2025-11-14T13:18:41-07:00 2024-12-31 990 2024-01-01 840175870 BOULDER COMMUNITY HEALTH BOUL 3034155221 PO Box 9019 Boulder CO 803019019 William A Munson Jr CFO & Vice President 3034157433 2025-11-14 1 2024 2025-03-06 01:10:19Z Boulder Community Hospital Robert J Vissers President and CEO PO Box 9019 Boulder CO 803019019 521996934 0 X www.bch.org X 1922 CO Partnering to create and care for the healthiest community in the nation. 17 15 2595 418 1451091 0 3602604 4045862 419612064 443697733 10023165 12570378 24716209 28363313 457954042 488677286 444053 758120 0 0 221024823 229415194 0 0 1034913 227756595 243830690 449225471 474004004 8728571 14673282 808507589 857005077 220426753 218359954 588080836 638645123 To provide our community the highest value healthcare in an innovative, patient-centered environment. 0 0 342934424 758120 470322581 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. 0 0 0 342934424 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 230 0 1 2595 1 1 1 0 0 0 0 0 1 0 X 17 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Jered Foster Controller 3034155221 PO Box 9019 Accounting Dept Boulder CO 803019019 Alan Villavicencio Physician 40 0 X 1651219 0 21517 Daniel O'Hair Physician 40 0 X 1463673 0 52272 Robert J Vissers Exec Director/CEO 40 0 X X 1247286 0 246892 Charles Jones Physician 40 0 X 1230235 0 51937 Bryan Mahan Physician 40 0 X 1223959 0 44728 Srinivas Iyengar Physician 40 0 X 1021374 0 55572 Sarah E Meshak VP & General Counsel 40 0 X 754205 0 119254 Benjamin J Keidan VP & Chief Medical Officer 40 0 X 649777 0 114705 William A Munson Jr VP & CFO 40 0 X 596711 0 125231 Jacqueline M Attlesey-Pries VP , Chief Nursing Officer & Chief Operating Officer 40 0 X 526890 0 110949 Michael J Jefferies VP & Chief Information Officer 40 0 X 504672 0 14947 Grant Besser Foundation President & VP Public Affairs 16 24 X 413852 0 104851 Lawrence Novissimo VP Ambulatory Services 40 0 X 293104 0 87387 Teresa Cole VP & Chief Information Officer 40 0 X 296530 0 40928 Valerie Lipetz MD Physician and Board Member 40 0 X 223967 0 31442 Debbie Lund MD Chairman 4 0 X X 0 0 0 Nancy Stevens Vice Chairman 4 0 X X 0 0 0 Joel Montbriand MD Treasurer 4 0 X X 0 0 0 Chris Hazlitt Secretary 4 0 X X 0 0 0 Douglas Abel Board Member 4 0 X 0 0 0 Susan Connelly Board Member 4 0 X 0 0 0 Libby Cook Board Member 4 0 X 0 0 0 Perla Delgado PhD Board Member 4 0 X 0 0 0 Phil DeStefano Board Member 4 0 X 0 0 0 John Fleagle MD Board Member 4 0 X 0 0 0 John Greff Board Member 4 0 X 0 0 0 George Karakehian Board Member 4 0 X 0 0 0 Mardi Moore Board Member 4 0 X 0 0 0 Diana Verilli Board Member 4 0 X 0 0 0 Bob Yates Board Member 4 0 X 0 0 0 12097454 0 1222612 462 0 1 0 Medical Solutions LLC 1010 N 102nd St Suite 300 Omaha NE 68114 Agency nursing services 3128364 Boulder Emergency Physicians CarePoint PC 5600 S Quebec St Suite 312 A Greenwood Village CO 80111 CMC Emergency Room Coverage & ER medical director 1547776 BOSLA LLC 4740 Pearl Parkway Suite 200 Boulder CO 80301 Ortho Trauma Call and Ortho Management Svcs 1467710 Boulder Valley Anesthesiology LLC PO Box 17389 Denver CO 80217 Anesthesiology contracted services and call coverage 1257215 Advanced Network Management PO Box 561489 Denver CO 802561489 IT security and network management 908719 31 0 0 0 3343005 701485 1372 5000 4045862 Acute Care Hospital 622000 442783951 442748751 0 35200 Lab Service Revenue 621510 913782 0 913782 0 0 0 0 0 443697733 11284080 0 0 11284080 1103 0 0 1103 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34450266 0 33100219 64852 1350047 -64852 1285195 -64852 0 1350047 0 0 0 0 0 0 0 0 0 0 0 0 263881 154577 109304 0 0 109304 Hospital Care Joint Ventures 621400 13784864 13784864 0 0 Misc Hospital Revenue 622000 13931836 13853818 0 78018 Lab Service Revenue 621510 537309 0 537309 0 0 0 0 0 28254009 488677286 470322581 1451091 12857752 364824 364824 382346 382346 10950 10950 0 0 6457884 0 6094050 363834 0 0 0 0 177868898 151192149 26146251 530498 9427929 6522532 2905397 0 23491385 19746610 3663031 81744 12169098 9724400 2394612 50086 34712833 15574 34697259 0 214629 0 214629 0 159120 0 159120 0 23786 23786 0 0 0 0 343416 0 343416 0 29166304 17766533 11399771 0 638078 0 638078 0 5586706 