BRIGHTON COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- BRIGHTON COMMUNITY HOSPITAL ASSOCIATION (EIN 84-0482695)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-09-09
- IRS object ID
- 201642539349300419
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-09-09T11:47:35-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Tejon Suite 800 | AddressLine1Txt |
| City | Colorado Springs | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 809039848 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840482695 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brighton Community Hospital Association | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % THE ORGANIZATION | InCareOfNm |
| Business Name Control | BRIG | BusinessNameControlTxt |
| Phone | 3034981600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Prairie Center Parkway | AddressLine1Txt |
| City | Brighton | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HAROLD DUPPER | PersonNm |
| Person Title | VP Finance | PersonTitleTxt |
| Phone | 3034981600 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | David S Mason CPA | PreparerPersonNm |
| PTIN | P00137279 | PTIN |
| Phone | 7194714290 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Platte Valley Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN HICKS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 PRAIRIE CENTER PARKWAY | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $170,516,408 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PVMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | The mission of Platte Valley Medical Center is to provide excellent quality comprehensive health services, which are affordable, convenient, and responsive to community needs. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 786 | TotalEmployeeCnt |
| Total Volunteers | 240 | TotalVolunteersCnt |
| Total Gross UBI | $149,986 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $101,456 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $320,692 | PYContributionsGrantsAmt |
| CY Contributions Grants | $322,573 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $107,565,152 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $111,572,134 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,626,303 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,236,098 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,151,917 | PYOtherRevenueAmt |
| CY Other Revenue | $491,552 | CYOtherRevenueAmt |
| PY Total Revenue | $112,664,064 | PYTotalRevenueAmt |
| CY Total Revenue | $115,622,357 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $136,476 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $162,847 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $42,585,168 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,297,073 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $206,606 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $58,089,071 | PYOtherExpensesAmt |
| CY Other Expenses | $65,111,101 | CYOtherExpensesAmt |
| PY Total Expenses | $100,810,715 | PYTotalExpensesAmt |
| CY Total Expenses | $109,571,021 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,853,349 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,051,336 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $230,554,929 | TotalAssetsBOYAmt |
| Total Assets EOY | $301,340,786 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $98,663,341 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $101,580,994 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $131,891,588 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $199,759,792 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES IN A SETTING WHICH CONSIDERS NOT ONLY THE PHYSICAL, BUT ALSO THE MENTAL AND SPIRITUAL NEEDS OF THE COMMUNITY IT SERVES. THE MEDICAL CENTER ACCEPTS ALL PATIENTS IN EMERGENCY SITUATIONS WITHOUT REGARD TO RACE, RELIGION, NATIONAL ORIGIN, OR ABILITY TO PAY. INDIVIDUALS ARE CLASSIFIED AS CHARITY PATIENTS BY THE MEDICAL CENTER IF THEIR INCOME FALLS WITHIN PRE-ESTABLISHED PARAMETERS AND THEY ARE NOT ELIGIBLE FOR ASSISTANCE UNDER FEDERAL AND/OR STATE FINANCIAL ASSISTANCE PROGRAMS. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET REVENUE. CHARITY CARE PROVIDED AT ESTABLISHED RATES FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014 WERE $6,986,881 and $10,179,266 RESPECTIVELY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $17,199,743 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $14,842,070 | RevenueAmt |
