MEDICAL CENTER OF THE ROCKIES: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MEDICAL CENTER OF THE ROCKIES (EIN 04-3730045)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201103189349305975
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T15:43:46-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Tejon Suite 800 | AddressLine1 |
| City | Colorado Springs | City |
| State | CO | State |
| ZIP Code | 809039848 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043730045 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Medical Center of the Rockies | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEDI | NameControl |
| Phone | 9702377000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2315 East Harmony Road | AddressLine1 |
| City | Fort Collins | City |
| State | CO | State |
| ZIP Code | 80528 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Stephanie Doughty | Name |
| Title | CFO | Title |
| Date Signed | 2010-11-10 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rita F Worster CPA | Name |
| Phone | 7194714290 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RULON STACEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2315 EAST HARMONY ROAD STE 200 | AddressLine1 |
| City | FORT COLLINS | City |
| State | CO | State |
| ZIP Code | 80528 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 228741729 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PVHS.ORG/MCR | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2002 | YearFormation |
| State Legal Domicile | CO | StateLegalDomicile |
| Activity Or Mission Description | POUDRE VALLEY HEALTH SYSTEM IS AN INTEGRATED, INDEPENDENT, NON-PROFIT ORGANIZATION PROVIDING INNOVATIVE, COMPREHENSIVE CARE OF HIGHEST QUALITY & EXCEEDING EXPECTATIONS OF THE COMMUNITIES WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 330 | TotalNbrVolunteers |
| Total Gross UBI | 231404 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -81660 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 67073 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 152899 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 199020831 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 227342128 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 115562 | InvestmentIncomePriorYear |
| Investment Income Current Year | 534912 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -119040 | OtherRevenuePriorYear |
| Other Revenue Current Year | 266449 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 199084426 | TotalRevenuePriorYear |
| Total Revenue Current Year | 228296388 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 847953 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 7921700 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 71753726 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 82109918 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 103361292 | OtherExpensePriorYear |
| Other Expenses Current Year | 111261570 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 175962971 | TotalExpensesPriorYear |
| Total Expenses Current Year | 201293188 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 23121455 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 27003200 | RevenuesLessExpensesCY |
| Total Assets BOY | 262983526 | TotalAssetsBOY |
| Total Assets EOY | 282390148 | TotalAssetsEOY |
| Total Liabilities BOY | 260392061 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 255217507 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2591465 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 27172641 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF POUDRE VALLEY HEALTH SYSTEM IS TO BE AN INTEGRATED, INDEPENDENT, NON-PROFIT ORGANIZATION PROVIDING INNOVATIVE, COMPREHENSIVE CARE OF THE HIGHEST QUALITY AND EXCEEDING EXPECTATIONS OF THE COMMUNITIES WE SERVE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 176262543 | Expense |
| Grants | 7921700 | Grants |
| Revenue | 226280586 | Revenue |
| Description | Medical Center of the Rockies (MCR) provides tertiary, acute, inpatent, outpatient as well as emergency care. MCR services communities in Northern Colorado, Southwestern Nebraska and Southeastern Wyoming. During 2010 MCR recorded 26,233 patient days; 6,863 discharges; 84,906 outpatient visits; 17,381 emergency visits; 687 births; 3,491 inpatient surgeries; and 1,680 outpatient surgeries. | Description |
| Total Program Service Expense | 176262543 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 94 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THE ORGANIZATION | NamePerson |
| Telephone Number | 9702377000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2315 E HARMONY RD SUITE 200 | AddressLine1 |
| City | FORT COLLINS | City |
| State | CO | State |
| ZIP Code | 80528 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| STU VANMEVEREN | ||||||||
| BOARD CHAIR | 2.0 | X | X | 0 | 0 | 0 | ||
| CHRIS OSBORN | ||||||||
