POUDRE VALLEY HEALTH CARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: POUDRE VALLEY HEALTH CARE INC (EIN 84-1262971)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-11
IRS object ID: 201701319349304530
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-11T15:56:33-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	461497033	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	EKS&H LLLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	7979 E TUFTS AVENUE SUITE 400	AddressLine1Txt
City	DENVER	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	802372521	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	841262971	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	POUDRE VALLEY HEALTH CARE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	POUD	BusinessNameControlTxt
Phone	9702377000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY ROAD NO 200	AddressLine1Txt
City	FORT COLLINS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80528	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHANIE DOUGHTY	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	9702377000	PhoneNum
Signature	2017-05-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DORI J EGGETT	PreparerPersonNm
PTIN	P00645252	PTIN
Phone	3037409400	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KEVIN UNGER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY RD 200	AddressLine1Txt
City	FT COLLINS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80528	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,273,433,310	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.UCHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	WE IMPROVE LIVES THROUGH LEARNING, HEALING, DISCOVERY, AND THROUGH HUMAN CONNECTION.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	4147	TotalEmployeeCnt
Total Volunteers	525	TotalVolunteersCnt
Total Gross UBI	$5,191,945	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$4,439,108	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,220,807	PYContributionsGrantsAmt
CY Contributions Grants	$1,749,929	CYContributionsGrantsAmt
PY Program Service Revenue	$471,312,432	PYProgramServiceRevenueAmt
CY Program Service Revenue	$497,070,556	CYProgramServiceRevenueAmt
PY Investment Income	$23,773,424	PYInvestmentIncomeAmt
CY Investment Income	$34,325,141	CYInvestmentIncomeAmt
PY Other Revenue	$10,670,778	PYOtherRevenueAmt
CY Other Revenue	$12,353,000	CYOtherRevenueAmt
PY Total Revenue	$507,977,441	PYTotalRevenueAmt
CY Total Revenue	$545,498,626	CYTotalRevenueAmt
PY Grants And Similar Paid	$31,381,120	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$33,530,461	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$185,330,975	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$204,165,832	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$205,327,882	PYOtherExpensesAmt
CY Other Expenses	$232,570,715	CYOtherExpensesAmt
PY Total Expenses	$422,039,977	PYTotalExpensesAmt
CY Total Expenses	$470,267,008	CYTotalExpensesAmt
PY Revenues Less Expenses	$85,937,464	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$75,231,618	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,242,473,093	TotalAssetsBOYAmt
Total Assets EOY	$3,847,835,066	TotalAssetsEOYAmt
Total Liabilities BOY	$1,327,312,245	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,784,126,390	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$915,160,848	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,063,708,676	NetAssetsOrFundBalancesEOYAmt
Mission	WE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS, WE IMPROVE LIVES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$430,743,868	ExpenseAmt
Grant	$33,530,461	GrantAmt
Revenue	$497,070,556	RevenueAmt
Desc	POUDRE VALLEY HEALTH CARE INC. (PVHC) PROVIDES TERTIARY, ACUTE, INPATIENT, OUTPATIENT AS WELL AS EMERGENCY CARE. PVHC SERVICES COMMUNITIES IN NORTHERN COLORADO, SOUTHWESTERN NEBRASKA, AND SOUTHEASTERN WYOMING. DURING FISCAL YEAR 2016, PVHC RECORDED 53,486 PATIENT DAYS, 14,840 ADMISSIONS, 260,614 OUTPATIENT VISITS, 60,604 EMERGENCY VISITS, 2,190 DELIVERIES, 4,060 INPATIENT SURGERIES, AND 5,340 OUTPATIENT SURGERIES.	Desc
Total Program Service Expenses	$430,743,868	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	217	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4147	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEPHANIE DOUGHTY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9702377000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY ROAD SUITE 200	AddressLine1Txt
City	FORT COLLINS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80528	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHRISTINE CHIN
BOARD CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
MIKE DELLENBACH
VICE BOARD CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
DENNIS HOUSKA
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
THAINE MICHIE
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
CHRIS OSBORN
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
JOHN MENTGEN
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
JAMES SPROWELL MD
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
LAURIE STEELE
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
DAN STROH
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
STEVE THORSON MD
BOARD MEMBER	1.00	2.00	Yes (X)		$0	$0	$0
KEVIN UNGER
PRESIDENT/CEO	25.00	25.00	Yes (X)	Yes (X)	$345,301	$345,301	$79,576
STEPHANIE DOUGHTY
CFO	25.00	25.00		Yes (X)	$308,025	$308,025	$65,194
DR STANLEY GUNSTREAM
VP CHIEF QUALITY OFFICER	40.00				$220,602	$220,602	$55,420	Yes (X)
DONNA PODUSKA
CNO	50.00				$257,040	$0	$36,723	Yes (X)
MARILYN SCHOCK
COO	50.00				$182,196	$182,196	$44,160	Yes (X)
RUSS WOOLLEY
VP OPERATIONS END 06/16	40.00				$96,697	$96,697	$40,286	Yes (X)
DR JOSEPH GOTTFRIED
PSYCHIATRIST	40.00				$267,070	$0	$49,654		Yes (X)
DR JOSEPH LOPEZ
CLINICAL DIRECTOR	40.00				$267,099	$0	$47,372		Yes (X)
DR MICHAEL RANDLE
CMO	50.00				$411,707	$0	$57,440		Yes (X)
KENNETH WATANABE
PSYCHIATRIST	40.00				$284,696	$0	$48,966		Yes (X)
DR JANELL WOZNIAK
CLINICAL DIRECTOR	40.00				$282,905	$0	$43,060		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,923,338	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,152,821	TotReportableCompRltdOrgAmt
Total Other Compensation	$567,851	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	147	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
ALLIED BARTON SECURITY
161 WASHINGTON ST 600	CONSHOHOCKEN	PA	19428	SECURITY	$3,032,564
NORTHERN COLORADO HOSPITALISTS
2121 E HARMONY RD 300	FT COLLINS	CO	80528	MEDICAL	$2,137,393
FORT COLLINS WOMEN'S CLINIC
1107 S LEMAY AVE 300	FT COLLINS	CO	80524	MEDICAL	$1,911,675
SUMMIT PATHOLOGY
5802 WRIGHT DR	LOVELAND	CO	80538	MEDICAL	$1,397,191
FORT COLLINS YOUTH CLINIC
1214 OAK PARK DR	FORT COLLINS	CO	80525	MEDICAL	$1,309,995

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	46	CntrctRcvdGreaterThan100KCnt
Related Organizations	$673,991	RelatedOrganizationsAmt
Government Grants	$695,460	GovernmentGrantsAmt
All Other Contributions	$380,478	AllOtherContributionsAmt
Noncash Contributions	$291,269	NoncashContributionsAmt
Total Contributions	$1,749,929	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SVC REV	900099	$512,152,902	$512,152,902
PROVIDER FEE INCOME	621400	$29,917,093	$29,917,093
DIETARY SVC INCOME	900099	$2,130,084		$2,130,084
JOINT VENTURE	621400	-$47,240,948	-$47,909,367		$668,419

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$111,425	TotalRevenueColumnAmt
Related Or Exempt Func Income	$64,871	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$46,554	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$497,070,556	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,380,179	TotalRevenueColumnAmt
Exclusion	$13,380,179	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$945,951	TotalRevenueColumnAmt
Exclusion	$945,951	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$12,936,840	RealAmt
Personal	$187,969	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,451,594	RealAmt
Personal	$187,969	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$9,485,246	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,485,246	TotalRevenueColumnAmt
Unrelated Business Revenue	$4,476,972	UnrelatedBusinessRevenueAmt
Exclusion	$5,008,274	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$743,552,489	SecuritiesAmt
Other	$495,574	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$723,888,070	SecuritiesAmt
Other	$160,982	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$19,664,419	SecuritiesAmt
Other	$334,592	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,999,011	TotalRevenueColumnAmt
Exclusion	$19,999,011	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$400,812	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$246,069	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$154,743	TotalRevenueColumnAmt
Exclusion	$154,743	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS REVENUE	621400	$2,092,561	$2,092,561
EHR REVENUE	624100	$620,450	$620,450

Field	Value	IRS element (for citing)
Other Revenue Total	$2,713,011	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$545,498,626	TotalRevenueColumnAmt
Related Or Exempt Func Income	$496,938,510	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,191,945	UnrelatedBusinessRevenueAmt
Exclusion	$41,618,242	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$33,530,461	TotalAmt
Program Services	$33,530,461	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,502,097	TotalAmt
Program Services	$286,416	ProgramServicesAmt
Management And General	$1,215,681	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$64,490	TotalAmt
Program Services	$64,490	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$156,207,183	TotalAmt
Program Services	$142,063,848	ProgramServicesAmt
Management And General	$14,143,335	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$26,176,819	TotalAmt
Program Services	$23,628,549	ProgramServicesAmt
Management And General	$2,548,270	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,173,070	TotalAmt
Program Services	$16,403,952	ProgramServicesAmt
Management And General	$1,769,118	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,042,173	TotalAmt
Program Services	$1,843,371	ProgramServicesAmt
Management And General	$198,802	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$74,683	TotalAmt