| Desc | INPATIENT ROUTINE CARE, TOTAL PATIENT DAYS: 8,605 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $58,116,864 | ExpenseAmt |
| Grant | $162,847 | GrantAmt |
| Revenue | $69,230,193 | RevenueAmt |
| Desc | INPATIENT/OUTPATIENT ANCILLIARY SERVICES, WEIGHTED PATIENT DAYS: 24,015 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,743,995 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $27,499,871 | RevenueAmt |
| Desc | TOTAL EMERGENCY ROOM VISITS AND AMBULANCE CALLS: 26,419 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $93,060,602 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 142 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 786 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THE ORGANIZATION | PersonNm |
| Phone | 3034981600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 PRAIRIE CENTER PARKWAY | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOHN HICKS | ||||||||
| CEO/PRESIDENT | 50.0 | 1.0 | Yes (X) | Yes (X) | $738,730 | $0 | $38,908 | |
| BOB FEIS | ||||||||
| DIRECTOR/VICE-CHAIR | 3.0 | 0.0 | Yes (X) | Yes (X) | $175 | $0 | $0 | |
| FAYE HUMMEL PHD | ||||||||
| DIRECTOR/CHAIR | 3.0 | 0.0 | Yes (X) | Yes (X) | $175 | $0 | $0 | |
| GERRY LEWIS-JENKINS | ||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $175 | $0 | $0 | ||
| HEIDI STORZ | ||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $175 | $0 | $0 | ||
| JEFF SIPPEL MD | ||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $175 | $0 | $0 | ||
| JOHN RHOADES | ||||||||
| DIRECTOR | 3.0 | 1.0 | Yes (X) | $175 | $100 | $0 | ||
| LOWELL PALMQUIST | ||||||||
| DIRECTOR (part-year) | 3.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| MATT FLAHERTY MD | ||||||||
| DIRECTOR (part-year) | 3.0 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL DOLAN | ||||||||
| DIRECTOR/FOUNDATION CHAIR | 3.0 | 1.0 | Yes (X) | $175 | $100 | $0 | ||
| MICHAEL TAYLOR | ||||||||
| DIRECTOR | 3.0 | 40.0 | Yes (X) | $125 | $862,381 | $133,729 | ||
| MICHELLE LEBLANC-GROSS | ||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $175 | $0 | $0 | ||
| RIC ROBBINS MD | ||||||||
| DIRECTOR/CHIEF OF STAFF | 3.0 | 0.0 | Yes (X) | $175 | $0 | $0 | ||
| RICHARD GONZALES | ||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $175 | $0 | $0 | ||
| ROD BLUNCK | ||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $175 | $0 | $0 | ||
| SHAWN DUFFORD MD | ||||||||
| DIRECTOR | 3.0 | 40.0 | Yes (X) | $125 | $529,543 | $99,381 | ||
| SONYA NORMAN MD | ||||||||
| DIRECTOR | 3.0 | 40.0 | Yes (X) | $175 | $172,890 | $19,896 | ||
| KIRK QUACKENBUSH MD - CMO as of | ||||||||
| 4/15, director thru 4/15 | 15.0 | 0.0 | Yes (X) | Yes (X) | $91,617 | $0 | $0 | |
| HAROLD DUPPER | ||||||||
| CFO/CORPORATE SECRETARY | 50.0 | 0.0 | Yes (X) | $384,910 | $0 | $34,391 | ||
| KURT GENSERT | ||||||||
| VICE PRESIDENT OF OPERATIONS | 50.0 | 1.0 | Yes (X) | $354,567 | $0 | $48,760 | ||
| DUANE LIVADNEY | ||||||||
| MEDICAL IMAGING SUPERVISOR | 50.0 | 0.0 | $156,261 | $0 | $25,175 | Yes (X) | ||
| ERIC STIRM | ||||||||
| PHARMACY DIRECTOR | 40.0 | 0.0 | $189,673 | $0 | $56,000 | Yes (X) | ||
| JACKIE DUNKIN | ||||||||
| HUMAN RESOURCES DIRECTOR | 40.0 | 0.0 | $144,736 | $0 | $37,288 | Yes (X) | ||
| KAREN WELZ | ||||||||
| OR DIRECTOR | 40.0 | 0.0 | $160,168 | $0 | $33,952 | Yes (X) | ||
| MARK BAKER | ||||||||
| CATH LAB MANAGER | 45.0 | 0.0 | $143,258 | $0 | $34,799 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,366,270 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,565,014 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $562,279 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 54 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CERNER HEALTH SERVICES | |||||
| 51 VALLEY STREAM PARKWAY | MALVERN | PA | 19355 | SOFTWARE SUPPORT | $1,262,388 |
| SOUND PHYSICIANS | |||||
| 1498 PACIFIC AVENUE SUITE 400 | TACOMA | WA | 98402 | Hospitalist services | $1,098,684 |
| ANESTHESIA SERVICES INC | |||||
| 14835 SILVER FEATHER CIRCLE | BROOMFIELD | CO | 80023 | ANESTHESIA SERVICES | $1,094,513 |
| INTEGRAL HEALTHCARE SERVICES | |||||
| 750 W HAMPDEN AVE 501 | ENGLEWOOD | CO | 80110 | COLLECTION SERVICES | $767,479 |
| CHILDREN'S HOSPITAL | |||||
| 12123 E 16TH AVE | AURORA | CO | 80045 | SPECIAL CARE NURSERY | $739,476 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $322,573 | RelatedOrganizationsAmt |
| Total Contributions | $322,573 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES REV, NET OF ALLOWANCE | 900099 | $82,871,641 | $82,871,641 |
| MEDICARE/MEDICAID | 900099 | $22,792,667 | $22,792,667 |