1948036 3633611 5059 12545189 206030 12339159 0 0 0 0 0 10365443 5974342 4391101 0 403235 126449 276786 0 0 0 0 0 332371 121887 210484 0 3882157 1700385 2181772 0 0 0 0 0 19968278 9347425 10617161 3692 2396256 1144844 1251412 0 Medical Supplies 81609186 81344888 264298 0 Medicaid Provider Fee 27439929 27439929 0 0 Repairs and Maintenance 9551774 6279948 3271826 0 4492000 1550557 2941443 0 474004004 342934424 130034667 1034913 14605 14605 3162080 24700305 0 0 69509426 65310353 0 0 0 0 0 0 6002438 6574687 9540036 9024878 488649301 224798520 269238052 263850781 309427931 340419852 19019744 19872409 17863986 16621518 29452 8662 104699839 110607027 808507589 857005077 53909954 63164216 0 0 0 0 124774444 116049990 0 0 0 0 0 0 70000 70000 41672355 39075748 220426753 218359954 X 526663646 570269004 61417190 68376119 588080836 638645123 808507589 857005077 X 14673282 25101053 0 0 0 10789952 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 23786 23786 0 Schedule C, Part II-B, Line 1 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. 14141633 1248838 1432776 0 535260 0 16287987 12542043 958799 1059629 0 418838 0 14141633 10029843 4325750 -1403840 0 409710 0 12542043 8715127 1030374 645181 0 360839 0 10029843 7701232 250590 1095165 0 331860 0 8715127 0 0.85 0.15 0 1 1 0 21255949 21255949 0 276586707 112377785 164208922 0 9281066 3753739 5527327 0 180795867 108666996 72128871 0 729712 0 729712 263850781 Interest in Net Assets Held by Foundation 67495366 Right of Use Assets - Operating Leases 22339390 Deferred Compensation Investments 14059049 Misc Other Accounts Receivable 5980037 Unamortized Bond Issues Costs 717477 Unamortized Swap Fees 15708 110607027 0 Operating Lease Liability, Net of Current Maturities 22052451 Deferred Compensation Liability 14059049 Accrued Pension Liability 2964248 39075748 524001177 25101053 0 0 10682259 35783312 488217865 343416 116005 459421 488677286 471570296 0 0 0 0 0 471570296 343416 2090292 2433708 474004004 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. 1 1 X 1 X 2.5 1 X 1 1 0 1 1 4376105 0 4376105 0.009 67714815 48766923 18947892 0.038 0 0 0 0 0 0 72090920 48766923 23323997 0.047 2400051 1675218 724833 0.001 482040 0 482040 0.001 0 0 0 0 0 0 0 0 1071541 0 1071541 0.002 0 0 3953632 1675218 2278414 0.004 0 0 76044552 50442141 25602411 0.051 0 0 0 0 0 0 0 0 2423 0 2423 0 0 0 0 0 0 0 0 0 8749 0 8749 0 182168 0 182168 0 478197 0 478197 0.001 0 0 0 0 0 0 671537 0 671537 0.001 1 4706297 1176574 67037962 87508190 -20470228 X 1 1 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 1 1 Boulder Community Foothills Hospital 4747 Arapahoe Avenue Boulder CO 80303 www.bch.org 010323 X X X Boulder Community Foothills Hospital 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X See H, Part V, Section C X 1 23 1 See H, Part V, Section C 0 0 1 X 250 350 X X X X X 1 1 X X X X 1 X See H, Part V, Section C X See H, Part V, Section C X See H, Part V, Section C X X X X X X 1 X 0 X X X X 1 X 0 0 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 46 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 Suite 202 Lafayette CO 80026 Endoscopic Ambulatory Surgery Center Endoscopy Center of the Rockies in Boulder 1755 48th Street Suite 110 Boulder CO 80303 Endoscopic Ambulatory Surgical Center Endoscopy Center of the Rockies in Longmont 1551 Professional Lane Suite 295 Longmont CO 80501 Endoscopic Ambulatory Surgical Center Boulder MRI LLC 1000 W South Boulder Road Suite 105 Lafayette CO 80026 MRI Imaging Center Foothills Surgery Center LLC 4743 Arapahoe Avenue Suite 101 Boulder CO 80303 Ambulatory Surgical Center Boulder Heart at Anderson Medical Center 4743 Arapahoe Avenue Suite 201 Boulder CO 80303 Physician clinic Boulder Heart at Community Medical Center 1000 W South boulder Road Suite 216 Lafayette CO 800262089 Physician clinic Boulder Heart at Longmont 2101 Ken Pratt Blvd Suite 104 Longmont CO 805016568 Physician clinic 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 Second Floor Boulder CO 80309 outpatient sports medicine clinic Boulder Community Health Sports Medicine Imaging LLC 2150 Stadium Drive Boulder CO 80309 Imaging IDTF 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 Suite 214 Lafayette CO 80026 Physician