BOULDER COMMUNITY HEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: BOULDER COMMUNITY HEALTH (EIN 84-0175870)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-07
IRS object ID: 201123119349300017
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 F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-07T10:21:24-07:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	840175870	EIN

Name Name

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 9019	AddressLine1
Address Line2	1100 Balsam Ave	AddressLine2
City	Boulder	City
State	CO	State
ZIP Code	803019019	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	William A Munson Jr	Name
Title	CFO & Vice President	Title
Phone	3034402214	Phone
Date Signed	2011-11-07	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

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

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 9019	AddressLine1
Address Line2	1100 Balsam Ave	AddressLine2
City	Boulder	City
State	CO	State
ZIP Code	803019019	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	516392406	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.bch.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1922	YearFormation
State Legal Domicile	CO	StateLegalDomicile
Activity Or Mission Description	To provide our community with the safest and highest quality healthcare in an innovative, patient-centered environment.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	2535	TotalNbrEmployees
Total Nbr Volunteers	585	TotalNbrVolunteers
Total Gross UBI	3848228	TotalGrossUBI
Net Unrelated Business Txbl Income	-713096	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2392215	ContributionsGrantsPriorYear
Contributions Grants Current Year	3015535	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	250660703	ProgramServiceRevenuePriorYear
Program Service Revenue CY	259222326	ProgramServiceRevenueCY
Investment Income Prior Year	1482242	InvestmentIncomePriorYear
Investment Income Current Year	8552011	InvestmentIncomeCurrentYear
Other Revenue Prior Year	9719578	OtherRevenuePriorYear
Other Revenue Current Year	11034954	OtherRevenueCurrentYear
Total Revenue Prior Year	264254738	TotalRevenuePriorYear
Total Revenue Current Year	281824826	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	597364	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	607040	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	131621519	SalariesEtcPriorYear
Salaries Etc Current Year	126118985	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	311110	TotalFundrsngExpCurrentYear
Other Expense Prior Year	126314054	OtherExpensePriorYear
Other Expenses Current Year	141832782	OtherExpensesCurrentYear
Total Expenses Prior Year	258532937	TotalExpensesPriorYear
Total Expenses Current Year	268558807	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	5721801	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	13266019	RevenuesLessExpensesCY
Total Assets BOY	455617964	TotalAssetsBOY
Total Assets EOY	484095441	TotalAssetsEOY
Total Liabilities BOY	194474330	TotalLiabilitiesBOY
Total Liabilities EOY	210902522	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	261143634	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	273192919	NetAssetsOrFundBalancesEOY
Mission Description	To provide our community with the safest and highest quality healthcare in an innovative, patient-centered environment.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	199455521	Expense
Grants	604040	Grants
Revenue	281824826	Revenue
Description	Health Care Delivery of IP & OP medical care. In 2010, the hospital discharged 8,785 adult & pediatric patients with an average length of stay of 4.3 days. 48,352 patients were seen in ou ERs/urgent care facilities. 7,271 surgeries were performed. The hospital had adjusted patient days of 86,571.	Description
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	199455521	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	1	MoreThan5000KToOrganizations
More Than5000 K To Individuals	1	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	206	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2535	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 9019	AddressLine1
Address Line2	1100 Balsam Ave	AddressLine2
City	Boulder	City
State	CO	State
ZIP Code	803019019	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 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	FormerFormer
David Gehant
Exec Director/CEO	40	X	X	862943	0	26890
Rich Lopez
Chairman	4	X	X	0	0	0
Lou DellaCava
Vice Chairman	4	X	X	0	0	0
Karen McMurry
Secretary	4	X	X	0	0	0
Tom Metz
Treasurer	4	X	X	0	0	0
Jim Williams
Board Member	2	X		0	0	0
Richard Porreca
Board Member	2	X		0	0	0
Lee Carlin
Board Member	2	X		0	0	0
John Meyer MD
Board Member	2	X		0	0	0
R David Hoover
Board Member	2	X		0	0	0
Jean Dubofsky
Board Member	2	X		0	0	0
Janet Martin
Board Member	2	X		0	0	0
Alexander Bracken
Board Member	2	X		0	0	0
Steve Fries MD
Board Member	2	X		0	0	0
Mako Shimoda MD
Board Member	2	X		29400	0	0
William A Munson Jr
VP & CFO	40		X	253526	0	102299
Michael D Moran
VP & Chief Quality Officer	40		X	243164	0	25250
Gail Osterbur
VP & Chief Nursing Officer	40		X	241771	0	99385
Paul Kenneth Lewis Jr
VP & Chief Medical Officer	26		X	224008	0	102009
Sarah E Meshak
VP & General Counsel	40		X	197060	0	85380
James Peters
V.P.	40		X	188723	0	87293
Linda S Minghella
VP & Chief Information Officer	40		X	174090	0	58876
Ronald Secrist
BCH Foundation President	40			189561	0	40163	X
Valerie E Lipetz
Physician	40			225675	0	37156		X
James M Oberwetter
Physician	40			220495	0	36842		X
Benjamin J Keidan
Physician	40			205120	0	32035		X
Mark D King
Physician	40			195605	0	35200		X
Todd D Turner
Physician	40			191447	0	12085		X
Margaret Van Cleave
VP & COO Foothills	0			207544	0	9173			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3850132	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	790036	TotalOtherCompensation
Number Individuals GT100 K	109	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation	Address Line2AddressOfContractor/AddressUS/AddressLine2
CK Leasing LLC
905 Alpine Avenue	Boulder	CO	80304	Cyberknife services	2180066
Dr Laurie Coryell
Community Medical Center	Lafayette	CO	80026	Urgent Care Phys. Group	1093268	1000 W So Boulder Rd
Boulder Valley Pulmonology PC
1000 Alpine	Boulder	CO	80304	Hospitalists	841764	Suite 100
Emergency Courier Services
in care of Aaron Ramsey	Niwot	CO	80503	medical courier service	722665	7713 N 41st St
Boulder Valley Anesthesiology LLC
PO Bpx 17389	Denver	CO	80217	Anesthesiology coverage	720252

