LONGMONT UNITED HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LONGMONT UNITED HOSPITAL (EIN 84-0460697)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-04
IRS object ID
201122779349300232
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-10-04T15:52:42-04:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EHRHARDT KEEFE STEINER & HOTTMAN PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17979 E TUFTS AVENUE SUITE 400AddressLine1
CityDENVERCity
StateCOState
ZIP Code802372843ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840460697EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Longmont United HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLONGNameControl
Phone3036515023Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11950 West Mountain View AvenueAddressLine1
CityLongmontCity
StateCOState
ZIP Code80501ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMitchell C CarsonName
TitlePresident/CEOTitle
Date Signed2011-10-04DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCRAIG R CHOUNName
Phone3037409400Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMITCHELL C CARSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11950 WEST MOUNTAIN VIEW AVEAddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80501ZIPCode
FieldValueIRS element (for citing)
Gross Receipts185998606GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.luhcares.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1955YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionDEDICATED TO IMPROVING THE HEALTH OF OUR PATIENTS AND COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees1429TotalNbrEmployees
Total Nbr Volunteers874TotalNbrVolunteers
Total Gross UBI14832TotalGrossUBI
Contributions Grants Prior Year65293ContributionsGrantsPriorYear
Contributions Grants Current Year172168ContributionsGrantsCurrentYear
Program Service Revenue Prior Year161935960ProgramServiceRevenuePriorYear
Program Service Revenue CY172488710ProgramServiceRevenueCY
Investment Income Prior Year2869198InvestmentIncomePriorYear
Investment Income Current Year1574134InvestmentIncomeCurrentYear
Other Revenue Prior Year1288039OtherRevenuePriorYear
Other Revenue Current Year2481850OtherRevenueCurrentYear
Total Revenue Prior Year166158490TotalRevenuePriorYear
Total Revenue Current Year176716862TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY275172GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year77370869SalariesEtcPriorYear
Salaries Etc Current Year74225146SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year85401172OtherExpensePriorYear
Other Expenses Current Year95001029OtherExpensesCurrentYear
Total Expenses Prior Year162772041TotalExpensesPriorYear
Total Expenses Current Year169501347TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3386449RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7215515RevenuesLessExpensesCY
Total Assets BOY237517511TotalAssetsBOY
Total Assets EOY235688378TotalAssetsEOY
Total Liabilities BOY131325739TotalLiabilitiesBOY
Total Liabilities EOY121853307TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY106191772NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY113835071NetAssetsOrFundBalancesEOY
Mission DescriptionDEDICATED TO IMPROVING THE HEALTH OF OUR PATIENTS AND COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense151393984Expense
Grants275172Grants
Revenue172488710Revenue
DescriptionTHE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE, AND SKILLED NURSING. FOR A COMPLETE ANNUAL REPORT OF LONGMONT UNITED HOSPITAL SERVICES, MISSION AND COMMUNITY BENEFIT, PLEASE VISIT US AT: HTTP://WWW.LUHCARES.ORG/ABOUT/ANNUALREPORT.ASPXDescription
Total Program Service Expense151393984TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096178NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1429NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNEIL BERTRANDNamePerson
Telephone Number3036515023TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11950 WEST MOUNTAIN VIEW AVEAddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80501ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARTIN PLASTER
CHAIRPERSON5.0XX000
CLAIR VOLK
Asst. Sec-Treasurer5.0XX000
EDWINA SALAZAR
DIRECTOR5.0X000
DAN GUST
Vice-Chairperson5.0XX000
JOHN SHETTER
Director5.0X000
LEONA STOECKER
SECRETARY5.0XX000
RICHARD LYONS
Treasurer5.0XX000
MITCHELL C CARSON
PRESIDENT & CEO40.0XX4697650112764
E PATRICIA GILL MD
DIRECTOR5.0X2272500
TOM CHAPMAN
Director5.0X000
MARK HINMAN MD
Director5.0X1875000
NEIL BERTRAND
CFO40.0X287692079203
SHARON ROMINGER
CHIEF NURSING OFFICER30.0150026018220X
CAROL SMITH
VP LEGAL/REGULATORY AFFAIRS40.0203734055688X
NANCY DRISCOLL
VP PATIENT CARE SERVICES40.0171390045307X
WARREN LAUGHLIN
VP HUMAN RESOURCES40.0160741043715X
REBECCA HERMAN
VP CLINICAL SUPPORT SERVICES40.0166714046164X
FABIO PIVETTA
MILESTONE PHYSICIAN40.0201822017626X
MATTHEW BRETT
MILESTONE PHYSICIAN40.0173464017110X
KATHERINE WALKER
Milestone Physician40.015013607496X
JOHN PETERSON
VP INFORMATION SERVICES40.0147626040805X
MAUREEN BEAVIN
LEAD CLINICAL PHARMACIST40.0139453012268X
HOLLY SPITZER
CLINICAL PHARMACIST37.714539607250X
DANIEL FRANK
CONTROLLER40.0143014032283X
JOHN IVES
Director Pharmacy40.0144333011183X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2896781TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation547082TotalOtherCompensation
Number Individuals GT100 K50NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Mayo Medical Laboratories
PO Box 9146MINNEAPOLISMN554809146Medical778333
The Children's Hospital
13123 East 16th AvenueAURORACO80045Medical699840
Longmont Hospitalist's Group
6895 E Hampden AvenueDENVERCO80224Medical608546
Boulder Valley Thoracic Cardiovas
6800 N 79th StreetNIWOTCO80503Medical514776
Rocky Mountain Cancer Centers
PO Box 911263DALLASTX753911263Medical513337
FieldValueIRS element (for citing)
Number Of Contractors GT100 K28NumberOfContractorsGT100K
Fundraising Events98965FundraisingEvents
Related Organizations73203RelatedOrganizations
Total Contributions172168TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621990BusinessCode
Total Revenue Column172488710TotalRevenueColumn
Related Or Exempt Function Income172488710RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue172488710TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1464244TotalRevenueColumn
Exclusion$1,464,244ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1585850Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1085115Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real500735Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column500735TotalRevenueColumn
Related Or Exempt Function Income500735RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities8263511Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities8153621Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities109890Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column109890TotalRevenueColumn
Exclusion$109,890ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events24280GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events98965CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses43008FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-18728TotalRevenueColumn
Exclusion-$18,728ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA722210471952$471,952
HEALTH CENTER INTEGRATED THERAPY621990356660$356,660
VENDOR REBATE900099187626$187,626

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column983605TotalRevenueColumn
Unrelated Business Revenue14832UnrelatedBusinessRevenue