Management And General	$74,683	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$90,062	TotalAmt
Management And General	$90,062	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$17,882	TotalAmt
Management And General	$17,882	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,489,562	TotalAmt
Management And General	$1,489,562	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$33,099,938	TotalAmt
Program Services	$32,240,055	ProgramServicesAmt
Management And General	$859,883	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,938,408	TotalAmt
Program Services	$19,668	ProgramServicesAmt
Management And General	$2,918,740	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,319,179	TotalAmt
Program Services	$3,929,557	ProgramServicesAmt
Management And General	$389,622	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,945,434	TotalAmt
Program Services	$6,187,393	ProgramServicesAmt
Management And General	$758,041	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,561,629	TotalAmt
Program Services	$5,823,934	ProgramServicesAmt
Management And General	$737,695	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$934,718	TotalAmt
Program Services	$723,509	ProgramServicesAmt
Management And General	$211,209	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$645,178	TotalAmt
Program Services	$516,616	ProgramServicesAmt
Management And General	$128,562	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,822,447	TotalAmt
Program Services	$6,822,447	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,802,996	TotalAmt
Program Services	$18,563,796	ProgramServicesAmt
Management And General	$5,239,200	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,211,737	TotalAmt
Program Services	$128,697	ProgramServicesAmt
Management And General	$2,083,040	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
UBI TAXES	$1,592,672	$1,592,672
MEDICAL SUPPLIES	$92,961,479	$26,559	$92,934,920
PROVIDER FEE EXPENSE	$22,357,804		$22,357,804
BAD DEBT	$18,134,547		$18,134,547

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,570,360	TotalAmt
Program Services	$4,539,838	ProgramServicesAmt
Management And General	$3,030,522	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$470,267,008	TotalAmt
Program Services	$430,743,868	ProgramServicesAmt
Management And General	$39,523,140	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$68,533,778	BOYAmt
EOY	$25,306,411	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,489,346	BOYAmt
EOY	$1,729,412	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$50,779,998	BOYAmt
EOY	$54,166,356	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$45,308	BOYAmt
EOY	$44,554	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,998,323	BOYAmt
EOY	$8,574,425	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,617,968	BOYAmt
EOY	$5,914,506	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$628,673,524	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$333,283,059	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$254,841,833	BOYAmt
EOY	$295,390,465	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$780,602,336	BOYAmt
EOY	$909,389,700	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$26,245,368	BOYAmt
EOY	$26,544,710	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,049,318,835	BOYAmt
EOY	$2,520,774,527	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,242,473,093	BOYAmt
EOY	$3,847,835,066	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$63,770,176	BOYAmt
EOY	$84,155,664	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$59,968	BOYAmt
EOY	$615,274	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$204,385,503	BOYAmt
EOY	$204,394,246	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$23,496,487	BOYAmt
EOY	$21,127,201	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$61,245	BOYAmt
EOY	$78,767	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,035,538,866	BOYAmt
EOY	$2,473,755,238	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,327,312,245	BOYAmt
EOY	$2,784,126,390	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$915,160,848	BOYAmt
EOY	$1,063,708,676	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$915,160,848	BOYAmt
EOY	$1,063,708,676	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,242,473,093	BOYAmt
EOY	$3,847,835,066	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$75,231,618	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$21,748,746	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$95,064,956	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	0	FederalGrantAuditRequiredInd

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	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$17,882	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$17,882	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	PORTION OF DUES FROM MEMBERSHIP IN CHA AND AHA THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,242,112	BeginningYearBalanceAmt
Contributions	$3,051,448	ContributionsAmt
Investment Earnings Or Losses	$73,951	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$720,479	GrantsOrScholarshipsAmt
Other Expenditures	$1,793,004	OtherExpendituresAmt
End Year Balance	$11,854,028	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,287,236	BeginningYearBalanceAmt
Contributions	$2,977,196	ContributionsAmt
Investment Earnings Or Losses	$98,459	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,595,156	GrantsOrScholarshipsAmt
Other Expenditures	$1,525,623	OtherExpendituresAmt
End Year Balance	$11,242,112	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,692,037	BeginningYearBalanceAmt
Contributions	$4,841,525	ContributionsAmt
Investment Earnings Or Losses	$985,793	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,756,845	GrantsOrScholarshipsAmt
Other Expenditures	$1,455,274	OtherExpendituresAmt
End Year Balance	$11,287,236	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,938,992	BeginningYearBalanceAmt
Contributions	$2,680,308	ContributionsAmt
Investment Earnings Or Losses	$520,466	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$565,964	GrantsOrScholarshipsAmt
Other Expenditures	$881,765	OtherExpendituresAmt
End Year Balance	$10,692,037	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,589,487	BeginningYearBalanceAmt
Contributions	$1,202,986	ContributionsAmt
Investment Earnings Or Losses	$379,517	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$448,977	GrantsOrScholarshipsAmt
Other Expenditures	$784,021	OtherExpendituresAmt
End Year Balance	$8,938,992	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.53810	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.46190	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	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	$58,762,565	OtherCostOrOtherBasisAmt
Book Value	$58,762,565	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$204,215,687	OtherCostOrOtherBasisAmt
Depreciation	$111,210,947	DepreciationAmt
Book Value	$93,004,740	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$96,412,243	OtherCostOrOtherBasisAmt
Depreciation	$66,883,701	DepreciationAmt
Book Value	$29,528,542	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$169,189,844	OtherCostOrOtherBasisAmt
Depreciation	$115,080,989	DepreciationAmt
Book Value	$54,108,855	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$100,093,185	OtherCostOrOtherBasisAmt
Depreciation	$40,107,422	DepreciationAmt
Book Value	$59,985,763	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$295,390,465	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLE	$2,489,825,251
DEFERRED DEBT ISSUANCE COSTS	$2,881,259
OTHER RECEIVABLES	$6,819,899
DEFERRED PENSION OUTFLOW COSTS	$21,248,118

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,520,774,527	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES	$2,444,166,788
ACCRUED INTEREST PAYABLE	$1,387,760
OTHER DEFERRED EXPENSES	$5,199,882
PENSION LIABILITIES	$23,000,808

Field	Value	IRS element (for citing)
Total Liability	$2,473,755,238	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$559,205,439	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$21,748,746	NetUnrealizedGainsInvstAmt
Other Revenue	$3,651,887	OtherRevenueAmt
Revenue Not Reported	-$18,096,859	RevenueNotReportedAmt
Revenue Subtotal	$577,302,298	RevenueSubtotalAmt
Investment Expenses Not Incld	$1,489,562	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$33,293,234	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$31,803,672	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$545,498,626	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$453,788,248	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$3,651,887	OtherExpensesIncludedAmt
Expenses Not Reported	$3,651,887	ExpensesNotReportedAmt
Expenses Subtotal	$450,136,361	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$1,489,562	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$18,641,085	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$20,130,647	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$470,267,008	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	ENDOWMENT FUNDS ARE USED FOR THE INTENDED PURPOSE TO FUND SCHOLARSHIPS, EDUCATION, PROGRAMS, AND COMMUNITY BENEFIT. TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE FOUNDATION HAVE BEEN LIMITED BY THE DONOR TO A SPECIFIC TIME PERIOD OR PURPOSE. THESE NET ASSETS ARE AVAILABLE FOR VARIOUS HEALTH CARE PURPOSES AS DEFINED BY DONORS. THE ENDOWMENT FUND IS OWNED BY POUDRE VALLEY HEALTH SYSTEM FOUNDATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 3,639,563. COGS REPORTED AS EXPENSE ON AFS 12,324.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT IN AFS INCOME 18,134,547. AUXILIARY INCOME NOT INCLUDED IN AFS INCOME 135,484. CONTRIBUTIONS FROM PV FOUNDATION NOT IN AFS INCOME 388,938. RENTAL EXP AS INCOME ON 990 11,046. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 46,554. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS -52,009,803.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 3,639,563. COGS REPORTED AS EXPENSE ON AFS 12,324.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT IN AFS INCOME 18,134,547. AUXILIARY GRANTS NOT ON AFS 60,000. RENTAL EXP AS INCOME ON 990 11,046. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 46,554. CASH CONTRIBUTIONS FROM FOUNDATION NOT IN AFS REVENUE 388,938.