| VICE BOARD CHAIR | 2.0 | X | X | 0 | 307 | 0 | ||
| CHRISTINE CHIN | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| MIKE DELLENBACH | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| GARY LUDWIN | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| THAINE MICHIE | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| TODD SORENSEN MD | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 313 | 0 | |||
| LAURIE STEELE | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 557 | 0 | |||
| DAN STROH | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 813 | 0 | |||
| JOE HENDRICKSON | ||||||||
| BOARD MEMBER | 2.0 | X | 0 | 0 | 0 | |||
| RULON STACEY | ||||||||
| CHIEF EXECUTIVE OFFICER | 6.0 | X | X | 0 | 1649479 | 834648 | ||
| CHRIS KNEELAND | ||||||||
| BOARD MEMBER thru 3/10 | 2.0 | X | 0 | 0 | 0 | |||
| LEE THIELEN | ||||||||
| BOARD MEMBER thru 3/10 | 2.0 | X | 0 | 0 | 0 | |||
| TODD WHITSITT MD | ||||||||
| BOARD MEMBER thru 3/10 | 2.0 | X | 0 | 263103 | 8650 | |||
| STEPHANIE DOUGHTY | ||||||||
| CHIEF FINANCIAL OFFICER | 6.0 | X | 0 | 465217 | 229676 | |||
| DOUG FAUS | ||||||||
| VP-OPEARTIONS-MCR | 40.0 | 0 | 186258 | 73191 | X | |||
| GEORGE HAYES | ||||||||
| PRESIDENT-MCR | 40.0 | 0 | 293875 | 267901 | X | |||
| KAY MILLER | ||||||||
| VP-CHIEF NURSING OFFICER-MCR | 40.0 | 0 | 210399 | 109031 | X | |||
| DEBRA DELK | ||||||||
| RN CLINICAL DIRECTOR | 40.0 | 0 | 136151 | 9109 | X | |||
| RODNEY GOOD | ||||||||
| PHARMACY & REHAB SVC. DIRECTOR | 40.0 | 0 | 138915 | 28656 | X | |||
| KAREN MARTIN | ||||||||
| PERIOPERATIVE SERVICE DIRECTOR | 40.0 | 0 | 133809 | 40598 | X | |||
| SHIRLEY NEHRBOSS | ||||||||
| CARDIOVASCULAR SVC. DIRECTOR | 40.0 | 0 | 140449 | 20790 | X | |||
| DARREN STOTT | ||||||||
| PHARMACIST | 40.0 | 0 | 140334 | 28728 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3759979 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1650978 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HEART VASCULAR CLINIC OF NO COLO | |||||
| 2121 EAST HARMONY RD STE 100 | FT COLLINS | CO | 80528 | MEDICAL | 683043 |
| NORTHERN COLO PULMONARY CONSULTANTS | |||||
| 2121 EAST HARMONY RD STE 300 | FT COLLINS | CO | 80528 | MEDICAL | 879520 |
| FRONT RANGE CENTER FOR BRAIN AND SP | |||||
| 1313 RIVERSIDE AVENUE | FT COLLINS | CO | 80524 | MEDICAL | 851112 |
| ORTHOPEDIC CENTER OF THE ROCKIES | |||||
| PO BOX 451 | FT COLLINS | CO | 80522 | MEDICAL | 693262 |
| CHILDREN'S HOSPITAL | |||||
| 13123 EAST 16TH AVENUE BOX 010 | AURORA | CO | 80045 | MEDICAL | 701531 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| Related Organizations | 152899 | RelatedOrganizations |
| Noncash Contributions | 124328 | NoncashContributions |
| Total Contributions | 152899 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | 216752044 | 216752044 | ||
| PROVIDER FEE REVENUE | 900099 | 9422549 | 9422549 | ||
| DIETARY SERVICES INCOME | 900099 | 916497 | $916,497 | ||
| LAB | 621500 | 201359 | 201359 | ||
| PHARMACY SALES TO OUTSIDE ENTITIES | 446110 | 30045 | 30045 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19634 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19634 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 227342128 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 129074 | TotalRevenueColumn |
| Exclusion | $129,074 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 388935 | TotalRevenueColumn |
| Exclusion | $388,935 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 332137 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 152047 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 180090 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 180090 | TotalRevenueColumn |
| Exclusion | $180,090 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 181032 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 164129 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 16903 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16903 | TotalRevenueColumn |
| Exclusion | $16,903 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 215524 | GrossSalesOfInventory |
| Cost Of Goods Sold | 129165 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 86359 | TotalRevenueColumn |
| Related Or Exempt Function Income | 86359 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 228296388 | TotalRevenueColumn |
| Related Or Exempt Function Income | 226280586 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 231404 | UnrelatedBusinessRevenue |
| Exclusion | $1,631,499 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7921700 | Total |
| Program Services | 7921700 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1140653 | Total |
| Program Services | 578877 | ProgramServices |
| Management And General | 561776 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66398288 | Total |
| Program Services | 50815853 | ProgramServices |
| Management And General | 15582435 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2144197 | Total |
