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POUDRE VALLEY HEALTH CARE INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
POUDRE VALLEY HEALTH CARE INC (EIN 84-1262971)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202401369349312830
Schema version
2022v5.0
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)
Return2024-05-15T15:17:02-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18181 E TUFTS AVE SUITE 600AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN841262971EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1POUDRE VALLEY HEALTH CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPOUDBusinessNameControlTxt
Phone9702377000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12315 E HARMONY ROAD 200AddressLine1Txt
CityFORT COLLINSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80528ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID THOMPSONPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone9702377000PhoneNum
Signature2024-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVIDPersonFirstNm
Person LastTHOMPSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone3037409400PhoneNum
Preparation2024-05-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN UNGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12315 E HARMONY ROAD 200AddressLine1Txt
CityFORT COLLINSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80528ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,861,692,313GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UCHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionWE IMPROVE LIVES THROUGH LEARNING, HEALING, DISCOVERY, AND THROUGH HUMAN CONNECTION.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee5147TotalEmployeeCnt
Total Volunteers287TotalVolunteersCnt
Total Gross UBI$13,677TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$181,498NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,650,691PYContributionsGrantsAmt
CY Contributions Grants$550,836CYContributionsGrantsAmt
PY Program Service Revenue$751,173,507PYProgramServiceRevenueAmt
CY Program Service Revenue$797,484,699CYProgramServiceRevenueAmt
PY Investment Income$101,884,971PYInvestmentIncomeAmt
CY Investment Income$36,357,949CYInvestmentIncomeAmt
PY Other Revenue$5,643,443PYOtherRevenueAmt
CY Other Revenue$7,866,664CYOtherRevenueAmt
PY Total Revenue$864,352,612PYTotalRevenueAmt
CY Total Revenue$842,260,148CYTotalRevenueAmt
PY Grants And Similar Paid$47,277,350PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$65,197,578CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$299,023,140PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$323,851,651CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$351,323,088PYOtherExpensesAmt
CY Other Expenses$351,658,750CYOtherExpensesAmt
PY Total Expenses$697,623,578PYTotalExpensesAmt
CY Total Expenses$740,707,979CYTotalExpensesAmt
PY Revenues Less Expenses$166,729,034PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$101,552,169CYRevenuesLessExpensesAmt
Total Assets BOY$9,385,047,111TotalAssetsBOYAmt
Total Assets EOY$10,902,217,792TotalAssetsEOYAmt
Total Liabilities BOY$6,712,461,190TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,963,780,783TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,672,585,921NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,938,437,009NetAssetsOrFundBalancesEOYAmt
MissionWE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS, WE IMPROVE LIVES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$656,787,081ExpenseAmt
Grant$65,197,578GrantAmt
Revenue$801,820,558RevenueAmt
DescPOUDRE VALLEY HEALTH CARE INC. (PVHC) PROVIDES TERTIARY, ACUTE, INPATIENT, OUTPATIENT, AS WELL AS EMERGENCY CARE. PVHC SERVICES COMMUNITIES IN NORTHERN COLORADO, SOUTHWESTERN NEBRASKA, AND SOUTHEASTERN WYOMING. DURING FISCAL YEAR 2023, PVHC RECORDED 64,761 PATIENT DAYS, 12,975 INPATIENT ADMISSIONS, 4,278 OBSERVATION PATIENTS ADMISSIONS, 584,225 OUTPATIENT VISITS, 77,333 EMERGENCY VISITS, 1,713 DELIVERIES, 2,159 INPATIENT SURGERIES, 7,170 OUTPATIENT SURGERIES.Desc
Total Program Service Expenses$656,787,081TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document258IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5147EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID THOMPSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9702377000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12315 E HARMONY ROAD SUITE 200AddressLine1Txt
CityFORT COLLINSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80528ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KEVIN UNGER
CHIEF EXECUTIVE OFFICER22.0027.00Yes (X)Yes (X)$409,748$519,922$36,561
CHRISTINE CHIN
DIRECTOR1.002.00Yes (X)$1,404$0$0
LISA CLAY
CHAIR1.002.00Yes (X)Yes (X)$2,422$0$0
MIKE DELLENBACH
DIRECTOR1.002.00Yes (X)$101$0$0
DOUG ERION
DIRECTOR1.002.00Yes (X)$119$0$0
DENNIS HOUSKA
DIRECTOR1.002.00Yes (X)$1,271$0$0
BRAD OLDEMEYER
DIRECTOR1.002.00Yes (X)$0$0$0
CHRIS OSBORN
DIRECTOR1.002.00Yes (X)$2,424$0$0
JIM PARKE
DIRECTOR1.002.00Yes (X)$121$0$0
DAN STROH
DIRECTOR1.002.00Yes (X)$235$0$0
CELESTE KING
DIRECTOR1.002.00Yes (X)$1,215$0$0
MICHELLE ALBRIGHT
SECRETARY18.0022.00Yes (X)$32,367$41,069$15,846
DAVID THOMPSON
CHIEF FINANCIAL OFFICER21.0027.00Yes (X)$222,001$281,693$35,346
GEORGE BOST
DIR LAB SERVICES29.0021.00$112,757$83,554$23,514Yes (X)
DIANA BREYER
CHIEF MEDICAL OFFICER22.0027.00$271,053$379,867$38,111Yes (X)
ASHLEY BRUNING
CHIEF NURSING OFFICER PVH50.000.00$295,014$0$58,084Yes (X)
ANDREW HARMON
DIRECTOR OF PHARMACY29.0021.00$131,551$97,481$50,691Yes (X)
GRACE KOWALYSHYN-TAYLOR
VP OF OPERATIONS22.0027.00$146,012$185,273$58,914Yes (X)
WILLIAM NEFF
ASSOCIATE CHIEF MEDICAL OFFICER22.0027.00$126,696$160,030$16,115Yes (X)
RYAN ROHMAN
CHIEF OPERATING OFFICER22.0027.00$182,505$231,578$13,418Yes (X)
ANGELICA THIEL
DIRECTOR OF IMAGING22.0027.00$80,054$101,116$45,774Yes (X)
ANNETTE VIZENA
VP CHIEF QUALITY OFFICER22.0027.00$172,953$218,455$40,222Yes (X)
JILLIAN BUSCH
PSYCHIATRIST50.000.00$365,168$0$55,376Yes (X)
AARON MENG
PSYCHIATRIST50.000.00$343,671$0$55,445Yes (X)
HERMANN MORENO
PSYCHIATRIST50.000.00$337,318$0$55,376Yes (X)
KENNETH WATANABE
PSYCHIATRIST50.000.00$322,293$0$57,902Yes (X)
JANELL WOZNIAK
PGRM DIRECTOR FAMILY MED CENTER50.000.00$366,600$0$54,552Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,927,073TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,300,038TotReportableCompRltdOrgAmt
Total Other Compensation$711,247TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K434IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
VAYA WORKFORCE SOLUTIONS
5930 CORNERSTONE CT WEST ST 300SAN DIEGOCA92121CONTRACT LABOR$5,358,623
NORTHERN COLORADO HOSPITALISTS
2121 E HARMONY RD STE 300FORT COLLINSCO80528MEDICAL$4,650,660
ALLIED BARTON SECURITY
PO BOX 31001-2374PASADENACA91110SECURITY$3,878,932
NORTHERN COLORADO ANESTHESIA
1236 E ELIZABETH ST STE 1FORT COLLINSCO80524MEDICAL$3,413,708
ORTHOPAEDIC & SPINE CENTER OF THE ROCKIE
2500 E PROSPECT RDFORT COLLINSCO80525MEDICAL$2,655,645
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
Related Organizations$435,744RelatedOrganizationsAmt
Government Grants$103,686GovernmentGrantsAmt
All Other Contributions$11,406AllOtherContributionsAmt