Exclusion$968,773ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1999843TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column176716862TotalRevenueColumn
Related Or Exempt Function Income172989445RelatedOrExemptFunctionIncome
Unrelated Business Revenue14832UnrelatedBusinessRevenue
Exclusion$3,540,417ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total275172Total
Program Services275172ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2620253Total
Program Services1206951ProgramServices
Management And General1413302ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total58578938Total
Program Services52799650ProgramServices
Management And General5779288ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total15791Total
Program Services14026ProgramServices
Management And General1765ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8720172Total
Program Services7693335ProgramServices
Management And General1026837ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4289992Total
Program Services3810467ProgramServices
Management And General479525ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total78281Total
Management And General78281ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total113802Total
Management And General113802ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total402726Total
Program Services373707ProgramServices
Management And General29019ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total659848Total
Program Services1048ProgramServices
Management And General658800ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total661543Total
Program Services334702ProgramServices
Management And General326841ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2265474Total
Program Services1487622ProgramServices
Management And General777852ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1730966Total
Management And General1730966ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total188848Total
Program Services167739ProgramServices
Management And General21109ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total5017645Total
Program Services4079588ProgramServices
Management And General938057ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11814609Total
Program Services10346138ProgramServices
Management And General1468471ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1506346Total
Management And General1506346ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES35638007349011017369060
BAD DEBT16244594162445940
EQUIPMENT RENTAL & MAINT.556015251046914554610
PHYSICIAN FEES587511458751140
PURCHASED SERVICES562921150672345619770

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1613863Total
Program Services1611105ProgramServices
Management And General2758ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total169501347Total
Program Services151393984ProgramServices
Management And General18107363ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11962530BOY
EOY16031707EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16609597BOY
EOY11072834EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY384666BOY
EOY336340EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23363357BOY
EOY22594330EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY297547BOY
EOY279163EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4363954BOY
EOY5982881EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5898784BOY
EOY2492425EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis215905790LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec104420038LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY126589536BOY
EOY111485752EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY41039148BOY
EOY56333455EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7008392BOY
EOY9079491EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY237517511BOY
EOY235688378EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20306925BOY
EOY20298091EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY103386128BOY
EOY93751483EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4667686BOY
EOY4611733EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2965000BOY
EOY3192000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY131325739BOY
EOY121853307EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY103409613BOY
EOY110667952EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2782159BOY
EOY3167119EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY106191772BOY
EOY113835071EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY237517511BOY
EOY235688378EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7215515ReconcilationRevenueExpenses
Reconcilation Other Changes427784ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$10,402GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB10402TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierGrants to other organizations for lobbying purposesIdentifier
Return ReferencePART II-B, LINE 1fReturnReference
ExplanationPortion of dues paid to the American Hospital Association for lobbying expenses: $6,313. Portion of dues paid to the Colorado Hospital Association for lobbying expenses: $4,089.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6091317OtherCostOrOtherBasis
Book Value6091317BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis141971062OtherCostOrOtherBasis
Depreciation55748594Depreciation
Book Value86222468BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis67345737OtherCostOrOtherBasis
Depreciation48671444Depreciation
Book Value18674293BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis497674OtherCostOrOtherBasis
Book Value497674BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings111485752TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionMEDICARE SETTLEMENTDescription
Amount$3,192,000Amount
FieldValueIRS element (for citing)
Total Of Amounts3192000TotalOfAmounts
Total Revenue176716862TotalRevenue
Total Expenses169501347TotalExpenses
Excess Or Deficit For Year7215515ExcessOrDeficitForYear
Net Unrealized GL On Investments64324NetUnrealizedGLOnInvestments
Other$372,009OtherAmount
Total Adjustments436333TotalAdjustments
Excess Or Deficit Per FS7651848ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt178695353TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments64324NetUnrealizedGainsInvestments
Other Revenues1914167OtherRevenues
Revenue Not Rptd F9901978491RevenueNotRptdF990
Revenue Subtotal176716862RevenueSubtotal
Total Revenue Per Form990176716862TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt171043505TotExpensesEtcAuditedFinclStmt
Other Expenses Included1542158OtherExpensesIncluded
Expenses Not Rptd F9901542158ExpensesNotRptdF990
Expenses Subtotal169501347ExpensesSubtotal
Total Expenses Per Form990169501347TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48 FootnotePart X, Line 2The Hospital applies a more-likely-than-not measurement methodology to reflect the financial statement impact of uncertain tax positions taken or expected to be taken in a tax return. After evaluating the tax positions taken, none are considered to be uncertain; therefore, no amounts have been recognized as of December 31, 2010 and 2009. If incurred, interest and penalties associated with tax positions are recorded in the period assessed in supplies and other expenses. No interest or penalties have been assessed as of December 31, 2010 and 2009. Tax years that remain subject to examination include 2007 through the current period for the federal return and 2006 through the current period for the Colorado return.