| Program Services | 2069655 | ProgramServices |
| Management And General | 74542 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8643295 | Total |
| Program Services | 6614875 | ProgramServices |
| Management And General | 2028420 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3783485 | Total |
| Program Services | 3671742 | ProgramServices |
| Management And General | 111743 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3720 | Total |
| Program Services | 3720 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11213 | Total |
| Management And General | 11213 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15257660 | Total |
| Program Services | 14059452 | ProgramServices |
| Management And General | 1198208 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13790 | Total |
| Program Services | 10106 | ProgramServices |
| Management And General | 3684 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41569067 | Total |
| Program Services | 37626591 | ProgramServices |
| Management And General | 3942476 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3267163 | Total |
| Program Services | 2673455 | ProgramServices |
| Management And General | 593708 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2467016 | Total |
| Program Services | 2365754 | ProgramServices |
| Management And General | 101262 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 152293 | Total |
| Program Services | 127754 | ProgramServices |
| Management And General | 24539 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105476 | Total |
| Program Services | 93700 | ProgramServices |
| Management And General | 11776 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9758837 | Total |
| Program Services | 9758837 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20356067 | Total |
| Program Services | 20356067 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1188644 | Total |
| Program Services | 1042684 | ProgramServices |
| Management And General | 145960 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBT | 5890805 | 5890805 | ||
| REPAIRS & MAINTENANCE | 2676074 | 2394367 | 281707 | |
| DIETARY, HOUSEKEEPING, LINEN | 1666090 | 1646601 | 19489 | |
| MISCELLANEOUS | 1031933 | 694226 | 337707 | |
| PROVIDER FEE EXPENSE | 5845722 | 5845722 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201293188 | Total |
| Program Services | 176262543 | ProgramServices |
| Management And General | 25030645 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 271616 | BOY |
| EOY | 261976 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14879553 | BOY |
| EOY | 19976465 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29714725 | BOY |
| EOY | 39632919 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4790506 | BOY |
| EOY | 5682246 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 186717 | BOY |
| EOY | 594133 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 251215642 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 77384458 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 183281729 | BOY |
| EOY | 173831184 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 21977287 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 4773539 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29858680 | BOY |
| EOY | 15660399 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 262983526 | BOY |
| EOY | 282390148 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5644861 | BOY |
| EOY | 9153086 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 237837180 | BOY |
| EOY | 237866918 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 494564 | BOY |
| EOY | 4827240 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16415456 | BOY |
| EOY | 3370263 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 260392061 | BOY |
| EOY | 255217507 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2591465 | BOY |
| EOY | 27172641 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2591465 | BOY |
| EOY | 27172641 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 262983526 | BOY |
| EOY | 282390148 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 27003200 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2422024 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $11,213 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 11213 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART II-B, LINE 1G | Identifier |
| Return Reference | DESCRIPTION OF ACTIVITIES | ReturnReference |
| Explanation | DUES FOR THEIR MEMBERSHIP TO CHA AND AHA. A PERCENTAGE OF THE ANNUAL DUES ARE ATTRIBUTABLE TO LOBBYING. THE AMOUNT SHOWN ON LINE G IS THAT PERCENTAGE. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10088324 | OtherCostOrOtherBasis |
| Book Value | 10088324 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 177902012 | OtherCostOrOtherBasis |
| Depreciation | 42140528 | Depreciation |