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	16	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	5165	MembershipDues
Fundraising Events	0	FundraisingEvents
Related Organizations	2269475	RelatedOrganizations
Government Grants	679121	GovernmentGrants
All Other Contributions	61774	AllOtherContributions
Noncash Contributions	0	NoncashContributions
Total Contributions	3015535	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Acute care hospital	Description
Business Code	622000	BusinessCode
Total Revenue Column	259222326	TotalRevenueColumn
Related Or Exempt Function Income	256060475	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3100644	UnrelatedBusinessRevenue
Exclusion	$61,207	ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	259222326	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4598291	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$4,598,291	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	372116	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$372,116	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

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

Less Rental Expenses LessRentalExpenses

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

Rental Income Or Loss RentalIncomeOrLoss

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

Net Rental Income Or Loss NetRentalIncomeOrLoss

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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	236465813	Securities
Other	1601142	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	233195526	Securities
Other	1289825	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3270287	Securities
Other	311317	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3581604	TotalRevenueColumn
Related Or Exempt Function Income	311317	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$3,270,287	ExclusionAmount

Field	Value	IRS element (for citing)
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents
Gross Income Gaming	9760	GrossIncomeGaming
Gaming Direct Expenses	175	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	9585	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$9,585	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	157693	GrossSalesOfInventory
Cost Of Goods Sold	82054	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	75639	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$75,639	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Misc Hospital Revenue	622000	5127915	3121528	747584	$1,258,803
Health Care Joint Ventures	621400	5821815	5821815	0	$0

Miscellaneous Revenue MiscellaneousRevenue

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

Field	Value	IRS element (for citing)
Total Other Revenue	10949730	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	281824826	TotalRevenueColumn
Related Or Exempt Function Income	265315135	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3848228	UnrelatedBusinessRevenue
Exclusion	$9,645,928	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	184427	Total
Program Services	184427	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	121940	Total
Program Services	121940	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	300673	Total
Program Services	300673	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4344922	Total
Program Services	1184755	ProgramServices
Management And General	2947578	ManagementAndGeneral
Fundraising	212589	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	96078032	Total
Program Services	74556719	ProgramServices
Management And General	21488112	ManagementAndGeneral
Fundraising	33201	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6325891	Total
Program Services	4946079	ProgramServices
Management And General	1374622	ManagementAndGeneral
Fundraising	5190	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	11968143	Total
Program Services	8984323	ProgramServices
Management And General	2965970	ManagementAndGeneral
Fundraising	17850	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7401997	Total
Program Services	5648097	ProgramServices
Management And General	1738268	ManagementAndGeneral
Fundraising	15632	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1673469	Total
Program Services	104282	ProgramServices
Management And General	1569187	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	70057	Total
Program Services	0	ProgramServices
Management And General	70057	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	88884	Total
Program Services	9192	ProgramServices
Management And General	79692	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	13665	Total
Program Services	0	ProgramServices
Management And General	13665	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	599446	Total
Program Services	0	ProgramServices
Management And General	599446	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	17575090	Total
Program Services	14696624	ProgramServices
Management And General	2866555	ManagementAndGeneral
Fundraising	11911	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1043447	Total
Program Services	0	ProgramServices
Management And General	1043447	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	47850320	Total
Program Services	43973250	ProgramServices
Management And General	3858460	ManagementAndGeneral
Fundraising	18610	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5081986	Total
Program Services	424138	ProgramServices
Management And General	4657848	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

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

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4590761	Total
Program Services	1907124	ProgramServices
Management And General	2681893	ManagementAndGeneral
Fundraising	1744	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	264215	Total
Program Services	135910	ProgramServices
Management And General	127862	ManagementAndGeneral
Fundraising	443	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	156260	Total
Program Services	51999	ProgramServices
Management And General	104261	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2595169	Total
Program Services	0	ProgramServices
Management And General	2595169	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

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

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	19710504	Total
Program Services	10199327	ProgramServices
Management And General	9489327	ManagementAndGeneral
Fundraising	21850	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1408497	Total
Program Services	1408497	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Equip Repairs & Mtnc	6928413	586389	6342024	0
Provision for Bad Debts	20752755	20752755	0	0
Other Direct Costs	2600412	449589	2178733	-27910
Medicaid Provider Fee	8829432	8829432	0	0