Other AdjustmentsPart XI, Line 8United Medical Building Condominium Association change in net assets $8,549 Change in interest in net assets held by Longmont United Hospital Foundation $363,460 Total other adjustments $372,009
Other reconciling itemsPart XII, Line 2dUnited Medical Building Condominium Association revenue $422,469 Rental expenses $1,085,115 Fundraising events expenses $43,008 Change in interest in net assets held by Longmont United Hospital Foundation $363,460 Total other reconciling items $1,914,167
Other reconciling itemsPart XIII, Line 2dUnited Medical Building Condominium Association expenses $414,035 Rental expenses $1,085,115 Fundraising events expenses $43,008 Total other reconciling items $1,542,158

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Dinner danceNameOfEvent1
Gross Receipts Event191735GrossReceiptsEvent1
Charitable Contributions Event181375CharitableContributionsEvent1
Gross Revenue Event110360GrossRevenueEvent1
Rent Facility Costs Event116584RentFacilityCostsEvent1
Entertainment Event13000EntertainmentEvent1
Other Direct Expenses Event111236OtherDirectExpensesEvent1
Name Of Event2Golf tournamentNameOfEvent2
Gross Receipts Event231510GrossReceiptsEvent2
Charitable Contributions Event217590CharitableContributionsEvent2
Gross Revenue Event213920GrossRevenueEvent2
Cash Prizes Event21160CashPrizesEvent2
Rent Facility Costs Event27630RentFacilityCostsEvent2
Food And Beverage Event22668FoodAndBeverageEvent2
Other Direct Expenses Event2730OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total123245GrossReceiptsTotal
Charitable Contributions Total98965CharitableContributionsTotal
Gross Revenue Total Events24280GrossRevenueTotalEvents
Cash Prizes Total Events1160CashPrizesTotalEvents
Rent Facility Costs Total Events24214RentFacilityCostsTotalEvents
Food And Beverage Total Events2668FoodAndBeverageTotalEvents
Entertainment Total Events3000EntertainmentTotalEvents
Other Direct Expenses Total Events11966OtherDirectExpensesTotalEvents
Direct Expense Summary Events43008DirectExpenseSummaryEvents
Net Income Summary-18728NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense13012135TotalCommunityBenefitExpense
Direct Offsetting Revenue8727588DirectOffsettingRevenue
Net Community Benefit Expense4284546NetCommunityBenefitExpense
Percent Of Total Expense0.02800PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense21375221TotalCommunityBenefitExpense
Direct Offsetting Revenue15824097DirectOffsettingRevenue
Net Community Benefit Expense5551124NetCommunityBenefitExpense
Percent Of Total Expense0.03620PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense34387356TotalCommunityBenefitExpense
Direct Offsetting Revenue24551685DirectOffsettingRevenue
Net Community Benefit Expense9835670NetCommunityBenefitExpense
Percent Of Total Expense0.06420PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense421239TotalCommunityBenefitExpense
Net Community Benefit Expense421239NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3872803TotalCommunityBenefitExpense
Net Community Benefit Expense3872803NetCommunityBenefitExpense
Percent Of Total Expense0.02530PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5729000TotalCommunityBenefitExpense
Net Community Benefit Expense5729000NetCommunityBenefitExpense
Percent Of Total Expense0.03740PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense275172TotalCommunityBenefitExpense
Net Community Benefit Expense275172NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10298214TotalCommunityBenefitExpense
Net Community Benefit Expense10298214NetCommunityBenefitExpense
Percent Of Total Expense0.06720PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense44685570TotalCommunityBenefitExpense
Direct Offsetting Revenue24551685DirectOffsettingRevenue
Net Community Benefit Expense20133884NetCommunityBenefitExpense
Percent Of Total Expense0.13140PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense27570TotalCommunityBuildingExpense
Net Community Building Expense27570NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense913TotalCommunityBuildingExpense
Net Community Building Expense913NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense2122TotalCommunityBuildingExpense
Net Community Building Expense2122NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense13736TotalCommunityBuildingExpense
Net Community Building Expense13736NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense859TotalCommunityBuildingExpense
Net Community Building Expense859NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense45200TotalCommunityBuildingExpense
Net Community Building Expense45200NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$5,529,000BadDebtExpenseAmount
Amount Attributable To2000000AmountAttributableTo
Amount Reimbursed By Medicare45489000AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare66066000CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-20577000MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
UMB Condo Assoc
Maintenance of common areas0.920000.08000
LMC-MOB LLC
Construction of office bldg0.171800.82820
LMC Comm LLC
Operation of comm equipment0.500000.50000
Tri-town med campus
Construction of care clinic0.500000.50000
Twin Peaks med imag
Provision of diag. imaging0.500000.50000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1LONGMONT UNITED HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11950 MOUNTAIN VIEW AVEAddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80501ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LONGMONT UNITED HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent250.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledtrueAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part I, Line 7, Column FThe bad debt expense per form 990 removed from the denominator = $16,244,594.