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
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	$378,787	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$378,787	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$82,633,124	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,989,688	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,643,436	NetCommunityBenefitExpnsAmt
Total Expense	0.04180	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,183,903	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,036,258	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,147,645	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,195,814	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,025,946	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,169,868	NetCommunityBenefitExpnsAmt
Total Expense	0.04500	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,732,438	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$210,814	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,521,624	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,971,996	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$888,058	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,083,938	NetCommunityBenefitExpnsAmt
Total Expense	0.01080	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,607,503	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,033,802	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,573,701	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,094,779	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$543,411	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$551,368	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,365,279	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,365,279	NetCommunityBenefitExpnsAmt
Total Expense	0.07090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,771,995	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,676,085	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,095,910	NetCommunityBenefitExpnsAmt
Total Expense	0.09590	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$163,967,809	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$97,702,031	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,265,778	NetCommunityBenefitExpnsAmt
Total Expense	0.14090	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$146,005	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$146,005	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,375	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,375	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$149,254	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$149,254	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$296,634	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$296,634	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$22,453,818	BadDebtExpenseAmt
Reimbursed By Medicare	$163,116,547	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$219,986,824	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$56,870,277	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (8 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 HARMONY SURGERY CENTER LLC
AMBULATORY SURGERY	0.50000	0.50000
2 PEAK SURGICAL MANAGEMENT
MANAGEMENT SERVICES	0.14000	0.86000
3 HARMONY IMAGING CENTER LLC
MEDICAL IMAGING	0.46000	0.54000
4 SURGERY CENTER OF FORT COLLINS
AMBULATORY SURGERY	0.26000	0.49000
5 GATEWAY MEDICAL SERVICES
REAL ESTATE/MEDICAL EQUIPMENT	0.50000	0.50000
6 EYE AND LASER CENTER OF NORTHERN COLO LLC
LASER SURGERY	0.50000	0.50000
7 VEIN AND LASER CENTER OF N COLO
LASER SURGERY	0.33000	0.67000
8 PVHS-ICM EHW LLC
MEDICAL CLINIC	0.50000	0.50000

Field	Value	IRS element (for citing)
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	POUDRE VALLEY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1024 S LEMAY	AddressLine1Txt
City	FORT COLLINS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80524	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	PHARMACY, LAB, CARDIOVASCULAR	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	POUDRE VALLEY HEALTH CARE	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	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
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
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	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 5: TWO COMMUNITY MEETINGS WERE HELD DURING NOVEMBER 2015 WHERE FINDINGS FROM THE CHNA WERE PRESENTED, QUESTIONS AND COMMENTS WERE RECEIVED AND RESPONSES PROVIDED. PARTICIPANTS IDENTIFIED ADDITIONAL HEALTH ISSUES AND PROVIDED FEEDBACK AS TO HOW THE HOSPITALS MIGHT ADDRESS THEM. ATTENDEES REPRESENTED ORGANIZATIONS SERVING LOW-INCOME, UNINSURED AND MINORITY POPULATIONS. A LIST OF THE ORGANIZATIONS REPRESENTED IS INCLUDED AS AN APPENDIX TO THE CHNA REPORT. THE SECOND MEETING INCLUDED MEMBERS OF A COALITION SERVING LOW-INCOME, HISPANIC INDIVIDUALS. THE SYNOPSIS OF INFORMATION GATHERED DURING THESE MEETINGS IS INCLUDED IN AN APPENDIX OF THE 2016 CHNA REPORT.
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 6A: MEDICAL CENTER OF THE ROCKIES ALSO PARTICIPATED IN THE 2016 CHNA. THE GEOGRAPHIC SERVICE AREA FOR BOTH POUDRE VALLEY HOSPITAL & MEDICAL CENTER OF THE ROCKIES IS THE SAME.