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	268558807	Total
Program Services	199455521	ProgramServices
Management And General	68792176	ManagementAndGeneral
Fundraising	311110	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	131910	BOY
EOY	778067	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2522110	BOY
EOY	6138195	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	39393999	BOY
EOY	33865301	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3374306	BOY
EOY	3048524	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1234078	BOY
EOY	1368422	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2419095	BOY
EOY	2464216	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	317275331	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	172384767	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	148225553	BOY
EOY	144890564	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	158530873	BOY
EOY	222110411	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	72062636	BOY
EOY	41351004	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	2325989	BOY
EOY	2391182	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	131250	BOY
EOY	370417	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	25266165	BOY
EOY	25319138	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	455617964	BOY
EOY	484095441	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	35165350	BOY
EOY	35101226	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	142624294	BOY
EOY	157613306	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	73558	BOY
EOY	70000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	16611128	BOY
EOY	18117990	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	194474330	BOY
EOY	210902522	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	240505844	BOY
EOY	250961074	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	15849846	BOY
EOY	17224476	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4787944	BOY
EOY	5007369	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	261143634	BOY
EOY	273192919	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	455617964	BOY
EOY	484095441	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	13266019	ReconcilationRevenueExpenses
Reconcilation Other Changes	-1216734	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$16,665	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	16665	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SchC_P2B_S00_L01	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	7.74% of the hospitals dues paid to the Colorado Hospital Association are spent on lobbying activities. This amounts to $5,415. 24.2% of dues paid to the American Hospital Association are spent on lobbying activities. This amounts to $8,250.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.23	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.77	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	21801622	OtherCostOrOtherBasis
Book Value	21801622	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	191872636	OtherCostOrOtherBasis
Depreciation	106551336	Depreciation
Book Value	85321300	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	487314	OtherCostOrOtherBasis
Depreciation	326718	Depreciation
Book Value	160596	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	98117038	OtherCostOrOtherBasis
Depreciation	65506713	Depreciation
Book Value	32610325	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	4996721	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	4996721	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	144890564	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

Field	Value	IRS element (for citing)
Book Value	-11822954	BookValue
Method Of Valuation	F	MethodOfValuation

Closely Held Equity Interests CloselyHeldEquityInterests

Field	Value	IRS element (for citing)
Book Value	31294048	BookValue
Method Of Valuation	F	MethodOfValuation

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Municipal Bonds, infrequently traded	1411810	F
Corp Bonds and Notes, infrequently traded	16349223	F
Fund of Hedge Funds	4118877	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	41351004	TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
Interest in Net Assets Held by Foundation	21893738
Unamortized Bond Issue Costs	1298946
Deferred Comp Investments	1065541
Other Accounts Receivable	884486
Unamortized Swap Fees	176427

Field	Value	IRS element (for citing)
Total Book Value Other Assets	25319138	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Accrued Pension Liability	$17,052,449
Deferred Compensation Liability	$1,065,541

Field	Value	IRS element (for citing)
Total Of Amounts	18117990	TotalOfAmounts
Total Revenue	281824826	TotalRevenue
Total Expenses	268558807	TotalExpenses
Excess Or Deficit For Year	13266019	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-841642	NetUnrealizedGLOnInvestments
Donated Services And Facilities	0	DonatedServicesAndFacilities
Investment Expenses	0	InvestmentExpenses
Prior Period Adjustments	0	PriorPeriodAdjustments
Other	-$289,454	OtherAmount
Total Adjustments	-1131096	TotalAdjustments
Excess Or Deficit Per FS	12134923	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	279887599	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-841642	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	0	DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants	0	RecoveriesOfPriorYearGrants
Other Revenues	-392530	OtherRevenues
Revenue Not Rptd F990	-1234172	RevenueNotRptdF990
Revenue Subtotal	281121771	RevenueSubtotal
Investment Expenses Not Included	599446	InvestmentExpensesNotIncluded
Other Revenues Not Included	103609	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	703055	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	281824826	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	267752676	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	0	DonatedServicesUseOfFacilities
Prior Year Adjustments	0	PriorYearAdjustments
Losses Reported	0	LossesReported
Other Expenses Included	0	OtherExpensesIncluded
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	267752676	ExpensesSubtotal
Investment Expenses Not Included2	599446	InvestmentExpensesNotIncluded2
Other Expenses Not Included	206685	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	806131	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	268558807	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchD_P05_S00_L04	Schedule D, Part V, Line 4	Boulder Community Hospital Foundation, a related organization, holds permanent endowment funds. The income earned on these endowment funds is used to support hospital programs for diabetes, cancer, neonatology, healthcare scholarships, or for the foundation to direct if the endowment fund does not restrict how the income is to be spent. Term restricted funds held by the Foundation include funds for cancer, as well as other hospital programs. Any Unrestricted funds held at the Foundation are for the hospital, but designation is decided by the Foundation board when granting to the hospital.
SchD_P11_S00_L08	Schedule D, Part XI, Line 8	Other of -289,454 = +1,725,628 Change in Foudation Net Assets not on TR + 85,638 Tax vs Bk JV Income less 2,100,722 change in minimum pension liability + 2 rounding.
SchD_P12_S00_L02d	Schedule D, Part XII, Line 2d	Other revenues of -392,530 = +1,725,628 change in Foundation assets -2,100,723 change in minimum pension liablility+85,638 Tax vs book JV income recognition -181,635 Other Expense shown in net revenue on Audit but as Exp in Tax + 78,560 Auxiliary component of Contributions to Temp Rest Net Assets on audit but as Revenue on TR + 2 rounding.
SchD_P12_S00_L04b	Schedule D, Part XII, Line 4b	Other 103,609 = Auxiliary revenue reflected in Rev on TR but as restricted donation on Audit
SchD_P13_S00_L04b	Schedule D, Part XIII, Line 4b	Other 206,685 = 181,635 expenses reflected in revenue on audit but as exp on TR + 25,049 of Aux expenses reflected as a net Restricted Contribution on audit but as expense on TR + 1 rounding.