Part I, Line 7Charity care at cost is calculated by taking gross charity care charges, offsetting them by revenues received from uncompensated care pools, and then multiplying that result by our facility cost/charge ratio. The unreimbursed cost of Medicaid comes from an internal cost accounting system that addresses all patient segments.
Part III, Line 4Bad Debt Footnote From The Audited Financial Statements: Uncollectible amounts from patients who do not meet the criteria under the Hospital's charity care policy are included as operating expenses in the provision for uncollectible patient accounts. Costing Methodology Used in Determining Part III, Line 2: Bad debt expense at cost is calculated by taking total bad debt expense and multiplying it by the facility cost to charge ratio. That cost to charge ratio is calculated by taking total expenses (less bad debt) and dividing by total gross charges. No bad debt is included in our community benefit numbers. Costing Methodology Used in Determining Part III, Line 3: Hospital collection staff were asked for their opinion of how much bad debt would qualify for charity had the patients completed the eligibility verification process. This is a best estimate - Longmont is not able to formally calculate this amount.
Part III, Line 8Shortfall Reported in Part III, Line 7: Longmont does not include Medicare reimbursement shortfalls as part of community benefit. Costing Methodology Used to Determine Part III, Line 6: Longmont uses a cost accounting system to calculate unreimbursed costs of Medicaid.
Part III, Line 9bIf a patient is known to qualify for charity care, their patient liability is either written off or written down to the Colorado Indigent Care Program(CICP) copayment schedule amount. This practice applies only to patients that have been verified as eligible for the hospital's charity care.
Needs AssessmentLongmont United Hospital assesses healthcare needs of the communities it serves with the following: * Geographic Area Community Benefit is provided to communities in our primary and secondary service areas. These service areas represent roughly a 20-mile radius around the hospital and encompass mountain towns, suburban cities, and rural plains communities. * Frequency of Assessment Longmont United Hospital's mission: Dedicated to improving the health of our patients and communities Longmont serves. This encompasses all aspects of improving community and individual healthcare. It requires the Board of Directors and Leadership to be active in the community to understand and assess the critical needs of the community. Leadership also presents annually to the Board of Directors the organizations supported financially and through involvement of employees. Future support priorities are discussed and determined at that time. Leadership also assesses, as needed, financial support requests by community organizations. Priority criteria for approval are services supporting elderly or low-income families, as well as, education and wellness. * Assessment Updates Assessment updates are performed and presented annually to the Board of Directors for review. * Community Leader Input The Board of Directors includes key community leaders who possess special knowledge of the communities and populations Longmont serves. Hospital Leadership and staff members also serve on several key boards such as Hospice Care, United Way, Chambers of Commerce, Community Food Share, Economic Councils, Salud Family Health Clinic, Special Transit, and the Education Foundation. * Communication of Community Benefit Information on organizations served and financial support is reported in the hospital annual report which is available on-line to the community.Part VI, Line 2
Patient Education of Eligibility for Assistance* Communication of Community Benefit Longmont has full-time financial counselors that are available to provide guidance to any patient. The contact information of such counselors, including phone numbers, is communicated verbally to patients and their families when they access hospital services. The counselors discuss government benefits and resources that might be available with patients who have questions or who have asked for more information, as well as assist with determining patient eligibility of various programs. Longmont is working towards providing written information and brochures in the future. Upon discharge, Longmont personnel provide verbal communication of contact information and phone numbers of financial counselors. Invoices to patients include a phone number if they have questions or would like assistance regarding financial resources.Part VI, Line 3