| Book Value | 135761484 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1278495 | OtherCostOrOtherBasis |
| Depreciation | 9003 | Depreciation |
| Book Value | 1269492 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 61946812 | OtherCostOrOtherBasis |
| Depreciation | 35234928 | Depreciation |
| Book Value | 26711884 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 173831184 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEFERRED DEBT ISSUANCE COST | 10604176 |
| OTHER RECEIVABLES | 328488 |
| INTERCOMPANY RECEIVABLE | 4727735 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 15660399 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PAYABLE TO PVHS | $88,279 |
| CASH OVERDRAFTS | $477,765 |
| OTHER LIABILITIES | $2,804,219 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3370263 | TotalOfAmounts |
| Total Revenue | 228296388 | TotalRevenue |
| Total Expenses | 201293188 | TotalExpenses |
| Excess Or Deficit For Year | 27003200 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 344982 | NetUnrealizedGLOnInvestments |
| Other | -$2,767,006 | OtherAmount |
| Total Adjustments | -2422024 | TotalAdjustments |
| Excess Or Deficit Per FS | 24581176 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 225961427 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 344982 | NetUnrealizedGainsInvestments |
| Other Revenues | -2507674 | OtherRevenues |
| Revenue Not Rptd F990 | -2162692 | RevenueNotRptdF990 |
| Revenue Subtotal | 228124119 | RevenueSubtotal |
| Other Revenues Not Included | 172269 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 172269 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 228296388 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 201380251 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 87063 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 87063 | ExpensesNotRptdF990 |
| Expenses Subtotal | 201293188 | ExpensesSubtotal |
| Total Expenses Per Form990 | 201293188 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER RECONCILING DIFFERENCE | PART XI, LINE 8, OTHER DESCRIPTION | UNREALIZED CHANGE IN SWAP LIABILITY: (2,507,674) CONTRIBUTIONS FROM FOUNDATION: (152,899) INCOME FROM BOND REMARKETING: (112,000) PROPERTY & EQUIPMENT CONTRIBUTIONS: 5,567 TOTAL PART XI, LINE 8 RECONCILING DIFFERENCE: (2,767,006) |
| OTHER RECONCILING DIFFERENCE | PART XII, LINE 2D, OTHER DESCRIPTION | UNREALIZED CHANGE IN SWAP LIABILITY ON AFS: (2,507,674) TOTAL PART XII, LINE 2D RECONCILING DIFFERENCE: (2,507,674) |
| OTHER RECONCILING DIFFERENCE | PART XII, LINE 4B, OTHER DESCRIPTION | CONTRIBUTION FROM FDN NOT IN INCOME ON AFS: 152,899 REMARKETING OF BOND NOT IN INCOME ON AFS: 112,000 PHARMACY SALES IN EXPENSE ON AFS: 30,045 GAIN ON SALE OF ASSETS IN EXP ON AFS: 16,903 NET RENTAL INCOME IN EXPENSE ON AFS: (4,846) CONTRIBUTION FOR ACQ OF PP&E NOT ON AFS: (5,567) COST OF GOODS SOLD IN EXPENSE ON AFS: (129,165) TOTAL PART XII, LINE 4B RECONCILING DIFFERENCE: 172,269 |
| OTHER RECONCILING DIFFERENCE | PART XIII, LINE 2D, OTHER DESCRIPTION | COST OF GOODS SOLD IN EXPENSE ON AFS: 129,165 NET RENTAL INCOME IN EXPENSE ON AFS: 4,846 GAIN ON ASSET SALE IN EXPENSE ON AFS: (16,903) UBI INCOME IN EXPENSE ON AFS: (30,045) TOTAL PART XIII, LINE 2D RECONCILING DIFFERENCE: 87,063 |
| FIN 48 DISCLOSURE | SCHEDULE D PART X | At December 31, 2010, 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. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1181036 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1181036 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6897666 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2806552 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4091114 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02090 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16408579 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9623461 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6785118 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03470 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24487281 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12430013 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12057268 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06160 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 524811 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 524811 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10634 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10634 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2959426 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1111752 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1847674 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00950 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 400000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 400000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7046737 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7046737 