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 6B: CENTENNIAL HIGH SCHOOL HEALTH CENTER POUDRE SCHOOL DISTRICT - WELLNESS TEAM THOMPSON SCHOOL DISTRICT TEAM WELLNESS & PREVENTION LUTHERAN FAMILY SERVICES THE MATTHEWS HOUSE CITY OF FORT COLLINS - HOUSING AUTHORITY FAMILY CENTER/LA FAMILIA HEALTH DISTRICT OF NORTHERN LARIMER COUNTY HOUSE OF NEIGHBORLY SERVICES LARIMER COUNTY FOOD BANK LARIMER COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENT SALUD FAMILY HEALTH CENTER-FORT COLLINS SUMMITSTONE BEHAVIORAL HEALTH THE CENTER FOR FAMILY OUTREACH VIDA SANA COALITION COLUMBINE HEALTH SYSTEM DEMENTIA FRIENDLY COMMUNITY PARTNERSHIP FOR AGE-FRIENDLY COMMUNITIES SHARING THE CARE CAMPAIGN UCHEALTH - COMMUNITY HEALTH IMPROVEMENT UNITED WAY OF LARIMER COUNTY WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PART V, SECTION B, LINE 7A:HTTPS://WWW.UCHEALTH.ORG/PAGES/ABOUT-UCHEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.ASPXPART V, SECTION B, LINE 10A:HTTPS://WWW.UCHEALTH.ORG/WP-CONTENT/UPLOADS/2016/11/COMHEA-COMMUNITYHEALTHNEEDSASSESSMENT-NORTH-INTERACTIVE.PDF
POUDRE VALLEY HEALTH CARE	PART V, SECTION B, LINE 11: ACCESS TO CARE FOR OLDER ADULTS, MINORITY AND LOW-INCOME INDIVIDUALS: BOTH POUDRE VALLEY HOSPITAL AND MEDICAL CENTER OF THE ROCKIES PROVIDE A NO-COST COMMUNITY PARAMEDIC HOME BASED SERVICE WHICH PROVIDES CLINICAL REVIEW OF CHRONIC CONDITIONS TO HOME-BOUND OR FRAIL INDIVIDUALS. BOTH HOSPITALS ALSO PROVIDE AN RN HOME VISIT PROGRAM, SERVING MEDICAID-ELIGIBLE WOMEN WITH POST-PARTUM NEWBORN ASSESSMENTS AND LIMITED CASE MANAGEMENT SERVICES. COMMUNITY CASE MANAGEMENT NURSES PROVIDE NO-COST IN-HOME SERVICES TO PERSONS NEEDING ASSISTANCE IN MANAGING CHRONIC DISEASE. HEALTH ISSUE - CARDIOVASCULAR DISEASE PREVENTION AND CONTROL: BOTH HOSPITALS SUPPORT A SCHOOL-BASED HEART DISEASE SCREENING AND EDUCATION PROGRAM FOR ELEMENTARY, MIDDLE AND HIGH SCHOOL-AGED YOUTH; CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS PROVIDE COUNSELING AND INCREASED SELF-EFFICACY TO PARTICIPANTS; COMMUNITY HEALTH WORKER MODEL PROVIDES NO-COST HEART DISEASE ASSESSMENT AND REFERRAL TO SCREENING SERVICES TO LOW-INCOME, OLDER ADULT AND/OR MINORITY POPULATIONS. HEALTH ISSUE - SUICIDE PREVENTION / SUBSTANCE ABUSE PREVENTION & TREATMENT: PLANNING TEAM FORMED TO DEVELOP METHODS TO IMPLEMENT EVIDENCE-BASED ZERO SUICIDE INITIATIVE AT BOTH HOSPITALS; SEVERAL NO-COST CARE COORDINATION INITIATIVES WORK TO REMOVE BARRIERS TO BEHAVIORAL HEALTH CARE FOR VULNERABLE POPULATIONS (E.G. CHILDREN IN FOSTER CARE OR AT RISK FOR REMOVAL FROM BIOLOGICAL HOME / LOW-INCOME, MEDICAID-ELIGIBLE COMMUNITY MEMBERS) BY ENROLLING INDIVIDUALS INTO A PATIENT-CENTERED MEDICAL HOME, ENSURING TIMELY ACCESS TO BEHAVIORAL HEALTH SERVICES, REMOVING TRANSPORTATION OR CHILD-CARE BARRIERS, ETC. FULL DESCRIPTION OF ALL INITIATIVES IS INCLUDED IN THE IMPLEMENTATION STRATEGY REPORT.PART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.UCHEALTHBILLPAY.ORG/PAYMENTOPTIONS.ASPX?TABID=4PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.UCHEALTHBILLPAY.ORG/PAYMENTOPTIONS.ASPX?TABID=4PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.UCHEALTHBILLPAY.ORG/PAYMENTOPTIONS.ASPX?TABID=4

Field	Value	IRS element (for citing)
Facility	62	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (62 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HARMONY CAMPUS MOB
2121 E HARMONY RD	FORT COLLINS	CO	80528	PHYSICIAN OFFICES, ONCOLOGY, HCOR, CANCER CENTER,NCPC, SSOR
2 - HARMONY CAMPUS AMBULATORY CARE CENTER
2127 E HARMONY RD	FORT COLLINS	CO	80528	SURGERY CENTER, DIAGNOSTIC CENTER, IMAGING, URGENT CARE
3 - CHMG-LONGMONT
1925 MOUNTAIN VIEW AVE	LONGMONT	CO	80501	PHYSICIAN OFFICES
4 - HARMONY ED
4630 SNOW MESA DRIVE	FORT COLLINS	CO	80528	HARMONY ED
5 - CHMG CLINICS
1400 E BOULDER STREET	COLORADO SPRINGS	CO	80909	PHYSICIAN OFFICES
6 - MCR NORTH MOB
2500 ROCKY MTN AVE	LOVELAND	CO	80538	PHYSICIAN OFFICES, ONCOLOGY, SSOR, OHS
7 - GREELEY MEDICAL CLINIC
1900 16TH STREET	GREELEY	CO	80631	PHYSICIAN OFFICES, LAB, RADIOLOGY & ONCOLOGY, URGENT CARE
8 - MOUNTAIN CREST BEHAVIORAL HEALTH
4601 CORBETT DR	FORT COLLINS	CO	80528	BEHAVIORAL HEALTH
9 - PHYSICIAN CLINICS
4110 BRIARGATE PARKWAY	COLORADO SPRINGS	CO	80920	PHYSICIAN OFFICES
10 - PEAKVIEW MEDICAL CENTER
5881 W 16TH STREET	GREELEY	CO	80634	PHYSICIAN OFFICES, LAB & RADIOLOGY
11 - PENNOCK PLACE
1025 PENNOCK PLACE	FORT COLLINS	CO	80524	PHYSICIAN OFFICES, BLOOD BANK
12 - PROSPECT MEDICAL PLAZA
1106 E PROSPECT SUITE 100	FORT COLLINS	CO	80524	PHYSICIAN OFFICES, OUTPATIENT REHAB, NEUROLOGY, INT MEDICINE, RHEUMATOLOGY
13 - SNOW MESA
4674 SNOW MESA DRIVE	FORT COLLINS	CO	80528	PHYSICIAN OFFICES, OHS
14 - WESTBRIDGE
1107 S LEMAY	FORT COLLINS	CO	80524	PHYSICIAN OFFICES, BLOOD DRAW, SLEEP LAB, WEE STEPS, BRAIN & SPINE
15 - CHMG CHEYENNE MEDICAL SPECIALISTS
5050 POWDERHOUSE RD	CHEYENNE	WY	82009	PHYSICIAN OFFICES
16 - CENTRE AVE HEALTH AND REHAB-JV
915 CENTRE AVE	FORT COLLINS	CO	80526	REHAB
17 - MCR SOUTH MOB
2500 ROCKY MTN AVE	LOVELAND	CO	80538	PHYSICIAN OFFICES, HCOR, SLEEP LAB, SURGERY CENTER, NCPC
18 - MEMORIAL NEUROSCIENCES
1725 BOULDER STREET SUITE 101	COLORADO SPRINGS	CO	80909	PHYSICIAN OFFICES
19 - REDSTONE
2315 E HARMONY RD	FORT COLLINS	CO	80528	PHYSICIAN OFFICE, UROLOGY
20 - SURGERY CENTER OF FT COLLINS-JV
1100 E PROSPECT RD	FORT COLLINS	CO	80524	SURGERY CENTER
21 - WINDSOR MEDICAL CENTER
1455 MAIN STREET	WINDSOR	CO	80550	PHYSICIAN OFFICES, RADIOLOGY, LAB
22 - CHMG PHYSICIAN CLINICS
525 N FOOTE AVE SUITE 302	COLORADO SPRINGS	CO	80910	PHYSICIAN OFFICES
23 - PHYSICIAN CLINICS
175 S UNION BLVD	COLORADO SPRINGS	CO	80910	PHYSICIAN OFFICES
24 - CHMG OB-GYN CLINIC
1715 61ST AVENUE	GREELEY	CO	80631	PHYSICIAN OFFICES, OB-GYN
25 - CHMG-FIRESTONE
660 FIRESTONE BLVD	FIRESTONE	CO	80504	PHYSICIAN OFFICES NEW BUILDING WE BUILT AS OF 8/1/16
26 - UROLOGY CENTER OF THE ROCKIES
3520 E 15TH STREET	LOVELAND	CO	80538	PHYSICIAN OFFICES, UROLOGY
27 - WEST LOVELAND
3850 N GRANT AVE	LOVELAND	CO	80538	URGENT CARE, PHYSICIAN OFFICES
28 - CHILDREN'S THERAPY
1500 S LEMAY	FORT COLLINS	CO	80526	THERAPY
29 - CHMG PRIMARY CARE AT BRIARGATE
8890 N UNION BLVD SUITE 100B	COLORADO SPRINGS	CO	80920	PHYSICIAN OFFICES