Schedule F IRS990ScheduleF

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

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
North America (including Canada and Mexico, but not the United States)	Program Services	The hospital is a participant in a medical mission to Mante, Mexico. Mante is a sister city of Boulder, CO.	79951
Sub-Saharan Africa	Program Services	The hospital is the recipient of a grant from the Department of Health and Human Services via the American International Health Alliance Training Center to help with development of zonal laboratories in Tanzania, Africa in response to the HIV/AIDS crisis.	220722
Central America and the Caribbean	Program Services	Passive Investments	18350607

Field	Value	IRS element (for citing)
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Total Amount Spent	18651280	TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

Field	Value	IRS element (for citing)
Region	Sub-Saharan Africa	Region
Purpose Of Grant	The hospital is a recipient of a grant from the Department of Health and Human Services via the American International Health Alliance Training Center to help with the development of zonal laboratories in response to the HIV/AIDS crisis. The hospital donated in kind labor to provide education, training and managment services towards this effort. The grant covers travel and in-country expenses.	PurposeOfGrant
Amount Of Non Cash Assistance	220722	AmountOfNonCashAssistance
Description Of Non Cash Assistance	Airfare, in-country expenses for mission, other mission costs reimbursed by AIHA grant to hospital, $177,051. In kind labor and other expenses donated by hospital for mission, $46,671.	DescriptionOfNonCashAssistance
Method Of Valuation	Cost	MethodOfValuation

Field	Value	IRS element (for citing)
Total Number Of501c3 Orgs	1	TotalNumberOf501c3Orgs
Total Number Of Other Orgs	0	TotalNumberOfOtherOrgs

Grants To Ind Outside US GrantsToIndOutsideUS

Field	Value	IRS element (for citing)
Type Of Assistance	The hospital participates in a medical mission to Mante, Mexico. Mante is a sister city of Boulder, CO. The hospital donates supplies, shipping, and airfare for the mission. Physicians, NP, nurses, physical therapists and audiologists all donate their time to the medical mission. 2,271 patients were served over a 6 day period. 269 surgeries were performed. Patients did not pay for services.	TypeOfAssistance
Region	North America (including Canada and Mexico, but not the United States)	Region
Number Of Recipients	2271	NumberOfRecipients
Amount Of Non Cash Assistance	79951	AmountOfNonCashAssistance
Description Of Non Cash Assistance	Donated supplies, shipping and airfare of $79,951.	DescriptionOfNonCashAssistance
Method Of Valuation	Cost	MethodOfValuation

Field	Value	IRS element (for citing)
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	1	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchF_P01_S00_L02	Schedule F, Part I, Line 2	For the Mante, Mexico medical mission, the local Medical Director tours the region to identify appropriate care recipients based on financial need and medical need. Most supplies are hand carried by volunteer medical participants, although some are pre-shipped. The Mante, Mexico medical mission is led by a top administrative official from Boulder Community Hospital. The Tanzania, Africa project is subject to American International Health Alliance monthly grant reporting requirements.
SchF_P01_S00_L03	Schedule F, Part I, Line 3	Passive Investments in Cayman Islands have a YE market value of $18,204,246 and incurred management fees of $146,361.

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	2.50	FreeOtherPercentage

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

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	8.00	DiscountedOtherPercentage

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10610935	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4867717	DirectOffsettingRevenue
Net Community Benefit Expense	5743218	NetCommunityBenefitExpense
Percent Of Total Expense	0.023	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15822798	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8164939	DirectOffsettingRevenue
Net Community Benefit Expense	7657859	NetCommunityBenefitExpense
Percent Of Total Expense	0.03	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

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

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	26433733	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13032656	DirectOffsettingRevenue
Net Community Benefit Expense	13401077	NetCommunityBenefitExpense
Percent Of Total Expense	0.053	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	559146	TotalCommunityBenefitExpense
Direct Offsetting Revenue	173463	DirectOffsettingRevenue
Net Community Benefit Expense	385683	NetCommunityBenefitExpense
Percent Of Total Expense	0.002	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	231131	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	231131	NetCommunityBenefitExpense
Percent Of Total Expense	0.001	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	741022	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	741022	NetCommunityBenefitExpense
Percent Of Total Expense	0.003	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	1531299	TotalCommunityBenefitExpense
Direct Offsetting Revenue	173463	DirectOffsettingRevenue
Net Community Benefit Expense	1357836	NetCommunityBenefitExpense
Percent Of Total Expense	0.006	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	27965032	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13206119	DirectOffsettingRevenue
Net Community Benefit Expense	14758913	NetCommunityBenefitExpense
Percent Of Total Expense	0.059	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	35758	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	35758	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	8671	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	8671	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	5000	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	5000	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	140257	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	140257	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	189686	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	189686	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$8,561,083	BadDebtExpenseAmount
Amount Attributable To	1	AmountAttributableTo
Amount Reimbursed By Medicare	42492496	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	53177233	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-10684737	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Boulder Community Musculoskeletal Surgery Center LLC
Outpatient Surgery Center	0.5	0	0.5
Endoscopy Center of the Rockies LLC
Outpatient Endoscopy Center	0.5	0	0.5
Boulder Community Sleep Services LLC
Sleep Lab Services	0.5	0	0.5