Noncash Contributions$217,082NoncashContributionsAmt
Total Contributions$550,836TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SVC REV900099$749,260,385$749,260,385
PROVIDER FEE INCOME621400$29,455,132$29,455,132
JOINT VENTURE621400$8,045,549$8,046,514-$965
LAB SERVICES621400$6,938,895$6,938,895
DIETARY SVC INCOME900099$2,651,177$2,651,177

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,133,561TotalRevenueColumnAmt
Related Or Exempt Func Income$1,118,919RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$14,642UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$797,484,699TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,924,429TotalRevenueColumnAmt
Exclusion$52,924,429ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,132,582RealAmt
Personal$6,675PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,354,053RealAmt
Personal$6,675PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$778,529RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$778,529TotalRevenueColumnAmt
Exclusion$778,529ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,001,156,121SecuritiesAmt
Other$227,606OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,017,950,207SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$16,794,086SecuritiesAmt
Other$227,606OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$16,566,480TotalRevenueColumnAmt
Exclusion-$16,566,480ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$208,652GrossSalesOfInventoryAmt
Cost Of Goods Sold$121,230CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$87,422TotalRevenueColumnAmt
Exclusion$87,422ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER REVENUE621400$4,495,753$4,495,753
RENT INCOME - AFFILIAT532000$2,504,960$2,504,960
FieldValueIRS element (for citing)
Other Revenue Total$7,000,713OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$842,260,148TotalRevenueColumnAmt
Related Or Exempt Func Income$801,820,558RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$13,677UnrelatedBusinessRevenueAmt
Exclusion$39,875,077ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$65,197,578TotalAmt
Program Services$65,197,578ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,088,688TotalAmt
Program Services$740,308ProgramServicesAmt
Management And General$1,348,380ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$248,581,710TotalAmt
Program Services$211,678,966ProgramServicesAmt
Management And General$36,902,744ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$24,469,135TotalAmt
Program Services$20,704,492ProgramServicesAmt
Management And General$3,764,643ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$45,502,604TotalAmt
Program Services$38,502,405ProgramServicesAmt
Management And General$7,000,199ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,209,514TotalAmt
Program Services$2,715,722ProgramServicesAmt
Management And General$493,792ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,351,094TotalAmt
Management And General$1,351,094ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$61,544TotalAmt
Management And General$61,544ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$37,414TotalAmt
Management And General$37,414ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,971,540TotalAmt
Management And General$2,971,540ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$41,093,245TotalAmt
Program Services$30,334,230ProgramServicesAmt
Management And General$10,759,015ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,271,011TotalAmt
Program Services$3,207,335ProgramServicesAmt
Management And General$63,676ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,415,551TotalAmt
Program Services$5,898,714ProgramServicesAmt
Management And General$516,837ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,485,867TotalAmt
Program Services$12,045,714ProgramServicesAmt
Management And General$1,440,153ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,082,240TotalAmt
Program Services$4,258,381ProgramServicesAmt
Management And General$823,859ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,420,594TotalAmt
Program Services$1,220,583ProgramServicesAmt
Management And General$200,011ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$593,927TotalAmt
Program Services$288,275ProgramServicesAmt
Management And General$305,652ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,126,481TotalAmt
Program Services$4,931,221ProgramServicesAmt
Management And General$195,260ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$30,188,227TotalAmt
Program Services$22,019,848ProgramServicesAmt
Management And General$8,168,379ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$986,476TotalAmt
Program Services$920,998ProgramServicesAmt
Management And General$65,478ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$151,504,590$151,493,317$11,273
PROVIDER FEE EXPENSE$39,274,685$39,274,685
BAD DEBT$26,885,484$26,875,164$10,320
REPAIRS & MAINTENANCE$14,985,716$10,316,990$4,668,726

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,923,064TotalAmt
Program Services$4,162,155ProgramServicesAmt
Management And General$2,760,909ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$740,707,979TotalAmt
Program Services$656,787,081ProgramServicesAmt
Management And General$83,920,898ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$93,622,713BOYAmt
EOY$67,569,167EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,312,627BOYAmt
EOY$2,385,126EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$77,986,417BOYAmt
EOY$79,524,220EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,200,604BOYAmt
EOY$14,589,153EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,364,394BOYAmt
EOY$9,886,054EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$839,213,504LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$454,462,215LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$297,084,338BOYAmt
EOY$384,751,289EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,817,759,288BOYAmt
EOY$2,026,497,136EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$46,727,749BOYAmt
EOY$41,822,202EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,023,988,981BOYAmt
EOY$8,275,193,445EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,385,047,111BOYAmt
EOY$10,902,217,792EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$106,670,601BOYAmt
EOY$97,954,535EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$898,152BOYAmt
EOY$1,210,652EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$143,542,807BOYAmt
EOY$135,786,666EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$67,724,485EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$37,961BOYAmt
EOY$46,262EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,461,311,669BOYAmt
EOY$7,661,058,183EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,712,461,190BOYAmt
EOY$7,963,780,783EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,672,585,921BOYAmt
EOY$2,938,437,009EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,672,585,921BOYAmt
EOY$2,938,437,009EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,385,047,111BOYAmt