30 - NORTH SPRINGS FAMILY MEDICINE & URGENT C
8540 SCARBOROUGH DRIVE	COLORADO SPRINGS	CO	80920	PHYSICIAN OFFICES
31 - TIMBERLINE MEDICAL
131 STANLEY DR	ESTES PARK	CO	80517	PHYSICIAN OFFICES
32 - EXPRESS LAB
1020 DOCTORS LANE	FORT COLLINS	CO	80524	LAB TORN DOWN MOVED TO 1025 GARFIELD
33 - EXPRESS LAB
1025 GARFIELD	FORT COLLINS	CO	80524	EXPRESS LAB
34 - CHMG PRIMARY CARE - ROCKRIMMON
6615 DELMONICO DRIVE	COLORADO SPRINGS	CO	80919	PHYSICIAN OFFICES
35 - COLUMBINE POUDRE HOMECARE-JV
915 CENTRE AVE	FORT COLLINS	CO	80526	HOME HEALTHCARE
36 - HCORSCOTTSBLUFF
2 W 42ND ST 2200	SCOTTSBLUFF	NE	69361	PHYSICIAN OFFICES
37 - ORTHOPEDIC & HAND
3830 N GRANT AVE	LOVELAND	CO	80538	PHYSICIAN OFFICES
38 - MEMORIAL SUNFLOWER FAMILY MEDICINE
1730 N CORONA STREET	COLORADO SPRINGS	CO	80907	PHYSICIAN OFFICES
39 - PRIMARY CARE-STERLING
620 IRIS DRIVE	STERLING	CO	80751	PHYSICIAN OFFICES
40 - WALK IN CLINIC
2211 S COLLEGE AVE	FORT COLLINS	CO	80525	WALK IN CLINIC
41 - THOMPSON VALLEY TOWNE CENTER
1327 EAGLE DRIVE	LOVELAND	CO	80537	PHYSICIAN OFFICES
42 - THE VEIN AND LASER CENTER-JV
2008 CARIBOU DRIVE	FORT COLLINS	CO	80525	PHYSICIAN OFFICES
43 - WATER VALLEY
1870 MARINA PLAZA DRIVE	WINDSOR	CO	80550	OUTPATIENT REHAB, CLINICAL EDUCATION
44 - CARDIOLOGY
214 S 4TH STREET	KREMMLING	CO	80459	PHYSICIAN OFFICES
45 - FORT MORGAN
1000 LINCOLN STREET 207	FORT MORGAN	CO	80701	PHYSICIAN OFFICES
46 - EYE LASER CENTER OF N COLORADO-JV
1725 EAST PROSPECT RD	FORT COLLINS	CO	80525	PHYSICIAN OFFICES
47 - LARAMIE
3116 WILLET DRIVE	LARAMIE	WY	82070	PHYSICIAN OFFICES
48 - YAMPA VALLEY STEAMBOAT
940 CENTRAL PARK DR 290	STEAMBOAT SPRINGS	CO	80487	PHYSICIAN OFFICES
49 - ESTES PARK
555 PROSPECT AVE	ESTES PARK	CO	80517	PHYSICIAN OFFICES
50 - SIDNEY
1625 DORWART DRIVE	SIDNEY	NE	69162	PHYSICIAN OFFICES
51 - CARDIOLOGY
1313 S STREET	BRIDGEPORT	NE	69336	PHYSICIAN OFFICES
52 - CHMG HCOR CV SURGEON
2030 MOUNTAIN VIEW AVE 540	LONGMONT	CO	80501	PHYSICIAN OFFICES
53 - CHMG PRIMARY CARE - FRONT RANGE
5265 N ACADEMY BLVD SUITE 1800	COLORADO SPRINGS	CO	80918	PHYSICIAN OFFICES
54 - PHLEBOTOMY STATION
1107 SOUTH LEMAY AVE	FORT COLLINS	CO	80526	LAB DRAWS
55 - PHLEBOTOMY STATION
1113 OAKRIDGE DRIVE	FORT COLLINS	CO	80525	LAB DRAWS
56 - PHLEBOTOMY STATION
2001 S SHIELDS	FORT COLLINS	CO	80526	LAB DRAWS
57 - PHLEBOTOMY STATION
2025 BIG HORN DRIVE	FORT COLLINS	CO	80525	LAB DRAWS
58 - PHLEBOTOMY STATION
3519 RICHMOND DRIVE	FORT COLLINS	CO	80526	LAB DRAWS
59 - HAYTHORN BROTHERS
7251 W 20TH ST	GREELEY	CO	80631	SLEEP LAB - VACANT
60 - CRAIG
595 RUSSELL STREET	CRAIG	CO	81625	PHYSICIAN OFFICES
61 - RANGEVIEW
2695 ROCKY MOUNTAIN AVE 200	LOVELAND	CO	80538	NEUROLOGY
62 - PRIMARY CARE-MONUMENT
15854 JACKSON CREEK PARKWAY 120	MONUMENT	CO	80132	PHYSICIAN OFFICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINE 7B AND 7C. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE TO COST-TO-CHARGES.LINE 7A WAS DERIVED USING A COST-TO-CHARGE RATIO FROM THE COST REPORT.THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS.
PART I, LINE 7G:	INCLUDES PHYSICIAN GROUPS AS A SUBSIDIZED SERVICE. THESE CLINICS PROVIDE SERVICES IN UNDERSERVED AREAS IN COLORADO, NEBRASKA AND WYOMING.
PART I, LN 7 COL(F):	TOTAL BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR PRIOR TO THE PERCENTAGE CALCULATION = $22,453,818
PART II, COMMUNITY BUILDING ACTIVITIES:	AS MENTIONED UNDER PROMOTION OF COMMUNITY HEALTH WE HAVE A MULTITUDE OF PROGRAMS DESIGNED TO ADDRESS THE HEALTH OF OUR COMMUNITY INVOLVING ALL AGE GROUPS AND FOCUS ON WHAT AN INDIVIDUAL CAN DO TO IMPROVE HIS/HER HEALTH. MANY OF THE PROGRAMS REFLECTED IN PART II ARE DESIGNED TO PROMOTE HEALTHY OPTIONS AND CHOICES FOR OUR COMMUNITY WHICH IS AN IMPORTANT PART OF OVERALL COMMUNITY HEALTH AND THEREFORE A BENEFIT TO THE COMMUNITY.PART III, LINE 2: ACCOUNTS WITH UNRESOLVED PATIENT LIABILITY AFTER REASONABLE COLLECTION EFFORTS, SET BY POLICY AND IN CONJUNCTION WITH FEDERAL, STATE, AND PAYOR SPECIFIC REGULATIONS, WILL BE ASSIGNED TO BAD DEBT. THESE ACCOUNTS SHALL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY, OR IN SELECTED INSTANCES, ATTORNEYS, FOR ADDITIONAL COLLECTION ACTIVITIES.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ALLOWANCES FOR DOUBTFUL ACCOUNTS, CONTRACTUAL ADJUSTMENTS, AND MEDICALLY INDIGENT ALLOWANCES.PART III, LINE 5: MEDICARE REVENUE WAS COMPUTED AS FOLLOWS:PVHC COST REPORT: 94,285,135CENTER AVE COST REPORT: 3,687,656COLUMBINE HOMECARE COST REPORT: 1,245,072PVHC DISALLOWED PROGRAMS: 802,058JOINT VENTURES: 63,096,626TOTAL TO LINE 5: 163,116,547PART III, LINE 6: ALLOWABLE COSTS AS REPORTED ON THE POUDRE VALLEY HEALTH CARE INC. 2016 COST REPORT AGGREGATED WITH DISREGARDED ENTITIES AND OWNERSHIP PORTIONS OF JOINT VENTURES. PART III, LINE 6: MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS WAS COMPUTED AS FOLLOWS:PVHC COST REPORT: 116,227,937CENTRE AVE COST REPORT: 5,947,833COLUMBINE HOMECARE COST REPORT: 1,594,219PVHC DISALLOWED PROGRAMS: 1,085,373JOINT VENTURES: 95,131,462TOTAL TO LINE 6: 219,986,824
PART III, LINE 8:	APPROXIMATELY 25% OF NET PATIENT SERVICE REVENUE IS FROM PARTICIPATION IN THE MEDICARE PROGRAM, THUS PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES TO A SIGNIFICANT PORTION OF THE COMMUNITY POPULATION.
PART III, LINE 9B:	PATIENT PROVIDES DOCUMENTATION BASED ON FINANCIAL ASSISTANCE POLICY GUIDELINES, REVIEWED BY FINANCIAL COUNSELING TEAM. UPON APPROVAL OR DENIAL OF THE REQUEST FOR CHARITABLE AID FROM THE FAC TEAM, THE PATIENT WILL BE ADVISED OF THE DECISION. THE BILL IS PARTIALLY OR TOTALLY ADJUSTED AS APPROVED BY THE FAC TEAM, NO FURTHER COLLECTION PROCESS WITH THE PATIENT. FOR ANY PORTION NOT ADJUSTED OFF, THE PROPER SEQUENCE OF ATTEMPTS TO COLLECT ARE FOLLOWED. FINAL ASSIGNMENT OF THE BILL IS TO A COLLECTION AGENCY.