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

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

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

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

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Permit Report To Credit AgencyPermitReportToCreditAgency	Permit LawsuitPermitLawsuit	Permit Lien On ResidencePermitLienOnResidence	Collection ActivitiesCollectionActivities	Report To Credit AgencyReportToCreditAgency	LawsuitLawsuit	Lien On ResidenceLienOnResidence	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
Boulder Community Hospital
1	0	1	1	250	1	800	1	X	X	X	X	X	1	1	X	X	X	X	X	X	1	X	X	X	1	X	X	X	X	X	X	X	1	X	0	1
Boulder Community Foothills Hospital
2	0	1	1	250	1	800	1	X	X	X	X	X	1	1	X	X	X	X	X	X	1	X	X	X	1	X	X	X	X	X	X	X	1	X	0	1

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	24	NumberOfOtherFacilities

Other Facilities OtherFacilities (24 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
Community Medical Center
1000 W South Boulder Road	Lafayette	CO	80026	Urgent-care center
Mapleton Center
311 Mapleton	Boulder	CO	80304	Outpatient clinic for rehabilitation, sports medicine, mental health and home health
BCH at Boulder Medical Center
2750 Broadway	Boulder	CO	80304	laboratory and imaging services
Boulder Community Musculoskeletal Surgery LLC
1136 Alpine Avenue	Boulder	CO	80304	Ambulatory Surgical Center
BCH Cyberknife Services
905 Alpine	Boulder	CO	80304	outpatient cyberknife services
Endoscopy Center of the Rockies in Lafayette
1000 W South Boulder Road	Lafayette	CO	80026	Endoscopic Ambulatory Surgery Center	Suite 202
Endoscopy Center of the Rockies in Boulder
1755 48th Street	Boulder	CO	80303	Endoscopic ambulatory surgical center	Suite 110
Family Medical Associates
1000 W South Boulder Rd	Lafayette	CO	80026	Physician clinic	Suite 110
Table Mesa Family Medicine
1755 48th St	Boulder	CO	80303	Physician clinic	Suite 200
Endoscopy Center of the Rockies in Longmont
1551 Professional Lane	Longmont	CO	80501	Endoscopic ambulatory surgical center	Suite 295
Boulder Community Hospital Occupational Medicine
4745 Arapahoe Ave	Boulder	CO	80303	Occupational Medicine Clinic	Suite G40
Gunbarrel Medical Center
6685 Gunpark Drive	Boulder	CO	80301	Physician clinic	Suite 110
Internal Medicine Associates
1155 Alpine	Boulder	CO	80304	Physician clinic	Unit 360
Internal Medicine Associates Foothills
4745 Arapahoe Ave	Boulder	CO	80303	Physician clinic	Suite G50
Beacon Clinic
1136 Alpine Ave	Boulder	CO	80304	Infectious Disease Clinic	Suite 205
Boulder Community Sleep Services LLC
1000 Alpine Ave	Boulder	CO	80304	Sleep study center	Suite 201
Boulder Community Sleep Services LLC
13654 Xavier Lane	Broomfield	CO	80020	Sleep Study Center	Suite 210A
Internal Medical Associates of Lafayette
100 W South Boulder Rd	Lafayette	CO	80026	Physician clinic	Suite 214
Sports Medicine East
400 S McCaslin Blvd	Louisville	CO	80027	Sports medicine clinic
Foothills Gynecology
4745 Arapahoe	Boulder	CO	80303	Physician clinic	Suite G50
Buffalo Ridge Medical Center
16677 Lowell Blvd	Broomfield	CO	80023	Physician clinic
Center for Integrative Care
4715 Arapahoe	Boulder	CO	80303	Outpatient Integrative Care for Cancer patients	Unit 100
Broomfield Imaging
36 Golden Center	Broomfield	CO	80020	Laboratory and Imaging Services
Boulder Community Internal Medicine
2880 Folsom Street	Boulder	CO	80304	Physician clinic	Suite 212

