BOULDER COMMUNITY HEALTH: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: BOULDER COMMUNITY HEALTH (EIN 84-0175870)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-14
IRS object ID: 202523189349308062
Schema version: 2024v5.0
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 O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-14T13:18:41-07:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	840175870	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BOULDER COMMUNITY HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BOUL	BusinessNameControlTxt
Phone	3034155221	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 9019	AddressLine1Txt
City	Boulder	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	803019019	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	William A Munson Jr	PersonNm
Person Title	CFO & Vice President	PersonTitleTxt
Phone	3034157433	PhoneNum
Signature	2025-11-14	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Boulder Community Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Robert J Vissers President and CEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 9019	AddressLine1Txt
City	Boulder	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	803019019	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$521,996,934	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.bch.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1922	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	Partnering to create and care for the healthiest community in the nation.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	2595	TotalEmployeeCnt
Total Volunteers	418	TotalVolunteersCnt
Total Gross UBI	$1,451,091	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,602,604	PYContributionsGrantsAmt
CY Contributions Grants	$4,045,862	CYContributionsGrantsAmt
PY Program Service Revenue	$419,612,064	PYProgramServiceRevenueAmt
CY Program Service Revenue	$443,697,733	CYProgramServiceRevenueAmt
PY Investment Income	$10,023,165	PYInvestmentIncomeAmt
CY Investment Income	$12,570,378	CYInvestmentIncomeAmt
PY Other Revenue	$24,716,209	PYOtherRevenueAmt
CY Other Revenue	$28,363,313	CYOtherRevenueAmt
PY Total Revenue	$457,954,042	PYTotalRevenueAmt
CY Total Revenue	$488,677,286	CYTotalRevenueAmt
PY Grants And Similar Paid	$444,053	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$758,120	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$221,024,823	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$229,415,194	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,034,913	CYTotalFundraisingExpenseAmt
PY Other Expenses	$227,756,595	PYOtherExpensesAmt
CY Other Expenses	$243,830,690	CYOtherExpensesAmt
PY Total Expenses	$449,225,471	PYTotalExpensesAmt
CY Total Expenses	$474,004,004	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,728,571	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,673,282	CYRevenuesLessExpensesAmt
Total Assets BOY	$808,507,589	TotalAssetsBOYAmt
Total Assets EOY	$857,005,077	TotalAssetsEOYAmt
Total Liabilities BOY	$220,426,753	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$218,359,954	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$588,080,836	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$638,645,123	NetAssetsOrFundBalancesEOYAmt
Mission	To provide our community the highest value healthcare in an innovative, patient-centered environment.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$342,934,424	ExpenseAmt
Grant	$758,120	GrantAmt
Revenue	$470,322,581	RevenueAmt
Desc	Health Care Delivery of IP and OP medical care. In 2024, the hospital discharged 8,314 adult & pediatric patients with an average length of stay of 4.0 days. 41,645 patients were seen in our ER facilities. 7,952 patients were seen in our Urgent Care facilities. 7,298 surgeries were performed in IP and OP settings.	Desc
Total Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$342,934,424	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	Yes (1)	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	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	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	230	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2595	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
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	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	15	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

Field	Value	IRS element (for citing)
Person	Jered Foster Controller	PersonNm
Phone	3034155221	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 9019	AddressLine1Txt
Address Line2	Accounting Dept	AddressLine2Txt
City	Boulder	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	803019019	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
Alan Villavicencio
Physician	40	0	Yes (X)	$1,651,219	$0	$21,517
Daniel O'Hair
Physician	40	0	Yes (X)	$1,463,673	$0	$52,272
Robert J Vissers
Exec Director/CEO	40	0		$1,247,286	$0	$246,892	Yes (X)	Yes (X)
Charles Jones
Physician	40	0	Yes (X)	$1,230,235	$0	$51,937
Bryan Mahan
Physician	40	0	Yes (X)	$1,223,959	$0	$44,728
Srinivas Iyengar
Physician	40	0	Yes (X)	$1,021,374	$0	$55,572
Sarah E Meshak
VP & General Counsel	40	0		$754,205	$0	$119,254		Yes (X)
Benjamin J Keidan
VP & Chief Medical Officer	40	0		$649,777	$0	$114,705		Yes (X)
William A Munson Jr
VP & CFO	40	0		$596,711	$0	$125,231		Yes (X)
Jacqueline M Attlesey-Pries
VP , Chief Nursing Officer & Chief Operating Officer	40	0		$526,890	$0	$110,949		Yes (X)
Michael J Jefferies
VP & Chief Information Officer	40	0		$504,672	$0	$14,947		Yes (X)
Grant Besser
Foundation President & VP Public Affairs	16	24		$413,852	$0	$104,851		Yes (X)
Lawrence Novissimo
VP Ambulatory Services	40	0		$293,104	$0	$87,387		Yes (X)
Teresa Cole
VP & Chief Information Officer	40	0		$296,530	$0	$40,928		Yes (X)
Valerie Lipetz MD
Physician and Board Member	40	0		$223,967	$0	$31,442	Yes (X)
Debbie Lund MD
Chairman	4	0		$0	$0	$0	Yes (X)	Yes (X)
Nancy Stevens
Vice Chairman	4	0		$0	$0	$0	Yes (X)	Yes (X)
Joel Montbriand MD
Treasurer	4	0		$0	$0	$0	Yes (X)	Yes (X)
Chris Hazlitt
Secretary	4	0		$0	$0	$0	Yes (X)	Yes (X)
Douglas Abel
Board Member	4	0		$0	$0	$0	Yes (X)
Susan Connelly
Board Member	4	0		$0	$0	$0	Yes (X)
Libby Cook
Board Member	4	0		$0	$0	$0	Yes (X)
Perla Delgado PhD
Board Member	4	0		$0	$0	$0	Yes (X)
Phil DeStefano
Board Member	4	0		$0	$0	$0	Yes (X)
John Fleagle MD
Board Member	4	0		$0	$0	$0	Yes (X)
John Greff
Board Member	4	0		$0	$0	$0	Yes (X)
George Karakehian
Board Member	4	0		$0	$0	$0	Yes (X)
Mardi Moore
Board Member	4	0		$0	$0	$0	Yes (X)
Diana Verilli
Board Member	4	0		$0	$0	$0	Yes (X)
Bob Yates
Board Member	4	0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,097,454	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,222,612	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	462	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Medical Solutions LLC
1010 N 102nd St	Suite 300	Omaha	NE	68114	Agency nursing services	$3,128,364
Boulder Emergency Physicians
CarePoint PC 5600 S Quebec St	Suite 312 A	Greenwood Village	CO	80111	CMC Emergency Room Coverage & ER medical director	$1,547,776
BOSLA LLC
4740 Pearl Parkway	Suite 200	Boulder	CO	80301	Ortho Trauma Call and Ortho Management Svcs	$1,467,710
Boulder Valley Anesthesiology LLC
PO Box 17389		Denver	CO	80217	Anesthesiology contracted services and call coverage	$1,257,215
Advanced Network Management
PO Box 561489		Denver	CO	802561489	IT security and network management	$908,719