PART VI, LINE 2:	HEALTH CARE NEEDS ARE ADDITIONALLY IDENTIFIED THROUGH COLLABORATIVE RELATIONSHIPS WITH HEALTHCARE PROVIDERS IN THE COMMUNITIES WE SERVE. AN EXAMPLE IS OUR CARE COORDINATION INITIATIVE TARGETED TO AT-RISK CHILDREN WITH SPECIAL HEALTHCARE NEEDS . PHYSICIANS IDENTIFIED THE NEED TO IMPROVE THE COORDINATION AND TIMELINESS OF CARE FOR THIS POPULATION; WE RESPONDED BY DEVELOPING AND STAFFING A CARE COORDINATION / PATIENT NAVIGATION SERVICE MODEL (HEALTHY HARBORS).
PART VI, LINE 3:	THERE ARE SEVERAL WAYS WE NOTIFY THE PATIENT AND ATTEMPT TO ASSIST THEM. FOR SURGERIES AND HIGH DOLLAR SCHEDULED PROCEDURES, WE PROVIDE THEM WITH AN ESTIMATE AT REGISTRATION AND GO OVER ALL FINANCIAL ASSISTANCE OPTIONS AVAILABLE IF THEY ARE INTERESTED. WE ALSO HAVE FINANCIAL COUNSELORS AVAILABLE EACH DAY THAT CAN ANSWER QUESTIONS AND HELP THEM FILL OUT CHARITY APPLICATIONS. FOR THOSE THAT ARE UNINSURED, OUR CONDITIONS OF SERVICE FORM HAS A SPOT THEY INITIAL STATING THAT WE HAVE OFFERED ASSISTANCE AND MADE THEM AWARE OF PROGRAMS AVAILABLE TO THEM. ONCE A PERSON HAS RECEIVED CARE IN THE ED, WE ALSO HAVE EDUCATED STAFF THAT ASSISTS THEM AND EDUCATES THEM OF WHAT IS AVAILABLE FOR FINANCIAL ASSISTANCE. IN ADDITION, ONCE A PATIENT DOES RECEIVE A STATEMENT OR BILL, THERE IS INFORMATION ON THE BILL OF WHO THEY CAN CALL TO GET INFORMATION ON FINANCIAL ASSISTANCE.
PART VI, LINE 4:	POUDRE VALLEY HOSPITAL IS A LOCALLY OWNED, PRIVATE, NON-PROFIT ORGANIZATION WITH A VISION "FROM HEALTHCARE TO HEALTH." BASED IN NORTHERN COLORADO, PVH PROVIDES EVIDENCE-BASED HEALTHCARE AND WELLNESS SERVICES AND PRODUCTS IN COLORADO, NEBRASKA AND WYOMING, ACROSS A SERVICE AREA COVERING MORE THAN 50,000 SQUARE MILES.PVH IS A PART OF THE UCHEALTH WHICH AIMS TO DELIVER THE HIGHEST QUALITY PATIENT CARE WITH THE HIGHEST QUALITY PATIENT EXPERIENCE. THE PARTNERSHIP COMBINES POUDRE VALLEY HOSPITAL, MEDICAL CENTER OF THE ROCKIES, UCHEALTH MEDICAL GROUP, UNIVERSITY OF COLORADO HOSPITAL AND MEMORIAL HEALTH SYSTEM INTO AN ORGANIZATION DEDICATED TO BUILDING HEALTHIER COMMUNITIES AND PROVIDING UNMATCHED PATIENT CARE IN THE ROCKY MOUNTAIN WEST. THE ORGANIZATION'S MISSION IS WE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS WE IMPROVE LIVES.
PART VI, LINE 5:	WE HAVE IMPLEMENTED A MULTITUDE OF PROGRAMS AND SERVICES THAT ADDRESS THE HEALTH NEEDS OF OUR BROADER COMMUNITY TARGETING ALL AGE GROUPS WHILE MAINTAINING A SPECIAL FOCUS ON SERVING VULNERABLE POPULATIONS. WE ALSO GIVE DOLLARS TO OTHER ENTITIES THAT WORK TO IMPROVE THE HEALTH OF OUR COMMUNITY. EXAMPLES ARE: TEEN PREGNANCY PREVENTION EDUCATION; SUBSTANCE ABUSE PREVENTION EDUCATION FOR YOUTH AND YOUNG ADULTS; OBESITY PREVENTION; IMPROVED FOOD SECURITY FOR LOW INCOME RESIDENTS; AND MENTAL HEALTH SERVICES FOR THE UNDERSERVED.
PART VI, LINE 6:	ALL THE SERVICES WE OFFER ARE AVAILABLE TO ANYONE THAT USES ANY OF OUR FACILITIES IN THE HEALTH SYSTEM. OUR GEOGRAPHY IS NOT THAT LARGE SO WE ARE ABLE TO ACCOMMODATE THE DIFFERENT COMMUNITIES THAT UTILIZE OUR SERVICES WITH THE SAME LEVEL OF COMMUNITY HEALTH PROGRAMMING.
PART VI, LINE 7, REPORTS FILED WITH STATES	CO

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
PATHWAYS HOSPICE
305 CARPENTER ROAD	FORT COLLINS	CO	80525	840782874	501(C )(3)	$6,300	SEE SCH I, PART IV
DOWNTOWN BUSINESS ASSOCIATION
19 OLD TOWN SQUARE 230	FORT COLLINS	CO	80524	840535419	501(C )(3)	$30,000	SEE SCH I, PART IV
GREELEY CENTENNIAL ROTARY
1035 37TH AVE CT	GREELEY	CO	80634	840714073	501(C )(3)	$7,500	SEE SCH I, PART IV
IVINSON MEMORIAL HOSPITAL FOUNDATION
255 N 30TH STREET	LARAMIE	WY	82072	836000188	501(C )(3)	$8,300	SEE SCH I, PART IV
NORTH RANGE BEHAVIORAL HEALTH
1300 N 17TH STREET	GREELEY	CO	80631	840622660	501(C )(3)	$5,225	SEE SCH I, PART IV
POUDRE VALLEY MEDICAL GROUP
2315 E HARMONY ROAD 200	FORT COLLINS	CO	80528	800348943	N/A	$26,399,329	SEE SCH I, PART IV
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
13001 17TH PLACE	AURORA	CO	80045	846000555	501(C )(3)	$5,895,235	SEE SCH I, PART IV
SUMMITSTONE HEALTH PARTNERS
525 W OAK ST	FORT COLLINS	CO	80521	841512383	501(C )(3)	$7,000	SEE SCH I, PART IV
UNITED WAY OF LARIMER COUNTY
424 PINE ST 102	FORT COLLINS	CO	80524	846031503	501(C )(3)	$55,674	SEE SCH I, PART IV
UNIVERSITY OF N COLORADO
501 20TH STREET	GREELEY	CO	80639	846000546	GOVERNMENT	$58,333	SEE SCH I, PART IV
NORTHERN COLORADO UNITED FOR YOU
2015 CLUBHOUSE 203	GREELEY	CO	80634	208575428	501(C )(3)	$13,400	SEE SCH I, PART IV
PVH FOUNDATION
2315 E HARMONY ROAD 200	FORT COLLINS	CO	80528	741894581	501(C )(3)	$883,163	SEE SCH I, PART IV
PROJECT SELF SUFFICIENCY
375 W 37TH STREET	LOVELAND	CO	80538	841206341	501(C )(3)	$6,325	SEE SCH I, PART IV
BOYS AND GIRLS CLUB OF LARIMER
103 SMOKEY STREET	FORT COLLINS	CO	80525	742425914	501(C )(3)	$6,950	SEE SCH I, PART IV
CO NONPROFIT DEVELOPMENT CENTER
789 SHERMAN ST SUITE 250	DENVER	CO	80203	841493585	501(C )(3)	$20,000	SEE SCH I, PART IV
FOOD BANK OF LARIMER COUNTY
1301 BLUE SPRUCE DRIVE	FORT COLLINS	CO	80524	742336171	501(C )(3)	$9,800	SEE SCH I, PART IV

Field	Value	IRS element (for citing)
Total501c3 Org	15	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	THE ORGANIZATION AWARDS GRANTS BASED ON THE BENEFIT TO THE COMMUNITY. THE ORGANIZATION REQUESTS INFORMATION FROM THE GRANTEES TO ENSURE THAT THE FUNDS WILL BE USED FOR THE SPECIFIED PURPOSE. QUESTION I, PART II, COLUMN H PURPOSE OF GRANT OR ASSISTANCE FOR RELATED ENTITIES, THE GRANTS ARE RELATED TO SPECIFIC REQUESTS. THE FUNDS ARE TO BE USED TO BENEFIT THE HEALTHCARE COMMUNITY OF NORTHERN COLORADO. EACH REQUEST IS EVALUATED ON AN INDIVIDUAL BASIS. FOR NON-RELATED COMMUNITY AND GOVERNMENTAL ORGANIZATIONS, THE GRANTS ARE MADE AT THE DISCRETION OF THE ORGANIZATION. THESE DISCRETIONARY GRANTS ARE TO BE USED TO BENEFIT THE HEALTHCARE COMMUNITY OF NORTHERN COLORADO.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