EOY$10,902,217,792EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$101,552,169ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$164,268,640NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$30,279OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$17,939DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$19,475OtherActivitiesAmt
Total Lobbying Expenditures$37,414TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPORTION OF DUES FROM MEMBERSHIP IN CHA AND AHA THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES - $19,475. INTERNAL STAFF TIME AND EXPENSE SPENT ON DIRECT LOBBYING ACTIVITIES - $17,939.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,505,139BeginningYearBalanceAmt
Contributions$15,248ContributionsAmt
Investment Earnings Or Losses$739,495InvestmentEarningsOrLossesAmt
Grants Or Scholarships$51,797GrantsOrScholarshipsAmt
Other Expenditures$256,647OtherExpendituresAmt
End Year Balance$7,951,438EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,519,574BeginningYearBalanceAmt
Contributions$80,607ContributionsAmt
Investment Earnings Or Losses-$772,629InvestmentEarningsOrLossesAmt
Grants Or Scholarships$45,447GrantsOrScholarshipsAmt
Other Expenditures$242,696OtherExpendituresAmt
Administrative Expenses$34,270AdministrativeExpensesAmt
End Year Balance$7,505,139EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,696,043BeginningYearBalanceAmt
Contributions$67,691ContributionsAmt
Investment Earnings Or Losses$1,053,774InvestmentEarningsOrLossesAmt
Grants Or Scholarships$36,975GrantsOrScholarshipsAmt
Other Expenditures$222,882OtherExpendituresAmt
Administrative Expenses$38,077AdministrativeExpensesAmt
End Year Balance$8,519,574EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,552,046BeginningYearBalanceAmt
Contributions$76,521ContributionsAmt
Investment Earnings Or Losses$186,928InvestmentEarningsOrLossesAmt
Grants Or Scholarships$28,707GrantsOrScholarshipsAmt
Other Expenditures$55,954OtherExpendituresAmt
Administrative Expenses$34,791AdministrativeExpensesAmt
End Year Balance$7,696,043EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,528,946BeginningYearBalanceAmt
Contributions$61,289ContributionsAmt
Investment Earnings Or Losses$260,065InvestmentEarningsOrLossesAmt
Grants Or Scholarships$33,759GrantsOrScholarshipsAmt
Other Expenditures$234,908OtherExpendituresAmt
Administrative Expenses$29,587AdministrativeExpensesAmt
End Year Balance$7,552,046EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.05740BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.85410PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.08850TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,004,543OtherCostOrOtherBasisAmt
Book Value$58,004,543BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$295,279,334OtherCostOrOtherBasisAmt
Depreciation$153,559,799DepreciationAmt
Book Value$141,719,535BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$89,472,728OtherCostOrOtherBasisAmt
Depreciation$81,838,934DepreciationAmt
Book Value$7,633,794BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$211,883,612OtherCostOrOtherBasisAmt
Depreciation$161,440,190DepreciationAmt
Book Value$50,443,422BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$184,573,287OtherCostOrOtherBasisAmt
Depreciation$57,623,292DepreciationAmt
Book Value$126,949,995BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$384,751,289TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLE$8,182,013,766
DEFERRED PENSION OUTFLOW COSTS$23,894,030
OTHER RECEIVABLES$2,973,957
LEASE RECEVIABLE LT$13,905,224
DEFERRED OUTFLOW PUBLIC PRIVATE PARTNERSHIP$52,406,468
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,275,193,445TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES$7,549,637,694
ACCRUED INTEREST PAYABLE$1,231,811
OTHER DEFERRED EXPENSES$4,899,576
PENSION LIABILITIES$37,468,762
DEFERRED INFLOW OF LEASES$12,714,826
PUBLIC PRIVATE PARTNERSHIP LIABILITY TRANSFER$55,105,514
FieldValueIRS element (for citing)
Total Liability$7,661,058,183TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$971,895,382TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$164,268,640NetUnrealizedGainsInvstAmt
Other Revenue$1,481,958OtherRevenueAmt
Revenue Not Reported$165,750,598RevenueNotReportedAmt
Revenue Subtotal$806,144,784RevenueSubtotalAmt
Investment Expenses Not Incld$2,971,540InvestmentExpensesNotIncldAmt
Other Revenues Not Included$33,143,824OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$36,115,364RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$842,260,148TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$709,110,591TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,481,958OtherExpensesIncludedAmt
Expenses Not Reported$1,481,958ExpensesNotReportedAmt
Expenses Subtotal$707,628,633ExpensesSubtotalAmt
Investment Expenses Not Incld2$2,971,540InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$30,107,806OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$33,079,346ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$740,707,979TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:ENDOWMENT FUNDS ARE USED FOR THE INTENDED PURPOSE TO FUND SCHOLARSHIPS, EDUCATION, PROGRAMS, AND COMMUNITY BENEFIT. TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE FOUNDATION HAVE BEEN LIMITED BY THE DONOR TO A SPECIFIC TIME PERIOD OR PURPOSE. THESE NET ASSETS ARE AVAILABLE FOR VARIOUS HEALTH CARE PURPOSES AS DEFINED BY DONORS. THE ENDOWMENT FUND IS OWNED BY UCHEALTH NORTHERN COLORADO FOUNDATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 1,360,728. COGS REPORTED AS EXPENSE ON AFS 121,230.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR UNCOLLECTIBLE ACCOUNTS 26,875,164. RENTAL EXP AS INCOME ON 990 19,137. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 14,642. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS 3,036,018. INTERCO EXPENSE ALLOCATIONS RECLASS 2,980,200. CASH CONTRIBUTIONS FROM FDN NOT IN AFS REVENUE 218,663.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 1,360,728. COGS REPORTED AS EXPENSE ON AFS 121,230.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT IN AFS INCOME 26,875,164. RENTAL EXP AS INCOME ON 990 19,137. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 14,642. CASH CONTRIBUTIONS FROM FOUNDATION NOT IN AFS REVENUE 218,663. INTERCO EXPENSE ALLOCATIONS RECLASS 2,980,200.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,411,038TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$269,990DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,141,048NetCommunityBenefitExpnsAmt
Total Expense0.00500TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$114,918,511TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$77,108,403DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,810,108NetCommunityBenefitExpnsAmt
Total Expense0.04610TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,069,026TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,600,281DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,468,745NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$136,398,575TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$89,978,674DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,419,901NetCommunityBenefitExpnsAmt