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	31	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$3,343,005	RelatedOrganizationsAmt
Government Grants	$701,485	GovernmentGrantsAmt
All Other Contributions	$1,372	AllOtherContributionsAmt
Noncash Contributions	$5,000	NoncashContributionsAmt
Total Contributions	$4,045,862	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Acute Care Hospital	622000	$442,783,951	$442,748,751	$0	$35,200
Lab Service Revenue	621510	$913,782	$0	$913,782	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$443,697,733	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,284,080	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,284,080	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,103	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,103	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$34,450,266	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$33,100,219	SecuritiesAmt
Other	$64,852	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,350,047	SecuritiesAmt
Other	-$64,852	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,285,195	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$64,852	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,350,047	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$263,881	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$154,577	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$109,304	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$109,304	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Hospital Care Joint Ventures	621400	$13,784,864	$13,784,864	$0	$0
Misc Hospital Revenue	622000	$13,931,836	$13,853,818	$0	$78,018
Lab Service Revenue	621510	$537,309	$0	$537,309	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$28,254,009	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$488,677,286	TotalRevenueColumnAmt
Related Or Exempt Func Income	$470,322,581	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,451,091	UnrelatedBusinessRevenueAmt
Exclusion	$12,857,752	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$364,824	TotalAmt
Program Services	$364,824	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$382,346	TotalAmt
Program Services	$382,346	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$10,950	TotalAmt
Program Services	$10,950	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,457,884	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$6,094,050	ManagementAndGeneralAmt
Fundraising	$363,834	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$177,868,898	TotalAmt
Program Services	$151,192,149	ProgramServicesAmt
Management And General	$26,146,251	ManagementAndGeneralAmt
Fundraising	$530,498	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,427,929	TotalAmt
Program Services	$6,522,532	ProgramServicesAmt
Management And General	$2,905,397	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$23,491,385	TotalAmt
Program Services	$19,746,610	ProgramServicesAmt
Management And General	$3,663,031	ManagementAndGeneralAmt
Fundraising	$81,744	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,169,098	TotalAmt
Program Services	$9,724,400	ProgramServicesAmt
Management And General	$2,394,612	ManagementAndGeneralAmt
Fundraising	$50,086	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$34,712,833	TotalAmt
Program Services	$15,574	ProgramServicesAmt
Management And General	$34,697,259	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$214,629	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$214,629	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$159,120	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$159,120	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$23,786	TotalAmt
Program Services	$23,786	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$343,416	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$343,416	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,166,304	TotalAmt
Program Services	$17,766,533	ProgramServicesAmt
Management And General	$11,399,771	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$638,078	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$638,078	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,586,706	TotalAmt
Program Services	$1,948,036	ProgramServicesAmt
Management And General	$3,633,611	ManagementAndGeneralAmt
Fundraising	$5,059	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,545,189	TotalAmt
Program Services	$206,030	ProgramServicesAmt
Management And General	$12,339,159	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,365,443	TotalAmt
Program Services	$5,974,342	ProgramServicesAmt
Management And General	$4,391,101	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$403,235	TotalAmt
Program Services	$126,449	ProgramServicesAmt
Management And General	$276,786	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$332,371	TotalAmt
Program Services	$121,887	ProgramServicesAmt
Management And General	$210,484	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,882,157	TotalAmt
Program Services	$1,700,385	ProgramServicesAmt
Management And General	$2,181,772	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,968,278	TotalAmt
Program Services	$9,347,425	ProgramServicesAmt
Management And General	$10,617,161	ManagementAndGeneralAmt
Fundraising	$3,692	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,396,256	TotalAmt
Program Services	$1,144,844	ProgramServicesAmt
Management And General	$1,251,412	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$81,609,186	$81,344,888	$264,298	$0
Medicaid Provider Fee	$27,439,929	$27,439,929	$0	$0
Repairs and Maintenance	$9,551,774	$6,279,948	$3,271,826	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,492,000	TotalAmt
Program Services	$1,550,557	ProgramServicesAmt
Management And General	$2,941,443	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$474,004,004	TotalAmt
Program Services	$342,934,424	ProgramServicesAmt
Management And General	$130,034,667	ManagementAndGeneralAmt
Fundraising	$1,034,913	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,605	BOYAmt
EOY	$14,605	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,162,080	BOYAmt
EOY	$24,700,305	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$69,509,426	BOYAmt
EOY	$65,310,353	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,002,438	BOYAmt
EOY	$6,574,687	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,540,036	BOYAmt
EOY	$9,024,878	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$488,649,301	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$224,798,520	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$269,238,052	BOYAmt
EOY	$263,850,781	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$309,427,931	BOYAmt
EOY	$340,419,852	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$19,019,744	BOYAmt
EOY	$19,872,409	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$17,863,986	BOYAmt
EOY	$16,621,518	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,452	BOYAmt
EOY	$8,662	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$104,699,839	BOYAmt
EOY	$110,607,027	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$808,507,589	BOYAmt
EOY	$857,005,077	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$53,909,954	BOYAmt
EOY	$63,164,216	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$124,774,444	BOYAmt
EOY	$116,049,990	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$70,000	BOYAmt
EOY	$70,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$41,672,355	BOYAmt
EOY	$39,075,748	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$220,426,753	BOYAmt
EOY	$218,359,954	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	$526,663,646	BOYAmt
EOY	$570,269,004	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$61,417,190	BOYAmt
EOY	$68,376,119	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$588,080,836	BOYAmt
EOY	$638,645,123	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$808,507,589	BOYAmt
EOY	$857,005,077	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$14,673,282	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$25,101,053	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$10,789,952	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	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$23,786	OtherActivitiesAmt
Total Lobbying Expenditures	$23,786	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1	FormAndLineReferenceDesc
Explanation	5.90% of dues paid to the Colorado Hospital Association were spent on lobbying activities in 2024, amounting to $6,804. 39% of dues paid to the American Hospital Association were spent on lobbying activities in 2024, amounting to $16,982.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,141,633	BeginningYearBalanceAmt
Contributions	$1,248,838	ContributionsAmt
Investment Earnings Or Losses	$1,432,776	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$535,260	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$16,287,987	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,542,043	BeginningYearBalanceAmt
Contributions	$958,799	ContributionsAmt
Investment Earnings Or Losses	$1,059,629	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$418,838	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$14,141,633	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,029,843	BeginningYearBalanceAmt
Contributions	$4,325,750	ContributionsAmt
Investment Earnings Or Losses	-$1,403,840	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$409,710	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$12,542,043	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,715,127	BeginningYearBalanceAmt
Contributions	$1,030,374	ContributionsAmt
Investment Earnings Or Losses	$645,181	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$360,839	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$10,029,843	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,701,232	BeginningYearBalanceAmt
Contributions	$250,590	ContributionsAmt
Investment Earnings Or Losses	$1,095,165	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$331,860	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$8,715,127	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.85	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.15	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)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$21,255,949	OtherCostOrOtherBasisAmt
Book Value	$21,255,949	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$276,586,707	OtherCostOrOtherBasisAmt
Depreciation	$112,377,785	DepreciationAmt
Book Value	$164,208,922	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$9,281,066	OtherCostOrOtherBasisAmt
Depreciation	$3,753,739	DepreciationAmt
Book Value	$5,527,327	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$180,795,867	OtherCostOrOtherBasisAmt
Depreciation	$108,666,996	DepreciationAmt
Book Value	$72,128,871	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$729,712	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$729,712	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$263,850,781	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Interest in Net Assets Held by Foundation	$67,495,366
Right of Use Assets - Operating Leases	$22,339,390
Deferred Compensation Investments	$14,059,049
Misc Other Accounts Receivable	$5,980,037
Unamortized Bond Issues Costs	$717,477
Unamortized Swap Fees	$15,708