KEVIN UNGER
PRESIDENT/CEO	$233,150	$233,150	$105,342	$105,342	$6,809	$6,809	$3,975	$3,975	$35,813	$35,813	$385,089	$385,089	$0	$0
STEPHANIE DOUGHTY
CFO	$239,935	$239,935	$65,734	$65,734	$2,356	$2,356	$3,975	$3,975	$28,622	$28,622	$340,622	$340,622	$0	$0
DR STANLEY GUNSTREAM
VP CHIEF QUALITY OFFICER	$172,739	$172,739	$45,296	$45,296	$2,567	$2,567	$3,975	$3,975	$23,735	$23,735	$248,312	$248,312	$0	$0
DONNA PODUSKA
CNO	$200,034	$0	$51,663	$0	$5,343	$0	$7,534	$0	$29,189	$0	$293,763	$0	$0	$0
MARILYN SCHOCK
COO	$149,070	$149,070	$32,365	$32,365	$761	$761	$3,751	$3,751	$18,329	$18,329	$204,276	$204,276	$0	$0
RUSS WOOLLEY
VP OPERATIONS END 06/16	$76,307	$76,307	$20,264	$20,264	$126	$126	$2,943	$2,943	$17,200	$17,200	$116,840	$116,840	$0	$0
DR JOSEPH GOTTFRIED
PSYCHIATRIST	$260,421	$0	$6,121	$0	$528	$0	$7,950	$0	$41,704	$0	$316,724	$0	$0	$0
DR JOSEPH LOPEZ
CLINICAL DIRECTOR	$265,710	$0	$0	$0	$1,389	$0	$7,950	$0	$39,422	$0	$314,471	$0	$0	$0
DR MICHAEL RANDLE
CMO	$325,527	$0	$83,050	$0	$3,130	$0	$7,950	$0	$49,490	$0	$469,147	$0	$0	$0
KENNETH WATANABE
PSYCHIATRIST	$256,530	$0	$27,778	$0	$388	$0	$7,950	$0	$41,016	$0	$333,662	$0	$0	$0
DR JANELL WOZNIAK
CLINICAL DIRECTOR	$255,754	$0	$26,887	$0	$264	$0	$5,318	$0	$37,742	$0	$325,965	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 1A	FormAndLineReferenceDesc
Explanation	TRAVEL FOR COMPANIONS: PER SYSTEM POLICY, TRAVEL FOR COMPANIONS IS NOT REIMBURSABLE. FOR CONVENIENCE OF TRAVEL ARRANGEMENTS FOR THE ANNUAL BOARD MEMBER RETREAT AND SELECT CONFERENCES, PVHC PAYS FOR ONE COMPANION PER BOARD MEMBER AND EMPLOYEE ATTENDING THE CONFERENCE. EACH BOARD MEMBER RECEIVES A FORM 1099 FOR THIS INCOME. EACH EMPLOYEE HAS THIS ADDED TO THEIR FORM W-2. GROSS-UP PAYMENTS: GROSS UP PAYROLL IS CALCULATED AT YEAR END FOR SPECIAL CHECKS CREATED TO ADD SPECIFIC ITEMS TO EMPLOYEE'S FORM W-2 WAGES INCLUDING COUNTRY CLUB DUES, SPOUSE TRAVEL FOR ANNUAL BOARD RETREAT AND SELECT CONFERENCES, AND IMPUTED INCOME ON LIFE INSURANCE POLICIES. CLUB DUES: THE HEALTH SYSTEM EXPECTS THE HOSPITAL MANAGEMENT TO PARTICIPATE IN COMMUNITY LIFE AND THEREFORE THE SYSTEM PAYS SOCIAL CLUB DUES FOR SPECIFIC MEMBERS OF THE SENIOR MANAGEMENT GROUP. THE CLUB DUES ARE ADDED TO THE SENIOR MANAGEMENT'S FORM W-2 ON AN ANNUAL BASIS.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COLORADO HEALTH FACILITIES AUTHORITY SERIES A
A	840752932	196474W48	2005-03-31	$50,000,000	REFUNDING 1999A BONDS	0	0	0
COLORADO HEALTH FACILITIES AUTHORITY SERIES B
B	840752932	196474W48	2005-03-31	$26,294,807	PAYMENT OF COMMERCIAL PAPER DEBT	0	0	0
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2015 SERIES A
C	841179794	914183AV0	2015-02-04	$71,125,100	CONSTRUCTION COSTS AT PVH	0	0	0
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2015 SERIES C
D	841179794	914183AX6	2015-02-04	$56,850,000	REFUNDING 2005F BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$50,000,000	$4,021,772	$433,893	$1,340,216	$44,204,119	2005	0	Yes (1)	Yes (1)	Yes (1)
B	$26,294,807	$2,115,034	$397,052	$2,024,595	$21,758,126	2005	Yes (1)	0	Yes (1)	Yes (1)
C	$71,125,100	$18,023,097	$590,936		$21,291,186	2016	0	0	0	Yes (1)	$31,219,881
D	$56,850,000		$472,333		$56,377,667	2015	0	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	Yes (1)
B	0	Yes (1)	0	Yes (1)
C	Yes (1)	0	Yes (1)	Yes (1)
D	Yes (1)	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN E	BOND ISSUE PRICE THE BOND ISSUE PRICE FOR THE SERIES B BOND DOES NOT EQUAL THE ISSUE PRICE LISTED ON THE FILED FORM 8038 AS THIS BOND WAS SPLIT WITH A RELATED ENTITY. ISSUE PRICE AS REPORTED ON FORM 8038: $83,000,000.
SCHEDULE K, PART IV, LINE 2C	THE REBATE CALCULATION WAS PERFORMED IN APRIL 2015 FOR BOND ISSUANCES A AND B.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	KATHLEEN MICHIE	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$64,490	TransactionAmt
Transaction	SEE PART V	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	(A) NAME OF PERSON: KATHLEEN MICHIE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: KATHLEEN MICHIE IS A FAMILY MEMBER OF THAINE MICHIE, DIRECTOR(D) DESCRIPTION OF TRANSACTION: W-2 WAGES	ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	MEDICAL EQUIPMENT	Desc
Contribution	36	ContributionCnt
Noncash Contributions Rpt F990	$285,053	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	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6	PVH HAS 525 ACTIVE VOLUNTEERS IN FISCAL YEAR 2016. AT POUDRE VALLEY HOSPITAL, MEDICAL CENTER OF THE ROCKIES, AND OFF-SITE LOCATIONS, VOLUNTEERS PLAY AN INTEGRAL ROLE IN PROVIDING MUCH NEEDED SUPPORT FOR PATIENTS, VISITORS, PHYSICIANS, AND STAFF. FROM ASSISTING IN SURGERY AND CARDIAC WAITING ROOMS, INFORMATION DESK, VOLUNTEER PATIENT LIASONS, BABY KNITTERS, VOLUNTEENS, AND PET THERAPY TO NAME JUST A FEW OF THE MANY PROGRAMS, EVERY VOLUNTEER CONTRIBUTES TO THE SUCCESS OF UCHEALTH NORTHERN REGION TO ENHANCE THE COMFORT AND CARE OF THE PATIENTS AND THEIR FAMILIES.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY INDEPENDENT CPAS. A PRELIMINARY DRAFT IS REVIEWED BY THE INTERNAL FINANCE DEPARTMENT. THE FINAL COPY OF THE FORM 990 IS PROVIDED IN AN ELECTRONIC FORMAT TO ALL BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES COMPLETION OF THE FORM ON AN ANNUAL BASIS BY THE BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. COMPLETED FORMS ARE SUBMITTED AND REVIEWED BY THE INTERNAL COMPLIANCE DEPARTMENT TO ENSURE COMPLIANCE WITH THE WRITTEN POLICY. ANY QUESTIONS OR ULTIMATE ENFORCEMENT WOULD BE HANDLED BY THE COMPLIANCE DEPARTMENT.