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03610 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10941608 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1111752 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9829856 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05040 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 35428889 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13541765 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 21887124 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11200 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $2,337,270 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 44214353 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 66747484 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -22533131 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CENTER OF THE ROCKIES | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2500 ROCKY MOUNTAIN AVE | AddressLine1 |
| City | LOVELAND | City |
| State | CO | State |
| ZIP Code | 80538 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
| Other | LAB PHARMACY CARDIOVASCULAR | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL CENTER OF THE ROCKIES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION REQUIRED | FORM 990 SCHEDULE H | PART I, LINE 7, COLUMN (F): Total bad debt expense removed from the denominator prior to the percentage calculation = 5,890,805. PART I, LINE 7: 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. PART III, LINE 4: Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written-off as bad debts based on individual credit evaluation and specific circumstances of the account. Bad debt expense at cost was calculated using the cost to charge ratio calculted in worksheet #2 multiplied by bad debt expense reported on the audited financial statements. 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. PART III, LINE 8: Approximately 26% of net patient service revenues is from participation in the Medicare program, thus providing Medicare services promotes access to healthcare services to a significant portion of the community population. Line 6: Allowable costs as reported on the Medical Center of the Rockies 2010 Cost Report. PART III, LINE 9B: Patient provides documentation based on Colorado Indigent Care guidelines, reviewed by Financial Assistance Committee (FAC), cross functional team chaired by Director Patient Financial Services. Upon approval or denial of the request for charitable aid from the FAC, the patient will be advised of the decision. The bill is partially or totally adjusted as approved by the FAC, no further collection process with the patient. For any portion not adjusted off, the proper sequence of attempts to collect are followed. Final assignment of the bill is to a collection agency. |
| SUPPLEMENTAL INFORMATION | FORM 990 SCHEDULE H | 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. Along side 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 dept. 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 insure 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. Also we give dollars to other entities that also 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. COMMUNITY BENEFIT REPORT STATE FILING: COMMUNITY BENEFIT DATA IS SUBMITTED TO THE STATE OF COLORADO. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| POUDRE VALLEY HEALTH SYSTEM FOUNDATION | |||||||
| 2315 E HARMONY Rd | FORT COLLINS | CO | 80528 | 741894581 | 501(C)(3) | 900164 | SEE SCH I, PART IV |
| POUDRE VALLEY MEDICAL GROUP LLC | |||||||
| 2315 E HARMONY RD | FORT COLLINS | CO | 80528 | 800348943 | 501(C)(3) | 7002108 | COMMUNITY HEALTHCARE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PURPOSE OF GRANT OR ASSISTANCE | Identifier |
| Return Reference | QUESTION 1, PART II, COL. H | ReturnReference |
| Explanation | THE GRANTS ARE SPECIFIC REQUESTS FROM RELATED ENTITIES FOR THE FUNDS TO BE USED TO BENEFIT THE HEALTHCARE COMMUNITY OF NORTHERN COLORADO. EACH REQUEST IS EVALUATED ON AN INDIVIDUAL BASIS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | false | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RULON STACEY | |||||||||||||
| 0 | 1103055 | 0 | 1355 | 0 | 545069 | 0 | 809231 | 0 | 25417 | 0 | 2484127 | 463840 | |
| STEPHANIE DOUGHTY | |||||||||||||
| 0 | 457031 | 0 | 1290 | 0 | 6896 | 0 | 221550 | 0 | 8126 | 0 | 694893 | ||
| DOUG FAUS | |||||||||||||
| 0 | 176902 | 0 | 1340 | 0 | 8016 | 0 | 49391 | 0 | 23800 | 0 | 259449 | ||
| GEORGE HAYES | |||||||||||||
| 0 | 271905 | 0 | 1640 | 0 | 20330 | 0 | 244113 | 0 | 23788 | 0 | 561776 | ||
| KAY MILLER | |||||||||||||
| 0 | 204907 | 0 | 2653 | 0 | 2839 | 0 | 96046 | 0 | 12985 | 0 | 319430 | 5452 | |
| RODNEY GOOD | |||||||||||||
| 0 | 131242 | 0 | 1770 | 0 | 5903 | 0 | 8600 | 0 | 20056 | 0 | 167571 | ||
| KAREN MARTIN | |||||||||||||
| 0 | 129326 | 0 | 3673 | 0 | 810 | 0 | 18101 | 0 | 22497 | 0 | 174407 | ||