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchH_P01_S00_L07	Schedule H, Part I, Line 7	Ratio of Patient Care Costs to Patient Care Charges
SchH_P01_S00_L072f	Schedule H, Part I, Line 7, Column f	$20,752,755
SchH_P02_S00_L00	Schedule H, Part II	Community Building Activities include disaster readiness training in conjunction with numerous local agencies (fire, police, sheriff, other counties, other hospitals) to ensure coordinated and effective response to a disaster. Also reported are the hopsitals participation in the development of the Colorado Regional Health Information Organization (CORHIO) and Boulder County Health Information Exchange (BCHIE)--both are electronic health exchanges aimed at promoting effective and efficient health care delivery, and also at providing information for community health needs assessments. Community health improvement includes support of the Boulder Valley School District healthy food project to encourage development of life-long healthy eating habits in children. The workforce development includes physician recruitment--Boulder is a Medically Underserved Area for low income and Medicare.
SchH_P03_S0A_L04	Schedule H, Part III, Section A, Line 4	Audit statement footnote: on balance sheet Accounts receivable from patient services, net of allowances for uncollectible accounts of approximately $10,670,000. The net AR amount on the balance sheet is $33,865,301. To determine the cost of bad debts reflected on Part III, Section A, Line 2, the hospital applied the Ratio of Patient Care Costs to Charges to 85% of the Bad Debts and included 100% of 15% of the Bad Debts (patient responsibilities for copays, deductibles and coinsurance after insurance contractual allowances). The hospital does not have a mechanism to reasonably estimate the amount of bad debt cost that would reasonably relate to patients who would qualify for financial assistance under the hospital's financial assistance policy, but for whom sufficient information was not obtained to make a determination of their eligibility. However, surely there are bad debt dollars that would qualify for charity if the information were known.
SchH_P03_S0B_L08	Schedule H, Part III, Section B, Line 8	100%, and more, of Line 7 Medicare shortfall should be treated as community benefit. Boulder county has a demonstrated community need for physicians who accept Medicare. (Many physician providers do not.) The hospital not only serves the Medicare population for hospital services, it also employs numerous primary care and internal medicine providers who accept Medicare in order to provide our community with adequate coverage. The Cost Report shortfall reported on Line 7 excludes Medicare HMO enrollee shortfalls, excludes shortfalls from ancillary procedures which are paid by fee schedule and are therefore not included in the Cost Report, and excludes the shortfall related to employed physicians serving the Medicare population. The hospitals total Medicare shortfall, including these programs, is actually $21,600,045.
SchH_P03_S0C_L09b	Schedule H, Part III, Section C, Line 9b	The hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the hospital's charity program (WeCare). Financial arrangements with Emergency Room patients are not discussed until the patient has been assessed and treated in accordance with EMTALA. The hospital's debt collection policy contains a Communications section addressing courtesy, confidentiality, cultural sensitivity, and primary language of a patient. It contains a section on Billing and Collection Practices which addresses when an account will be referred to a licensed collection agency and that those agencies will treat all ptients with dignity, compassion and respect, as well as adhering to Colorado State Laws and the Fair Debt Collection Act. Patients may apply/reapply for financial assistance before, during or after care, or after collection agency assignment.
SchH_P05_S0B_L19	Schedule H, Part V, Section B, Line 19	All patients without insurance are eligilbe for a 50% prompt pay discount. Those patients who qualify for financial assistance receive a discount rate that exceeds the lowest negotiated commercial discount rate.
SchH_P05_S0B_L21	Schedule H, Part V, Section B, Line 21	A person who does not have insurance, but has means (does not qualify under the financial assistance policies), would be charged for services at the gross charge rate. However a 50% prompt-pay discount is available if the person pays at time of service, and a 40% discount if paid within 30 days of service.
SchH_P06_S00_L02	Schedule H, Part VI, Line 2	The hospital collaborated with the Boulder County Public Health Department, the Community Foundation Serving Boulder County and over 50 other community organizations who participated in community health focus groups to prepare a Community Health Needs Assessment. The report was issued February 22, 2011. In 2010 a comprehensive facilities study was performed to evaluate each of the existing hospital campuses and determine the most efficient and effective methods of delivering the safest, highest quality and efficient health care. The Hospital's Board Planning Committee uses the Community Health Needs Assessment, the Comprehensive Facilities study, as well as market and demographic studies to ensure the Hospital meets the future health care needs of our community. The Hospital is embarking on a 10 year transitional strategy to consolidate health care delivery in order to meet the needs of the community in a safe and sustainable manner.
SchH_P06_S00_L03	Schedule H, Part VI, Line 3	The Hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the Hospital's charity program (WeCare). The hospital employs Spanish speaking financial counselors and would utilize interpreter services for other languages. Financial Assistance programs are referenced in patient discharge information, billing statements, and on the hospital's web site.
SchH_P06_S00_L04	Schedule H, Part VI, Line 4	The Corporation provides comprehensive health services to a diverse population of more than 300,000 people who reside in Boulder County and an adjacent portion of the City and County of Broomfield. The Corporation has refined delineation of its primary and secondary service areas based on its market share by zip code. The primary service area includes the Cities of Boulder, Lafayette (approximately 15 miles east of the Broadway Campus and 11 miles southeast of the Foothills Campus), and Louisville (approximately 11 miles southeast of the Broadway Campus) as well as the western portion of the City and County of Broomfield. The secondary service area encompasses the rest of Boulder County, including the City of Longmont, which is approximately 15 miles northeast of the Broadway Campus. According to the Community Foundation's Boulder County Trends report published in 2009, the Boulder community enjoys good health which appears to be related directly to the community's higher-than-average education and economic levels. However, the Foundation Trends Report estimates that 15% to 20% of adults in Boulder County are without health insurance and a disproportionate number of the uninsured are Latino. The community's teen fertility rate is low compared to state and national benchmarks, but 70% of teen mothers are Latina and Latinas also lag in receiving prenatal care. The Trends study states that Boulder County children are generally rather fortunate, since 91% of the estimated 69,000 children under age 18 have access to health insurance. However, just 45% of Boulder County residents report having dental insurance coverage.
SchH_P06_S00_L05	Schedule H, Part VI, Line 5	The Hospital is governed by a volunteer community board. The Hospital has an open medical staff. All surplus funds are reinvested in the hospital to fund charity, subsidize under performing health programs, develop new health programs, or as an investment in plant, equipment and technology.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (5 entries)

Business Name Line2RecipientNameBusiness/BusinessNameLine2	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Boulder County Fire Fighters Assoc
Sunshine Fire Protection District	311 County Road 83	Boulder	CO	80302	846000600	501 (c) 3	26000	FMV	support for local fire association
Special Transit
	4880 E Pearl St	Boulder	CO	80301	840777296	501 (c)3	10000	FMV	Support for transportation for the disabled.
Boulder Valley Women's Health Center
	2855 Valmont	Boulder	CO	803011374	840645786	501 (c) 3	10000	FMV	Support community women's health clinic.
Clinica Campesina Family Health Services
	2000 W South Boulder Rd	Lafayette	CO	80026	840743432	501 (c) 3	50000	FMV	support for low income community health clinic
Boulder Valley School District
	6500 E Arapahoe	Boulder	CO	80303	846014683	501 (c) 3		FMV	Provide an athletic trainer to the school district to support high school athletics and help to reduce injuries to student athletes.	65346	Athletic trainer services