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$110,607,027	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Operating Lease Liability, Net of Current Maturities	$22,052,451
Deferred Compensation Liability	$14,059,049
Accrued Pension Liability	$2,964,248

Field	Value	IRS element (for citing)
Total Liability	$39,075,748	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$524,001,177	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$25,101,053	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$10,682,259	OtherRevenueAmt
Revenue Not Reported	$35,783,312	RevenueNotReportedAmt
Revenue Subtotal	$488,217,865	RevenueSubtotalAmt
Investment Expenses Not Incld	$343,416	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$116,005	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$459,421	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$488,677,286	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$471,570,296	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$471,570,296	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$343,416	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$2,090,292	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,433,708	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$474,004,004	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4	Boulder Community Hospital Foundation, a related organization, holds permanent endowment funds. The income earned on these endowment funds is used to support hospital programs for diabetes, cancer, neonatology, heart and surgery center, healthcare scholarships, or for the foundation to direct if the endowment fund does not restrict how the income is to be spent. Temporarily restricted funds held by the Foundation include funds for the new Foothills medical office facilities, cancer center, as well as other hospital programs. Any Unrestricted funds held at the Foundation are for the hospital, but designation is decided by the Foundation board when granting to the hospital.
Schedule D, Part XI, Line 2d	Other revenues of $10,682,259 included in tax return revenue but not in audited revenue includes Change in Foundation Net Assets of $7,132,650 + Change in minimum pension liability of $3,896,937 + Amortization of Effective Loss on Swap of ($239,635) + Other Expenses shown net in FS rev and Gross in Tax return of ($206,260) + Ambassador component of Temp Rest Net Assets of $98,567 - $1 for rounding.
Schedule D, Part XI, Line 4b	Other of $116,005 includes Ambassador net revenues reflected as contributions in audited financials of $116,005.
Schedule D, Part XII, Line 4b	Other expenses of $2,090,292 included on tax return but not on Audit include Other non-op expenses shown in net revenue on audit of $206,260 + Ambassador expenses reflected as Restricted Contribution in Audit of $12,438 + Gift in Kind from Foundation of $5,000 + Non-Op Expenses for pension contributions of $1,866,594 + $1 for rounding.

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	2.5	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
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	$4,376,105	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,376,105	NetCommunityBenefitExpnsAmt
Total Expense	0.009	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,714,815	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,766,923	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,947,892	NetCommunityBenefitExpnsAmt
Total Expense	0.038	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$72,090,920	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,766,923	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,323,997	NetCommunityBenefitExpnsAmt
Total Expense	0.047	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,400,051	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,675,218	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$724,833	NetCommunityBenefitExpnsAmt
Total Expense	0.001	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$482,040	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$482,040	NetCommunityBenefitExpnsAmt
Total Expense	0.001	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,071,541	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,071,541	NetCommunityBenefitExpnsAmt
Total Expense	0.002	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,953,632	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,675,218	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,278,414	NetCommunityBenefitExpnsAmt
Total Expense	0.004	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$76,044,552	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,442,141	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,602,411	NetCommunityBenefitExpnsAmt
Total Expense	0.051	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,423	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,423	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,749	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,749	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$182,168	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$182,168	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$478,197	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$478,197	NetCommunityBenefitExpnsAmt
Total Expense	0.001	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$671,537	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$671,537	NetCommunityBenefitExpnsAmt
Total Expense	0.001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,706,297	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,176,574	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$67,037,962	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$87,508,190	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$20,470,228	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 (7 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
Boulder Community Musculoskeletal Surgery Center LLC
Outpatient Orthopedic Surgery Center	0.5	0	0.5
Endoscopy Center of the Rockies LLC
Outpatient Endoscopy Center	0.5	0	0.5
Boulder MRI LLC
Outpatient MRI center	0.51	0	0.49
Foothills Surgery Center LLC
Ambulatory Surgical Center	0.51	0	0.49
Riverbend Sleep LLC
Property ownership and lease to Approved Entities	0.5	0	0.5
Premier Eye Surgery Center of Colorado
Ambulatory surgery center for eyes	0.501	0	0.499
Boulder Radiation Management Company LLC
Outpatient radiation oncology and imaging services management	0.5	0	0.5

