANCES</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>SEE SCHEDULE D PART XI FOR RECONCILIATION OF NET ASSETS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Stu VanMeveren TITLE:Board Chair HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Chris Osborn TITLE:Vice Board Chair HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Christine Chin TITLE:Board Member HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mike Dellenbach TITLE:Board Member HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Gary Ludwin MD TITLE:Board Member HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Thaine Michie TITLE:Board Member HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Todd Sorensen, MD TITLE:Board Member HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Laurie Steele TITLE:Board Member HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Dan Stroh TITLE:Board Member HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Joe Hendrickson TITLE:Board Member HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Rulon Stacey TITLE:Chief Executive Officer HOURS:8</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Stephanie Doughty TITLE:Chief Financial Officer HOURS:8</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Craig Luzinski TITLE:PVH Chief Nursing Officer HOURS:6</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Patti Oakes TITLE:VP-Human Resources HOURS:6</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Dan Robinson TITLE:PVH VP of Operations HOURS:6</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Carl Smith TITLE:VP of Payor Relations HOURS:4</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Kevin Unger TITLE:PVH President HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Barb Yosses TITLE:VP Ambulatory Services HOURS:4</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Hans Coester, MD TITLE:Physician HOURS:6</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Joshua Petit TITLE:Physician HOURS:6</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Timberline Medical Clinic</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>131 Stanley Ave</AddressLine1>
          <City>Estes Park</City>
          <State>CO</State>
          <ZIPCode>80517</ZIPCode>
        </AddressUS>
        <EIN>043772090</EIN>
        <PrimaryActivities>Outpatient</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <TotalIncome>1347531</TotalIncome>
        <EOYAssets>328446</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lakota Lake LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2315 E Harmony Rd Ste 200</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80528</ZIPCode>
        </AddressUS>
        <EIN>841447761</EIN>
        <PrimaryActivities>Outpatient</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <TotalIncome>3640108</TotalIncome>
        <EOYAssets>7076855</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Heron Lake LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2315 E Harmony Rd Ste 200</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80528</ZIPCode>
        </AddressUS>
        <EIN>264189163</EIN>
        <PrimaryActivities>Outpatient</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <TotalIncome>483065</TotalIncome>
        <EOYAssets>657292</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Poudre Valley Medical Group LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2315 E Harmony Rd Ste 200</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80528</ZIPCode>
        </AddressUS>
        <EIN>800348943</EIN>
        <PrimaryActivities>Outpatient</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <TotalIncome>74220253</TotalIncome>
        <EOYAssets>23921043</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Medical Center of the Rockies</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2315 E Harmony Rd Ste 200</AddressLine1>
          <City>Ft Collins</City>
          <State>CO</State>
          <ZIPCode>80528</ZIPCode>
        </AddressUS>
        <EIN>043730045</EIN>
        <PrimaryActivities>Tertiary Care</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PVHS Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2315 E Harmony Rd Ste 200</AddressLine1>
          <City>Ft Collins</City>
          <State>CO</State>
          <ZIPCode>80528</ZIPCode>
        </AddressUS>
        <EIN>741894581</EIN>
        <PrimaryActivities>Bene. health</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>line 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Healthy Start</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2315 E Harmony Rd Ste 200</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80528</ZIPCode>
        </AddressUS>
        <EIN>742523091</EIN>
        <PrimaryActivities>Inactive Corp</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CARBON VALLEY HEALTHCARE HOLDINGS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1950 MOUNTAIN VIEW AVE</AddressLine1>
          <City>LONGMONT</City>
          <State>CO</State>
          <ZIPCode>80501</ZIPCode>
        </AddressUS>
        <EIN>273769602</EIN>
        <PrimaryActivities>MEDICAL</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Harmony Surg Ctr</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2127 E Harmony Rd 200</AddressLine1>
          <City>Ft Collins</City>
          <State>CO</State>
          <ZIPCode>80528</ZIPCode>
        </AddressUS>
        <EIN>841479751</EIN>
        <PrimaryActivity>Ambulatory Surg</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1788325</ShareOfTotalIncome>
        <ShareOfEOYAssets>2600343</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51100</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>United Med Alliance</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2021 Battlecreek Drive Ste A</AddressLine1>
          <City>Ft Collins</City>
          <State>CO</State>
          <ZIPCode>80528</ZIPCode>
        </AddressUS>
        <EIN>820572743</EIN>
        <PrimaryActivity>Health Claims</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>119012</ShareOfTotalIncome>
        <ShareOfEOYAssets>440547</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Ctr Ave Hlthrehab</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>947 Worthington Circle</AddressLine1>
          <City>Ft Collins</City>
          <State>CO</State>
          <ZIPCode>80526</ZIPCode>
        </AddressUS>
        <EIN>841560494</EIN>
        <PrimaryActivity>Nursing Facility</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>279054</ShareOfTotalIncome>
        <ShareOfEOYAssets>778816</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Columbine Poudre HC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>947 Worthington Circle</AddressLine1>
          <City>Ft Collins</City>
          <State>CO</State>
          <ZIPCode>80526</ZIPCode>
        </AddressUS>
        <EIN>841529817</EIN>
        <PrimaryActivity>Nursing Care</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>98114</ShareOfTotalIncome>
        <ShareOfEOYAssets>332953</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Eye Lsr Ctr of N co</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1725 E Prospect Rd</AddressLine1>
          <City>Ft Collins</City>
          <State>CO</State>
          <ZIPCode>80525</ZIPCode>
        </AddressUS>
        <EIN>841518334</EIN>
        <PrimaryActivity>Laser Surgery</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-71020</ShareOfTotalIncome>
        <ShareOfEOYAssets>-12728</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