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

Form990 Schedule I Part III Form990ScheduleIPartIII (7 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Healthcare educational scholarships	25	48000	FMV
Assistance fund for for IP rehab patients to be used to support patient and family with living and medical expenses	39	27860	FMV
Assistance with chemotherapy treatment expenses	91	21600	FMV
Assistance with mammography professional fees for indigent patients	4	379	Cost of service
Charity drugs and medical supplies given after discharge	270		Cost	6520	Pharmaceutical prescriptions filled at cost for patients discharged with inability to pay, as well as medical supplies at cost.
Bike helmets for school safety program	307		Cost	6200	Bike helmets purchased for distribution at school safety programs.
Transportation, housing and nursing home assistance for indigent patients	50	11381	Cost

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
David Gehant
824443	0	0	0	38500	0	14271	0	18118	0	895332	0	0	0
William A Munson Jr
196851	0	23691	0	32985	0	75327	0	28531	0	357385	0	23691	0
Gail Osterbur
182708	0	20563	0	38500	0	87467	0	15355	0	344593	0	0
Paul Kenneth Lewis Jr
201727	0	15784	0	6497	0	81666	0	21903	0	327577	0	0
Sarah E Meshak
175810	0	4750	0	16500	0	85380	0	1485	0	283925	0	4750	0
James Peters
159223	0	0	0	29500	0	63847	0	26060	0	278630	0	0	0
Michael D Moran
131962	0	0	0	111202	0	25250	0	1022	0	269436	0	94702	0
Linda S Minghella
144167	0	14454	0	15470	0	58876	0	1238	0	234205	0	14454
Ronald Secrist
158903	0	8658	0	22000	0	27712	0	13816	0	231089	0	8658	0
Valerie E Lipetz
218766	0	0	0	6909	0	13485	0	25231	0	264391	0	0	0
James M Oberwetter
181995	0	0	0	38500	0	13095	0	25307	0	258897	0	0	0
Benjamin J Keidan
198881	0	0	0	6239	0	12185	0	21410	0	238715	0	0	0
Mark D King
179121	0	0	0	16484	0	11754	0	24887	0	232246	0	0	0
Todd D Turner
179447	0	0	0	12000	0	11162	0	2323	0	204932	0	0	0
Margaret Van Cleave
0	0	0	0	207544	0	0	0	9953	0	217497	0	107682	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchJ_P01_S00_L01a	Schedule J, Part I, Line 1a	The hospital pays for board member companion travel at its annual educational conference. Companion travel is reported as Misc Income on the board members 1099.
SchJ_P01_S00_L01b	Schedule J, Part I, Line 1b	Travel for companions is only provided for spouse/significant other of board members attending the annual educational conference. Companion travel is reimbursed based upon substantiated receipts and is reported as Miscellaneous Income on a 1099 to the Board Member.
SchJ_P01_S00_L04	Schedule J, Part I, Line 4	Margaret Van Cleave, former VP & COO Foothills, received $107,682 in severance pay offered in conjunction with an early retirement incentive plan designed to reduce staffing. The hospital contributes to a supplemental non-qualified retirement plan for the benefit of its executive leadership. Participants include: William A. Munson Jr, VP & CFO ($31,824 contributed;$0 paid out), Michael Moran, VP & Chief Quality Officer ($16,628 contributed; $94,702 paid out), Gail Osterbur, VP & Chief Nursing Officer ($33,129 contributed; $0 paid out), James Peters, VP ($18,744 contributed; $0 paid out), Linda S. Minghella, VP & CIO ($29,961 contributed; $0 paid out), Paul Kenneth Lewis Jr, VP and Chief Medical Officer ($25,058 contributed; $0 paid out), Sarah E. Meshak, VP & General Counsel ($39,953 contributed; $0 paid out), Margaret VanCleave, former VP & COO Foothills ($0 contributed; $85,206 paid out).
SchJ_P01_S00_L07	Schedule J, Part I, Line 7	The hospital has an Incentive Compensation Plan for Vice Presidents and Directors whereby a percentage of base salary is paid out if goals are met and if authorized by the Board of Directors. For Vice-Presidents, one-third of their incentive is based upon the Hospital meeting at least 85% of its budgeted net operating income before interest expense. One-third VP incentive is based on Safety goals and one-third is based on Performance Goals. The one-third financial goal for Directors is based on meeting their departmental financial targets, as well as a one-third safety goal and a one-third performance goal.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

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

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

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	93535431	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	1013609	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	0	CapitalExpenditures
Other Spent Proceeds	67458941	OtherSpentProceeds
Amount Unspent	25067002	AmountUnspent
Year Of Subst Completion	2013	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