| SHIRLEY NEHRBOSS | |||||||||||||
| 0 | 138494 | 0 | 1955 | 0 | 0 | 0 | 8515 | 0 | 12275 | 0 | 161239 | ||
| DARREN STOTT | |||||||||||||
| 0 | 139039 | 0 | 1295 | 0 | 0 | 0 | 8720 | 0 | 20008 | 0 | 169062 | ||
| TODD WHITSITT MD | |||||||||||||
| 0 | 261936 | 0 | 0 | 0 | 1167 | 0 | 0 | 0 | 0 | 0 | 263103 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Questions on Compensation | Identifier |
| Return Reference | SCH. J, PART I, QUESTIONs 1A and 1B | ReturnReference |
| Explanation | Club Dues: The health system expects the hospital management to participate in community life and therefore the system pays social club dues for specific members of the senior management group. The club dues are added to the senior management's w-2 on an annual basis. Travel For Companions: Per system policy, travel for companions is not reimbursable. For convenience of travel arrangements for the annual board member retreat, Poudre Valley Health Care, Inc pays for one companion per board member or invited employee. Each board member receives a 1099 for the related reimbursement. Each employee receives additional compensation on their annual W-2. Gross Ups: At year end, special checks are created to add specific items to employee's W-2 wages. These specific items include but are not limited to country club dues, personal use of cell phones, personal use of laptop computers, spousal travel for the annual board retreat, and imputed income on life insurance policies. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| Colorado Health Facilities Authority-Series B | |||||||
| 840752932 | 196474W48 | 2005-03-31 | 56705193 | CONSTRUCT/EQUIP NEW TERTIARY CARE | false | false | false |
| Colorado Health Facilities Authority-Series C | |||||||
| 840752932 | 196474W48 | 2005-03-31 | 82000000 | CONSTRUCT/EQUIP NEW TERTIARY CARE | false | false | false |
| Colorado Health Facilities Authority-Series D | |||||||
| 840752932 | 196474W48 | 2005-03-31 | 70000000 | CONSTRUCT/EQUIP NEW TERTIARY CARE | false | false | false |
| Colorado Health Facilities Authority-Series E | |||||||
| 840752932 | 196474W48 | 2005-03-31 | 30000000 | CONSTRUCT/EQUIP NEW TERTIARY CARE | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|
| 56705193 | 3657143 | 4393224 | 856248 | 3811472 | 44106237 | 2007 | false | false | true | true |
| 82000000 | 5284276 | 4398417 | 1040224 | 5977210 | 65467916 | 2007 | false | false | true | true |
| 70000000 | 4510967 | 922996 | 64709487 | 2007 | false | false | true | true | ||
| 30000000 | 395570 | 29604430 | 2007 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | true | true | false | true | 0.00540 | 0.00077 | 0.00617 | true |
| false | true | true | false | true | 0.00540 | 0.00077 | 0.00617 | true |
| false | true | true | false | true | 0.00540 | 0.00077 | 0.00617 | true |
| false | true | true | false | true | 0.00540 | 0.00077 | 0.00617 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|
| JP MORGAN CHASE NA | ||||||||
| true | false | true | 30.83 | true | false | false | false | false |
| JP MORGAN CHASE NA | ||||||||
| true | false | true | 34.92 | true | false | false | false | false |
| (no name) | ||||||||
| true | true | false | false | false | false | |||
| (no name) | ||||||||
| true | true | false | false | false | false | |||
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BOND ISSUANCE PRICE | Identifier |
| Return Reference | SCHEDULE K, PART I, COLUMN (E) | 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 RELATED ENTITY. ISSUE PRICE AS REPORTED ON FORM 8038: $83,000,000. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Kathleen Michie | |||
| family member of director | 62951 | employment | false |
| Travis Whitsitt | |||
| family member of director | 20401 | employment | false |
| Lisa Faus | |||
| family member of key emp. | 22828 | employment | false |
| Heart Vascular Clinic | |||
| see schedule o | 683043 | 1099 income | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Return Reference | SCHEDULE L PART IV | ReturnReference |
| Explanation | NAME OF INTEREST PERSON: HEART & VASCULAR CLINIC RELATIONSHIP: A DIRECTOR, WHO LEFT THE BOARD PRIOR TO 12/31/10, OWNED MORE THAN 5% OF AN ENTITY WHICH WAS PAID 1099 INCOME. | Explanation |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | EQUIPMENT | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 124328 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (26 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 990 Review Process | Form 990, Part VI, Section B, Line 11 | The form 990 is prepared by independent CPA's. 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. |
| Volunteers | Form 990, Part I, Line 6 | MCR had 330 active volunteers in 2010. At Medical Center of the Rockies, 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. |