FORM 990, PART VI, SECTION B, LINE 15	UCHEALTH CONTRACTS WITH HAYGROUP FOR EXECUTIVE COMPENSATION CONSULTING SERVICES. ON OUR BEHALF THE HAYGROUP COLLECTS AND REVIEWS COMPENSATION LEVELS FROM LIKE ORGANIZATION FOR LIKE JOBS AND PROVIDES UCHEALTH WITH THE COMPARATIVE MARKET DATA. THE DATA IS SUBMITTED TO THE CHIEF HUMAN RESOURCES OFFICER WHO ADVISES THE SYSTEM PRESIDENT AND CEO ON COMPENSATION DECISIONS FOR SENIOR EXECUTIVES. BASED ON THE MARKET DATA, THE SYSTEM PRESIDENT AND CEO DETERMINES THE SALARY OF THE ENTITY CEO'S COMPENSATION ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC BASED ON THE BUSINESS PURPOSE FOR THE REQUEST. THESE REQUESTS ARE ADDRESSED BY THE SENIOR MANAGEMENT TEAM ON A CASE BY CASE BASIS.
FORM 990, PART XI, LINE 9:	MCR DISTRIBUTIONS TO PVH 43,130,637. AUXILIARY INCOME ON 990, NOT IN AUDIT -135,484. DONATION TO FOUNDATION FROM AUXILIARY NOT IN AUDIT EXPENSE 60,000. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS 52,009,803.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 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
TIMBERLINE MEDICAL CLINIC
131 STANLEY AVE	ESTES PARK	CO	80517	043772090	OUTPATIENT	CO	$3,921	-$16,785	PVHC INC
LAKOTA LAKE LLC
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	841447761	OUTPATIENT	CO	$6,140,871	$23,024,679	PVHC INC
HERON LAKE LLC
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	264189163	OUTPATIENT	CO	$21,034	$657,338	PVHC INC
UNITED MED ALLIANCE
2021 BATTLECREEK DRIVE STE A	FORT COLLINS	CO	80528	820572743	HEALTH CLAIMS	CO	-$149,508	$0	PVHC INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MEDICAL CENTER OF THE ROCKIES
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	043730045	TERTIARY CARE	CO	501(C)(3)	LINE 3	PVHC INC	Yes (1)
PVHS FOUNDATION
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	741894581	BENEFIT HEALTH	CO	501(C)(3)	LINE 7	PVHC INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HARMONY SURGERY CENTER
2127 E HARMONY RD 200	FT COLLINS	CO	80528	841479751	AMBULATORY SURG	CO	N/A	RELATED	$2,381,451	$2,805,265	0	0	0.50000
CENTRE AVENUE HEALTH & REHAB FACILITY
947 WORTHINGTON CIRCLE	FT COLLINS	CO	80526	841560494	NURSING FACILITY	CO	N/A	RELATED	-$343,986	$539,407	0	0	0.50000
COLUMBINE POUDRE HOME CARE
947 WORTHINGTON CIRCLE	FT COLLINS	CO	80526	841529817	NURSING CARE	CO	N/A	RELATED	$312,508	$743,856	0	0	0.50000
EYE LASER CENTER OF NO COLORADO
1725 E PROSPECT RD	FORT COLLINS	CO	80525	841518334	LASER SURGERY	CO	N/A	UNRELATED	$42,819	$77,198	0	0	0.50000
GATEWAY MEDICAL SERVICES
2500 E PROSPECT RD	FORT COLLINS	CO	80525	841427970	REAL EST/MED	CO	N/A	UNRELATED	$5,037,484	$12,784,181	0	0	0.50000
PVHS HOME MEDICAL SUPPLY
6820 N COUNTY RD 13	LOVELAND	CO	80538	202034599	MEDICAL SUPPLY	CO	N/A	UNRELATED	$186,442	$1,109,784	0	Yes (1)	0.50000
THE VEIN AND LASER CENTER OF NO COLORADO
2008 CARIBOU DRIVE	FORT COLLINS	CO	80525	204943970	MEDICAL SERVICES	CO	N/A	UNRELATED	$10,944	$29,976	0	0	0.33330
HARMONY IMAGING CENTER
1951 WILMINGTON DRIVE	FORT COLLINS	CO	80528	582479187	MEDICAL IMAGING	CO	N/A	RELATED	$441,021	$2,085,210	0	0	0.46000
SURGERY CENTER OF FORT COLLINS
1100 E PROSPECT ROAD	FORT COLLINS	CO	80525	841541559	SURGICAL PROC	CO	N/A	UNRELATED	$584,763	$1,126,468	0	0	0.26000
POUDRE VALLEY MEDICAL GROUP LLC
2315 E HARMONY RD STE 200	FORT COLLINS	CO	80528	800348943	MEDICAL SERVICES	CO	N/A	RELATED	-$51,344,192	$32,537,180	0	Yes (1)	0.99000
PVHS-ICM EHW
3702 AUTOMATION WAY 103	FORT COLLINS	CO	80525	463311308	MEDICAL SERVICES	CO	N/A	RELATED	$121,392	$251,113	0	0	0.50000
PEAK SURGICAL MANAGEMENT
2127 E HARMONY RD 200	FORT COLLINS	CO	80528	260899618	SURGICAL MGMT	CO	N/A	UNRELATED	$120,158	$57,372	0	0	0.14290

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	INNOVATION ENTERPRISES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY RD STE 200	AddressLine1Txt
City	FORT COLLINS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80528	ZIPCd

Field	Value	IRS element (for citing)
EIN	202036774	EIN
Primary Activities	IT CONSULTING	PrimaryActivitiesTxt
Legal Domicile State	CO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	PVHC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$842,084	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,510,052	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	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	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (1)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (1)	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (24 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HARMONY SURGERY CENTER
A	$925,447	TRANSACTION TOTAL
HARMONY SURGERY CENTER
Q	$634,519	TRANSACTION TOTAL
HARMONY SURGERY CENTER
S	$1,950,000	TRANSACTION TOTAL
HARMONY SURGERY CENTER
M	$51,226	TRANSACTION TOTAL
CENTRE AVE HEALTH & REHAB
B	$350,000	TRANSACTION TOTAL
COLUMBINE POUDRE HOMECARE
S	$200,000	TRANSACTION TOTAL
EYE LASER CENTER OF NO COLORADO
M	$213,621	TRANSACTION TOTAL
GATEWAY MEDICAL SERVICES
S	$5,995,843	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
L	$6,733,013	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
N	$6,816,085	TRANSACTION TOTAL
MEDICAL CENTER OF THE ROCKIES
S	$43,130,660	TRANSACTION TOTAL
PVHMCR FOUNDATION
B	$881,164	TRANSACTION TOTAL
PVHMCR FOUNDATION
C	$673,991	TRANSACTION TOTAL
PVHMCR FOUNDATION
H	$114,900	TRANSACTION TOTAL
PVHMCR FOUNDATION
L	$54,440	TRANSACTION TOTAL
PVHMCR FOUNDATION
N	$70,779	TRANSACTION TOTAL
INNOVATION ENTERPRISES
A	$119,031	TRANSACTION TOTAL
INNOVATION ENTERPRISES
A	$244,017	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
B	$26,399,329	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
H	$163,759	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
J	$1,766,407	TRANSACTION TOTAL
POUDRE VALLEY MEDICAL GROUP LLC
M	$3,715,636	TRANSACTION TOTAL
UCHEALTH HOME MEDICAL SUPPLY
S	$248,709	TRANSACTION TOTAL
PVHS-ICM
S	$68,000	TRANSACTION TOTAL