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	Boulder Community Foothills Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4747 Arapahoe Avenue	AddressLine1Txt
City	Boulder	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80303	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.bch.org	WebsiteAddressTxt
State License	010323	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Boulder Community Foothills Hospital	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	23	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See H, Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See H, 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	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
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 H, Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See H, Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See H, 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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Boulder Community Foothills Hospital	Please refer to Community Input on pages 5 and 6 of the 2023-2025 CHNA, and to Appendix One of the CHNA report
Schedule H, Part V, Section B, Line 7a-Boulder Community Foothills Hospital	https://www.bch.org/about-us/community-reports/community-health-needs-assessment/ Report is at the bottom of the page.
Schedule H, Part V, Section B, Line 10a-Boulder Community Foothills Hospital	https://www.bch.org/documents/content/BCH-CHNA-for-2023-2025-FINAL.pdf Implementation Strategy begins on page 20 of the PDF.
Schedule H, Part V, Section B, Line 11-Boulder Community Foothills Hospital	Please refer to pages 20 - 31 of the 2023-2025 CHNA. The top four health needs identified are: Mental health including chronic pain management and substance abuse, wellness and preventative health including aging of the population and access to care, chronic disease management, and community education. Details of how BCH is addressing these needs are included in the CHNA. The CHNA did not identify any significant health needs that are not being addressed. Two large social determinants of care which impact health are affordable housing and transportation. BCH is not directly addressing these because it is not in a position to have a direct impact. However, it partners with organizations within the community that are attempting to create positive change in these areas.
Schedule H, Part V, Section B, Line 16a-Boulder Community Foothills Hospital	https://www.bch.org/patient-visitors/patient-services/financial-assistance/
Schedule H, Part V, Section B, Line 16b-Boulder Community Foothills Hospital	https://www.bch.org/documents/forms/FinancialAssistanceApplication-Englishv2.pdf
Schedule H, Part V, Section B, Line 16c-Boulder Community Foothills Hospital	https://www.bch.org/documents/forms/FinancialAssistancePolicy032024.pdf

Field	Value	IRS element (for citing)
Facility	46	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (46 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt	Business Name Line2BusinessName/BusinessNameLine2Txt
BCH Behavioral Health DPU
4801 Riverbend Road	Boulder	CO	80301	Psych DPU
Community Medical Center
1000 W South Boulder Road	Lafayette	CO	80026	Free Standing Emergency Department
Boulder Community Musculoskeletal Surgery LLC
4740 Pearl Parkway	Boulder	CO	80301	Ambulatory Surgical Center
Endoscopy Center of the Rockies in Lafayette
1000 W South Boulder Road	Lafayette	CO	80026	Endoscopic Ambulatory Surgery Center	Suite 202
Endoscopy Center of the Rockies in Boulder
1755 48th Street	Boulder	CO	80303	Endoscopic Ambulatory Surgical Center	Suite 110
Endoscopy Center of the Rockies in Longmont
1551 Professional Lane	Longmont	CO	80501	Endoscopic Ambulatory Surgical Center	Suite 295
Boulder MRI LLC
1000 W South Boulder Road	Lafayette	CO	80026	MRI Imaging Center	Suite 105
Foothills Surgery Center LLC
4743 Arapahoe Avenue	Boulder	CO	80303	Ambulatory Surgical Center	Suite 101
Boulder Heart at Anderson Medical Center
4743 Arapahoe Avenue	Boulder	CO	80303	Physician clinic	Suite 201
Boulder Heart at Community Medical Center
1000 W South boulder Road	Lafayette	CO	800262089	Physician clinic	Suite 216
Boulder Heart at Longmont
2101 Ken Pratt Blvd	Longmont	CO	805016568	Physician clinic	Suite 104
Internal Medical Associates of Boulder
5495 Arapahoe Avenue	Boulder	CO	80303	Physician clinic
Boulder Valley Surgical Associates
4743 Arapahoe Avenue	Boulder	CO	80303	Surgical services
Boulder Valley Pulmonology
4820 Riverbend Road	Boulder	CO	80301	Physician clinic
CU Sports Medicine and Performance Center
2150 Stadium Drive	Boulder	CO	80309	outpatient sports medicine clinic	Second Floor
Boulder Community Health Sports Medicine
2150 Stadium Drive	Boulder	CO	80309	Imaging IDTF		Imaging LLC
Beacon Center for Infectious Disease
4800 Riverbend Rd	Boulder	CO	80301	Infectious Disease Clinic
Boulder Community Health Sleep Diagnostice
4895 Riverbend Rd	Boulder	CO	80301	Sleep study center
Internal Medical Associates of Lafayette
1000 W South Boulder Rd	Lafayette	CO	80026	Physician clinic	Suite 214
Internal Medicine Associates of Erie
101 Erie Parkway	Erie	CO	80516	Physician clinic
Center for Integrative Care
4715 Arapahoe	Boulder	CO	80303	Outpatient integrative care for cancer patients	Unit 100
Frontier Internal Medicine
2101 Ken Pratt Blvd	Longmont	CO	80501	Physician clinic	Ste 104
Wellness Program of BCH
5495 Arapahoe Avenue	Boulder	CO	80303	Physician clinic
Northwest Family Medicine
3 Superior Dr	Superior	CO	80027	Physician clinic
Family Medical Associates
1000 W South Boulder Rd	Lafayette	CO	80026	Physician clinic	Suite 110
Boulder Creek Family Medicine
1755 48th St	Boulder	CO	80303	Physician clinic	Suite 200
Associated Neurologists of Boulder
4801 Riverbend Rd	Boulder	CO	80301	Physician clinic
Occupational Health Services
1000 W South Boulder Rd	Lafayette	CO	80026	Occupational medicine clinic
Gunbarrel Family Medicine
6685 Gunpark Drive	Boulder	CO	80301	Physician clinic	Suite 110
Boulder Heart at Erie Medical Center
101 Erie Parkway	Erie	CO	80516	Physician clinic
Boulder Women's Care
4745 Arapahoe Ave	Boulder	CO	80303	Physician Clinic	Suite 320
Boulder Women's Care at Erie Medical Center
101 Erie Parkway	Eire	CO	80516	Physician Clinic
Center for Mind Body Medicine
4801 Riverbend Road	Boulder	CO	80301	Physician Clinic
Endocrinology Associates of BCH
5495 Arapahoe Avenue	Boulder	CO	80303	Physician Clinic
Endocrinology Associates of BCH - Superior
3 Superior Drive	Superior	CO	80027	Physician Clinic
Erie Family Medicine
101 Erie Parkway	Erie	CO	80519	Physician Clinic
Foothills Community Midwives
4840 Riverbend	Boulder	CO	80303	Midwife clinic	Suite 100
Erie Urgent Care
101 Erie Parkway	Erie	CO	80516	Urgent Care Center	Suite 101
Worldwide Travel Clinic
4800 Riverbend Rd	Boulder	CO	80301	Physician clinic
Wound Healing Center
4880 Riverbend Rd	Boulder	CO	80301	Wound Clinic
BCH Counseling Center
4801 Riverbend Rd	Boulder	CO	80301	Clinic	Suite 120a
Boulder Valley Surgical Associates - Erie
101 Erie Parkway	Erie	CO	80516	Physician clinic	Suite 201
Inpatient Rehabilitation
11820 Destination Dr	Broomfield	CO	80021	Inpatient Rehabilitation	3rd Floor
Boulder Radiation Management Company LLC
4743 Arapahoe	Boulder	CO	80301	Outpatient oncology radiation and imaging services
Anchor Point Primary Care
1645 Broadway	Boulder	CO	80301	Physician Clinic
Premier Eye Surgery Center of Colorado
1050 W South Boulder Rd	Lafayette	CO	80026	Ambulatory Surgical Center	Suite 110