clinic Internal Medicine Associates of Erie 101 Erie Parkway Erie CO 80516 Physician clinic Center for Integrative Care 4715 Arapahoe Unit 100 Boulder CO 80303 Outpatient integrative care for cancer patients Frontier Internal Medicine 2101 Ken Pratt Blvd Ste 104 Longmont CO 80501 Physician clinic 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 Suite 110 Lafayette CO 80026 Physician clinic Boulder Creek Family Medicine 1755 48th St Suite 200 Boulder CO 80303 Physician clinic 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 Suite 110 Boulder CO 80301 Physician clinic Boulder Heart at Erie Medical Center 101 Erie Parkway Erie CO 80516 Physician clinic Boulder Women's Care 4745 Arapahoe Ave Suite 320 Boulder CO 80303 Physician Clinic 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 Suite 100 Boulder CO 80303 Midwife clinic Erie Urgent Care 101 Erie Parkway Suite 101 Erie CO 80516 Urgent Care Center 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 Suite 120a Boulder CO 80301 Clinic Boulder Valley Surgical Associates - Erie 101 Erie Parkway Suite 201 Erie CO 80516 Physician clinic Inpatient Rehabilitation 11820 Destination Dr 3rd Floor Broomfield CO 80021 Inpatient Rehabilitation 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 Suite 110 Lafayette CO 80026 Ambulatory Surgical Center 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/ 1 Boulder County AIDS Project 2118 14th St Boulder CO 80302 742442032 501(c)3 71500 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 56979 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 40000 Cost To deliver tailored meals to BCH patients experiencing food insecurity, meeting their health specific nutritional needs Love for Lily 4790 Table Mesa Dr Suite 202 Boulder CO 80305 454285961 501(c)3 20000 Cost To provide social, emotional, and logistical support to families with babies in the Neonatal Intensive Care Units of area hospitals Blue Sky Bridge 2617 Iris Hollow Pl Boulder CO 80304 841493585 501(c)3 17500 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 10500 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 10000 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 9042 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 99978 FMV Provide athletic trainer to school district To support high school athletics and help to reduce student athlete injuries 9 0 Medical respite, collaboration, and care to address continuity of care 23 124265 0 Cost Oncology patient support for qualifying patients 60 79164 0 Cost Healthcare education scholarships 25 61544 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 31341 0 Cost Assistance with transportation post-discharge for indigent patients 42 17486 0 Cost Assistance with housing post-discharge for indigent patients 13 14838 0 Cost Rehabilitative services provided for qualifying patients 10 8609 0 Costs Health equity class registration and assistance with food post-discharge for qualifying patients 46 7082 0 Cost Sound therapy and Reiki services 200 4450 0 Cost Sports-related care provided for qualifying high school athletes 3 1820 0 Cost Heart scans provided for qualifying patients 280 0 29010 FMV Heart scans provided free of charge for qualifying patients Assistance with Rx post-discharge for indigent patients 159 0 2737 Cost 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. X 0 1 X X X X X 0 1 0 0 0 1 0 1 0 Robert J Vissers Exec Director/CEO 978296 0 219434 0 49556 0 225197 0 21695 0 1494178 0 219434 0 Benjamin J Keidan VP & Chief Medical Officer 474786 0 87015 0 87975 0 96802 0 17903 0 764481 0 0 0 William A Munson Jr VP & CFO 424725 0 89303 0 82683 0 89782 0 35449 0 721942 0 0 0 Jacqueline M Attlesey-Pries VP , Chief Nursing Officer & Chief Operating Officer 372969 0 68776 0 85145 0 82516 0 28434 0 637840 0 0 0 Sarah E Meshak VP & General Counsel 381343 0 81794 0 291067 0 83932 0 35322 0 873458 0 0 0 Michael J Jefferies VP & Chief Information Officer 131696 0 62733 0 310243 0 14347 0 600 0 519619 0 9874 0 Teresa Cole VP & Chief Information Officer 260697 0 32645 0 3189 0 9135 0 31793 0 337459 0 0 0 Grant Besser Foundation President & VP Public Affairs 293253 0 63012 0 57588 0 68238 0 36613 0 518704 0 0 0 Lawrence Novissimo VP Ambulatory Services 234370 0 42941 0 15793 0 52182 0 35205 0 380491 0 0 0 Valerie Lipetz MD Physician and Board Member 153617 0 38031 0 32319 0 22164 0 9278 0 255409 0 0 0 Alan Villavicencio Physician 841510 0 784903 0 24806 0 20250 0 1267 0 1672736 0 0 0 Daniel O'Hair Physician 1329003 0 108899 0 25772 0 16950 0 35322 0 1515946 0 0 0 Charles Jones Physician 1040467 0 150616 0 39152 0 39155 0 12782 0 1282172 0 0 0 Bryan Mahan Physician 1008166 0 153640 0 62152 0 15871 0 28857 0 1268686 0 0 0 Srinivas Iyengar Physician 656218 0 322679 0 42478 0 20250 0 35322 0 1076947 0 0 0 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. A Colorado Health Facilities Authority 840752932 2014-12-30 30000000 acquiring,constructing & equipping Financed Facilities 0 0 0 B Colorado Health Facilities Authority 840752932 19648FRU0 2020-08-13 62896073 Foothills expansion & refund prior bonds 0 0 0 C Colorado Health Facilities Authority 840752932 2022-07-01 24540000 Foothills hospital expansion 0 0 0 A 6000000 0 30041484 0 0 0 153502 0 29887982 0 0 0 2019 0 0 1 1 B 4400000 0 62896078 0 0 0 630855 0 15000000 0 47265223 0 2020 1 0 1 1 C 2240000 0 24540000 0 0 0 0 0 0 0 24540000 0 2022 1 0 1 1 A 0 0 1 1 0 0 0 0 0 0 1 B 0 0 1 1 0 0 0 0 0 0 1 C 0 0 1 1 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 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. 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 Boulder Community Health Sports Medicine Imaging LLC 2150 Stadium Drive 2nd Floor Boulder CO 80309 474243430 imaging services CO 1699410 1108901 Boulder Community Health Boulder Valley Care Network LLC 4990 Pearl East Circle Suite 200 Boulder CO 80301 821488664 Clincally Integrated Provider Network CO 1394935 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 1416425 2048693 Boulder Community Health Boulder Community Hospital Foundation 4860 Riverbend Boulder CO 80301 840772664 Fundraising for Boulder Community Health CO 501(c)3 Line 7 N/A 0 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 2716721 3000822 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 7520096 1011464 0 0 0.5 Boulder MRI LLC 1000 W South Boulder Road Suite 105 Lafayette CO 80026 452676500 Outpatient MRI center CO Boulder Community Health Related 87093 120506 0 0 0.51 Foothills Surgery Center LLC 4743 Arapahoe Avenue Suite 101 Boulder CO 80303 455328252 Ambulatory Surgical Center CO Boulder Community Health Related 1337820 1487234 0 0 0.51 Riverbend Sleep LLC 2305 Canyon Blvd Suite 200 Boulder CO 80302 464514151 own building and lease to Approved Entities CO N/A Excluded 140719 1054839 0 0 0.5 Premier Eye Surgery Center of Colorado 1050 W South Boulder Road Lafayette CO 80026 823760640 Outpatient Eye Surgery Center CO Boulder Community Health Related 560508 2406884 0 0 0.501 Boulder Radiation Management Company PO Box 819067 Tax Department Dallas TX 75381 871757923 Outpatient radiation oncology and imaging services CO N/A Related 942094 10117349 0 0 0.5 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 Boulder Community Musculoskeletal Surgery Center LLC dba Boulder Surg Center c 2890593 K-1 capital distribution Boulder Community Musculoskeletal Surgery Center LLC dba Boulder Surg Center d 533643 Loan guarantee document (not > ownership %) Endoscopy Center of the Rockies LLC c 7643650 K-1 capital distribution Boulder MRI LLC c 51000 K-1 capital distribution Boulder MRI LLC j 99630 Facility lease payments received Boulder MRI LLC q 176586 $37,575 for PACS agreement, $12,500 for managed care contracting, $$126,511 for passthrough of MRI service contract Riverbend Sleep LLC k 155474 Lease of facilities from JV vendor history recap Foothills Surgery Center LLC c 1242013 K-1 capital distributions Foothills Surgery Center LLC j 459874 Facility lease payments received Premier Eye Surgery Center of Colorado c 325650 K-1 capital distributions Boulder Radiation Management Company d 695418 Loan guarantee document (not > ownership %) Boulder Radiation Management Company c 335805 K-1 capital distributions Boulder Community Hospital Foundation c 3343005 Annual grants received. Includes $5,000 as Gift-In-Kind donation of artwork. Notice CP211A dated 4/14/25 extended filing date to November 15, 2025.