Total Expense0.05650TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,810,327TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$218,796DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,591,531NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,086,145TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,024,825DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,061,320NetCommunityBenefitExpnsAmt
Total Expense0.00740TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,493,116TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,164,641DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,328,475NetCommunityBenefitExpnsAmt
Total Expense0.01010TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$543,349TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$128,390DirectOffsettingRevenueAmt
Net Community Benefit Expns$414,959NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,210,572TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$65,210,572NetCommunityBenefitExpnsAmt
Total Expense0.07950TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$93,143,509TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,536,652DirectOffsettingRevenueAmt
Net Community Benefit Expns$83,606,857NetCommunityBenefitExpnsAmt
Total Expense0.10190TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$229,542,084TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$99,515,326DirectOffsettingRevenueAmt
Net Community Benefit Expns$130,026,758NetCommunityBenefitExpnsAmt
Total Expense0.15840TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,763TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,763NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$117,856TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$117,856NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$119,619TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$119,619NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$27,642,051BadDebtExpenseAmt
Reimbursed By Medicare$151,885,385ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$176,428,941CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$24,543,556MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (8 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 HARMONY SURGERY CENTER LLC
AMBULATORY SURG0.500000.50000
2 PEAK SURGICAL MANAGEMENT
MANAGEMENT SERVICES0.140000.86000
3 HARMONY IMAGING CENTER LLC
MEDICAL IMAGING0.460000.54000
4 SURGERY CENTER OF FORT COLLINS
AMBULATORY SURG0.260000.49000
5 GATEWAY MEDICAL SERVICES
REAL ESTATE/MEDICAL EQUIPMENT0.500000.50000
6 PVHS-ICM EHW LLC
MEDICAL CLINIC0.500000.50000
7 OCR OF LOVELAND LLC
AMBULATORY SURG0.500000.50000
8 OCR OF FT COLLINS LLC
AMBULATORY SURG0.500000.50000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1POUDRE VALLEY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11024 S LEMAYAddressLine1Txt
CityFORT COLLINSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80524ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherPHARMACY, LAB, IMAGING, BIRTH CENTER, HEART AND VASCULAROtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1POUDRE VALLEY HEALTH CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.UCHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.UCHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.UCHEALTH.ORG/BILLING-AND-PRICING/FINANCIAL-ASSISTANCE/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.UCHEALTH.ORG/BILLING-AND-PRICING/FINANCIAL-ASSISTANCE/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.UCHEALTH.ORG/BILLING-AND-PRICING/FINANCIAL-ASSISTANCE/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
POUDRE VALLEY HEALTH CAREPART V, SECTION B, LINE 5: PVH/MCR ASKED MEMBERS OF THE LARIMER COUNTY COMMUNITY TO RESPOND TO THE SURVEY TO HELP SELECT IDENTIFIED HEALTH NEEDS IN LARIMER COUNTY. A SURVEY WAS SENT TO 50 IMPACTFUL COMMUNITY ORGANIZATIONS/PEOPLE, INCLUDING THOSE WHO REPRESENT UNDERSERVED POPULATIONS, HIGHER EDUCATION, LOCAL SCHOOL DISTRICT SUPERINTENDENTS, THE SHERIFF'S OFFICE, AND LARIMER COUNTY, INCLUDING THOSE WHO ARE ACTIVELY INVOLVED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR LARIMER COUNTY. RESPONSES WERE RECEIVED FROM 39 PEOPLE, A 78% RESPONSE RATE.
POUDRE VALLEY HEALTH CAREPART V, SECTION B, LINE 6A: POUDRE VALLEY HOSPITAL (PVH) AND MEDICAL CENTER OF THE ROCKIES (MCR) PREPARED A JOINT CHNA AS BOTH HOSPITALS SERVE RESIDENTS FROM THE SAME GEOGRAPHIC LOCATIONS.
POUDRE VALLEY HEALTH CAREPART V, SECTION B, LINE 6B: IN 2022, THE CHNA PROCESS FOR MEDICAL CENTER OF THE ROCKIES (MCR) AND POUDRE VALLEY HOSPITAL (PVH), INCLUDED A MULTI-PHASED APPROACH TO IDENTIFY THE TOP HEALTH PRIORITIES AND A COMPREHENSIVE ANALYSIS OF LOCAL POPULATION HEALTH INDICATORS, SOLICITATION OF COMMUNITY INPUT ON LOCAL HEALTH ISSUES THROUGH A WEB-BASED SURVEY AND A WEB-BASED SURVEY DISTRIBUTED TO HEALTH CARE PROVIDERS AT PVH AND MCR TO GATHER INPUT ON COMMUNITY HEALTH NEEDS.
POUDRE VALLEY HEALTH CAREPART V, SECTION B, LINE 11: EXAMPLES OF HOW PVH/MCR IS ADDRESSING ISSUES RELATED TO ACCESS TO CARE FOR VULNERABLE INDIVIDUALS INCLUDES STAFFING A RN HOME VISIT PROGRAM FOR POSTPARTUM WOMEN WHO ARE ELIGIBLE FOR OR ENROLLED IN MEDICAID. NURSES ASSESS THE NEWBORN, PROVIDE THE MOTHER WITH LACTATION COUNSELING, SELF-CARE GUIDELINES AND ACHIEVE AN INCREASE IN THE MOTHER'S CONFIDENCE TO CARE FOR HER NEWBORN. ADDITIONALLY, COMPREHENSIVE CARE COORDINATION SERVICES ASSIST FAMILIES OF CHILDREN WITH SPECIAL HEALTH CARE NEEDS AS WELL AS VULNERABLE ADULTS WITH MEDICALLY COMPLEX, CHRONIC CONDITIONS. TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES, PVH/MCR IS EXPANDING THE USE OF TECHNOLOGY TO PROVIDE TELE-PSYCH SERVICES TO RESIDENTS WHO ARE NOT ABLE TO ACCESS A LOCAL MENTAL HEALTH PROVIDER OR TO BRIDGE GAPS IN PROVIDER AVAILABILITY. WE ARE ALSO EMBEDDING TEAMS OF LICENSED CLINICAL SOCIAL WORKERS AND PSYCHOLOGISTS INTO PRIMARY CARE PRACTICES. FOR PERSONS WITH SUBSTANCE USE DISORDERS, PVH/MCR DIRECTS RESOURCES TO PROVIDING MEDICALLY ASSISTED ADDICTION TREATMENT AS WELL AS PARTICIPATING IN THE COLORADO ALTERNATIVES TO OPIOIDS TREATMENT PROTOCOLS. INCREASED SCREENING AND REFERRAL TO TREATMENT FOR PERSONS USING ALCOHOL HAS ALSO BEEN IMPLEMENTED. THE IDENTIFIED HEALTH ISSUES ARE DESCRIBED IN THE 2022-24 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE FULL SPECTRUM OF SERVICES AND PROGRAMS ARE NOTED IN THE 2023-25 IMPLEMENTATION STRATEGY REPORT POSTED TO THE UCHEALTH WEBSITE: HTTPS://WWW.UCHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PREVIOUS ASSESSMENTS AND IMPLEMENTATION STRATEGIES CAN BE FOUND THERE AS WELL.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - UCHEALTH HARMONY CAMPUS AMBULATORY CARE
2127 E HARMONY RDFORT COLLINSCO80528SURGERY CENTER, IMAGING
2 - CENTRE AVE HEALTH AND REHAB - JV
915 CENTRE AVEFORT COLLINSCO80526REHABILITATION
3 - SURGERY CENTER OF FT COLLINS - JV
1100 E PROSPECTFORT COLLINSCO80524SURGERY CENTER
4 - COLUMBINE POUDRE HOMECARE - JV
915 CENTRE AVEFORT COLLINSCO80526HOME HEALTHCARE
6 - OCR LOVELAND
3470 E 15TH STREETLOVELANDCO80538SURGERY CENTER
7 - OCR FORT COLLINS
2500 E PROSPECTFORT COLLINSCO80525SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:LINE 7A LINE 7A WAS DERIVED USING A COST-TO-CHARGE RATIO FROM THE COST REPORT.THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINE 7B AND 7C. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE TO COST-TO-CHARGES.