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	Criteria used to determine eligibility for financial assistance in addition to the FPG include Asset level, Medical Indigency, Insurance Status, Underinsurance status and Residency.
Schedule H, Part I, Line 6a	BCH filed their annual Hospital Community Benefit Accountability (HCBA) report to Colorado Department of Health Care Policy & Financing on 9/13/24. This report details all the community benefit activities that BCH engaged in during the prior fiscal year of the organization. The most recent HCBA is used during the CHNA performed every 3 years. BCH's HCBA is given on request and is uploaded to the BCH website for public inspection.
Schedule H, Part I, Line 7	The costing methodology used for Part 1, Lines 7a and 7b, is the Worksheet 2 Ratio of Cost-to-Charges. The costs for Lines 7e, 7f and 7i are directly identifiable costs from our internal accounting records.
Schedule H, Part II	Community Support Activities include disaster readiness training in conjunction with numerous local agencies (fire, police, sheriff, other counties, other hospitals) to ensure coordinated and effective response to a disaster. Coalition building includes the hospitals participation in the development of the Colorado Regional Health Information Organization (CORHIO), Boulder County Health Improvement Collaborative (BCHIC), City of Boulder High Utilizer Task Force, and College of Healthcare Information management Executives (CHIME), which are all electronic health exchanges aimed at promoting effective and efficient health care delivery as well as information for community health assessments. BCHIC also helps underinsured and uninsured patients in the county obtain specialist care. Community health improvement advocacy includes participation on the Colorado Hospital Association Board, the Medicaid Provider Rate Review Advisory Committee, and a Purchasing Coalition to reduce costs. The Workforce development includes physician recruitment expenses. Boulder is a Medically Underserved Area for low income and Medicare populations. Boulder's poverty level is over twice the state average.
Schedule H, Part III, Section A, Line 4	The January 1, 2018 adoption of Financial Accounting Standards Board Accounting Standards Update 2014-09, Revenue from Contracts with Customers (ASU 2014-09) impacts the explicit recognition of the provision for doubtful accounts. Prior to January 1, 2018 the provision for doubtful accounts was explicitly recognized on the income statements; after January 1, 2018 it is reported net in Patient care service revenue and is not explicitly recognized on the audited financial statements. Footnote 4, Patient Care Service Revenue found on page 16 of the audited financial statements discusses implicit price concessions such as charity and bad debts. The amount reported on Line 2 as bad debt is an estimate of the cost of the actual balances on accounts written off to bad debt. It is estimated that 85% of the amount written off is stated at charges. This 85% is then converted to cost using the RCC developed on Worksheet 2. The remaining 15% is estimated to be related to a patient liability for deductibles and coinsurance. The amount reported on Ln 3 is estimated to be 25 % of Ln 2.
Schedule H, Part III, Section B, Line 8	100% and more of Line 7 Medicare shortfall should be treated as community benefit. Boulder County has a demonstrated community need for physicians who accept Medicare. (Some physician providers do not.) Independent physicians struggle to remain independent while accepting Medicare patients. The hospital not only serves the Medicare population for hospital services, it also employs numerous primary care, internal medicine, surgeons, neurologists, pulmonology and cardiology providers who accept Medicare in order to provide our community with adequate coverage. The Cost Report shortfall reported on Line 7 excludes Medicare Advantage enrollee shortfalls, excludes shortfalls from ancillary procedures which are paid by fee schedule and are therefore not included in the Cost Report, and excludes the shortfall related to employed physicians serving the Medicare population. The hospital's total Medicare shortfall, including these programs, is actually $73,817,477. As Medicare Advantage plans continue to increase denial behaviors, BCH incurs further administrative losses for supporting Medicare/Medicare Advantage enrollees not recognized in the previous figures. The source for Line 6 is the filed Medicare Cost Report.
Schedule H, Part III, Section C, Line 9b	The hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the hospital's charity program (WeCare). Financial arrangements with Emergency Room patients are not discussed until the patient has been assessed and treated in accordance with EMTALA. The hospital's debt collection policy contains a Communications section addressing courtesy, confidentiality, cultural sensitivity, and primary language of a patient. It contains a section on Billing and Collection Practices which addresses when an account will be referred to a licensed collection agency and that those agencies will treat all patients with dignity, compassion and respect, as well as adhering to Colorado State Laws and the Fair Debt Collection Act. BCH will not knowingly send a patient's bill to a collection agency if they have an application pending for either government sponsored coverage or for financial assistance. Patients may apply/reapply for financial assistance before, during or after care, or after collection agency assignment.
Schedule H, Part VI, Line 2	In 2020, a comprehensive facilities study was performed to evaluate each of the existing hospital campuses and operational support buildings to determine the most efficient and effective methods of delivering the safest, highest quality health care. The Planning Committee uses the Community Health Needs Assessment (CHNA), the Comprehensive Facilities study, as well as market and demographic studies to ensure BCH meets the future health care needs of our community. As of 2022, BCH has vacated two support buildings and consolidated those resources to one co-located building to the Foothills main campus. The CHNA is performed every 3 years. The CHNA pertaining to the 2024 tax return calendar year was performed in 2023 for the period 2023-2025. The prior CHNA was performed in 2019 pertaining to the periods 2020-2023. Additionally, as required by HB19-1320, BCH performs an annual community benefit implementation plan in accordance with the Hospital Community Benefit Accountability (HCBA) act. The Hospital invites local and state representatives as well as general public to give feedback regarding the Hospital's community benefit activities during the previous year and the Hospital's community benefit implementation plan for the following year. Results are shared with the Department of Health Care Policy & Financing.
Schedule H, Part VI, Line 3	The Hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the Hospitals charity program (WeCare). The hospital employs Spanish speaking financial counselors and would utilize interpreter services for other languages. Financial Assistance programs are referenced in patient discharge information, billing statements, and on the hospital's web site.
Schedule H, Part VI, Line 4	Please refer to pages 12 - 16 of the 2023-2025 CHNA. This section of the CHNA discusses Service Area, Demographics, Gender, Age, Diversity and Employment/Income.
Schedule H, Part VI, Line 5	The Hospital is governed by a volunteer community board. The Hospital has an open medical staff. All surplus funds are reinvested in the hospital to fund charity, subsidize under-performing health programs, develop new health programs, or as an investment in plant, equipment and technology.
Schedule H, Part VI, Line 7	The Hospital Community Benefit Accountability Report was filed August 2024 pertaining to the 12/31/22 Schedule H. This state reporting is required annually and includes figures from the previous year's 990 Schedule H filing. See https://www.bch.org/about-us/community-reports/community-health-needs-assessment/