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

Form990 Schedule K Part IV Form990ScheduleKPartIV

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

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	SchK_P02_S00_L03	Identifier
Return Reference	Schedule K, Part II, Line 3	ReturnReference
Explanation	Pt II, Lns 4 through 12 exceed Pt II Ln 3 by 4,121, the amount transferred into the 2010 Cost of Issuance Bond Trust Fund from the close-out of the 2003 Bond Interest Trust Fund.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Boulder Valley Pathology PC
Dr. John Meyer is a Board member and also is a member of Boulder Valley Pathology PC	-202610	BVP has an exclusive agreement to provide Anatomical and Pathology Services at Boulder Community Hospital. Payment to BVP ans (reimbursements from) BVP are as follows: Lab medical directorship, $84,890; payment of professional component of global fee arrangements, $288,000; reimb. of the per slide cost of private BVP pathology services done at the hospital, ($552,000); reimb. of space costs, ($23,500) per year.	0
Boulder Emergency Physicians PC
Dr. Paul Lewis is the VP & Chief Medical Officer for BCH; he is also a member of Boulder Emerg Phys	406375	The hospital has an agreement with Boulder Emergency Physicians to provide ER services. Under this agreement, the hospital paid the group $28,375 for medical directorship of ER, $36,000 for a quality incentive, and $342,000 as an annual coverage payment for the Foothills ER.	0
Boulder Medical Center PC (BMC)
Dr. Fries is a Board member and a pediatrician with BMC.	356047	Dr. Fries was paid $2,400 as a Pediatric Rehab Medical Director and $5,700 for call coverage. The hospital paid BMC $297,947 under a lab and imaging space lease agreement. The hospital has an agreement with BMC to provide on-site lab and imaging services to BMC patients. All lab and imaging charges are billed directly to patients and third party insurance by the hospital. The hospital loaned BMC $50,000 for the recruitment of an OB; this loan will be forgiven as long as the OB serves the community for at least 18 months.	0
Mako Shimoda MD
Bd. Member	29400	The hospital paid Dr. Shimoda $29,400 for call coverage. This is consistent with the hospital practice of paying OB's for call coverage.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0A_L04	Form 990, Part VI, Section A, Line 4	The bylaws were amended 9/2/2008 to establish a Patient Safety Committee as a Standing Commitee. Section V.E. and V.K. establish the composition and function of the Patient Safety Committee. This change has not previously been reported on the tax return.
F990_P06_S0B_L11a	Form 990, Part VI, Section B, Line 11a	Form 990 is prepared by the Controller based upon audited financial statements. The 990 is reviewed by the nonprofit tax manager of our external audit firm, by the CEO, CFO, VP & General Counsel, Compliance Officer, and the Audit Committee of the Board of Directors. Final copies are provided to each voting Board member electronically before filing with the IRS.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	The hospital has a Conflict of Interest policy for staff, a Conflict of Interest policy for Board Members, and a Conflict of Interest disclosure form for physicians serving on committees. Board members complete an annual Statement of Interest form which discloses employment, family member employment, business relationships, service on other Boards or governance positions and identifies other conflicts of interest. The Statement of Interest also identifies transactions requiring disclosure.
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	The hospital has a Compensation Committee as specified by the bylaws of the hospital (Article V, D). The Compensation Committee is comprised of the Chairman, Vice Chairman, Secretary and a member of the Finance Committee. The committee meets approximately three times per year to review the CEO compensation and approve annual contract changes. Compensation and contract changes are reported to the Board. The Committee engages a consulting firm to provide comparative compensation studies for similarly qualified persons in functionally comparable positions at similarly situated organizations. Compensation study and performance review are considered in developing the compensation decision. Compensation ranges and Benefit changes for Vice President level employees are reviewed and approved by the Compensation Committee if they are outside of hospital wide treatment. Compensation studies are also used for VP level assessment. All Compensation Committee meetings are formally documented through minutes.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	The hospital's web site is www.bch.org. The web site includes the hospital's Mission, Vision and Beliefs Statement. It also includes the Annual Report which contains the hospital Board members, key financial data, and information on new programs, patient safety and quality, and community benefits. The web site also has a section for Compliance policies including the Code of Conduct and Conflict of Interest. Annual audited financial statements are made available to the public at the Annual Meeting of The Community Hospital Association. The tax return is made available to anyone who requests the return through our Public Information Office.
F990_P11_S00_L05	Form 990, Part XI, Line 5	Other Change in Net Assets of -1,216,734 = Change in Foundation Net Assets of 1,725,628 plus Unrealized gain on investments of 6,571,422 less unrealized loss on interest rate swaps of 7,413,064 less charge for Minimum pension liability of 2,100,722 plus rounding of 2.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1155 Alpine Avenue	AddressLine1
Address Line2	Suite G40	AddressLine2
City	Boulder	City
State	CO	State
ZIP Code	80304	ZIPCode

Field	Value	IRS element (for citing)
EIN	840772664	EIN
Primary Activities	Fundraising for the hospital	PrimaryActivities
Legal Domicile State	CO	LegalDomicileState
Exempt Code Section	509(c)3	ExemptCodeSection
Public Charity Status	509(a)3	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	0	ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Address Line2AddressUS/AddressLine2
Boulder Community Musculoskeletal Surgery Center LLC
1136 Alpine Avenue	Boulder	CO	80304	201391702	Outpatient surgery center	CO	N/A	Related	2103408	1066046	0	$0	1	0.5
Endoscopy Center of the Rockies LLC
382 S Arthur Ave	Louisville	CO	80027	841562782	Outpatient Endoscopy	CO	N/A	Related	3643892	1047892	0	$0	1	0.5	Ste 140
Boulder Community Sleep Services LLC
1136 Alpine Avenue	Boulder	CO	80304	262429064	Sleep Lab Services	CO	N/A	Related	74511	61871	0	$0	1	0.5

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Boulder Community Musculoskeletal Surgery Center LLC
a-iv	671650	Rental Agreement
Boulder Community Musculoskeletal Surgery Center LLC
p	64420	Recap of contracted amounts
Boulder Community Sleep Services LLC
a-iv	48083	Rent recapped by Property Mangement firm
Boulder Community Sleep Services LLC
l	764416	Contract for Services
Boulder Community Sleep Services LLC
p	345969	Recap of contract

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	Extension to November 15, 2011 approved on Notice No. CP211A dated September 19, 2011.	Explanation