Community InformationThe communities that Longmont United Hospital serves are described as follows: * Geographic Area Community Benefit is provided to communities in our primary service areas (PSA) and secondary service areas (SSA). These service areas represent roughly a 20-mile radius around the hospital and encompass mountain towns, suburban cities, and rural plains communities. Longmont United Hospital, a community non-for-profit hospital, is the only hospital in the primary service area. Zipcodes 80501 Longmont PSA 80503 Longmont PSA 80504 Longmont PSA 80513 Berthoud PSA 80530 Frederick PSA 80540 Lyons PSA 80520 Firestone (80504) PSA 80502 Longmont (80501) PSA 80533 Hygiene (80503) PSA 80544 Niwot (80503) PSA 80514 Dacono PSA 80542 Mead PSA 80516 Erie PSA 80534 Johnstown SSA 80026 Lafayette SSA 80651 Platteville SSA 80621 Fort Lupton SSA 80538 Loveland SSA 80301 Boulder SSA 80623 Platteville (80651) SSA 80541 Loveland (80537) SSA 80537 Loveland SSA * Demographic Profile Information City of Longmont/ Boulder County = 2010 US Census Boulder County: http://quickfacts.census.gov/qfd/states/08/08013.html Longmont: http://www.ci.longmont.co.us/planning/census/ Statistics from Boulder Community Foundation: Boulder County Trends Report 2009 * Health Coverage: * Race: 53% of Latinos and 92% Non-Hispanic whites have healthcare coverage in Boulder County. * Age: 24% (25-34), 13% (35-44), 8% ( 45-65) 0.4% (+65) are lacking health coverage. * Medicaid and Medicare account for 13% and 12% of all Colorado health coverage, respectively, but qualifying for these programs is extremely difficult as a non-pregnant or non-disabled adult. 15-20% of adults in Boulder County are uninsured and a disproportionate number of those uninsured are Latino. * 91% of the children in Boulder County have health coverage. 59% of Boulder County children have an identified primary care provider. * Adults: Five chronic diseases - heart disease, diabetes, hypertension, asthma and depression - account for $16.5 billion in health spending in Colorado. * Children: * 20% of Boulder County Children reported food insecurity. * 20% of Boulder County Children ages 1-14 are overweight or obese. * 26% of parents reported behavioral or mental health problems ages 1-14. * 30% high school students were offered illegal drugs on school property * Overall teen fertility rate is low however of those teen mothers, 70% are Latino, and substantially fewer Latina women receive late or no prenatal care. * 500 children were present at formally reported domestic violence incidents in 2007. * St. Vrain Valley School District has a 2.7% drop out rate * Economy * 11% of Boulder County residents live below Federal Poverty Level. 5% of the families in Boulder County live below the Federal Poverty Level. * 18% of the households in Boulder County live on an annual income of less than $25,000. 8% of the family households in Boulder County live on an annual income of less than $25,000. * Health Related Information Five chronic diseases in Colorado are heart disease, diabetes, hypertension, asthma and depression. * 33% of total deaths are caused by cardiovascular disease in Boulder County. * Cancer is responsible for another 22% of deaths in Boulder County. (Boulder Foundation) In Colorado, 17.6% of the adult population (aged 18+ years)-over 658,000 individuals-are current cigarette smokers. Across all states, the prevalence of cigarette smoking among adults ranges from 9.3% to 26.5%. Colorado is ranked 21st among the states. Among youth aged 12-17 years, 10.3% smoke in Colorado. The range across all states is 6.5% to 15.9%. Colorado is ranked 22nd among the states. (Center of Disease Control and Prevention) * Provisions for Uninsured Longmont United Hospital provides a safety net for uninsured persons through the following: * Longmont United Hospital provides more Charity Care than any other hospital in Boulder County. * Subsidizing and supporting the Salud Family Health Centers, a low-income primary healthcare service. * Supporting Women's Health Center who provides quality healthcare and services regardless of a client's insured status, economic circumstances or immigration status.Part VI, Line 4
Promotion of Community HealthLongmont United Hospital improves the health of the community through support or partnerships in activities or organizations focused on better health for everyone in the community. Listed below are the key initiatives with explanations in which the hospital is involved. * Health Professionals Education Demands for nurses, physical therapists, imaging technologists, etc. in the Front Range of Colorado continue to be high. Colleges and universities work with the Hospital to facilitate programs to assist individuals in completing the health care certifications. Longmont United Hospital offers one-on-one training that is needed to begin work in the healthcare field. * Senior Health Education and Services Since 1991, Longmont United Hospital has offered a senior wellness program to empower the senior community to assume responsibility for their health and wellness by providing the requisite knowledge, resources and tools to accomplish that goal. At the end of 2010, there were 833 members participating education programs, health clinics and low-cost laboratory services. * Low-Income Primary Health Care Services Primary health care services are offered to improve access and reduce barriers to care including ability to pay, transportation, and language. All services are designed to reduce health disparities and delivered to all community members, without regard to age, sex or disease process. Population served includes all community members with the low-income and the medically underserved population with the migrant and seasonal farm worker population as the priority clientele. Patients are not turned away based on a patient's finances, insurance coverage, or ability to pay. * Lactation Consulting Qualified lactation specialists educate on the benefits of breastfeeding, how the process works, proper positioning, prevention of common difficulties, and managing breastfeeding when working outside the home. Cultures exist in our communities that do not understand these benefits or have to go against practiced beliefs in their community. Studies repeatedly prove the infant will receive health benefits by breastfeeding. * Community Support Services Mobility options are provided to all people, regardless of age, health, disability, income or ethnicity or sexual orientation to enhance their independence and quality of life. In 2010, expanded mobility options were provided. This includes 912,078 trips on the HOP (public transportation), 90,238 trips on access-a-Ride and 127,824 trips on call-n-Ride. One-way demand-response trips increased seven percent to 124,500 with 25% of these trips for medical and therapy purposes. * Promotion of Lifestyle Changes and Prevention Organizations through out Colorado are joining together to promote active living and healthy eating. Their primary focuses are on establishing obesity prevention iniatives, as well as, having healthy foods and physical activity accessible in places where Coloradans live, work, learn and play. Efforts are directed to working strategically with stakeholders to achieve overall healthy living in all Colorado communities. * Community Building Activities Maintain healthy communities through supporting the creation and retention of jobs and industries in surrounding communities. Build a business environment that encourages new industry to these communities.Part VI, Line 5
Affiliated Health Care SystemNot applicablePart VI, Line 6
Other informationLongmont United Hospital furthers the purpose of community benefit with the following: * Governing Body The Board of Directors establishes and maintains Longmont United Hospital for the care of all persons suffering from any illness or disability requiring hospital care. All directors are a representative of the Longmont United Hospital service area. The Board is representative of the communities it serves. * Medical Staff Privileges are extended to all qualified physicians in Longmont United Hospital's service areas for all Hospital departments. * Surplus Funds The Board of Directors adheres to investing surplus funds to improve patient care, offer medical education, and support research. * Advocacy, Involvement, Financial Support to the Community Longmont United Hospital: * Provides more Charity Care than any other hospital in Boulder County. * Works with colleges and universities to facilitate programs that assist individuals in completing the healthcare certifications. Longmont United Hospital offers training that is needed to begin work in the healthcare field. Demands for nurses, physical therapists, imaging technologists, etc. in the Front Range of Colorado continue to be high. The Hospital also provides financial support to the Colorado Cancer Research Program and the Justin Parker Neurological Institute. * Offers financials assistance and sliding scale discounts according the Charity Policy. * Partners with organizations focused on human services, patient information sharing, cultural education, environment, health education to improve community health * Provides financial and/or leadership support to hospice care, senior transportation, higher and K-12 education, senior programs, low income health clinics, economic councils, chambers of commerce, and food share programs. * Provides emergency care to all persons regardless of ability to pay * Participates in Medicaid, Medicare, CHAMPUS, Tricare, and the Colorado Indigent Care Program.
STATE FILING OF COMMUNITY BENEFIT REPORTCO,990 SCHEDULE H, PART VI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Colorado Cancer Research Program
2253 South Oneida StThird Floor Suite BDenverCO80224501(c)(3)37531program support
Front Range Community College
3645 West 112th AveWestminsterCO80031501(c)(3)37500program support
OUR Center
303 Atwood StLongmontCO80501501(c)(3)6570program support
Salud Family Health Centers
203 South Rollie AveFort LuptonCO80621501(c)(3)138355program support
A Woman's Work
2204 18th AveLongmontCO80503501(c)(3)5399program support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferencePart I, Line 2ReturnReference
ExplanationAll donations are based on community need. In order to assess the community needs, members of the leadership council have formed long-term professional relationships with the recipient organizations. No donations are made without this long-term relationship being in place.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MITCHELL C CARSON
447064000227010001127640582529000
NEIL BERTRAND
2806670007025000792030366895000
SHARON ROMINGER
149144000882016500017200168246000
CAROL SMITH
2003860003348000556880259422000
NANCY DRISCOLL
1688480002542000453070216697000
WARREN LAUGHLIN
1586760002065000437150204456000
REBECCA HERMAN
1646140002100000461640212878000
JOHN PETERSON
1455930002033000408050188431000
FABIO PIVETTA
2000810001741000176260219448000
MATTHEW BRETT
1718810001583000171100190574000
MAUREEN BEAVIN
1382280001225000122680151721000
HOLLY SPITZER
144250000114600072500152646000
DANIEL FRANK
14169700013170150000172830175297000
KATHERINE WALKER
148790000134600074960157632000
JOHN IVES
1429860001347000111830155516000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Colorado Health Facilities Authority
840752932196474M492003-12-0114915000REFUND SERIES 1993 BONDSfalsefalsefalse
Colorado Health Facilities Authority
8407529320000000002006-06-1240000000HOSPITAL CONSTRUCTION & EQUIPmentfalsefalsefalse
Colorado Health Facilities Authority
8407529321964744D92006-06-1248965000REFUND SERIES 1997 & 2000 BOndsfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletion
16132365126931114149510713544falsetruetruetrue
40000000174400falsefalsetruetrue398256002008
534706083814000478521411804467falsetruetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0.000000.000000.00000
0.000000.000000.00000falsefalsefalsefalsefalsetrue
0.000000.000000.00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
truefalsefalsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierPrivate Business UseIdentifier
Return ReferencePart IIIReturnReference
ExplanationTHE 2003 HOSPITAL REVENUE BONDS (REFUNDING THE SERIES 1993 BONDS) AND THE 2006B HOSPITAL REVENUE BONDS (REFUNDING THE SERIES 1997 & 2000 BONDS) QUALIFY FOR THE SPECIAL RULES FOR REFUNDING OF PRE-2003 ISSUES. SUCH REFUNDING BONDS ARE SUBJECT TO THE GENERALLY APPLICABLE REPORTING REQUIREMENTS OF PARTS I, II & IV OF SCH K. HOWEVER, THE ORGANIZATION NEED NOT COMPLETE PART III TO REPORT PRIVATE BUSINESS USE INFORMATION.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Review of Form 990Part VI, Section B, Question 11bTHE ORGANIZATION ENGAGES A PAID PREPARER EXPERIENCED IN THE PREPARATION OF FORM 990 TO PREPARE THE FORM. ACCOUNTING DEPARTMENT STAFF AND THE CONTROLLER WORK CLOSELY WITH THE PAID PREPARER IN THE PREPARATION OF THE RETURN AND THE CONTROLLER AND CFO REVIEW THE RETURN AS PREPARED BY THE PREPARER. COPIES OF THE FORM 990 ARE PROVIDED TO THE BOARD. IT IS REVIEWED BY THE AUDIT COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF DIRECTORS BEFORE IT IS FILED. THE ORGANIZATION WILL THEN DISCUSS ANY CHANGES OR ISSUES THAT THE AUDIT COMMITTEE/BOARD MAY HAVE. ONCE QUESTIONS/ISSUES HAVE BEEN ADDRESSED AND THE FORM APPROVED, IT WILL THEN BE FILED.
Conflict of Interest PolicyPart VI, Section B, Question 12cAN ANNUAL CONFLICT OF INTEREST STATEMENT IS DISTRIBUTED AND SIGNED BY ALL MEMBERS OF EXECUTIVE MANAGEMENT AND DEPARTMENT DIRECTORS, AS WELL AS EVERY MEMBER OF THE BOARD OF DIRECTORS. WHEN A CONFLICT IS IDENTIFIED, THAT PERSON MUST RECUSE THEMSELVES FROM ANY DISCUSSION CONCERNING THE CONFLICTING PERSON OR ORGANIZATION.
Process for Determining CompensationPart VI, Section B, Question 15a & 15bIN 2008, INTEGRATED HEALTHCARE STRATEGIES (IHSTRATEGIES), AN INDEPENDENT COMPENSATION CONSULTANT, PERFORMED A THOROUGH COMPENSATION STUDY. IHSTRATEGIES ANALYZED LONGMONT UNITED HOSPITAL'S (LUH) EXECUTIVE CASH COMPENSATION AND BENEFITS PROGRAM TO ASSESS COMPETITIVENESS, COST-EFFECTIVENESS, TAX-EFFECTIVENESS, AND REASONABLENESS. IHSTRATEGIES BASED ITS COMPARISONS ON COMPETITIVE PRACTICES IN LUH'S PEER GROUP, USING THEIR PROPRIETARY DATABASE AND PUBLISHED SURVEYS. IN 2011, LUH IS PLANNING TO ENGAGE IN ANOTHER THOROUGH COMPENSATION STUDY. IN THE INTERMITTENT YEARS, THE CONSULTANT PROVIDES LIMITED RECOMMENDATIONS ON COMPENSATION RANGES THAT LUH FOLLOWS. IHSTRATEGIES: - COLLECTED AND REVIEWED BACKGROUND INFORMATION FROM LUH, INCLUDING ORGANIZATIONAL DEMOGRAPHICS, JOB DESCRIPTIONS, ORGANIZATION CHARTS, AND CURRENT COMPENSATION DATA - CONDUCTED TELEPHONE CALLS WITH LUH'S CEO AND VICE PRESIDENT, HUMAN RESOURCES TO DISCUSS JOB CONTENT AND SCOPE OF RESPONSIBILITY FOR THE POSITIONS INCLUDED IN THIS REVIEW - MATCHED LUH'S EXECUTIVE POSITIONS WITH SIMILAR BENCHMARK JOBS BASED ON JOB CONTENT, SCOPE OF RESPONSIBILITY, AND REPORTING RELATIONSHIPS - COMPARED EXECUTIVE SALARIES AT LUH TO PEER GROUP SALARY LEVELS - COMPARED EXECUTIVE BENEFIT EXPENDITURES AT LUH TO COMPETITIVE INDUSTRY PRACTICES - COMPARED EXECUTIVE TOTAL COMPENSATION (SALARIES PLUS BENEFITS) AT LUH TO PEER GROUP LEVELS - IHSTRATEGIES PRESENTED THIS INFORMATION TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IN A WRITTEN REPORT. - THE COMPENSATION COMMITTEE REVIEWED AND DISCUSSED THE FINDINGS OF THE COMPENSATION STUDY AND APPROVED THE EXECUTIVE COMPENSATION OF THE KEY EXECUTIVES. THIS DISCUSSION AND DELIBERATION PROCESS WAS DOCUMENTED IN THE COMMITTEE'S MEETING MINUTES.