PART I, LINE 7G:INCLUDES PHYSICIAN GROUPS AS A SUBSIDIZED SERVICE. THESE CLINICS PROVIDE SERVICES IN UNDERSERVED AREAS IN COLORADO, NEBRASKA AND WYOMING.
PART I, LN 7 COL(F):TOTAL BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR PRIOR TO THE PERCENTAGE CALCULATION = $27,642,051
PART III, LINE 2:ACCOUNTS WITH UNRESOLVED PATIENT LIABILITY AFTER REASONABLE COLLECTION EFFORTS, SET BY POLICY AND IN CONJUNCTION WITH FEDERAL, STATE, AND PAYOR SPECIFIC REGULATIONS, WILL BE ASSIGNED TO BAD DEBT. THESE ACCOUNTS SHALL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY, OR IN SELECTED INSTANCES, ATTORNEYS, FOR ADDITIONAL COLLECTION ACTIVITIES.
PART III, LINE 4:PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ALLOWANCES FOR DOUBTFUL ACCOUNTS, CONTRACTUAL ADJUSTMENTS, AND MEDICALLY INDIGENT ALLOWANCES.PART III, LINE 5: MEDICARE REVENUE WAS COMPUTED AS FOLLOWS:PVHC COST REPORT: $132,276,391CENTER AVE COST REPORT: $1,565,412COLUMBINE HOMECARE COST REPORT: $1,022,106PVHC DISALLOWED PROGRAMS: $4,472,741JOINT VENTURES: $12,548,435TOTAL TO LINE 5: $151,885,085PART III, LINE 6: ALLOWABLE COSTS AS REPORTED ON THE POUDRE VALLEY HEALTH CARE INC. FY22 COST REPORT AGGREGATED WITH DISREGARDED ENTITIES AND OWNERSHIP PORTIONS OF JOINT VENTURES. PART III, LINE 6: MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS WAS COMPUTED AS FOLLOWS:PVHC COST REPORT: $150,756,021CENTRE AVE COST REPORT: $6,936,337COLUMBINE HOMECARE COST REPORT: $1,606,947 PVHC DISALLOWED PROGRAMS: $2,525,524JOINT VENTURES: $14,604,112TOTAL TO LINE 6: $176,428,941
PART III, LINE 8:APPROXIMATELY 31.11% OF NET PATIENT SERVICE REVENUE IS FROM PARTICIPATION IN THE MEDICARE PROGRAM, THUS PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES TO A SIGNIFICANT PORTION OF THE COMMUNITY POPULATION.
PART III, LINE 9B:IF UCHEALTH DETERMINES THAT AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE FOLLOWING UCHEALTH'S REVIEW OF A COMPLETE APPLICATION, UCHEALTH WILL REVERSE ECAS (IF ANY) AND WILL REFUND AMOUNTS PREVIOUSLY PAID FOR CARE COVERED BY THIS POLICY IN EXCESS OF THE AMOUNT OWED, EXCEPT OVERPAYMENTS THAT ARE $5 OR LESS. IF THE GUARANTOR STILL OWES ANY AMOUNT, UCHEALTH WILL PROVIDE AN UPDATED BILLING STATEMENT SHOWING HOW THE ADJUSTED AMOUNT WAS DETERMINED.
PART VI, LINE 2:SEE NARRATIVES FOR PART V, SECTION B, LINES 5 AND 6B.
PART VI, LINE 3:THERE ARE SEVERAL WAYS WE NOTIFY THE PATIENT AND ATTEMPT TO ASSIST THEM. FOR SURGERIES AND HIGH DOLLAR SCHEDULED PROCEDURES, WE PROVIDE THEM WITH AN ESTIMATE AT REGISTRATION AND GO OVER ALL FINANCIAL ASSISTANCE OPTIONS AVAILABLE IF THEY ARE INTERESTED. WE ALSO HAVE FINANCIAL COUNSELORS AVAILABLE EACH DAY THAT CAN ANSWER QUESTIONS AND HELP THEM FILL OUT CHARITY APPLICATIONS. ONCE A PERSON HAS RECEIVED CARE IN THE ED, WE ALSO HAVE EDUCATED STAFF THAT ASSISTS THEM AND EDUCATES THEM OF WHAT IS AVAILABLE FOR FINANCIAL ASSISTANCE. IN ADDITION, ONCE A PATIENT DOES RECEIVE A STATEMENT OR BILL, THERE IS INFORMATION ON THE BILL OF WHO THEY CAN CALL TO GET INFORMATION ON FINANCIAL ASSISTANCE. ADDITIONALLY, WE WIDELY PUBLICIZE OUR FINANCIAL ASSISTANCE POLICY AS REQUIRED BY LAW, INCLUDING A PLAIN LANGUAGE SUMMARY.
PART VI, LINE 4:POUDRE VALLEY HEALTH CARE INC. IS A LOCALLY OWNED, PRIVATE, NON-PROFIT ORGANIZATION WITH A STRONG VISION: FROM HEALTHCARE TO HEALTH. BASED IN NORTHERN COLORADO, PVH PROVIDES EVIDENCE-BASED HEALTHCARE AND WELLNESS SERVICES AND PRODUCTS IN COLORADO, NEBRASKA AND WYOMING, ACROSS A SERVICE AREA COVERING MORE THAN 50,000 SQUARE MILES. PVH IS A PART OF THE UCHEALTH WHICH AIMS TO DELIVER THE HIGHEST QUALITY PATIENT CARE WITH THE HIGHEST QUALITY PATIENT EXPERIENCE. THE PARTNERSHIP COMBINES POUDRE VALLEY HOSPITAL, MEDICAL CENTER OF THE ROCKIES, UCHEALTH GREELEY HOSPITAL, UCHEALTH MEDICAL GROUP, UNIVERSITY OF COLORADO HOSPITAL AND MEMORIAL HEALTH SYSTEM INTO AN ORGANIZATION DEDICATED TO BUILDING HEALTHIER COMMUNITIES AND PROVIDING UNMATCHED PATIENT CARE IN THE ROCKY MOUNTAIN WEST. THE ORGANIZATION'S MISSION IS WE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS WE IMPROVE LIVES
PART VI, LINE 5:WE HAVE IMPLEMENTED A MULTITUDE OF PROGRAMS AND SERVICES THAT ADDRESS THE HEALTH NEEDS OF OUR BROADER COMMUNITY TARGETING ALL AGE GROUPS WHILE MAINTAINING A SPECIAL FOCUS ON SERVING VULNERABLE POPULATIONS. WE ALSO GIVE FUNDING TO OTHER ENTITIES THAT WORK TO IMPROVE THE HEALTH OF OUR COMMUNITY. EXAMPLES INCLUDE: DEMENTIA RESOURCES, RESOURCES FOR THOSE WITH DISABILITIES, RESOURCES FOR THOSE EXPERIENCING HOMELESSNESS, HOUSING RESOURCES OFFERING HOMELESSNESS PREVENTION AND HOMEBUYER EDUCATION; IMPROVED FOOD SECURITY FOR LOW INCOME RESIDENTS; SUICIDE PREVENTION; PROGRAMS FOR CHILDREN WHO HAVE BEEN ABUSED AND NEGLECTED; HEART HEALTH, HEALTHY EATING AND SUBSTANCE ABUSE PREVENTION EDUCATION FOR YOUTH AND YOUNG ADULTS; AND MENTAL HEALTH SERVICES FOR THE UNDERSERVED.
PART VI, LINE 6:ALL THE SERVICES WE OFFER ARE AVAILABLE TO ANYONE THAT USES ANY OF OUR FACILITIES IN THE HEALTH SYSTEM. OUR GEOGRAPHY IS NOT THAT LARGE SO WE ARE ABLE TO ACCOMMODATE THE DIFFERENT COMMUNITIES THAT UTILIZE OUR SERVICES WITH THE SAME LEVEL OF COMMUNITY HEALTH PROGRAMMING.
PART VI, LINE 7, REPORTS FILED WITH STATESCO

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
UCHEALTH MEDICAL GROUP
2315 E HARMONY RD 200FORT COLLINSCO80528800348943501(C)(3)$61,177,616$0SEE SCH I, PART IV
UNIVERSITY SCHOOL OF MEDICINE
13001 17TH PLACEAURORACO80045846000555501(C)(3)$3,046,810$0SEE SCH I, PART IV
UCHEALTH NORTHERN COLORADO FOUNDATION
2315 E HARMONY RD 200FORT COLLINSCO80528741894581501(C)(3)$801,530$0SEE SCH I, PART IV
FRONT RANGE COMMUNITY COLLEGE FOUNDATION
3645 W 112TH AVENUEWESTMINSTERCO80031383721881GOVERNMENT$22,037$0SEE SCH I, PART IV
UNITED WAY OF LARIMER COUNTY
424 PINE ST 102FORT COLLINSCO80524846031503501(C)(3)$9,346$0SEE SCH I, PART IV
AMERICAN CANCER SOCIETY
3380 CHASTAIN MEADOWS PKY 200KENNESAWGA30144131788491501(C)(3)$12,273$0SEE SCH I, PART IV
GREELEY PHILHARMONIC ORCHESTRA
PO BOX 1535GREELEYCO80632846031376501(C)(3)$7,508$0SEE SCH I, PART IV
CHEYENNE REGIONAL MEDICAL CENTER FOUNDATION
214 E 23RD STCHEYENNEWY82001830236858501(C)(3)$19,922$0SEE SCH I, PART IV
FOOD FOR THOUGHT DENVER
3559 W 44TH AVEDENVERCO80211812971428501(C)(3)$14,598$0SEE SCH I, PART IV
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION AWARDS GRANTS BASED ON THE BENEFIT TO THE COMMUNITY. THE ORGANIZATION REQUESTS INFORMATION FROM THE GRANTEES TO ENSURE THAT THE FUNDS WILL BE USED FOR THE SPECIFIED PURPOSE. QUESTION I, PART II, COLUMN H PURPOSE OF GRANT OR ASSISTANCE FOR RELATED ENTITIES, THE GRANTS ARE RELATED TO SPECIFIC REQUESTS. THE FUNDS ARE TO BE USED TO BENEFIT THE HEALTHCARE COMMUNITY OF NORTHERN COLORADO. EACH REQUEST IS EVALUATED ON AN INDIVIDUAL BASIS. FOR NON-RELATED COMMUNITY AND GOVERNMENTAL ORGANIZATIONS, THE GRANTS ARE MADE AT THE DISCRETION OF THE ORGANIZATION. THESE DISCRETIONARY GRANTS ARE TO BE USED TO BENEFIT THE HEALTHCARE COMMUNITY OF NORTHERN COLORADO.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEVIN UNGER
CHIEF EXECUTIVE OFFICER$301,090$382,048$98,713$125,255$9,945$12,619$3,952$5,015$12,162$15,432$425,862$540,369$0$0
DIANA BREYER
CHIEF MEDICAL OFFICER$232,686$331,406$36,353$45,917$2,014$2,544$3,738$5,239$12,132$17,002$286,923$402,108$0$0
DAVID THOMPSON
CHIEF FINANCIAL OFFICER$185,755$235,701$34,408$43,660$1,838$2,332$3,912$4,964$11,667$14,803$237,580$301,460$0$0
ANNETTE VIZENA
VP CHIEF QUALITY OFFICER$149,878$189,310$22,606$28,553$469$592$13,848$17,491$3,925$4,958$190,726$240,904$0$0
RYAN ROHMAN
CHIEF OPERATING OFFICER$154,105$195,542$28,060$35,605$340$431$3,952$5,015$1,962$2,489$188,419$239,082$0$0
JANELL WOZNIAK
PGRM DIRECTOR FAMILY MED CENTER$335,232$0$30,153$0$1,215$0$28,853$0$25,699$0$421,152$0$0$0
JILLIAN BUSCH
PSYCHIATRIST$364,892$0$0$0$276$0$28,853$0$26,523$0$420,544$0$0$0
AARON MENG
PSYCHIATRIST$343,217$0$0$0$454$0$28,853$0$26,592$0$399,116$0$0$0
HERMANN MORENO
PSYCHIATRIST$336,126$0$0$0$1,192$0$28,853$0$26,523$0$392,694$0$0$0
GRACE KOWALYSHYN-TAYLOR
VP OF OPERATIONS$122,669$155,652$22,929$29,095$414$526$13,707$17,393$12,259$15,555$171,978$218,221$0$0
KENNETH WATANABE
PSYCHIATRIST$320,517$0$0$0$1,776$0$28,853$0$29,049$0$380,195$0$0$0
ASHLEY BRUNING
CHIEF NURSING OFFICER PVH$248,730$0$45,702$0$582$0$28,135$0$29,949$0$353,098$0$0$0
WILLIAM NEFF
ASSOCIATE CHIEF MEDICAL OFFICER$75,627$95,524$0$0$51,069$64,506$3,829$4,836$3,292$4,158$133,817$169,024$0$0
ANDREW HARMON
DIRECTOR OF PHARMACY$119,859$88,817$11,505$8,526$187$138$12,572$9,316$16,544$12,259$160,667$119,056$0$0
ANGELICA THIEL
DIRECTOR OF IMAGING$72,800$91,953$7,089$8,955$165$208$7,687$9,709$12,539$15,839$100,280$126,664$0$0
GEORGE BOST
DIR LAB SERVICES$101,429$75,160$9,451$7,003$1,877$1,391$8,297$6,148$5,209$3,860$126,263$93,562$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AGROSS-UP PAYMENTS: GROSS UP PAYROLL IS CALCULATED AT YEAR END FOR SPECIAL CHECKS CREATED TO ADD SPECIFIC ITEMS TO EMPLOYEE'S FORM W-2 WAGES INCLUDING COUNTRY CLUB DUES, SPOUSE TRAVEL FOR ANNUAL BOARD RETREAT AND SELECT CONFERENCES, AND IMPUTED INCOME ON LIFE INSURANCE POLICIES. CLUB DUES: THE HEALTH SYSTEM EXPECTS THE HOSPITAL MANAGEMENT TO PARTICIPATE IN COMMUNITY LIFE AND THEREFORE THE SYSTEM PAYS SOCIAL CLUB DUES FOR SPECIFIC MEMBERS OF THE SENIOR MANAGEMENT GROUP. THE CLUB DUES ARE ADDED TO THE SENIOR MANAGEMENT'S FORM W-2 ON AN ANNUAL BASIS.
PART I, LINE 7THE ORGANIZATION OFFERS A BONUS PLAN THAT PAYS A PERCENTAGE OF AN EMPLOYEE'S BASE PAY. THE INTENT OF THE PLAN IS TO REWARD AN EMPLOYEE'S PERFORMANCE TOWARDS ACHIEVEMENT OF STRATEGIC GOALS DURING THE FISCAL YEAR. SUCCESSFUL ACCOMPLISHMENT OF GOALS THAT CONTRIBUTE TO THE ORGANIZATION'S OVERALL STRATEGIC DIRECTION RESULT IN VARIABLE PAYMENTS ALIGNED WITH THE ORGANIZATION'S TOTAL COMPENSATION STRATEGY. THIS PROGRAM REWARDS EMPLOYEES BASED ON ORGANIZATIONAL PERFORMANCE MEASURES AND INDIVIDUAL EMPLOYEE GOAL PERFORMANCE. ALL PAYOUTS ARE CONTINGENT BASED ON THE UCHEALTH BOARD OF DIRECTORS APPROVAL EACH FISCAL YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2018 SERIES A
A841179794914183BH02018-07-26$45,915,000REFUNDING 2005A BONDS000
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2018 SERIES B
B841179794914183BJ62018-07-26$24,374,400REFUNDING 2005B BONDS000
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2017 SERIES A
C841179794914183BB32017-02-16$43,493,450REFUNDING 2015A BONDS000
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2017 SERIES B1B2
D841179794914183BC12017-02-16$57,125,000REFUNDING 2015BC BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmt
A$45,915,000$318,692$45,596,3082018Yes (1)0Yes (1)Yes (1)
B$24,374,400$169,360$24,205,0402018Yes (1)0Yes (1)Yes (1)
C$43,493,450$213,070$43,280,3802017Yes (1)0Yes (1)Yes (1)
D$16,155,000$276,146$56,848,8542017Yes (1)0Yes (1)Yes (1)$40,970,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)0Yes (1)00.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)0Yes (1)00.000000.000000.0000000Yes (1)
C0Yes (1)Yes (1)0Yes (1)00.000000.000000.0000000Yes (1)
D0Yes (1)Yes (1)0Yes (1)00.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
CITI
A0Yes (1)00Yes (1)Yes (1)21.5000000000000000Yes (1)
CITI
B0Yes (1)00Yes (1)Yes (1)21.5000000000000000Yes (1)
CITI
C0Yes (1)000Yes (1)10.0000000000000000Yes (1)
(no name)
D0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2017 SERIES C2
A841179794914183AZ12017-02-16$7,296,822NEW CONSTRUCTION ON PVH000
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2019 SERIES C
B841179794914183BP22019-10-30$6,631,618REFUNDING 2017C1 BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndTotal ProceedsTotalProceedsAmtOther Spent ProceedsOtherSpentProceedsAmt
A$7,296,822$62,956$7,233,866201700Yes (1)Yes (1)
B$42,6422019Yes (1)0Yes (1)Yes (1)$6,631,618$6,588,976

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)0Yes (1)00.000000.000000.0000000Yes (1)
B0Yes (1)Yes (1)0Yes (1)00.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMEDICAL EQUIPMENTDesc
Contribution21ContributionCnt
Noncash Contributions Rpt F990$217,082NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6POUDRE VALLEY HOSPITAL (PVH) HAD 287 ACTIVE VOLUNTEERS IN FISCAL YEAR 2023. THESE VOLUNTEERS PROVIDED OVER 42,000 HOURS OF SERVICE DURING THE YEAR. AT PVH, VOLUNTEERS PLAY AN INTEGRAL ROLE IN PROVIDING MUCH NEEDED SUPPORT FOR PATIENTS, VISITORS, PHYSICIANS, AND STAFF. FROM ASSISTING IN SURGERY AND CARDIAC WAITING ROOMS, INFORMATION DESK, GIFT SHOP, VOLUNTEER PATIENT LIAISONS, BABY KNITTERS, VOLUNTEENS, AND PET THERAPY TO NAME JUST A FEW OF THE MANY PROGRAMS. EVERY VOLUNTEER CONTRIBUTES TO THE SUCCESS OF THE UCHEALTH NORTH TO ENHANCE THE COMFORT AND CARE OF THE PATIENTS AND THEIR FAMILIES.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY INDEPENDENT CPAS. A PRELIMINARY DRAFT IS REVIEWED BY THE INTERNAL FINANCE DEPARTMENT. THE FINAL COPY OF THE FORM 990 IS PROVIDED IN AN ELECTRONIC FORMAT TO ALL BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES COMPLETION OF THE FORM ON AN ANNUAL BASIS BY THE BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. COMPLETED FORMS ARE SUBMITTED AND REVIEWED BY THE INTERNAL COMPLIANCE DEPARTMENT TO ENSURE COMPLIANCE WITH THE WRITTEN POLICY. ANY QUESTIONS OR ULTIMATE ENFORCEMENT WOULD BE HANDLED BY THE COMPLIANCE DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15UCHEALTH CONTRACTS WITH SULLIVAN COTTER FOR SENIOR EXECUTIVE COMPENSATION CONSULTING SERVICES. ON OUR BEHALF, THE SULLIVAN COTTER COLLECTS AND REVIEWS COMPENSATION LEVELS FROM LIKE ORGANIZATIONS FOR LIKE JOBS AND PROVIDES UCHEALTH WITH THE COMPARATIVE MARKET DATA. THE DATA IS SUBMITTED TO THE CHIEF HUMAN RESOURCES OFFICER WHO ADVISES THE SYSTEM PRESIDENT AND CEO ON COMPENSATION DECISIONS FOR SENIOR EXECUTIVES. BASED ON THE MARKET DATA, THE SYSTEM PRESIDENT AND CEO DETERMINE THE SALARY OF THE ENTITY CEO'S COMPENSATION ANNUALLY. OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE REVIEWED ANNUALLY BY AN INTERNAL HUMAN RESOURCES COMPENSATION TEAM. PUBLISHED COMPENSATION REPORTS ARE UTILIZED TO COMPARE INCUMBENT PAY TO COMPARABLE ROLES IN LIKE-SIZED ORGANIZATIONS. THE DATA IS REVIEWED WITH THE CHIEF HUMAN RESOURCES OFFICER EACH YEAR AND RECOMMENDATIONS FOR CHANGES ARE INCLUDED IN THE FOLLOWING YEARS' BUDGET PLANNING PROCESS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC BASED ON THE BUSINESS PURPOSE FOR THE REQUEST. THESE REQUESTS ARE ADDRESSED BY THE SENIOR MANAGEMENT TEAM ON A CASE BY CASE BASIS.
FORM 990, PART XI, LINE 9:MCR DISTRIBUTIONS TO PVH 7,419,193. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS -3,036,018. PUBLIC PRIVATE PARTNERSHIP LEASE ADOPTION -2,786,543. HERON LAKE NET ASSET ADJ TO UCHMG -657,292. UMA WRITE OFF OLD ENTITY -925,833. TIMBERLINE TO UCHMG 16,772.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1LAKOTA LAKE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12315 E HARMONY RD STE 200AddressLine1Txt
CityFORT COLLINSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80528ZIPCd
FieldValueIRS element (for citing)
EIN841447761EIN
Primary ActivitiesOUTPATIENTPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Total Income$179,018TotalIncomeAmt
End Of Year Assets$51,101,368EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PVHC INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MEDICAL CENTER OF THE ROCKIES
2315 E HARMONY RD STE 200FORT COLLINSCO80528043730045TERTIARY CARECO501(C)(3)LINE 3PVHC INCYes (1)
UCHEALTH NORTHERN COLORADO FOUNDATION
2315 E HARMONY RD STE 200FORT COLLINSCO80528741894581BENEFIT HEALTHCO501(C)(3)LINE 7PVHC INCYes (1)
POUDRE VALLEY MEDICAL GROUP
2315 E HARMONY RD STE 200FORT COLLINSCO80528800348943MEDICAL SERVICESCO501(C)(3)LINE 10PVH INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
HARMONY SURGERY CENTER
2127 E HARMONY RD 200FORT COLLINSCO80528841479751AMBULATORY SURGCON/ARELATED$3,334,735$6,653,028000.50000
CENTRE AVENUE HEALTH AND REHAB
947 WORTHINGTON CIRCLEFORT COLLINSCO80526841560494NURSING FACILITYCON/ARELATED-$1,139,542$463,612000.50000
COLUMBINE POUDRE HOME CARE
947 WORTHINGTON CIRCLEFORT COLLINSCO80526841529817NURSING CARECON/ARELATED-$141,904$453,057000.50000
GATEWAY MEDICAL SERVICES
2500 E PROSPECT RDFORT COLLINSCO80525841427970REAL EST/MEDCON/AUNRELATED$539,193$4,689,498000.50000
HARMONY IMAGING CENTER
1951 WILMINGTON DRIVEFORT COLLINSCO80528582479187MEDICAL IMAGINGCON/ARELATED$237,296$3,522,358000.46000
SURGERY CENTER OF FORT COLLINS
1100 E PROSPECT ROADFORT COLLINSCO80525841541559SURGICAL PROCCON/AUNRELATED-$200,293$444,114000.26000
PVHS-ICM EHW
2315 E HARMONY RD STE 200FORT COLLINSCO80528463311308MEDICAL SERVICESCON/ARELATED$54,089$304,492000.50000
PEAK SURGICAL MANAGEMENT
2127 E HARMONY RD 200FORT COLLINSCO80528260899618SURGICAL MGMTCON/AUNRELATED$201,201$94,333000.14290
OCR LOVELAND
2500 E PROSPECT RDFORT COLLINSCO80525301069701AMBULATORY SURGCON/AUNRELATED$3,937,369$3,398,409000.10000
OCR FT COLLINS
2500 E PROSPECT RDFORT COLLINSCO80525611896214AMBULATORY SURGCON/AUNRELATED$1,240,638$1,001,727000.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1INNOVATION ENTERPRISESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12315 E HARMONY RD STE 200AddressLine1Txt
CityFORT COLLINSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80528ZIPCd
FieldValueIRS element (for citing)
EIN202036774EIN
Primary ActivitiesIT CONSULTINGPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PVHCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$16,071ShareOfTotalIncomeAmt
Share Of EOY Assets$155,968ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (22 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
INNOVATION ENTERPRISES
A$366,262TRANSACTION TOTAL
HARMONY SURGERY CENTER
A$936,540TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
B$61,177,616TRANSACTION TOTAL
CENTRE AVE HEALTH & REHAB LLC
B$500,000TRANSACTION TOTAL
UCHEALTH NORTHERN COLORADO FOUNDATION
B$801,530TRANSACTION TOTAL
UCHEALTH NORTHERN COLORADO FOUNDATION
C$435,744TRANSACTION TOTAL
INNOVATION ENTERPRISES
J$120,328TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
J$3,739,371TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
L$4,939,148TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
L$10,989,585TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
M$5,205,443TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
N$1,657,764TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
N$1,161,960TRANSACTION TOTAL
HARMONY SURGERY CENTER
Q$687,349TRANSACTION TOTAL
GATEWAY MEDICAL SERVICES
S$83,138TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
S$7,419,193TRANSACTION TOTAL
HARMONY SURGERY CENTER
S$3,025,000TRANSACTION TOTAL
OCR LOVELAND
S$3,595,271TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
H$103,728TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP
H$1,241,019TRANSACTION TOTAL
OCR FT COLLINS
S$1,545,385TRANSACTION TOTAL
INNOVATION ENTERPRISES
S$1,961,773TRANSACTION TOTAL