| How conflict of interest policy is monitored & enforced | Form 990, Part VI, Section B, Line 12C | The organization's conflict of interest policy requires completion of the form on an annual basis by the board members, officers and key employees of the organization. Completed forms are submitted and reviewed by the internal compliance department to ensure compliance with the written policy. Any questions or ultimate enforcement would be handled by the compliance department. |
| Compensation Determination | Form 990, Part VI, Section B, Line 15b | Poudre Valley Healthcare Inc. is the related tax exempt entity of Medical Center of the Rockies which pays all payroll. 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 Integrated Health Care Strategies services. These services annually collect like data on like jobs from like organizations. The data is submitted to the VP of HR who takes the information to the compensation committee of the governing board of directors where any new compensation is then adopted. |
| Governing Documents | Form 990, Part VI, Section C, Line 19 | Governing documents, conflict of interest policies, and financial statements are provided to the public based on the business purpose for the request. These requests are addressed by the senior management team on a case by case basis. |
| Salary and Benefits | Part IX, Statement of Functional Expenses | MEDICAL CENTER OF THE ROCKIES DO NOT HAVE EMPLOYEES FOR 990 REPORTING PURPOSES AS ALL EMPLOYEES OF MEDICAL CENTER OF THE ROCKIES ARE REPORTED ON THE PAYROLL OF POUDRE VALLEY HEALTHCARE INC. EMPLOYEES ARE LEASED TO MEDICAL CENTER OF THE ROCKIES. THE EXPENSES THAT ARE REPORTED FOR SALARIES AND BENEFITS ON THE STATEMENT OF FUNCTIONAL EXPENSE REPRESENT THE EMPLOYEE LEASE EXPENSE FOR THE YEAR ENDED 12/31/2010. |
| FORM 990 PART XI, LINE 5 | OTHER CHANGES IN NET ASSETS OR FUND BALANCES | SEE SCHEDULE D PART XI FOR RECONCILIATION OF NET ASSETS |
| Describe Circumstances For Members Electing Governing Body | FORM 990, PART VI, LINE 6, 7A, & 7B | Poudre Valley Health Care, Inc. & Regional West Health Services, both 501(c)(3) organizations, are the sole members of Medical Center of the Rockies and appoint all board members. A unanimous vote of the members is required for amendments to the Articles of Incorporation or Bylaws, action regarding dissolution, merger or consolidation, action regarding sale, lease, mortgage, or transfer of substantially all assets, or admitting a new member or transfer of a member interest. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STU VANMEVEREN TITLE:BOARD CHAIR HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHRIS OSBORN TITLE:VICE BOARD CHAIR HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHRISTINE CHIN TITLE:BOARD MEMBER HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MIKE DELLENBACH TITLE:BOARD MEMBER HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GARY LUDWIN TITLE:BOARD MEMBER HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:THAINE MICHIE TITLE:BOARD MEMBER HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:TODD SORENSEN, MD TITLE:BOARD MEMBER HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LAURIE STEELE TITLE:BOARD MEMBER HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAN STROH TITLE:BOARD MEMBER HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOE HENDRICKSON TITLE:BOARD MEMBER HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RULON STACEY TITLE:CHIEF EXECUTIVE OFFICER HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHRIS KNEELAND TITLE:BOARD MEMBER thru 3/10 HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LEE THIELEN TITLE:BOARD MEMBER thru 3/10 HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:TODD WHITSITT, MD TITLE:BOARD MEMBER thru 3/10 HOURS:42 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STEPHANIE DOUGHTY TITLE:CHIEF FINANCIAL OFFICER HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DOUG FAUS TITLE:VP-OPEARTIONS-MCR HOURS:4 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GEORGE HAYES TITLE:PRESIDENT-MCR HOURS:6 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KAY MILLER TITLE:VP-CHIEF NURSING OFFICER-MCR HOURS:6 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Poudre Valley Health Care Inc | |||||||||
| 2315 E Harmony Rd 200 | Ft Collins | CO | 80528 | 841262971 | Tertiary Care | CO | 501(c)(3) | 3 | NA |
| Poudre Valley Health System Foundation | |||||||||
| 2315 E Harmony Rd 200 | Ft Collins | CO | 80528 | 741894581 | Fundraising | CO | 501(c)(3) | 7 | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Innovation Enterprises | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2315 E Harmony Rd 200 | AddressLine1 |
| City | Ft Collins | City |
| State | CO | State |
| ZIP Code | 80528 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202036774 | EIN |
| Primary Activity | IT Consulting | PrimaryActivity |
| Legal Domicile State | CO | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | true | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | true | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |