BRIGHTON COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- BRIGHTON COMMUNITY HOSPITAL ASSOCIATION (EIN 84-0482695)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-10-27
- IRS object ID
- 202123009349300437
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-10-27T10:19:09-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840482695 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRIG | BusinessNameControlTxt |
| Phone | 3034981600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 PRAIRIE CENTER PARKWAY | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TROY STOEHR | PersonNm |
| Person Title | VP FINANCE & CFO | PersonTitleTxt |
| Phone | 3034981600 | PhoneNum |
| Signature | 2021-10-22 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TROY | PersonFirstNm |
| Person Last | STOEHR | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLATTE VALLEY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN HICKS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 PRAIRIE CENTER PARKWAY | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $169,484,308 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SEE SCHEDULE O | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | FOSTER OPTIMAL HEALTH FOR ALL | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1214 | TotalEmployeeCnt |
| Total Volunteers | 44 | TotalVolunteersCnt |
| Total Gross UBI | $92,344 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $74,812 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,727,446 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $165,466,238 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $150,898,202 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,469,336 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,744,658 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,061,033 | PYOtherRevenueAmt |
| CY Other Revenue | $1,882,480 | CYOtherRevenueAmt |
| PY Total Revenue | $171,071,419 | PYTotalRevenueAmt |
| CY Total Revenue | $168,252,786 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $432,451 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $500,374 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $64,292,488 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $68,126,796 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $95,613,948 | PYOtherExpensesAmt |
| CY Other Expenses | $100,153,599 | CYOtherExpensesAmt |
| PY Total Expenses | $160,338,887 | PYTotalExpensesAmt |
| CY Total Expenses | $168,780,769 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,732,532 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$527,983 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $306,292,336 | TotalAssetsBOYAmt |
| Total Assets EOY | $303,535,497 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $91,574,538 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $87,411,598 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $214,717,798 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $216,123,899 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FOSTER OPTIMAL HEALTH FOR ALL | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $144,451,317 | ExpenseAmt |
| Grant | $500,374 | GrantAmt |
| Revenue | $151,273,946 | RevenueAmt |
| Desc | PLATTE VALLEY MEDICAL CENTER (PVMC) BECAME THE FIRST PRIVATE GENERAL MEDICAL-SURGICAL HOSPITAL IN ADAMS AND SOUTHERN WELD COUNTIES IN 1960. FOR 47 YEARS, PLATTE VALLEY MEDICAL CENTER WAS LOCATED ON SEVEN ACRES AT 18TH AND BRIDGE STREET IN BRIGHTON. IN 2007, PLATTE VALLEY MEDICAL CENTER MOVED TO A 50-ACRE CAMPUS AT I-76 AND 144TH AVENUE.TODAY, PLATTE VALLEY IS A 98-BED COMMUNITY HOSPITAL. AS A MEMBER OF THE SCL HEALTH SYSTEM, PVMC HAS BEEN DESIGNATED ONE OF THE WORLD'S MOST PATIENT-CENTERED HOSPITALS BY PLANETREE, INC. PLATTE VALLEY'S 10 PILLARS OF HEALING ARE INCORPORATED INTO EVERY PATIENT EXPERIENCE. THEY INCLUDE HUMAN INTERACTIONS, FAMILY, FRIENDS AND SOCIAL SUPPORT, ARCHITECTURAL HEALING DESIGN, EDUCATION AND INFORMATION, NUTRITION, HEALING ARTS, SPIRITUALITY, HEALING TOUCH, INTEGRATIVE THERAPIES, AND HEALTHY COMMUNITIES.DURING 2020, PVMC HAD THE FOLLOWING RESULTS:2,989 ADMISSIONS91,807 OUTPATIENT VISITS 22,384 EMERGENCY DEPARTMENT VISITS 740 BIRTHS 3,084 SURGERIES298,159 LABORATORY TESTSSERVICESWITH OVER 120 PHYSICIANS REPRESENTING MORE THAN 45 SPECIALTIES, PLATTE VALLEY MEDICAL CENTER OFFERS HIGH-LEVEL SERVICES FOUND IN LARGER METROPOLITAN HOSPITALS. SOME OF THE SERVICES OFFERED INCLUDE:ALLERGY, IMMUNOLOGY & ASTHMA, AMBULANCE SERVICE, CARDIOVASCULAR SERVICES, CRITICAL CARE, DERMATOLOGY, EAR, NOSE, & THROAT, EMERGENCY SERVICES, FAMILY MEDICINE, GASTROENTEROLOGY, HEMATOLOGY, INFECTIOUS DISEASE, INTERNAL MEDICINE, MEDICAL IMAGING, NEONATOLOGY, NEUROSURGERY, NEUROLOGY, OBSTETRICS & GYNECOLOGY, ONCOLOGY, OPHTHALMOLOGY, OPTOMETRY, ORTHOPEDICS, PEDIATRICS, PHARMACY, PHYSICAL MEDICINE & REHAB, PODIATRY, PULMONARY MEDICINE, SLEEP MEDICINE, STROKE CENTER, UROLOGY, ADVANCED WOUND CENTER. | Desc |
| Total Program Service Expenses | $144,451,317 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 114 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1214 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KYLE ENGMAN | PersonNm |
| Phone | 3038135543 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 ELDORADO BLVD SUITE 4200 | AddressLine1Txt |
| City | BROOMFIELD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80021 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| TAJQUAH HUDSON | |||||||||
| DIRECTOR | 1.00 | 50.00 | Yes (X) | $50 | $1,067,062 | $183,615 | |||
| SHAWN DUFFORD MD | |||||||||
| DIRECTOR | 1.00 | 50.00 | Yes (X) | $50 | $857,429 | $108,930 | |||
| DANIEL HAMMAN MD | |||||||||
| PHYSICIAN MOUNTAIN VIEW ORTHO | 50.00 | 0.00 | $811,560 | $0 | $49,744 | Yes (X) | |||
| JOHN HICKS | |||||||||
| CEO/PRESIDENT | 50.00 | 0.00 | Yes (X) | $744,067 | $0 | $100,843 | Yes (X) | ||
| MATTHEW GAWART MD | |||||||||
| PHYSICIAN APEX SURGERY PVMC | 50.00 | 0.00 | $758,538 | $0 | $25,516 | Yes (X) | |||
| CHRISTOPHER CANNON MD | |||||||||
| PHYSICIAN HIGH PLAINS | 50.00 | 0.00 | $696,450 | $0 | $41,676 | Yes (X) | |||
| DONALD RABOR MD | |||||||||
| PHYSICIAN HIGH PLAINS | 50.00 | 0.00 | $650,917 | $0 | $47,411 | Yes (X) | |||
| AARON BAXTER MD | |||||||||
| PHYSICIAN MOUNTAIN VIEW ORTHO | 50.00 | 0.00 | $646,145 | $0 | $42,636 | Yes (X) | |||
| KIRK QUACKENBUSH MD | |||||||||
| VP CHIEF MEDICAL OFFICER PVMC | 50.00 | 0.00 | $528,634 | $0 | $31,132 | Yes (X) | |||
| KURT GENSERT | |||||||||
| VP CHIEF OPERATING/NURSING OFFICER PVMC | 50.00 | 0.00 | $389,017 | $0 | $70,016 | Yes (X) | |||
| SEAN FADDEN | |||||||||
| VP FINANCE PVMC 1/1-1/12 | 50.00 | 0.00 | $0 | $268,342 | $56,038 | Yes (X) | |||
| TROY STOEHR | |||||||||
| VP FINANCE PVMC | 50.00 | 0.00 | $235,007 | $0 | $45,609 | Yes (X) | |||
| JEFF BERNARD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $250 | $0 | $0 | |||
| ROD BLUNCK | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $250 | $0 | $0 | |||
| STEVE BRIZENDINE MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $250 | $0 | $0 | |||
| PRADEEP DHAR MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $250 | $0 | $0 | |||
| MIKE DOLAN | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $250 | $0 | $0 | |||
| BOB FEIS | |||||||||
| CHAIR | 2.00 | 0.00 | Yes (X) | $250 | $0 | $0 | Yes (X) | ||
| RICHARD GONZALES | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $250 | $0 | $0 | |||
| FAYE HUMMEL | |||||||||
| PAST CHAIR | 2.00 | 0.00 | Yes (X) | $250 | $0 | $0 | Yes (X) | ||
| MICHELLE LEBLANC-GROSS | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $250 | $0 | $0 | |||
| PATTY MURRAY | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $250 | $0 | $0 | |||
| JEFFREY SIPPEL MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $250 | $0 | $0 | |||
| HEIDI STORZ | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $250 | $0 | $0 | |||
| BRUCE WALKER MD | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $250 | $0 | $0 | |||
| SHAWN WIANT | |||||||||
| VICE CHAIR | 2.00 | 0.00 | Yes (X) | $250 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,463,935 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,192,833 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $803,166 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 112 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INPATIENT SERVICES PC | |||||
| PO BOX 742936 | LOS ANGELES | CA | 900742936 | MEDICAL SERVICES | $1,472,502 |
| ANESTHESIA SVCS OF PLATTE VALLEY PROF LL | |||||
| 1600 PRAIRIE CENTER PKWY | BRIGHTON | CO | 80601 | CONTRACT LABOR | $1,281,716 |
| OFFICESCAPES OF DENVER LLP | |||||
| 9900 E 51ST AVE | DENVER | CO | 80238 | OFFICE FURNITURE | $424,412 |
| COLORADO PATHOLOGY CONSULTANTS | |||||
| PO BOX 840274 | DALLAS | TX | 75248 | MEDICAL SERVICES | $308,963 |
| MAYO COLLABORATIVE SERVICES INC | |||||
| 200 1ST ST SW | ROCHESTER | MN | 554858856 | MEDICAL SERVICES | $281,083 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $798,312 | RelatedOrganizationsAmt |
| Government Grants | $11,921,904 | GovernmentGrantsAmt |
| All Other Contributions | $7,230 | AllOtherContributionsAmt |
| Noncash Contributions | $59,067 | NoncashContributionsAmt |
| Total Contributions | $12,727,446 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $150,898,202 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $150,805,858 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $92,344 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $150,898,202 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,946,470 | TotalRevenueColumnAmt |
| Exclusion | $2,946,470 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,517,806 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,011,070 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,506,736 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,506,736 | TotalRevenueColumnAmt |
| Exclusion | $1,506,736 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $18,640 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $220,452 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$201,812 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$201,812 | TotalRevenueColumnAmt |
| Exclusion | -$201,812 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAFETERIA REVENUE | 722514 | $368,207 | $368,207 |
| EDUCATION CLASSES | 611710 | $6,207 | $6,207 |
| VENDING MACHINE REVENUE | 454210 | $1,330 | $1,330 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $375,744 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $168,252,786 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $151,181,602 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $92,344 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,251,394 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500,374 | TotalAmt |
| Program Services | $500,374 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,156,801 | TotalAmt |
| Program Services | $2,101,648 | ProgramServicesAmt |
| Management And General | $55,153 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,885,348 | TotalAmt |
| Program Services | $52,006,190 | ProgramServicesAmt |
| Management And General | $1,879,158 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,142,534 | TotalAmt |
| Program Services | $1,896,631 | ProgramServicesAmt |
| Management And General | $245,903 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,022,654 | TotalAmt |
| Program Services | $5,924,392 | ProgramServicesAmt |
| Management And General | $98,262 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,919,459 | TotalAmt |
| Program Services | $3,840,582 | ProgramServicesAmt |
| Management And General | $78,877 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,348 | TotalAmt |
| Program Services | $48,348 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,355 | TotalAmt |
| Program Services | $2,355 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,841 | TotalAmt |
| Program Services | $1,841 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,670,496 | TotalAmt |
| Program Services | $8,652,180 | ProgramServicesAmt |
| Management And General | $18,316 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,212,086 | TotalAmt |
| Program Services | $24,469 | ProgramServicesAmt |
| Management And General | $1,187,617 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,966 | TotalAmt |
| Program Services | $309,535 | ProgramServicesAmt |
| Management And General | $13,431 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,355,669 | TotalAmt |
| Program Services | $1,138,553 | ProgramServicesAmt |
| Management And General | $9,217,116 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,208,016 | TotalAmt |
| Program Services | $3,208,016 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,480 | TotalAmt |
| Program Services | $28,805 | ProgramServicesAmt |
| Management And General | $1,675 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,914 | TotalAmt |
| Program Services | $96,914 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,335,533 | TotalAmt |
| Program Services | $2,335,533 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,479,111 | TotalAmt |
| Program Services | $10,479,111 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $882,084 | TotalAmt |
| Program Services | $882,084 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $21,226,548 | $21,226,548 |
| CONTRACT SERVICES | $9,745,109 | $9,745,109 |
| BAD DEBT EXPENSE | $9,261,771 | $9,261,771 |
| PROVIDER FEE | $7,359,007 | $7,359,007 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,915,265 | TotalAmt |
| Program Services | $3,381,321 | ProgramServicesAmt |
| Management And General | $11,533,944 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,780,769 | TotalAmt |
| Program Services | $144,451,317 | ProgramServicesAmt |
| Management And General | $24,329,452 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,294,817 | BOYAmt |
| EOY | $7,977,982 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,970,668 | BOYAmt |
| EOY | $16,779,933 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,095 | BOYAmt |
| EOY | $430,548 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,684,564 | BOYAmt |
| EOY | $3,680,594 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,691,863 | BOYAmt |
| EOY | $1,199,182 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $215,201,849 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $45,567,569 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,625,455 | BOYAmt |
| EOY | $169,634,280 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,760,741 | BOYAmt |
| EOY | $21,203,273 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000,000 | BOYAmt |
| EOY | $10,000,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,188,133 | BOYAmt |
| EOY | $72,629,705 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $306,292,336 | BOYAmt |
| EOY | $303,535,497 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,016,320 | BOYAmt |
| EOY | $29,447,827 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,548 | BOYAmt |
| EOY | $188,064 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,150,432 | BOYAmt |
| EOY | $57,550,162 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,238 | BOYAmt |
| EOY | $225,545 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,574,538 | BOYAmt |
| EOY | $87,411,598 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,717,798 | BOYAmt |
| EOY | $216,123,899 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,717,798 | BOYAmt |
| EOY | $216,123,899 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $306,292,336 | BOYAmt |
| EOY | $303,535,497 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$527,983 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,764,634 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $169,450 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,355 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,355 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PART II-B, LINE (1I): LOBBYING EXPENSES WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE COLORADO HOSPITAL ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,833,173 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $255,617 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $96,668 | OtherExpendituresAmt |
| End Year Balance | $1,992,122 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,734,187 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $121,579 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $22,593 | OtherExpendituresAmt |
| End Year Balance | $1,833,173 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,821,097 | BeginningYearBalanceAmt |
| Contributions | $31,060 | ContributionsAmt |
| Investment Earnings Or Losses | $104,128 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $222,098 | OtherExpendituresAmt |
| End Year Balance | $1,734,187 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,660,267 | BeginningYearBalanceAmt |
| Contributions | $19,481 | ContributionsAmt |
| Investment Earnings Or Losses | $254,286 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $75,000 | GrantsOrScholarshipsAmt |
| Other Expenditures | $37,937 | OtherExpendituresAmt |
| End Year Balance | $1,821,097 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,681,875 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $128,392 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $150,000 | OtherExpendituresAmt |
| End Year Balance | $1,660,267 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,705,100 | OtherCostOrOtherBasisAmt |
| Book Value | $13,705,100 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $156,567,668 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,091,576 | DepreciationAmt |
| Book Value | $129,476,092 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,368,464 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,147,224 | DepreciationAmt |
| Book Value | $4,221,240 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,470,495 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,328,769 | DepreciationAmt |
| Book Value | $21,141,726 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,090,122 | OtherCostOrOtherBasisAmt |
| Book Value | $1,090,122 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $169,634,280 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLES | $71,503,992 |
| THIRD PARTY SETTLEMENTS | $279,934 |
| RENT RECEIVABLES | $172,281 |
| RIGHT OF USE ASSETS | $136,559 |
| DEFFERED TAX ASSETS | $134,126 |
| OTHER MISC RECEIVABLES | $402,813 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $72,629,705 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| LESSEE DEPOSITS | $18,900 |
| OTHER MISC PAYABLES | $68,789 |
| RIGHT OF USE LEASES | $137,856 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $225,545 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | TO PROVIDE FINANCIAL SUPPORT FOR THE PROGRAMS AND SERVICES OF PLATTE VALLEY MEDICAL CENTER. THE PERMANENT ENDOWMENT FUNDS ARE FOR PURPOSE AND TIME RESTRICTIONS IMPOSED BY DONORS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,401,980 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,401,980 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02020 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,238,139 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,353,895 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,884,244 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08820 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $694,679 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $492,202 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $202,477 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,334,798 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,846,097 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,488,701 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10960 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $805,339 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,586 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $801,753 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $889,472 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $889,472 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,929,962 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,414,610 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,515,352 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02680 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $477,112 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $477,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,101,885 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,418,248 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,683,637 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03970 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,436,683 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,264,345 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,172,338 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14930 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $545 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $545 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,261,771 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $27,087,789 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $39,573,460 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$12,485,671 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 PRAIRIE CENTER PARKWAY | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WEBSITE: SEE PART VI | WebsiteAddressTxt |
| State License | 010311 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 5: PVMC CONDUCTED THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT THROUGHOUT THE YEAR AND IT WAS COMPLETED IN OCTOBER 2018. THE FOLLOWING INFORMATION IS BASED ON THE PROCESS FOR THE 2018 CHNA. WE UTILIZED TWO METHODS OF COLLECTING PRIMARY DATA, A COMMUNITY FOCUS GROUP AND PHONE SURVEYS. FOCUS GROUPSA GROUP OF HOSPITAL LEADERS AND DEPARTMENTAL REPRESENTATIVES, AS WELL AS COMMUNITY LEADERS, WERE CONVENED ON JUNE 18, 2018 TO PRIORITIZE THE PRELIMINARY LIST AND NARROW IT TO SIX KEY ISSUES THAT WOULD BE FURTHER DISCUSSED THROUGH COMMUNITY INTERVIEWS. THE GROUP RECEIVED A SUMMARY OF THE SECONDARY DATA COMPILED FROM LOCAL, COUNTY AND STATE SOURCES. FOLLOWING THE PRESENTATION, THE ATTENDEES WERE GIVEN TIME IN SMALL GROUPS TO DISCUSS THE ISSUES AND WERE ASKED TO RANK THE TWELVE ISSUES (ON A SCALE OF 1-10) BASED ON TWO QUESTIONS - BASED ON YOUR UNDERSTANDING OF THE COMMUNITY HEALTH FINDINGS DISCUSSED, PLEASE RATE EACH OF THE FOLLOWING HEALTH ISSUES ON SCOPE AND SEVERITY AND HOSPITAL ABILITY TO IMPACT. TOTAL SCORES FOR EACH HEALTH ISSUE WERE CALCULATED AND DIVIDED BY THE TOTAL NUMBER OF RESPONSES FOR WHICH DATA WERE PROVIDED, RESULTING IN AN OVERALL AVERAGE FOR EACH HEALTH NEED. THIS RESULTED IN TWO SCORES FOR EACH HEALTH ISSUE. THE COMBINED SCORE WAS AN AVERAGE OF THE TWO SCORES. CALCULATIONS FROM THIS GROUP ACTIVITY RESULTED IN THE FOLLOWING PRIORITIZATION - MENTAL HEALTH/SUBSTANCE ABUSE, CARDIOVASCULAR DISEASE, ACCESS TO HEALTHCARE, DIABETES, CANCER AND UNINTENTIONAL INJURIES.PHONE SURVEYPVMC CONDUCTED TARGETED INTERVIEWS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE MEDICAL CENTER. SIXTEEN INTERVIEWS WERE COMPLETED. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY PVMC WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH, OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE MEDICAL CENTER." INPUT WAS OBTAINED FROM AREA PUBLIC HEALTH DEPARTMENTS. PARTICIPANTS INCLUDED REPRESENTATIVES OF THE FOLLOWING ORGANIZATIONS: ALMOST HOME, BOYS & GIRLS CLUB OF WELD COUNTY, BOYS & GIRLS CLUBS OF METRO DENVER, BRIGHTON HOUSING AUTHORITY, CITY OF BRIGHTON, COLORADO ACCESS, COMMUNITY REACH CENTER, EAGLE VIEW ADULT CENTER, FOUNDATIONS ACADEMY, FRONT RANGE COMMUNITY COLLEGE, PENNOCK CENTER FOR COUNSELING, PLATTE VALLEY MEDICAL CENTER/SCL HEALTH, RICHARD LAMBERT FOUNDATION, SALUD FAMILY HEALTH CENTERS, THE SENIOR HUB, TRI-COUNTY HEALTH DEPARTMENT, VIA MOBILITY SERVICES, WELD COUNTY HEALTH DEPARTMENT. |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 6B: TRI-COUNTY HEALTH DEPARTMENT, WELD COUNTY PUBLIC HEALTH, ALMOST HOME, BOYS & GIRLS CLUB OF WELD COUNTY, BOYS & GIRLS CLUBS OF METRO DENVER, BRIGHTON HOUSING AUTHORITY, CITY OF BRIGHTON, COLORADO ACCESS, COMMUNITY REACH CENTER, EAGLE VIEW ADULT CENTER, FOUNDATIONS ACADEMY, FRONT RANGE COMMUNITY COLLEGE, PENNOCK CENTER FOR COUNSELING, RICHARD LAMBERT FOUNDATION, SALUD FAMILY HEALTH CENTERS, THE SENIOR HUB, VIA MOBILITY SERVICES.BRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION B, LINE 7A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 7D: COPIES OF THE CHNA WERE DISTRIBUTED AT VARIOUS COMMUNITY COALITIONS AND RESOURCE MEETINGS BY THE REGIONAL DIRECTOR OF COMMUNITY HEALTH IMPROVEMENT AND PRESENTATIONS TO COMMUNITY ORGANIZATIONS ABOUT THE NEEDS ASSESSMENT UPON REQUEST.BRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION B, LINE 10A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-IMPROVEMENT-PLAN/ |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 11: MENTAL HEALTH/SUBSTANCE ABUSE IN THE COMMUNITY: - PARTNERED WITH DENVER HEALTH WHO OFFERS PSYCHIATRIC CONSULTS VIA SKYPE AND COMMUNITY REACH (A COMMUNITY BASED BEHAVIORAL HEALTH PROVIDER) TO FACILITATE ON-SITE COUNSELORS TO WORK WITH PATIENTS THAT ARE DESIGNATED AS M-1 HOLD. THIS PARTNERSHIP CHANGED IN JUNE AS WE SHIFTED TO AN AGREEMENT WITH WEST PINES BEHAVIORAL HEALTH. THESE PATIENTS MAY BE A DANGER TO THEMSELVES OR OTHERS OR EXHIBIT OTHER SERIOUS MENTAL DISABILITIES. INTERVENTIONS HAVE BEEN IMPORTANT TO IMPROVING ACCESS TO MENTAL HEALTH SERVICES AND IMPROVED CARE COORDINATION LEVERAGED BETWEEN INTERNAL AND EXTERNAL ORGANIZATIONS. - PVMC HAD FOUR IN-PERSON MENTAL HEALTH FIRST AID CLASSES SCHEDULED IN 2020. DUE TO THE COVID RESTRICTIONS, ALL IN-PERSON CLASSES WERE CANCELED. ONE VIRTUAL CLASS WAS PROVIDED IN THE FALL FOR TEN PEOPLE. THE MENTAL HEALTH FIRST AID CLASS IS AN EVIDENCE-BASED TRAINING PROGRAM PROVIDED TO COMMUNITY MEMBERS AND PVMC ASSOCIATES TO ADDRESS MENTAL HEALTH AND IS OFFERED AT NO COST. - PVMC HAD SCHEDULED FOUR COHORTS OF THE EVIDENCE BASED "AGING MASTERY PROGRAM" CURRICULUM (10 CLASSES EACH), INCLUDING A MODULE FOCUSED ON DECREASING SOCIAL ISOLATION IN OLDER ADULTS. HOWEVER, DUE TO COVID RESTRICTIONS, THE FIRST COHORT WAS ONLY 50% COMPLETED WHEN WE WERE FORCED TO CANCEL THE CLASS. A SECOND CLASS WAS OFFERED VIRTUALLY IN THE FALL.- THE ANNUAL HEALTH FAIR WHICH HAD PROVIDED IN-PERSON MENTAL HEALTH SCREENINGS FOR PARTICIPANTS WAS CANCELED DUE TO THE COVID PANDEMIC. GRANT DOLLARS WERE GIVEN INSTEAD TO OUR LOCAL COUNSELING CENTER TO ASSIST WITH THE INCREASED DEMAND FOR MENTAL HEALTH SERVICES.- PARTICIPATION IN THE COLORADO ALTERNATIVES TO OPIOIDS (ALTO) PROJECT LOWERED NEW OPIOID PRESCRIPTIONS (ONLY 2.26% OF NEW OPIOID PRESCRIPTION GIVEN TO DISCHARGING PATIENTS EXCEEDED 7 DAYS IN DURATION) AND INCREASED THE PERCENTAGE OF EPRESCRIBING OF CONTROLLED SUBSTANCES FOR DISCHARGED PATIENTS (93.7 IN 2021, 87.32% IN 2020).- VMC INITIATED A PROGRAM TO DISTRIBUTE A NARCAN KIT AT DISCHARGE TO ANY PATIENT ADMITTED WITH A DIAGNOSIS OF HEROIN OR OPIOID OVERDOSE. - PARTICIPATED IN THE COLORADO HOSPITALS SUBSTANCE EXPOSED NEWBORNS QUALITY IMPROVEMENT COLLABORATIVE TO IMPROVE OUTCOMES FOR NEWBORNS EXPOSED TO METHAMPHETAMINES OR OPIOIDS PRIOR TO BIRTH.HEART DISEASE/STROKE (CARDIOVASCULAR):- PROVIDED MONTHLY SUPPORT GROUPS FOR STROKE SURVIVORS OR CAREGIVERS. DUE TO COVID RESTRICTIONS, THE IN-PERSON MEETINGS WERE MOVED TO VIRTUAL MEETINGS BEGINNING IN MAY 2020. MEETINGS HAD AN AVERAGE OF SIX ATTENDEES.- DUE TO COVID, ALL OF THE OUTREACH EVENTS PLANNED FOR 2020 WERE CANCELED. A HEART AND STROKE CAMPAIGN WAS LAUNCHED VIA THE PVMC FACEBOOK PAGE AND WAS TARGETED TO 50 TO 65+ YEAR OLDS WHO LIVED WITHIN A 10 MILE RADIUS OF THE HOSPITAL THREE ADS WERE CREATED AND REACHED AN AVERAGE OF 3,000 PEOPLE EACH. INFORMATION SHARED INCLUDED THE SIGNS AND SYMPTOMS OF A HEART ATTACK OR STROKE AND HOW COVID-19 CAN INCREASE THE INCIDENCE OF STROKES.- IN 2020, PVMC OFFERED AN EVIDENCE-BASED HEALTHY COOKING CLASS, "COOKING MATTERS" TO PROMOTE HEART HEALTHY EATING. THE PROGRAM WAS SCHEDULED TO BE OFFERED 4 TIMES (6 CLASSES EACH) BUT WAS ONLY OFFERED ONCE DUE TO COVID RESTRICTIONS WITH 13 PARTICIPANTS. THE CLASS WAS NOT ABLE TO BE ADAPTED TO AN ONLINE FORMAT.- AN ULTRA-LOW RISK CHEST PAIN PATHWAY TO PREVENT UNNECESSARY HOSPITAL ADMISSIONS AND REDUCE ASSOCIATED COSTS WAS IMPLEMENTED IN Q1 2017 AND IS CURRENTLY IN USE. - IN ORDER TO PROVIDE THE COMMUNITY WITH SUPERIOR CARDIAC CARE, PVMC WAS RECERTIFIED AS A PRIMARY STROKE CENTER ON JULY 23, 2019 AND EARNED CHEST PAIN CERTIFICATION ON 6/11/2018. RECERTIFICATION WILL OCCUR IN 2021.- PVMC ACTIVELY PARTICIPATES IN WELD COUNTY HEALTH DEPARTMENT'S "THRIVING WELD" INITIATIVES AND SERVES ON TRI-COUNTY HEALTH DEPARTMENT'S OVERDOSE PREVENTION PARTNERSHIP.NEEDS NOT ADDRESSEDEACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA ARE IMPORTANT AND NUMEROUS PARTNERS THROUGHOUT THE COMMUNITY ARE ADDRESSING THESE NEEDS THROUGH VARIOUS INNOVATIVE PROGRAMS AND INITIATIVES. PVMC WILL NOT DIRECTLY ADDRESS ACCESS TO HEALTH CARE, CANCER, DIABETES AND UNINTENTIONAL INJURIES. THE PVMC CHIP WILL ADDRESS CARDIOVASCULAR DISEASE AND MENTAL HEALTH AND SUBSTANCE USE IN ORDER TO MAXIMIZE RESOURCES, EXPERTISE AND TIME TO ACHIEVE SUCCESSFUL IMPACT. WE WILL CONTINUE TO LOOK FOR COMMUNITY PARTNERS WITH WHICH TO COLLABORATE IN ORDER TO WORK ON ISSUES NOT ADDRESSED IN THIS CHIP.BRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION, B, LINE 16A, 16B, 16C:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-PRICING/FINANCIAL-ASSISTANCE/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 18 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - PLATTE VALLEY AMBULANCE SERVICE LLC | ||||
| 1610 PRAIRIE CENTER PKWY STE 2200 | BRIGHTON | CO | 80601 | AMBULANCE SERVICES |
| 2 - PLATTE VALLEY MEDICAL GROUP | ||||
| 1600 PRAIRE CENTER PKWY | BRIGHTON | CO | 80601 | PHYSICIAN CLINICS |
| 3 - PLATTE VALLEY MEDICAL IMAGING LLC | ||||
| 1606 PRAIRIE CENTER PKWY STE 130 | BRIGHTON | CO | 80601 | RADIOLOGY SERVICES |
| 4 - SPECTRUM MEDICAL IMAGING | ||||
| 1610 PRAIRIE CENTER PKWY STE 2100 | BRIGHTON | CO | 80601 | RADIOLOGY SERVICES |
| 5 - PVMG - ORTHOPEDICSBRIGHTON | ||||
| 1610 PRAIRIE CENTER PKWY STE 2200 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC |
| 6 - PVMG - BRIGHTON FAMILY MEDICINE | ||||
| 1606 PRAIRIE CENTER PKWY STE 240 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC |
| 7 - PVMG - BRIGHTON OBGYN | ||||
| 1606 PRAIRIE CENTER PKWY STE 350 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC |
| 8 - PVMG - HEART AND VASCULAR INSTITUTE | ||||
| 1610 PRAIRIE CENTER PKWY STE 2330 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC |
| 9 - PVMG - GENERAL TRAUMA SURGERY | ||||
| 1610 PRAIRIE CENTER PKWY STE 2300 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC |
| 10 - PVMG - REUNION OBGYN | ||||
| 10569 CHAMBERS RD STE 103 | COMMERCE CITY | CO | 80022 | OUTPATIENT PHYSICIAN CLINIC |
| 11 - PVMG - INTEGRATIVE INTERNAL MED | ||||
| 1610 PRAIRIE CENTER PKWY STE 2170 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC |
| 12 - PVMG - INTEGRATIVE INTERNAL MED | ||||
| 10569 CHAMBERS RD STE 102 | COMMERCE CITY | CO | 80022 | OUTPATIENT PHYSICIAN CLINIC |
| 13 - PVMG - REUNION FAMILY MEDICINE | ||||
| 10569 CHAMBERS RD STE 102 | COMMERCE CITY | CO | 80022 | OUTPATIENT PHYSICIAN CLINIC |
| 14 - PVMG - WALK IN CARE | ||||
| 1450 DEXTER ST STE 102 | FORT LUPTON | CO | 80621 | OUTPATIENT PHYSICIAN CLINIC |
| 15 - PVMC - MEDICAL ONCOLOGY | ||||
| 1606 PRAIRIE CENTER PKWY STE 270 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC |
| 16 - PVMG - FT LUPTON FAMILY MEDICINE | ||||
| 1450 DEXTER ST STE 101 | FORT LUPTON | CO | 80621 | OUTPATIENT PHYSICIAN CLINIC |
| 17 - PVMG - ORTHOPEDICSFORT MORGAN | ||||
| 1000 LINCOLN ST | FORT MORGAN | CO | 80701 | OUTPATIENT PHYSICIAN CLINIC |
| 18 - CERTIFIED NURSE MIDWIVES AT PLATTE VALLE | ||||
| 1606 PRAIRIE CENTER PARKWAY STE 210 | BRIGHTON | CO | 80601 | OUTPATIENT PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. |
| PART I, LINE 7: | THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $9,261,771. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY-BUILDING ACTIVITIES ARE THOSE THAT IMPROVE THE HEALTH AND SAFETY OF COMMUNITY MEMBERS BY ADDRESSING THE ROOT CAUSES OF PROBLEMS (E.G. POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS). PVMC DIRECTOR AND ADMINISTRATIVE STAFF SERVED ON COMMUNITY BOARDS AND CHAMBERS IN ORDER TO ASSIST WITH COMMUNITY BUILDING. PVMC ASSOCIATES SERVED ON THE CHAMBER OF COMMERCE OF BRIGHTON AND THE NON-PROFIT COUNCIL OF THE BRIGHTON CHAMBER, FT. LUPTON CHAMBER OF COMMERCE, COMMERCE CITY CHAMBER OF COMMERCE, SOUTHEAST WELD COUNTY CHAMBER OF COMMERCE, BRIGHTON URBAN RENEWAL ASSOCIATION, KIWANIS, ROTARY, STATE NURSING BOARD, ALMOST HOME BOARD, SENIOR CENTER ADVISORY BOARD, AND COLORADO HOSPITAL ASSOCIATION.PVMC HOSTED QUARTERLY NETWORKING MEETINGS OF THE BRIGHTON SERVICE AGENCY COALITION (BSAC). THE BSAC IS A COLLABORATIVE GROUP OF SOCIAL SUPPORT ORGANIZATIONS WHO SEEK OPPORTUNITIES TO STAY IN TUNE WITH EMERGING NEEDS IN THE COMMUNITY, GRANTS, AND POTENTIAL JOINT SOLUTION STRATEGIES TO IMPACT RESIDENTS. HOSTING THESE MEETINGS DECREASES DUPLICATION OF SERVICES AND PROMOTES THE BEST POSSIBLE USE OF RESOURCES. PVMC'S COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP) PROVIDES GRANTS TO LOCAL NON-PROFIT ORGANIZATIONS SERVING THE PVMC COMMUNITY. THESE DONATIONS SUPPORT DIVERSE EFFORTS RELATED TO CHILD, SENIOR AND MENTAL HEALTH SERVICES, AS WELL AS SOCIAL DETERMINANTS OF HEALTH INCLUDING HOUSING SECURITY, FOOD STABILITY AND TRANSPORTATION.PART III, LINE 1: THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT. |
| PART III, LINE 2: | THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. |
| PART III, LINE 4: | THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: NET PATIENT SERVICE REVENUE GENERALLY RELATES TO CONTRACTS WITH PATIENTS IN WHICH THE PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO PATIENTS OVER A PERIOD OF TIME. REVENUE IS ESTIMATED FOR PATIENTS WHO HAVE NOT BEEN DISCHARGED AS OF THE REPORTING PERIOD BASED ON ACTUAL CHARGES INCURRED TO DATE IN RELATION TO TOTAL EXPECTED CHARGES. SCL HEALTH BELIEVES THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. THE CONTRACTUAL RELATIONSHIP WITH PATIENTS ALSO TYPICALLY INVOLVES A THIRD-PARTY PAYER (MEDICARE, MEDICAID, MANAGED CARE PLANS, AND COMMERCIAL INSURANCE COMPANIES), AND THE TRANSACTION PRICES FOR THE SERVICES PROVIDED ARE DEPENDENT UPON THE TERMS PROVIDED BY OR NEGOTIATED WITH THE THIRD-PARTY PAYERS. THE PAYMENT ARRANGEMENTS WITH THIRD-PARTY PAYERS FOR THE SERVICES PROVIDED TO THE RELATED PATIENTS TYPICALLY SPECIFY PAYMENT OR REIMBURSEMENT TO SCL HEALTH AT OTHER-THAN-STANDARD CHARGES.BECAUSE ALL OF ITS PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, SCL HEALTH HAS ELECTED TO APPLY THE OPTION EXEMPTION, AND THEREFORE, IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY SATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY SATISFIED PERFORMANCE OBLIGATIONS REFERRED TO ABOVE ARE PRIMARILY RELATED TO INPATIENT SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD.NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATES OF IMPLICIT PRICE CONCESSIONS AND RETROACTIVE REVENUE ADJUSTMENTS DUE TO AUDITS, REVIEWS, AND INVESTIGATIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO UNINSURED PATIENTS AND PATIENTS WITH CO-PAYS, CO-INSURANCE AND DEDUCTIBLES AND ARE ESTIMATED BASED ON HISTORICAL COLLECTION DATA. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, OR INVESTIGATIONS. |
| PART III, LINE 8: | THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. |
| PART III, LINE 9B: | AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED.PART V, SECTION A, LINE 1WEBSITE:WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ |
| PART VI, LINE 2: | PVMC IS ALWAYS WORKING WITH AND REVIEWING THE NEEDS OF THE COMMUNITY IN ORDER TO PROVIDE THE BEST SERVICE TO THOSE IN THE PVMC SERVICE AREA. THROUGH CONTACTS WITH LOCAL AND STATE HEALTH AND SERVICE ORGANIZATIONS (E.G. TRI-COUNTY HEALTH DEPARTMENT, WELD COUNTY HEALTH DEPARTMENT, PENNOCK COUNSELING CENTER, REACH COMMUNITY CENTER, ADAMS COUNTY HEALTH INITIATIVE, CHA, AND ALMOST HOME, TO NAME A FEW), AND INDEPENDENT CONSULTANTS, PVMC MONITORS AND IDENTIFIES AREAS OF NEEDS IN THE COMMUNITY AND WORKS TO IDENTIFY WAYS TO ENSURE THAT THE NEEDS ARE MET. INTERNAL TRACKING AND REVIEWS ARE COMPLETED IN ORDER TO CONFIRM THAT PROGRAMS ARE MEETING THEIR GOALS TO ADDRESS THE NEEDS OF THE COMMUNITY. |
| PART VI, LINE 3: | THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. |
| PART VI, LINE 4: | TOTAL POPULATION ON AVERAGE, THE POPULATION OF THE PVMC SERVICE AREA WAS 116,630 FROM 2012 TO 2016. ADAMS COUNTY HAD A POPULATION OF 479,977 AND WELD COUNTY'S POPULATION WAS 278,065. IN THE SERVICE AREA, 51.4% OF THE POPULATION WAS MALE AND 48.6% WERE FEMALE. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 30.4% OF THE POPULATION IN THE SERVICE AREA; 61.4% ARE ADULTS, AGES 18-64; AND 8.2% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. POPULATION BY YOUTH, AGES 0-17 AND SENIORS, AGES 65+, AND MEDIAN AGEWHEN THE HOSPITAL SERVICE AREA IS EXAMINED BY COMMUNITY, HENDERSON HAD THE LARGEST PERCENTAGE OF YOUTH, AGES 5-17 (23.9%) AND SMALLEST PERCENTAGE OF SENIORS (5.3%) IN THE SERVICE AREA. HUDSON HAD THE SMALLEST PERCENTAGE OF YOUTH (14.8%). KEENESBURG HAD THE HIGHEST PERCENTAGE OF SENIORS (15.6%) IN THE SERVICE AREA. RACE/ETHNICITY IN THE SERVICE AREA, 63.6% OF THE POPULATION WAS WHITE, 26.5% WERE HISPANIC/LATINO, 2.4% ARE ASIAN, AND 2% WERE BLACK/AFRICAN AMERICAN. THE SERVICE AREA HAD A HIGHER PERCENTAGE OF WHITES AND LOWER PERCENTAGE OF HISPANIC/LATINOS THAN THE STATE. RACE/ETHNICITY BY PLACE OVER HALF OF THE POPULATION IN COMMERCE CITY (50.2%) WAS HISPANIC OR LATINO. BRIGHTON HAD THE HIGHEST PERCENTAGE OF ASIANS IN THE SERVICE AREA. CITIZENSHIP IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA, 12.6% OF RESIDENTS WERE FOREIGN BORN. OF THESE, 62.9% WERE NOT CITIZENS. LANGUAGE SPOKEN AT HOME FOR THE POPULATION 5 YEARS AND OVERALMOST THREE-QUARTERS OF THE POPULATION (74.5%) IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA SPEAK ENGLISH ONLY IN THE HOME; 23.6% OF THE POPULATION SPEAKS SPANISH IN THE HOME, 1.8% SPEAKS AN ASIAN/PACIFIC ISLANDER LANGUAGE IN THE HOME. SOCIAL AND ECONOMIC FACTORS RANKINGSTHE COUNTY HEALTH RANKINGS RANKS COUNTIES ACCORDING TO HEALTH FACTORS DATA. SOCIAL AND ECONOMIC INDICATORS ARE EXAMINED AS A CONTRIBUTOR TO THE HEALTH OF A COUNTY'S RESIDENTS. COLORADO'S 64 COUNTIES ARE RANKED ACCORDING TO SOCIAL AND ECONOMIC FACTORS WITH 1 BEING THE COUNTY WITH THE BEST FACTORS TO 64 FOR THAT COUNTY WITH THE POOREST FACTORS. THIS RANKING EXAMINES: HIGH SCHOOL GRADUATION RATES, UNEMPLOYMENT, CHILDREN IN POVERTY, SOCIAL SUPPORT, AND OTHERS. ADAMS COUNTY IS RANKED 51, IN THE BOTTOM THIRD OF ALL COLORADO COUNTIES, ACCORDING TO SOCIAL AND ECONOMIC FACTORS. WELD COUNTY IS RANKED AS 32, PLACING IT IN THE MIDDLE OF ALL COLORADO COUNTIES.HEALTH OUTCOMES RANKINGSCOUNTY HEALTH RANKINGS EXAMINES HEALTHY BEHAVIORS AND RANKS COUNTIES ACCORDING TO HEALTH BEHAVIOR DATA. COLORADO'S 64 COUNTIES ARE RANKED FROM 1 (HEALTHIEST) TO 64 (LEAST HEALTHY) BASED ON A NUMBER OF INDICATORS THAT INCLUDE: ADULT SMOKING, OBESITY, PHYSICAL INACTIVITY, EXCESSIVE DRINKING, SEXUALLY TRANSMITTED INFECTIONS, AND OTHERS. A RANKING OF 37 FOR ADAMS COUNTY PUTS IT IN THE BOTTOM HALF OF COLORADO COUNTIES FOR HEALTH BEHAVIORS. WELD COUNTY'S RANK OF 23 PLACES IT IN THE TOP HALF.EMPLOYMENT STATUS FOR THE POPULATION 16 AND OVERWITHIN THE SERVICE AREA, COMMERCE CITY (6.7%) AND HENDERSON (6.2%) HAD THE HIGHEST UNEMPLOYMENT RATES. HUDSON HAD THE LOWEST UNEMPLOYMENT RATE (1.0%) IN THE SERVICE AREA. POVERTY LEVELSPOVERTY THRESHOLDS ARE USED FOR CALCULATING OFFICIAL POVERTY POPULATION STATISTICS AND ARE UPDATED EACH YEAR BY THE CENSUS BUREAU. FOR 2016, THE FEDERAL POVERTY THRESHOLD FOR ONE PERSON WAS $11,880, AND $24,300 FOR A FAMILY OF FOUR. IN THE SERVICE AREA, OVER 11.3% OF THE POPULATION WAS LIVING AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL), AND 28.9% WERE CONSIDERED LOW-INCOME (LIVING AT OR BELOW 200% FPL). THESE POVERTY RATES WERE LOWER THAN THE COUNTY RATES OF POVERTY. POVERTY LEVELS OF INDIVIDUALS, CHILDREN UNDER AGE 18, AND SENIORS 65+ EXAMINING POVERTY LEVELS BY COMMUNITY PAINTS AN IMPORTANT PICTURE OF THE POPULATION. 14.7% OF CHILDREN IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA WERE LIVING IN POVERTY. 10.1% OF SENIORS IN THE SERVICE AREA WERE LIVING IN POVERTY. KEENESBURG HAD THE HIGHEST RATE OF POVERTY AMONG CHILDREN (31.2%) IN THE SERVICE AREA. COMMERCE CITY SENIORS HAD THE HIGHEST RATE OF POVERTY (18%) AMONG SERVICE AREA CITIES. FREE AND REDUCED PRICE MEALS ELIGIBILITY, 2017-2018 THE NUMBER OF STUDENTS ELIGIBLE FOR THE FREE AND REDUCED PRICE MEALS PROGRAM IS ONE INDICATOR OF THE SOCIOECONOMIC STATUS OF A SCHOOL DISTRICT'S STUDENT POPULATION. THE PERCENT OF STUDENTS IN ADAMS COUNTY ELIGIBLE FOR THE FREE AND REDUCED PRICE MEAL (FRPM) PROGRAM WAS 49.4%. IN WELD COUNTY, 48.7% OF STUDENTS WERE ELIGIBLE FOR THE PROGRAM. THESE WERE HIGHER PERCENTAGES THAN FOUND IN THE STATE. MEDIAN HOUSEHOLD INCOMETHE MEDIAN HOUSEHOLD INCOME FOR THE SERVICE AREA RANGED FROM $53,633 IN FORT LUPTON TO $101,105 IN BRIGHTON (80602). HOUSEHOLDS BY TYPETHERE WERE 49,540 OCCUPIED HOUSING UNITS IN THE PLATTE VALLEY MEDICAL CENTER SERVICE AREA. THE PERCENTAGE OF 4+ PERSON HOUSEHOLDS IN THE SERVICE AREA WAS 34% AND WAS HIGHER THAN ADAMS COUNTY, WELD COUNTY OR THE STATE. EDUCATIONAL ATTAINMENT (AGE 25+) OF THE POPULATION AGE 25 AND OVER, 16.6% HAD NOT ATTAINED A HIGH SCHOOL DIPLOMA, WHICH WAS HIGHER THAN THE STATE (9%). IN THE SERVICE AREA, 29.0% OF ADULTS, 25 YEARS AND OLDER, WERE HIGH SCHOOL GRADUATES. 16.3% OF THE POPULATION IN THE SERVICE AREA HAD A COLLEGE DEGREE. HIGH SCHOOL GRADUATES, 2017-2018HIGH SCHOOL GRADUATION RATES ARE CALCULATED AS THE PERCENTAGE OF HIGH SCHOOL GRADUATES THAT GRADUATED FOUR YEARS AFTER STARTING NINTH GRADE. IN THE SERVICE AREA, THE HIGH SCHOOL GRADUATION RATES RANGED FROM 70.3% IN WELD COUNTY S/D RE-8 TO 77.4% IN BRIGHTON SCHOOL DISTRICT 27J. THE HEALTHY PEOPLE 2020 OBJECTIVE FOR THE HIGH SCHOOL GRADUATION RATE IS 87%. HOMELESS POINT-IN-TIME COUNT, JANUARY 2017THE POINT-IN-TIME (PIT) COUNT IS AN ANNUAL SURVEY OF THE NUMBER AND CHARACTERISTICS OF HOMELESS PERSONS AT A SINGLE POINT IN TIME. ADAMS COUNTY WAS PART OF THE METRO DENVER HOMELESS INITIATIVE PIT COUNT2. WELD COUNTY WAS REPORTED IN THE BALANCE OF STATE CONTINUUM OF CARE PIT COUNT, WHICH COVERED THE NON-METRO AND RURAL AREAS OF COLORADO. THE MAJORITY OF HOMELESS PERSONS WERE SHELTERED. 23.2% OF HOMELESS INDIVIDUALS IN ADAMS COUNTY WERE CHRONICALLY HOMELESS AND 15.0% IN WELD COUNTY WERE CHRONICALLY HOMELESS. LIVE BIRTHS AND AVERAGE ANNUAL CHANGE, FISCAL YEARS (JULY 1 - JUNE 30) 2016IN 2016, THERE WERE 7,206 BIRTHS IN ADAMS COUNTY. WELD COUNTY HAD 4,318 BIRTHS. BIRTHS TO TEENAGE MOTHERS, 15-17 YEARS OF AGE, 2016IN ADAMS COUNTY, 13.9% OF BIRTHS WERE TO TEENS UNDER THE AGE OF 20. 14.2% OF BIRTHS IN WELD COUNTY WERE TO TEENAGE MOTHERS. THESE RATES ARE HIGHER THAN IN THE STATE (10.5%). LATE ENTRY INTO PRENATAL CARE (AFTER FIRST TRIMESTER) / NO CARE, 2016ADEQUATE PRENATAL CARE CAN PREVENT HEALTH RISKS IN WOMEN AND PREVENT HEALTH PROBLEMS FOR MOTHER AND CHILD. THE HEALTHY PEOPLE 2020 OBJECTIVE IS FOR 77.9% OF WOMEN TO RECEIVE CARE IN THE FIRST TRIMESTER. ADAMS COUNTY AND WELD COUNTY WOMEN EXCEEDED THIS OBJECTIVE. 80.3% OF WOMEN IN ADAMS COUNTY RECEIVED CARE IN THE FIRST TRIMESTER (19.7% DID NOT) AND 79.3% OF PREGNANT WOMEN IN WELD COUNTY RECEIVED CARE IN THE FIRST TRIMESTER (20.7% DID NOT). LOW BIRTH WEIGHT (UNDER 2,500 G), 2015LOW BIRTH WEIGHT IS A NEGATIVE BIRTH INDICATOR. BABIES BORN AT A LOW BIRTH WEIGHT ARE AT HIGHER RISK FOR DISEASE, DISABILITY AND POSSIBLY DEATH. FOR THIS MEASUREMENT, A LOWER RATE IS A BETTER INDICATOR. THE HEALTHY PEOPLE 2020 OBJECTIVE IS TO REDUCE LOW BIRTH WEIGHT BIRTHS TO 7.8% OF LIVE BIRTHS. ADAMS COUNTY (8.7%) AND WELD COUNTY (7.9%) DO NOT MEET THE HEALTHY PEOPLE 2020 OBJECTIVE FOR LOW BIRTH WEIGHT (UNDER 2,500 G) BIRTHS. INFANT MORTALITY RATE, 2016THE INFANT MORTALITY RATE IS THE NUMBER OF DEATHS OF INFANTS (LESS THAN ONE YEAR OLD) PER 1,000 LIVE BIRTHS. THE HEALTHY PEOPLE 2020 OBJECTIVE IS AN INFANT MORTALITY RATE OF 6.0 PER 1,000 LIVE BIRTHS. THE INFANT MORTALITY RATE IN ADAMS COUNTY WAS 6.5 AND IN WELD COUNTY IT WAS 6.3. THESE RATES ARE HIGHER THAN THE STATE AND HEALTHY PEOPLE 2020 OBJECTIVE. AGE-ADJUSTED DEATH RATE, 2016THE CRUDE DEATH RATE IS A RATIO OF THE NUMBER OF DEATHS TO THE ENTIRE POPULATION. AGE-ADJUSTED DEATH RATES ELIMINATE THE BIAS OF AGE IN THE MAKEUP OF THE POPULATIONS BEING COMPARED. WHEN COMPARING ACROSS GEOGRAPHIC AREAS, AGE-ADJUSTING IS TYPICALLY USED TO CONTROL FOR THE INFLUENCE THAT DIFFERENT POPULATION AGE DISTRIBUTIONS MIGHT HAVE ON HEALTH RATES. WHEN ADJUSTED FOR AGE, THE DEATH RATE FOR ADAMS COUNTY WAS 800.5 PER 100,000 PERSONS AND IN WELD COUNTY THE DEATH RATE WAS 669.8 PER 100,000 PERSONS. CONTINUED BELOW |
| PART VI, LINE 5: | A VARIETY OF DIRECTORS AND ADMINISTRATORS PARTICIPATED IN COMMUNITY BOARDS AND CHAMBERS IN ORDER TO ASSIST WITH COMMUNITY BUILDING. PVMC ASSOCIATES SERVED ON THE CHAMBER OF COMMERCE OF BRIGHTON AND THE NON-PROFIT COUNCIL OF THE BRIGHTON CHAMBER, FT. LUPTON CHAMBER OF COMMERCE, COMMERCE CITY CHAMBER OF COMMERCE, SOUTHEAST WELD COUNTY CHAMBER OF COMMERCE, BRIGHTON URBAN RENEWAL ASSOCIATION, KIWANIS, ROTARY, BRIGHTON LEGACY FOUNDATION, ALMOST HOME BOARD, SENIOR CENTER ADVISORY BOARD, AND COLORADO HOSPITAL ASSOCIATION.PVMC HOSTS 4 QUARTERLY NETWORKING MEETINGS ANNUALLY OF THE BRIGHTON SERVICE AGENCY (BSAC). THE BSAC IS HOSTED AT THE HOSPITAL FOR MEMBERS OF THE LOCAL SERVICE AGENCIES. THIS MEETING ALLOWS ORGANIZATIONS TO ANNOUNCE THEIR PROGRAMS AND SPECIAL EVENTS AND TO COLLABORATE WITH OTHER LOCAL AGENCIES. THE MEETING DECREASES DUPLICATION OF SERVICES AND PROMOTES THE BEST POSSIBLE USE OF RESOURCES. MEETINGS IN 2020 HAD TO BE SHIFTED TO A VIRTUAL FORMAT.PVMC'S COMMUNITY HEALTH IMPROVEMENT PROGRAM (CHIP) PROVIDED $319,450 IN GRANTS TO LOCAL NON-PROFIT ORGANIZATIONS SERVING THE PVMC COMMUNITY. AS PEOPLE LOST THEIR JOBS OR WERE QUARANTINED DUE TO THE PANDEMIC, HOUSING, FOOD AND MENTAL HEALTH ISSUES OVERWHELMED THE RESOURCES IN THE COMMUNITY AND BECAME PRIORITIES. IN 2020, MOST OF THE GRANT FUNDS WERE DISTRIBUTED TO ASSIST ORGANIZATIONS THAT WERE ESSENTIAL PARTNERS IN PROVIDING SERVICES TO ALLEVIATE HOUSING AND FOOD INSECURITY, ACCESS TO BEHAVIORAL HEALTH AND PRIMARY HEALTHCARE SERVICES, AS WELL AS PROVIDING SOLUTIONS TO DECREASE SOCIAL ISOLATION. ORGANIZATIONS INCLUDED: 1) CATHOLIC CHARITIES RURAL HISPANIC ELDERLY OUTREACH, 2) COLD WEATHER CARE, 3) BROTHERS REDEVELOPMENT, 4) ALMOST HOME, 5) BRIGHTON SHARES THE HARVEST, 6) RICHARD LAMBERT FOUNDATION, 7) A PRECIOUS CHILD, 8) COMMUNITY BAPTIST AND CALVARY BAPTIST CHURCHES, 9) BRIGHTON HOUSING, 10) PENNOCK CENTER FOR COUNSELING, 11) SHOPNECK BOYS AND GIRLS CLUB, 12) VIA MOBILITY, 13) BRIGHTON SEVENTH DAY ADVENTIST FOOD BANK, 14) HOPE @ MIRACLE HOUSE, 15) WELD FOOD BANK.REQUESTS INCLUDED: 1) FUNDS PROVIDED BILINGUAL CASE MANAGEMENT AND FINANCIAL ASSISTANCE TO SENIORS TO HELP THEM MAINTAIN THEIR INDEPENDENCE IN THEIR HOMES. 2) FUNDS WERE USED FOR GENERAL OPERATING FUNDS FOR A HOMELESS SHELTER OPERATING OUT OF LOCAL CHURCHES DURING THE WINTER MONTHS. 3) FUNDS WERE USED TO PERFORM MINOR HOME REPAIRS AND MODIFICATIONS FOR LOW-INCOME BRIGHTON RESIDENTS. 4) FUNDS WERE USED FOR GENERAL OPERATING FUNDS TO ENHANCE CLIENT CENTERED CASE MANAGEMENT FOR FAMILIES EXPERIEINCING HOUSING INSECURITY. 5) FUNDS WERE USED TO CREATE A ONE-DAY FOOD WORKSHOP TO DISCUSS FOOD RESOURCES, ACCESS TO FOOD, AND TO IDENTIFY SOLUTIONS TO INCREASE FOOD ACCESS AND REDUCE WASTE. 6) FUNDS TO PROVIDE FREE PROGRAMS OR PROFESSIONAL COUNSELING SERVICES ON A SLIDING FEE SCALE FOR THOSE WHO HAVE SUFFERED THE DEATH OF A LOVED ONE. 7) FUNDS WERE USED TO PROVIDE BASIC ESSENTIALS SUCH AS CLOTHING, DIAPERS, WIPES AND OTHER BASIC NECESSITIES FOR CHILDREN. ADDITIONALLY, IT HELPED FUND SCHOOL SUPPLIES FOR CHILDREN AT THE BEGINNING OF THE SCHOOL YEAR.8) FUNDS WERE USED TO PURCHASE FRESH PRODUCE FOR DISTRIBUTION AT THE TWO LOCAL FOOD PANTRIES OPERATED BY LOCAL CHURCHES. 9) THE FUNDS WERE USED TO PURCHASE CHROMEBOOKS FOR A LOW-INCOME HOUSING ORGANIZATION SO THAT THEIR CLIENTS COULD ACCESS JOB TRAINING, EDUCATIONAL RESOURCES, SOCIAL SERVICES AND TELE-HEALTH SERVICES AS A RESULT OF COVID-19. 10) FUNDS USED TO COVER GENERAL OPERATING EXPENSES TO ALLOW FOR A SLIDING FEE SCALE FOR COUNSELING SERVICES FOR LOW INCOME CLIENTS. IN 2020, THERE HAD BEEN A LARGE INCREASE IN THE NEED FOR MENTAL HEALTH SERVICES DUE TO COVID-19. 11) FUNDS WERE USED TO SUPPORT THE GENERAL OPERATIONS OF THE SHOPNECK BOYS AND GIRLS CLUB PROGRAMS INCLUDING: FAMILY COOKING CLASSES; SMART MOVES; DRAW THE LINE/RESPECT THE LINE; SPORTS, FITNESS AND RECREATION; DAILY MEALS AND HEALTHY SNACKS. 12) FUNDS TO SUPPLEMENT THE COST OF PROVIDING DOOR TO DOOR TRANSPORTATION FOR SENIORS AND PEOPLE WITH DISABILITIES. 13) FUNDS WERE USED FOR ADMINISTRATIVE SUPPORT, TO PURCHASE FOOD FROM THE FOOD BANK OF THE ROCKIES AND FOR EQUIPMENT AND MAINTENANCE FOR THE FOOD BANK, AND 14) FUNDS WERE USED TO PROVIDE SHELTER, CLOTHING, FOOD AND CASE MANAGEMENT TO HOMELESS FAMILIES IN FT. LUPTON. 15) FUNDS WERE USED TO PROVIDE FRESH PRODUCE, MEATS, DAIRY PRODUCTS AND BAKED GOODS TO FT. LUPTON, LOCHBUIE AND HUDSON (CONSIDERED A "LOW ACCESS" COMMUNITY BECAUSE OF THE LACK OF ACCESS TO SOURCES OF HEALTHY FOOD) RESIDENTS BY WAY OF A MOBILE FOOD PANTRY. |
| PART VI, LINE 6: | THE ORGANIZATION IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITIES, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES EIGHT HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,900 EMPLOYEES AND MORE THAN 800 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION, REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION. |
| SCHEDULE H, PART VI, LINE 4 (CONTINUED) | CANCER DEATH RATES, CRUDE AND AGE-ADJUSTED DEATH RATE PER 100,000 PERSONS, 2016THE DEATH RATE IN ADAMS COUNTY FOR BREAST CANCER IS 10.1 AND IN WELD COUNTY IT IS 9.5 PER 100,000 PERSONS. THESE ARE LOWER THAN THE STATE RATE (10.6 PER 100,000 PERSONS). WHEN EXAMINING THE RATE OF DEATH DUE TO COLORECTAL CANCER, THE AGE-ADJUSTED RATE IN ADAMS COUNTY IS 14.1 AND IN WELD COUNTY IT IS 10.7 PER 100,000 PERSONS AS A RESULT OF COLORECTAL CANCER. THE AGE-ADJUSTED RATE OF DEATH FOR ALL CANCERS IN ADAMS COUNTY IS 158.1 AND IN WELD COUNTY IT IS 133.3 PER 100,000 PERSONS. ADAMS COUNTY IS HIGHER THAN THE STATE RATE OF DEATH BY CANCER (136.9) BUT BOTH COUNTIES ARE LOWER THAN THE HEALTHY PEOPLE 2020 OBJECTIVE OF 161.4 PER 100,000 PERSONS FOR ALL CANCERS.HEART DISEASE DEATH RATE, AGE-ADJUSTED DEATH RATE PER 100,000 PERSONS, 2016ADAMS COUNTY HAS AN AGE-ADJUSTED RATE OF DEATH DUE TO HEART DISEASE OF 136.5 PER 100,000 PERSONS. IN WELD COUNTY THE HEART DISEASE AGE-ADJUSTED DEATH RATE IS 131.1. THESE RATES EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE OF 103.4 DEATHS PER 100,000 PERSONS. STROKE DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2016THE RATE OF DEATH BY STROKE PER 100,000 PERSONS IN ADAMS COUNTY (33.1) AND WELD COUNTY (33.5) EXCEED THE STATE RATE (32.9) BUT ARE LOWER THAN THE HEALTHY PEOPLE 2020 OBJECTIVE (34.8). UNINTENTIONAL INJURY DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2016IN ADAMS COUNTY THE DEATH RATE FOR UNINTENTIONAL INJURIES IS 53.8 PER 100,000 PERSONS. IN WELD COUNTY THE RATE IS 44.1. THESE EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE FOR UNINTENTIONAL INJURY DEATHS OF 36.4 PER 100,000 PERSONS.DIABETES DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2016THE AGE-ADJUSTED DEATH RATE FOR DIABETES IN ADAMS COUNTY IS 18.9 PER 100,000 PERSONS, AND IN WELD COUNTY IT IS 19.5. PNEUMONIA DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2016THE DEATH RATE FROM PNEUMONIA IN ADAMS COUNTY IS 9.5 PER 100,000 PERSONS. IN WELD COUNTY THE DEATH RATE IS 7.8 PER 100,000 PERSONS. ADAMS COUNTY RATES EXCEED THE STATE RATE OF 8.6 DEATHS PER 100,000 PERSONS.SUICIDE DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2016THE RATE OF DEATH BY SUICIDE IN ADAMS COUNTY IS 17.6 AND IN WELD COUNTY IT IS 19.5 PER 100,000 PERSONS. THESE RATES EXCEED THE HEALTHY PEOPLE OBJECTIVE OF 10.2 DEATHS PER 100,000 PERSONS FROM SUICIDE.DRUG-INDUCED DEATH RATE, AGE-ADJUSTED PER 100,000 PERSONS, 2016THE RATE OF DRUG-INDUCED DEATHS IN ADAMS COUNTY (19.2, RANKING 3RD IN THE STATE) AND WELD COUNTY (13.3, RANKING 8TH IN THE STATE) EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE OF 11.3 DEATHS PER 100,000 PERSONS. BOTH COUNTIES ARE LOWER THAN THE STATE (16.1)ALCOHOLIC LIVER DISEASE, AGE-ADJUSTED PER 100,000 PERSONS, 2016THE RATE OF DEATH DUE TO ALCOHOLIC LIVER DISEASE IS 13.4 PER 100,000 PERSONS IN ADAMS COUNTY AND 8.3 IN WELD COUNTY.HIV/AIDS MORTALITY, AGE-ADJUSTED PER 100,000 PERSONS, 2016THE RATE OF DEATH AS A RESULT OF HIV/AIDS IS LOWER IN ADAMS COUNTY (0.6) THAN COMPARED TO THE STATE RATE OF 0.8 DEATH PER 100,000 PERSONS. HEALTH INSURANCE COVERAGE, CIVILIAN NON-INSTITUTIONALIZED POPULATION, AGES 18-64HEALTH INSURANCE COVERAGE IS CONSIDERED A KEY COMPONENT TO ACCESSING HEALTH CARE. AMONG THE ADULT POPULATION IN ADAMS COUNTY, 84.4% HAVE HEALTH INSURANCE, A LOWER RATE THAN THE STATE (89.1%). IN WELD COUNTY, 89.0% OF THE POPULATION HAS HEALTH INSURANCE.UNINSURED CHILDREN, AGES 0-17AMONG CHILDREN IN ADAMS COUNTY, 8.2% ARE UNINSURED (91.8% INSURED), COMPARED TO 7.5% WHO ARE UNINSURED (92.5% INSURED) IN WELD COUNTY.ADULTS WITH UNMET MEDICAL NEED DUE TO COST17% OF ADULTS IN ADAMS AND 16% OF ADULTS IN WELD COUNTIES HAD AN UNMET MEDICAL NEED BECAUSE THEY WERE NOT ABLE TO AFFORD CARE. THESE RATES ARE HIGHER THAN FOUND IN THE STATE (14%).MENTAL HEALTH PROVIDERS, NUMBER AND RATIO, 2015MENTAL HEALTH PROVIDERS INCLUDE PSYCHIATRISTS, CLINICAL PSYCHOLOGISTS, CLINICAL SOCIAL WORKERS, AND CERTIFICATIONS. IN ADAMS COUNTY, THE RATIO OF THE POPULATION TO MENTAL HEALTH PROVIDERS IS 340:1. IN WELD COUNTY THE RATIO IS 460:1. IN THE STATE THE RATIO IS 392:1. FAIR OR POOR HEALTH, ADULTS, 2013-2015WHEN ASKED TO SELF-REPORT ON HEALTH STATUS, 17.3% OF ADULTS IN ADAMS COUNTY AND 14.5% IN WELD COUNTY INDICATED THEY WERE IN FAIR OR POOR HEALTH. THESE RATES ARE HIGHER THAN FOUND IN THE STATE (13.7%).ASTHMA PREVALENCE, PERCENT OF POPULATION, 20169.7% OF ADULTS IN ADAMS COUNTY AND 9.1% OF ADULTS IN WELD COUNTY HAVE BEEN DIAGNOSED WITH ASTHMA. ADULT DIABETES PREVALENCE, 2016THE PERCENT OF ADULTS, DIAGNOSED WITH DIABETES WAS 7.6% IN ADAMS COUNTY AND 6.8% IN WELD COUNTY. 6.8% OF ADULTS IN THE STATE HAVE BEEN DIAGNOSED WITH DIABETES.HIGH BLOOD PRESSURE, 201626.4% OF ADULTS IN ADAMS COUNTY AND 23.1% IN WELD COUNTY HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE. ADAMS COUNTY EXCEEDS THE STATE RATE OF 25.8%.NEW DIAGNOSES OF TB, PER 100,000 PERSONS, 5-YEAR AVERAGE 2016THE RATE OF TUBERCULOSIS AVERAGED OVER FIVE YEARS IS 1.5 PER 100,000 PERSONS IN ADAMS COUNTY, 0.5 PER 100,000 PERSONS IN WELD COUNTY. RACIAL MINORITIES ARE AT THE GREATEST RISK: 86% OF NEW TB CASES IN THE STATE OCCURRED IN MINORITY POPULATIONS, YET THEY ONLY COMPRISE 31% OF THE STATE'S POPULATION. 21.9% OF TB CASES WERE IN THOSE OF ASIAN/PACIFIC ISLANDER ORIGIN, 39.1% OF CASES WERE IN HISPANICS, AND 25.0% IN BLACK/AFRICAN AMERICANS. ADULT OVERWEIGHT (BMI 25.5 TO 29.9), 2016AMONG ADULTS IN ADAMS COUNTY, 37.4% ARE OVERWEIGHT. IN WELD COUNTY, 37.8% OF ADULTS ARE OVERWEIGHT.ADULT OBESE (BMI > 30), 2016OVER ONE-FOURTH OF THE ADULT POPULATION IS OBESE IN ADAMS COUNTY (26.1%) AND WELD COUNTY (27.9%).MODERATELY PHYSICALLY ACTIVE, ADULTS, 2015THE CDC RECOMMENDATION FOR ADULT PHYSICAL ACTIVITY IS MODERATE ACTIVITY EQUAL TO OR GREATER THAN 150 MINUTES IN A WEEK OR VIGOROUS ACTIVITY EQUAL TO OR GREATER THAN 75 MINUTES A WEEK. IN ADAMS COUNTY, 54.6% OF ADULTS MEET THE PHYSICAL ACTIVITY RECOMMENDATION. 52.6% OF ADULTS ARE MODERATELY ACTIVE IN WELD COUNTY.SEDENTARY ADULTS, 201523.5% OF ADULTS IN ADAMS COUNTY ARE SEDENTARY AND DO NOT PARTICIPATE IN ANY LEISURE TIME PHYSICAL ACTIVITY. 21% OF ADULTS IN WELD COUNTY ARE SEDENTARY. BOTH COUNTIES HAVE HIGHER RATES THAN THE STATE (17.4%).YOUTH PHYSICAL ACTIVITY, AGES 5-14, 2016THE CDC RECOMMENDATION FOR YOUTH PHYSICAL ACTIVITY IS 60 MINUTES OR MORE EACH DAY. 37.5% OF WELD COUNTY YOUTH, AGES 5 TO 14, MET THIS ACTIVITY RECOMMENDATION ON 7 OF THE PAST 7 DAYS, JUST SLIGHTLY LOWER THAN THE STATE RATE OF 44.0%. BOTH ARE HIGHER THAN THE ADAMS COUNTY RATE OF 34.2%ADULT SMOKERS, 2015-2017THE PERCENTAGE OF ADULTS, 18 AND OVER, IN ADAMS COUNTY WHO SMOKE CIGARETTES IS 19.3%, AND IN WELD COUNTY IT IS 16.6%. THESE RATES ARE HIGHER THAN THE STATE (16.3%), AND ALL EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE OF 12%. PHYSICAL OR MENTAL UNHEALTHY DAYS IN PREVIOUS 30 DAYS, ADULTS, 3-YEAR AVERAGE 2013-2015THE AVERAGE NUMBER OF PHYSICALLY UNHEALTHY DAYS EXPERIENCED BY ADULTS IN ADAMS COUNTY IN THE LAST 30 DAYS WAS 3.6 DAYS. ADAMS COUNTY ADULTS EXPERIENCED 3.5 MENTALLY UNHEALTHY DAYS A MONTH. IN WELD COUNTY, ADULTS EXPERIENCED AN AVERAGE OF 3.3 PHYSICALLY UNHEALTHY DAYS AND 3.3 MENTALLY UNHEALTHY DAYS A MONTH.FREQUENT MENTAL DISTRESS, ADULT, 2016THE PERCENTAGE OF THE ADULT POPULATION REPORTING MORE THAN 14 DAYS OF POOR MENTAL HEALTH PER MONTH WAS 9.6% IN ADAMS COUNTY AND 9.1% IN WELD COUNTY.BINGE DRINKING, ADULTS, 2015-17BINGE DRINKING IS DEFINED AS CONSUMING FIVE OR MORE DRINKS ON ONE OCCASION FOR MEN AND FOUR OR MORE FOR WOMEN. 17.1% OF ADULTS IN ADAMS COUNTY AND 17.7% IN WELD COUNTY ENGAGED IN BINGE DRINKING IN THE PAST MONTH. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| PLATTE VALLEY MEDICAL CENTER FOUNDATION | |||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 742255936 | 501(C)(3) | $169,103 | SUPPORT MISSION |
| ALMOST HOME INC | |||||||
| 231 N MAIN ST | BRIGHTON | CO | 80601 | 841220644 | 501(C)(3) | $60,000 | OPERATING FUNDS |
| PENNOCK CENTER FOR COUNSELING | |||||||
| 211 S 21ST AVE | BRIGHTON | CO | 80601 | 200986823 | 501(C)(3) | $45,000 | OPERATING FUNDS |
| HOPE AT MIRACLE HOUSE | |||||||
| 1100 JUDICIAL CENTER DR | BRIGHTON | CO | 80601 | 465508034 | 501(C)(3) | $30,000 | OPERATING FUNDS |
| WELD FOOD BANK | |||||||
| 1800 E LONGS PEAK ST | BRIGHTON | CO | 80601 | 742244826 | 501(C)(3) | $27,000 | FOOD |
| COLD WEATHER CARE | |||||||
| 231 NORTH MAIN STREET | BRIGHTON | CO | 80601 | 812314182 | 501(C)(3) | $25,850 | OPERATING FUNDS |
| RICHARD LAMBERT FOUNDATION | |||||||
| PO BOX 351594 | WESTMINSTER | CO | 80035 | 463655727 | 501(C)(3) | $25,000 | OPERATING FUNDS |
| BOYS & GIRLS CLUBS OF METRO DENVER | |||||||
| 1108 H STREET | GREELEY | CO | 80631 | 840510404 | 501(C)(3) | $25,000 | OPERATING FUNDS |
| BRIGHTON HOUSING AUTHORITY | |||||||
| 530 REYNOLDS ST FORT LUPTON | FORT LUPTON | CO | 80621 | 840687818 | 501(C)(6) | $15,000 | SUPPORT OPERATIONS |
| BRIGHTON SDA FOOD BANK | |||||||
| 567 E BROMLEY LN | BRIGHTON | CO | 80601 | 841210598 | 501(C)(3) | $15,000 | FOOD PANTRY SUPPORT |
| CASA | |||||||
| 9025 GRANT SUITE 150 | THORNTON | CO | 80229 | 311657019 | 501(C)(3) | $12,000 | OPERATING FUNDS |
| A PRECIOUS CHILD | |||||||
| 155 E BRIDGE ST | BRIGHTON | CO | 80601 | 263349334 | 501(C)(3) | $10,000 | SUPPORT OPERATIONS |
| CALVERY CHAPEL BRIGHTON | |||||||
| 103 E BRIDGE ST | BRIGHTON | CO | 80601 | 841512645 | 501(C)(3) | $10,000 | SUPPORT OPERATIONS |
| VIA MOBILITY SERVICES | |||||||
| 2855 N 63RD ST | BOULDER | CO | 80301 | 840777296 | 501(C)(3) | $10,000 | TRANSPORTATION FOR SENIORS AND DISABLED |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 13 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ALL GRANT RECIPIENTS ARE FIRST REQUIRED TO SUBMIT APPLICATIONS WHICH DETAIL THE INTENDED USES OF GRANT FUNDS. AFTER GRANTS HAVE BEEN AWARDED, RECIPIENTS ARE REQUIRED TO COMPLETE A FINAL REPORT INDICATING HOW GRANT FUNDS WERE ACTUALLY SPENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAJQUAH HUDSON | ||||||||||||||
| DIRECTOR | $0 | $612,787 | $50 | $225,937 | $0 | $228,338 | $0 | $174,893 | $0 | $8,722 | $50 | $1,250,677 | $0 | $133,016 |
| SHAWN DUFFORD MD | ||||||||||||||
| DIRECTOR | $0 | $547,484 | $50 | $203,263 | $0 | $106,682 | $0 | $94,488 | $0 | $14,442 | $50 | $966,359 | $0 | $77,410 |
| DANIEL HAMMAN MD | ||||||||||||||
| PHYSICIAN MOUNTAIN VIEW ORTHO | $494,178 | $0 | $315,277 | $0 | $2,105 | $0 | $17,100 | $0 | $32,644 | $0 | $861,304 | $0 | $0 | $0 |
| JOHN HICKS | ||||||||||||||
| CEO/PRESIDENT | $531,518 | $0 | $196,666 | $0 | $15,883 | $0 | $90,921 | $0 | $9,922 | $0 | $844,910 | $0 | $0 | $0 |
| MATTHEW GAWART MD | ||||||||||||||
| PHYSICIAN APEX SURGERY PVMC | $472,494 | $0 | $284,384 | $0 | $1,660 | $0 | $17,100 | $0 | $8,416 | $0 | $784,054 | $0 | $0 | $0 |
| CHRISTOPHER CANNON MD | ||||||||||||||
| PHYSICIAN HIGH PLAINS | $624,277 | $0 | $50,000 | $0 | $22,173 | $0 | $11,345 | $0 | $30,331 | $0 | $738,126 | $0 | $0 | $0 |
| DONALD RABOR MD | ||||||||||||||
| PHYSICIAN HIGH PLAINS | $548,670 | $0 | $94,716 | $0 | $7,531 | $0 | $15,986 | $0 | $31,425 | $0 | $698,328 | $0 | $0 | $0 |
| AARON BAXTER MD | ||||||||||||||
| PHYSICIAN MOUNTAIN VIEW ORTHO | $493,205 | $0 | $149,311 | $0 | $3,629 | $0 | $10,858 | $0 | $31,778 | $0 | $688,781 | $0 | $0 | $0 |
| KIRK QUACKENBUSH MD | ||||||||||||||
| VP CHIEF MEDICAL OFFICER PVMC | $324,104 | $0 | $81,469 | $0 | $123,061 | $0 | $11,345 | $0 | $19,787 | $0 | $559,766 | $0 | $0 | $0 |
| KURT GENSERT | ||||||||||||||
| VP CHIEF OPERATING/NURSING OFFICER P | $315,385 | $0 | $71,002 | $0 | $2,630 | $0 | $44,838 | $0 | $25,178 | $0 | $459,033 | $0 | $0 | $0 |
| SEAN FADDEN | ||||||||||||||
| VP FINANCE PVMC 1/1-1/12 | $0 | $218,685 | $0 | $48,611 | $0 | $1,046 | $0 | $30,429 | $0 | $25,609 | $0 | $324,380 | $0 | $0 |
| TROY STOEHR | ||||||||||||||
| VP FINANCE PVMC | $201,499 | $0 | $0 | $0 | $33,508 | $0 | $18,000 | $0 | $27,609 | $0 | $280,616 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | TAX INDEMNIFICATION AND GROSS-UP PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2020 WERE: TROY STOEHR $2,862. PART I, LINE 1B: TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - WRITTEN POLICY THE ORGANIZATION AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES. |
| PART I, LINE 3 | COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE ORGANIZATIONS OFFICERS AND SENIOR MANAGEMENT ARE PAID BY PLATTE VALLEY MEDICAL CENTER (PVMC). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. |
| PART I, LINE 4B | PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. IN 2019, THE RELATED ORGANIZATION CONSOLIDATED FOUR NON QUALIFED DEFERRED COMPENSATION PLANS INTO ONE PLAN. AS PART OF THIS EFFORT, ALL VESTED BALANCES FROM THE SERP PLANS PRIOR TO 2014 WERE PAID TO THE PARTICIPANTS IN 2020. THERE ARE NO REMAINING PARTICIPANTS IN THE LEGACY PLANS. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2020. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2020 WERE: SHAWN DUFFORD - $152,626, TAJQUAH HUDSON - $301,154, KIRK QUACKENBUSH - 119,485. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. |
| PART I, LINE 7 | THE AT-RISK COMPENSATION (ARC) PLAN WAS ESTABLISHED TO ENABLE SCL HEALTH TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION AND STRATEGIC IMPERATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND AWARD OPPORTUNITIES ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR MANAGEMENT LEVEL AT SCL HEALTH. ACTUAL AWARDS WILL BE PAID OUT BASED ON ATTAINMENT OF SELECTED SCL HEALTH BOARD-APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, QUALITY, PATIENT AND ASSOCIATE SAFETY AND PATIENT EXPERIENCE AND FULFILLMENT OF OUR MISSION. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON. |
| SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES | THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF EIGHT HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,900 FULL-TIME ASSOCIATES AND MORE THAN 800 EMPLOYED PROVIDERS. SCL HEALTH AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCL HEALTH'S CORE VALUE OF STEWARDSHIP, SCL HEALTH'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. |
Schedule M IRS990ScheduleM
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 46 | ContributionCnt |
| Noncash Contributions Rpt F990 | $51,281 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $7,462 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | OTHER SUPPLIES | Desc |
| Contribution | 6 | ContributionCnt |
| Noncash Contributions Rpt F990 | $324 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 990, PAGE 1, LINE J | WEBSITE HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ |
| FORM 990, PART VI, SECTION A, LINE 6 | INTEGRITY HEALTH IS THE SOLE MEMBER OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | INTEGRITY HEALTH, THE SOLE MEMBER OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION, APPROVES MEMBERS OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | INTEGRITY HEALTH HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. INTEGRITY HEALTH ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND DIRECTOR LEVEL MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT UPON HIRE/APPOINTMENT AND ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCL HEALTH'S PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS DETERMINED TO CONSTITUTE A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR SYSTEM INTEGRITY AND COMPLIANCE COMMITTEE AND TO THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY PLATTE VALLEY MEDICAL CENTER (PVMC). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH)BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | BOOK VS TAX DIFFERENCE GRANT EXPENSE 169,450. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| PLATTE VALLEY AMBULANCE SERVICE LLC | |||||||||
| 1606 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 814643766 | AMBULANCE SERVICES | CO | $8,299,200 | $0 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| PLATTE VALLEY MEDICAL GROUP LLC | |||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 822778995 | PHYSICIAN SERVICES | CO | $25,425,248 | $765,718 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| PLATTE VALLEY MEDICAL IMAGING LLC | |||||||||
| 1606 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 320402320 | IMAGING SERVICES | CO | $0 | $0 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| SPECTRUM MEDICAL IMAGING LLC | |||||||||
| 1610 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 475236844 | IMAGING SERVICES | CO | $8,131,998 | $0 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| PLATTE VALLEY MEDICAL PLAZA 1 LLC | |||||||||
| 1606 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 800237029 | RENTAL REAL ESTATE | CO | $563,300 | $0 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| PLATTE VALLEY MEDICAL PLAZA 2 LLC | |||||||||
| 1606 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 822708386 | RENTAL REAL ESTATE | CO | $1,539,154 | $0 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 237379161 | MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES | KS | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| SCL HEALTH FOUNDATION | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 823290526 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| SCL HEALTH RESEARCH INSTITUTE INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 852014794 | MEDICAL RESEARCH | CO | 501(C)(3) | LINE 4 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| INTEGRITY HEALTH | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 474520350 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12C, III-FI | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| PLATTE VALLEY MEDICAL CENTER FOUNDATION | |||||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 742255936 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12A, I | Yes (1) | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | |
| MOUNT ST VINCENT HOME INC | |||||||||||
| 4159 LOWELL BOULEVARD | DENVER | CO | 80211 | 840405260 | RESIDENT CARE | CO | 501(C)(3) | LINE 10 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| NJH-SJH INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | DENVER | CO | 80211 | 471194849 | MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES | CO | 501(C)(3) | LINE 12A, I | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| SAINT JOSEPH HOSPITAL INC | |||||||||||
| 1375 EAST 19TH AVENUE | DENVER | CO | 80218 | 840417134 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| SAINT JOSEPH HOSPITAL FOUNDATION | |||||||||||
| 1375 EAST 19TH AVENUE | DENVER | CO | 80218 | 840735096 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | 0 | SAINT JOSEPH HOSPITAL INC | |
| SCL HEALTH - FRONT RANGE INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 841103606 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| GOOD SAMARITAN MEDICAL CENTER FOUNDATION | |||||||||||
| 200 EXEMPLA CIRCLE | LAFAYETTE | CO | 80026 | 841649162 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | 0 | SCL HEALTH-FRONT RANGE INC | |
| LUTHERAN MEDICAL CENTER FOUNDATION | |||||||||||
| 8300 WEST 38TH AVENUE | WHEAT RIDGE | CO | 80033 | 208846152 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | 0 | SCL HEALTH-FRONT RANGE INC | |
| ST MARYS HOSPITAL & MEDICAL CENTER INC | |||||||||||
| 2635 NORTH 7TH STREET | GRAND JUNCTION | CO | 81501 | 840425720 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| ST MARYS HOSPITAL FOUNDATION | |||||||||||
| 2635 NORTH 7TH STREET | GRAND JUNCTION | CO | 81501 | 237001007 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12A, I | 0 | ST MARYS HOSPITAL & MEDICAL CENTER INC | |
| CARITAS CLINICS INC | |||||||||||
| 818 NORTH 7TH STREET | LEAVENWORTH | KS | 66048 | 481009910 | CLINIC SERVICES | KS | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| MARIAN CLINIC INC | |||||||||||
| 3164 SE 6TH AVENUE | TOPEKA | KS | 66607 | 481046905 | CLINIC SERVICES | KS | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| ST FRANCIS HEALTH CENTER INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 480547719 | HOSPITAL SERVICES | KS | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| HOLY ROSARY HEALTHCARE | |||||||||||
| 2600 WILSON STREET | MILES CITY | MT | 59301 | 810231792 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| HOLY ROSARY HEALTHCARE FOUNDATION INC | |||||||||||
| 2600 WILSON STREET | MILES CITY | MT | 59301 | 202270238 | SUPPORTING ORGANIZATION | MT | 501(C)(3) | LINE 12A, I | 0 | HOLY ROSARY HEALTHCARE | |
| ST JAMES HEALTHCARE | |||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 810231785 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| ST JAMES HEALTHCARE FOUNDATION INC | |||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 651202190 | SUPPORTING ORGANIZATION | MT | 501(C)(3) | LINE 12A, I | 0 | ST JAMES HEALTHCARE | |
| SCL HEALTH - MONTANA | |||||||||||
| 1233 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810232124 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| ST VINCENT HEALTHCARE FOUNDATION INC | |||||||||||
| 1106 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810468034 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | MT | 501(C)(3) | LINE 7 | 0 | SCL HEALTH - MONTANA | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| LUTHERAN CAMPUS ASC LLC | |||||||||
| 569 BROOKWOOD VILLAGE SUITE 901 | BIRMINGHAM | AL | 35209 | 020749532 | OP SURGERY | CO | N/A | 0 | 0 |
| SCLH-GI ENDOSCOPY HOLDINGS LLC | |||||||||
| 382 S ARTHUR AVENUE | LOUISVILLE | CO | 80027 | 812979243 | OP ENDOSCOPY | CO | N/A | 0 | 0 |
| SCLTDI JV LLC | |||||||||
| 4200 SIX FORKS ROAD SUITE 1000 | RALEIGH | NC | 27609 | 472294770 | RADIOLOGY | DE | N/A | 0 | 0 |
| ATHLETIC MEDICINE & PERFORMANCE LLC | |||||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 272270640 | PHYSICAL THERAPY | MT | N/A | 0 | 0 |
| GRAND VALLEY SURGICAL CENTER LLC | |||||||||
| 710 WELLINGTON AVENUE SUITE 21 | GRAND JUNCTION | CO | 81501 | 841505075 | OP SURGERY | CO | N/A | 0 | 0 |
| HEALTHCARE MANAGEMENT LLC | |||||||||
| PO BOX 1929 | GRAND JUNCTION | CO | 81502 | 841238904 | MANAGEMENT SERVICES | CO | N/A | 0 | 0 |
| PAVILION IMAGING LLC | |||||||||
| 750 WELLINGTON AVENUE | GRAND JUNCTION | CO | 81501 | 030516198 | RADIOLOGY | CO | N/A | 0 | 0 |
| SAN JUAN CANCER CENTER LLC | |||||||||
| 600 SOUTH 5TH STREET | MONTROSE | CO | 81401 | 202856331 | OP CANCER | CO | N/A | 0 | 0 |
| CAREFLIGHT OF THE ROCKIES LLC | |||||||||
| 500 ELDORADO BLVD SUITE4300 | BROOMFIELD | CO | 80021 | 473525381 | MEDICAL AIR TRANSPORT | CO | N/A | 0 | 0 |
| MED-MAP LLC | |||||||||
| PO BOX 1295 | BILLINGS | MT | 59103 | 810491356 | RENTAL REAL ESTATE | MT | N/A | 0 | 0 |
| YELLOWSTONE SURGERY CENTER LLC | |||||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 721519467 | OP SURGERY | MT | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARITAS INC AND SUBSIDIARIES | |||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 480941069 | HEALTHCARE | KS | N/A | C | 0 | ||||
| ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC | |||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 462874128 | HEALTHCARE | KS | N/A | C | 0 | ||||
| WEST END ASSOCIATION INC | |||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 854261243 | REAL ESTATE MANAGEMENT | MT | N/A | C | 0 | ||||
| LEAVEN INSURANCE COMPANY LTD | |||||||||||||
| 980370522 | INSURANCE | N/A | C | 0 | 23 LIME TREE BAY AVENUE WEST BAY R | GRAND CAYMAN KY | CJ | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PLATTE VALLEY MEDICAL CENTER FOUNDATION | ||
| B | $169,103 | CASH |
| PLATTE VALLEY MEDICAL CENTER FOUNDATION | ||
| C | $274,636 | CASH AND FMV |