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt	Non Cash AssistanceNonCashAssistanceAmt	Non Cash AssistanceNonCashAssistanceDesc
Boulder County AIDS Project
2118 14th St	Boulder	CO	80302	742442032	501(c)3	$71,500	Cost	To ensure access to HIV care and improve the quality of life for people in Boulder County infected with or affected by HIV
All Roads
4869 Broadway Ave	Boulder	CO	80304	841041149	501(c)3	$56,979	Cost	To create avenues to stable housing for the Boulder community's unhoused adults
Project Angel Heart
4950 Washington St	Denver	CO	80216	841199481	501(c)3	$40,000	Cost	To deliver tailored meals to BCH patients experiencing food insecurity, meeting their health specific nutritional needs
Love for Lily
4790 Table Mesa Dr	Boulder	CO	80305	454285961	501(c)3	$20,000	Cost	To provide social, emotional, and logistical support to families with babies in the Neonatal Intensive Care Units of area hospitals	Suite 202
Blue Sky Bridge
2617 Iris Hollow Pl	Boulder	CO	80304	841493585	501(c)3	$17,500	Cost	To increase Blue Sky Bridge's capacity to administer medical exams and therapy services for child victims of sexual abuse following the forensic interviewing process
Third Law Dance & Theater
2026 19th St	Boulder	CO	80302	841572264	501(c)3	$10,500	Cost	To provide BCH patients living with Parkinson's Disease and other mobility challenges with access to Third Law's Dance for Parkinson's Program
City of Boulder
1777 Broadway	Boulder	CO	80302	846000566		$10,000	Cost	To support the funding of a consultant for the City of Boulder to design and implement a public-private funding plan in support of the solution identified by the high utilizer taskforce
Humane Society of Boulder Valley
2323 55th St	Boulder	CO	80301	840152768	501(c)3	$9,042	Cost	To provide temporary boarding for pets of BCH hospitalized clients who may otherwise forego medical care because they don't have financial resources for private boarding and/or a support system to care for their animal
Boulder Valley School District
6500 E Arapahoe Ave	Boulder	CO	80303	846014683	501(c)3		FMV	To support high school athletics and help to reduce student athlete injuries		$99,978	Provide athletic trainer to school district

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (12 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Medical respite, collaboration, and care to address continuity of care	23	$124,265	$0	Cost
Oncology patient support for qualifying patients	60	$79,164	$0	Cost
Healthcare education scholarships	25	$61,544	$0	Cost
Assistance for Mental Health patients. Type of assistance includes transportation, housing/rent assistance, professional care with psychologist/psychiatrist, class registrations and suicide prevention resources.	50	$31,341	$0	Cost
Assistance with transportation post-discharge for indigent patients	42	$17,486	$0	Cost
Assistance with housing post-discharge for indigent patients	13	$14,838	$0	Cost
Rehabilitative services provided for qualifying patients	10	$8,609	$0	Costs
Health equity class registration and assistance with food post-discharge for qualifying patients	46	$7,082	$0	Cost
Sound therapy and Reiki services	200	$4,450	$0	Cost
Sports-related care provided for qualifying high school athletes	3	$1,820	$0	Cost
Heart scans provided for qualifying patients	280	$0	$29,010	FMV	Heart scans provided free of charge for qualifying patients
Assistance with Rx post-discharge for indigent patients	159	$0	$2,737	Cost