Documents Available to the PublicPart VI, Section C, Question 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Temporarily Restricted Net AssetsPart X, Line 28LONGMONT UNITED HOSPITAL FOUNDATION (THE FOUNDATION) WAS FORMED TO PLAN, ORGANIZE, INSTITUTE, AND ADMINISTER PROJECTS THAT PROVIDE PUBLIC SUPPORT FOR THE HOSPITAL. IN THE ABSENCE OF DONOR RESTRICTIONS, THE FOUNDATION'S BOARD OF DIRECTORS HAS DISCRETIONARY CONTROL OVER THE AMOUNTS TO BE DISTRIBUTED TO THE HOSPITAL, THE TIMING OF SUCH DISTRIBUTIONS, AND THE PURPOSES FOR WHICH SUCH FUNDS ARE TO BE USED. TWO MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS SERVE ON THE 14 MEMBER BOARD OF DIRECTORS OF THE FOUNDATION. UNDER U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE HOSPITAL IS DEEMED TO BE A FINANCIALLY INTERRELATED BENEFICIARY OF THE FOUNDATION. THEREFORE, THE NET ASSETS OF THE FOUNDATION HAVE BEEN SHOWN ON THE HOSPITAL'S CONSOLIDATED BALANCE SHEETS AS TOTAL NET ASSETS HELD BY LONGMONT UNITED HOSPITAL FOUNDATION. THE NET ASSETS OWNED BY THE FOUNDATION ARE REFLECTED IN TEMPORARILY RESTRICTED NET ASSETS.
Reconciliation of net assetsPart XI, Line 5Unrealized gain on investments $64,324 Change in interest in net assets held by Longmont United Hospital Foundation $363,460 Total other changes in net assets $427,784
Delegation of AuthorityPart VI, Section A, Question 1AThe Executive Committee shall consist of the Chairperson of the Board, as Chairperson, the Vice-Chairperson, the Treasurer, the Secretary, the Assistant Secretary-Treasurer, and the President and CEO. The Executive Committee shall have the power to transact all regular business and other confidential matters of the Hospital during the interim between the meetings of the Board of Directors, provided that any action taken shall not conflict with policies and expressed wishes of the Board of Directors, that there are at least three (3) affirmative votes to initiate any action, and all matters of major importance should be referred to the Board of Directors. The Executive Committee shall review proposals and advise, as necessary, regarding planning and development of the Hospital physical plant, programs, and services. It shall also be the responsibility of the Executive Committee to nominate candidates for officers and members of the Board when vacancies are to be filled. Such nominations for candidates shall be submitted in writing to the Secretary of the Board at least thirty (30) days prior to the date of the meeting at which candidates shall be elected. Specifically, this Committee shall be responsible for the annual performance evaluation of the President and CEO. This Committee, minus the President and CEO, will also serve as the Executive Compensation Committee. This Committee shall meet at least Quarterly.
Board of Directors independencePart VI, Section A, Question 1BDr. Patricia Gill and Dr. Mark Hinman are compensated for medical services provided to Longmont United Hospital rather than Board membership.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LONGMONT UNITED LAND HOLDING LLC
1950 W MOUNTAIN VIEW AVELONGMONTCO80501841554099real estateCO23601161936LUH
LE DEAUVILLE LLC
1950 W MOUNTAIN VIEW AVELONGMONTCO80501204781464rentalCO7229345521140LUH

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
LMC COMM LLC
1950 WEST MOUNTAIN VIEW AVELONGMONTCO80501753081353VOICE & DATACOLULH LLCunrelated14832-7728false$14,832true0.50000
TRI-TOWN LLC
1950 WEST MOUNTAIN VIEW AVELONGMONTCO80501331035669OFFICE LEASINGCOLULH LLCrelated47933132886falsetrue0.50000
TWIN PEAKS LLC
1950 WEST MOUNTAIN VIEW AVELONGMONTCO80501731656489IMAGINGCOLUHrelated22123571509falsetrue0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1UNITED MEDICAL BLDG CONDOMINIUM ASSOCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11950 WEST MOUNTAIN VIEW AVEAddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80501ZIPCode
FieldValueIRS element (for citing)
EIN841526130EIN
Primary ActivityCONDO ASSOCIATIONPrimaryActivity
Legal Domicile StateCOLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income387848ShareOfTotalIncome
Share Of EOY Assets98588ShareOfEOYAssets
Percentage Ownership0.91780PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1UNITED MEDICAL BLDG CONDOMINIUM ASSOCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeiTransactionType
Amount Involved68705AmountInvolved

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