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        </NameOfRelatedOrg>
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          <State>CO</State>
          <ZIPCode>80525</ZIPCode>
        </AddressUS>
        <EIN>841427970</EIN>
        <PrimaryActivity>Real Est/Med</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfTotalIncome>3158379</ShareOfTotalIncome>
        <ShareOfEOYAssets>6090984</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.50000</PercentageOwnership>
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        </NameOfRelatedOrg>
        <AddressUS>
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          <City>Ft Collins</City>
          <State>CO</State>
          <ZIPCode>80526</ZIPCode>
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        <EIN>841530973</EIN>
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        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfTotalIncome>76460</ShareOfTotalIncome>
        <ShareOfEOYAssets>137695</ShareOfEOYAssets>
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        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.50000</PercentageOwnership>
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        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6820 N County Rd 13</AddressLine1>
          <City>Loveland</City>
          <State>CO</State>
          <ZIPCode>80538</ZIPCode>
        </AddressUS>
        <EIN>202034599</EIN>
        <PrimaryActivity>Medical Supply</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-106709</ShareOfTotalIncome>
        <ShareOfEOYAssets>383369</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.50000</PercentageOwnership>
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        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2008 Caribou Drive</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80525</ZIPCode>
        </AddressUS>
        <EIN>204943970</EIN>
        <PrimaryActivity>Medical ServiCES</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>36340</ShareOfTotalIncome>
        <ShareOfEOYAssets>45352</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.33330</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Harmony Imaging Ctr</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1951 Wilmington Drive</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80528</ZIPCode>
        </AddressUS>
        <EIN>582479187</EIN>
        <PrimaryActivity>Medical Imaging</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>867759</ShareOfTotalIncome>
        <ShareOfEOYAssets>1344666</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.46000</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Peak Surg Mgmt</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2127 e Harmony RD Ste 200</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80528</ZIPCode>
        </AddressUS>
        <EIN>260899618</EIN>
        <PrimaryActivity>Surgical Mgmt</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>71161</ShareOfTotalIncome>
        <ShareOfEOYAssets>79368</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.14290</PercentageOwnership>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Surgery Ctr of FC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1100 E Prospect Road</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80525</ZIPCode>
        </AddressUS>
        <EIN>841541559</EIN>
        <PrimaryActivity>Surgical Proc</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>640900</ShareOfTotalIncome>
        <ShareOfEOYAssets>965221</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.26000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Innovation Enterprises</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2315 E Harmony Rd Ste 200</AddressLine1>
          <City>Fort Collins</City>
          <State>CO</State>
          <ZIPCode>80528</ZIPCode>
        </AddressUS>
        <EIN>202036774</EIN>
        <PrimaryActivity>IT Consulting</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>1580019</ShareOfTotalIncome>
        <ShareOfEOYAssets>1646543</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>true</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>true</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Centre Ave Health and Rehab</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>350000</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Columbine Poudre Homecare</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>175000</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Gateway Medical Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>2990000</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Harmony Surgery Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>664416</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Harmony Surgery Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>2999971</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Harmony Surgery Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>423025</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Harmony Surgery Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>1659976</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Innovation Enterprises Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>173045</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Innovation Enterprises Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>2080611</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Innovation Enterprises Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>393892</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Innovation Enterprises Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>1393566</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Medical Center of the Rockies</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>9644380</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Medical Center of the Rockies</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>M</TransactionType>
        <AmountInvolved>3668869</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Medical Center of the Rockies</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>86326315</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Medical Center of the Rockies</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>101661606</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Medical Center of the Rockies</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>6907714</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PVHS Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>423847</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PVHS Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>659002</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PVHS Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>169532</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PVHS Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>1387236</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Poudre Infusion Therapy Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>58713</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>United Medical Alliance LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>1268984</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>United Medical Alliance LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>137961</AmountInvolved>
        <MethodOfAmtDetermination>Transac. Total</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>