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule I, Part I, Line 2

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

Schedule I, Part II, Line 1

During 2024, BCH made contributions to 25 non-profit organizations within the community totaling $264,846. Of those, eight recipients received over the $5,000 threshold listed on Part II. The remaining unlisted amount is $29,325.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
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	Yes (1)	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 (15 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
Robert J Vissers
Exec Director/CEO	$978,296	$0	$219,434	$0	$49,556	$0	$225,197	$0	$21,695	$0	$1,494,178	$0	$219,434	$0
Benjamin J Keidan
VP & Chief Medical Officer	$474,786	$0	$87,015	$0	$87,975	$0	$96,802	$0	$17,903	$0	$764,481	$0	$0	$0
William A Munson Jr
VP & CFO	$424,725	$0	$89,303	$0	$82,683	$0	$89,782	$0	$35,449	$0	$721,942	$0	$0	$0
Jacqueline M Attlesey-Pries
VP , Chief Nursing Officer & Chief Operating Officer	$372,969	$0	$68,776	$0	$85,145	$0	$82,516	$0	$28,434	$0	$637,840	$0	$0	$0
Sarah E Meshak
VP & General Counsel	$381,343	$0	$81,794	$0	$291,067	$0	$83,932	$0	$35,322	$0	$873,458	$0	$0	$0
Michael J Jefferies
VP & Chief Information Officer	$131,696	$0	$62,733	$0	$310,243	$0	$14,347	$0	$600	$0	$519,619	$0	$9,874	$0
Teresa Cole
VP & Chief Information Officer	$260,697	$0	$32,645	$0	$3,189	$0	$9,135	$0	$31,793	$0	$337,459	$0	$0	$0
Grant Besser
Foundation President & VP Public Affairs	$293,253	$0	$63,012	$0	$57,588	$0	$68,238	$0	$36,613	$0	$518,704	$0	$0	$0
Lawrence Novissimo
VP Ambulatory Services	$234,370	$0	$42,941	$0	$15,793	$0	$52,182	$0	$35,205	$0	$380,491	$0	$0	$0
Valerie Lipetz MD
Physician and Board Member	$153,617	$0	$38,031	$0	$32,319	$0	$22,164	$0	$9,278	$0	$255,409	$0	$0	$0
Alan Villavicencio
Physician	$841,510	$0	$784,903	$0	$24,806	$0	$20,250	$0	$1,267	$0	$1,672,736	$0	$0	$0
Daniel O'Hair
Physician	$1,329,003	$0	$108,899	$0	$25,772	$0	$16,950	$0	$35,322	$0	$1,515,946	$0	$0	$0
Charles Jones
Physician	$1,040,467	$0	$150,616	$0	$39,152	$0	$39,155	$0	$12,782	$0	$1,282,172	$0	$0	$0
Bryan Mahan
Physician	$1,008,166	$0	$153,640	$0	$62,152	$0	$15,871	$0	$28,857	$0	$1,268,686	$0	$0	$0
Srinivas Iyengar
Physician	$656,218	$0	$322,679	$0	$42,478	$0	$20,250	$0	$35,322	$0	$1,076,947	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	The hospital reimburses board members for companion travel to attend their annual educational conference.
Schedule J, Part I, Line 1b	Travel for companions is only reimbursed for board members attending the annual educational conference. Companion travel is reimbursed based upon substantiated receipts and is reported as Miscellaneous Income on 1099 of the board member. In all other circumstances, companion travel is not reimbursable by the hospital.
Schedule J, Part I, Line 3	The Executive Committee of the Board serves as the compensation committee as specified by the bylaws of the hospital. The Executive Committee is comprised of the Chairman, Vice Chairman, Secretary, Treasurer, President/CEO and two at large members of the Board. The President/CEO does not participate in or vote on compensation matters related to his own compensation. The Executive Committee proposes an Executive Compensation Philosophy for approval by the Board, which sets parameters for compensation of the CEO and the Vice Presidents. The Executive Committee (without the CEO) reviews the compensation and benefits of the CEO annually, subject to Board ratification. The CEO sets compensation for the Vice Presidents within the ranges established by the Compensation Philosophy. Compensation outside the approved ranges requires Executive Committee review and approval. The Executive Committee engages a consulting firm to provide comparative compensation studies for similarly qualified executives in functionally comparable positions at similarly situated organizations. Compensation study and performance review are considered in developing executive compensation decisions. Any benefits for executives beyond what is provided to all employees must be consistent with the Compensation Philosophy. All compensation-related meetings of the Executive Committee are formally documented.
Schedule J, Part I, Line 4	The hospital contributes to a nonqualified 457(f) SERP plan for the benefit of its executive leadership. Participants include: Robert Vissers, President & CEO ($204,947 contributed) Benjamin Keidan, VP & Chief Medical Officer ($76,552 contributed), William Munson Jr, VP & CFO ($69,532 contributed), Jacqueline Attlesey-Pries, VP ,COO & CNO ($62,266 contributed), Sarah Meshak, VP & General Counsel ($63,682 contributed), Larry Novissimo, VP of Ambulatory Services ($39,334 contributed) and Grant Besser, Foundation President & VP Public Affairs ($49,062 contributed).
Schedule J, Part I, Line 6	See response to Line 7. Board approval required for any payment. In 2024, one of the incentive goals for all recipients was contingent upon BCH meeting its budget.
Schedule J, Part I, Line 7	For 2024, the hospital had an Incentive Compensation Plan for Vice Presidents, Associate Vice Presidents, and Directors whereby a percentage of base salary is paid out if goals are met, and if authorized by the Board of Directors. For 2024 goals met, Incentive Compensation expense was paid out in February of 2025.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
Colorado Health Facilities Authority
A	840752932	2014-12-30	$30,000,000	acquiring,constructing & equipping Financed Facilities	0	0	0
Colorado Health Facilities Authority
B	840752932	2020-08-13	$62,896,073	Foothills expansion & refund prior bonds	0	0	0	19648FRU0
Colorado Health Facilities Authority
C	840752932	2022-07-01	$24,540,000	Foothills hospital expansion	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$6,000,000	$0	$30,041,484	$0	$0	$0	$153,502	$0	$29,887,982	$0	$0	$0	2019	0	Yes (1)	Yes (1)
B	$4,400,000	$0	$62,896,078	$0	$0	$0	$630,855	$0	$15,000,000	$0	$47,265,223	$0	2020	Yes (1)	Yes (1)	Yes (1)
C	$2,240,000	$0	$24,540,000	$0	$0	$0	$0	$0	$0	$0	$24,540,000	$0	2022	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column e-12/30/2014 30,000,000 Colorado Health Facilities Authority	Ln B(e) of $30,000,000 < Pt II Line 3(B) of 30,041,484 by the cumulative trust fund interest income of $41,484.
Schedule K, Part I, Column e-08/13/2020 62,896,073 Colorado Health Facilities Authority	Ln C(e) of $62,896,073 < Pt II Line 3(C) of 62,896,078 by the cumulative trust fund interest income of $5.
Schedule K, Part IV, Line 2c-12/30/2014 30,000,000 Colorado Health Facilities Authority	Rebate calculation for Series 2014 performed by Kutak Rock Arbitrage Consulting LLC for the period 12/31/2019 to 12/01/2024, the end of the first five-year rebate calculation period. The report concludes that there is no arbitrage rebate liability as of 12/01/2024 and no federal reporting requirement.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11b	Form 990 is prepared by the Controller based upon audited financial statements. The 990 is reviewed by the nonprofit tax manager of our external audit firm, by the CEO, CFO, VP & General Counsel, Compliance Officer, and the Audit and Compliance Committee of the Board of Directors. Final copies are provided to each voting Board member electronically before filing with the IRS.
Form 990, Part VI, Section B, Line 12c	The hospital has a conflict of interest policy for all staff and requires that staff members director level and above complete an annual conflict of interest questionnaire that is reviewed by the compliance department. The hospital also has a conflict of interest policy for all medical staff members that requires disclosure on a conflict of interest statement form during the credentialing and/or re-credentialing periods. Board members complete an annual statement of interest form which discloses employment, family member employment, business relationships, service on other Boards or governance positions and identifies other conflicts of interest. The statement of interest also identifies transactions requiring disclosure.
Form 990, Part VI, Section B, Line 15	The Executive Committee of the Board serves as the compensation committee as specified by the bylaws of the hospital. The Executive Committee is comprised of the Chairman, Vice Chairman, Secretary, Treasurer, President/CEO and two at large members of the Board. Any interested party board member is excluded from matters related to President/CEO compensation. The President/CEO does participate in or vote on compensation matters related to his own compensation. The Executive Committee proposes an Executive Compensation Philosophy for approval by the board, which sets parameters for compensation of the CEO and the Vice Presidents. The Executive Committee (without the CEO) reviews the compensation and benefits of the CEO annually, subject to Board ratification. The CEO sets compensation for the Vice Presidents within the ranges established by the Compensation Philosophy. Compensation outside the approved ranges requires Executive Committee review and approval. The Executive Committee engages a consulting firm to provide comparative compensation studies for similarly qualified executives in functionally comparable positions at similarly situated organizations. Compensation study and performance review are considered in developing executive compensation decisions. Any benefits for executives beyond what are provided to all employees must be consistent with the Compensation Philosophy. All compensation-related meetings of the Executive Committee are formally documented.
Form 990, Part VI, Section C, Line 19	The hospital's web site is www.bch.org. The web site includes the hospital's Mission, Vision and Beliefs Statement, our financial assistance policies, the Community Health Needs Assessment, the Board of Directors, and the Annual Report which contains key financial data, and information on new programs, patient safety and quality, and community benefits. The web site also has a section for Compliance policies including the Code of Conduct and Conflict of Interest. Annual audited financial statements are made available to the public at the Annual Meeting of Boulder Community Health. The tax return is made available to anyone who requests the return through our Public Relations Office.
Form 990, Part XI, Line 9	Other change in Net Assets of $10,789,952 = $3,896,937 change in minimum pension liability + ($239,635) amortization of ineffective loss on swap + $7,132,650 change in Foundation net assets

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Boulder Community Health Sports Medicine Imaging LLC
2150 Stadium Drive	2nd Floor	Boulder	CO	80309	474243430	imaging services	CO	$1,699,410	$1,108,901	Boulder Community Health
Boulder Valley Care Network LLC
4990 Pearl East Circle	Suite 200	Boulder	CO	80301	821488664	Clincally Integrated Provider Network	CO	$1,394,935	$0	Boulder Community Health
Boulder Community Health Rehab LLC
4747 Arapahoe Ave		Boulder	CO	803019019		Participate in a 50/50 JOA with another non-profit to operate an Inpatient Rehabilitation hospital	CO	$1,416,425	$2,048,693	Boulder Community Health

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Boulder Community Hospital Foundation	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4860 Riverbend	AddressLine1Txt
City	Boulder	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80301	ZIPCd

Field	Value	IRS element (for citing)
EIN	840772664	EIN
Primary Activities	Fundraising for Boulder Community Health	PrimaryActivitiesTxt
Legal Domicile State	CO	LegalDomicileStateCd
Exempt Code Section	501(c)3	ExemptCodeSectionTxt
Public Charity Status	Line 7	PublicCharityStatusTxt
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	0	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt	Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Boulder Community Musculoskeletal Surgery Center LLC
dba Boulder Surg Center	4740 Pearl Parkway	Suite 100	Boulder	CO	80301	201391702	Outpatient surgery center	CO	N/A	Related	$2,716,721	$3,000,822	0	0	0.5
Endoscopy Center of the Rockies LLC
	382 S Arthur Ave	Ste 140	Louisville	CO	80027	841562782	Outpatient Endoscopy	CO	N/A	Related	$7,520,096	$1,011,464	0	0	0.5
Boulder MRI LLC
	1000 W South Boulder Road	Suite 105	Lafayette	CO	80026	452676500	Outpatient MRI center	CO		Related	$87,093	$120,506	0	0	0.51	Boulder Community Health
Foothills Surgery Center LLC
	4743 Arapahoe Avenue	Suite 101	Boulder	CO	80303	455328252	Ambulatory Surgical Center	CO		Related	$1,337,820	$1,487,234	0	0	0.51	Boulder Community Health
Riverbend Sleep LLC
	2305 Canyon Blvd	Suite 200	Boulder	CO	80302	464514151	own building and lease to Approved Entities	CO	N/A	Excluded	$140,719	$1,054,839	0	0	0.5
Premier Eye Surgery Center of Colorado
	1050 W South Boulder Road		Lafayette	CO	80026	823760640	Outpatient Eye Surgery Center	CO		Related	$560,508	$2,406,884	0	0	0.501	Boulder Community Health
Boulder Radiation Management Company
	PO Box 819067	Tax Department	Dallas	TX	75381	871757923	Outpatient radiation oncology and imaging services	CO	N/A	Related	$942,094	$10,117,349	0	0	0.5

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	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	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	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	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Business Name Line2OtherOrganizationName/BusinessNameLine2Txt	Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Boulder Community Musculoskeletal Surgery Center LLC
dba Boulder Surg Center	c	$2,890,593	K-1 capital distribution
Boulder Community Musculoskeletal Surgery Center LLC
dba Boulder Surg Center	d	$533,643	Loan guarantee document (not > ownership %)
Endoscopy Center of the Rockies LLC
	c	$7,643,650	K-1 capital distribution
Boulder MRI LLC
	c	$51,000	K-1 capital distribution
Boulder MRI LLC
	j	$99,630	Facility lease payments received
Boulder MRI LLC
	q	$176,586	$37,575 for PACS agreement, $12,500 for managed care contracting, $$126,511 for passthrough of MRI service contract
Riverbend Sleep LLC
	k	$155,474	Lease of facilities from JV vendor history recap
Foothills Surgery Center LLC
	c	$1,242,013	K-1 capital distributions
Foothills Surgery Center LLC
	j	$459,874	Facility lease payments received
Premier Eye Surgery Center of Colorado
	c	$325,650	K-1 capital distributions
Boulder Radiation Management Company
	d	$695,418	Loan guarantee document (not > ownership %)
Boulder Radiation Management Company
	c	$335,805	K-1 capital distributions
Boulder Community Hospital Foundation
	c	$3,343,005	Annual grants received. Includes $5,000 as Gift-In-Kind donation of artwork.

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	Notice CP211A dated 4/14/25 extended filing date to November 15, 2025.	ExplanationTxt