| CLINIC SUPPORT SERVICES REVENUE | 900099 | $3,928,299 | $3,928,299 |
| 340B PHARMACY REVENUE | 900099 | $1,192,370 | $1,192,370 |
| CLINIC PROGAM SERVICE RENT REVENUE | 900099 | $359,699 | $359,699 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $427,458 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $410,703 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $16,755 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $111,572,134 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,697,706 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $149,986 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,547,720 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $773,163 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $798,732 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$25,569 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$25,569 | TotalRevenueColumnAmt |
| Exclusion | -$25,569 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $54,449,238 | SecuritiesAmt |
| Other | $184,473 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $53,952,363 | SecuritiesAmt |
| Other | $142,956 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $496,875 | SecuritiesAmt |
| Other | $41,517 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $538,392 | TotalRevenueColumnAmt |
| Exclusion | $538,392 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA SALES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $517,121 | TotalRevenueColumnAmt |
| Exclusion | $517,121 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $517,121 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $115,622,357 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $111,555,379 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $149,986 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,594,419 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,847 | TotalAmt |
| Program Services | $162,847 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,694,235 | TotalAmt |
| Program Services | $1,380,971 | ProgramServicesAmt |
| Management And General | $313,264 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,256,451 | TotalAmt |
| Program Services | $28,345,880 | ProgramServicesAmt |
| Management And General | $3,817,084 | ManagementAndGeneralAmt |
| Fundraising | $93,487 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $913,108 | TotalAmt |
| Program Services | $792,471 | ProgramServicesAmt |
| Management And General | $113,922 | ManagementAndGeneralAmt |
| Fundraising | $6,715 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,825,363 | TotalAmt |
| Program Services | $5,750,677 | ProgramServicesAmt |
| Management And General | $1,041,712 | ManagementAndGeneralAmt |
| Fundraising | $32,974 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,607,916 | TotalAmt |
| Program Services | $2,313,528 | ProgramServicesAmt |
| Management And General | $282,251 | ManagementAndGeneralAmt |
| Fundraising | $12,137 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $650,326 | TotalAmt |
| Management And General | $650,326 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,308 | TotalAmt |
| Program Services | $12,295 | ProgramServicesAmt |
| Management And General | $366,013 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,147 | TotalAmt |
| Management And General | $6,147 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,072 | TotalAmt |
| Management And General | $224,072 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,459,793 | TotalAmt |
| Program Services | $12,097,938 | ProgramServicesAmt |
| Management And General | $2,344,605 | ManagementAndGeneralAmt |
| Fundraising | $17,250 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,426 | TotalAmt |
| Program Services | $1,250 | ProgramServicesAmt |
| Management And General | $286,176 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,685,154 | TotalAmt |
| Program Services | $4,098,014 | ProgramServicesAmt |
| Management And General | $550,499 | ManagementAndGeneralAmt |
| Fundraising | $36,641 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,076,931 | TotalAmt |
| Program Services | $1,737,468 | ProgramServicesAmt |
| Management And General | $3,334,262 | ManagementAndGeneralAmt |
| Fundraising | $5,201 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $882,077 | TotalAmt |
| Program Services | $715,658 | ProgramServicesAmt |
| Management And General | $166,419 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,746 | TotalAmt |
| Program Services | $54,261 | ProgramServicesAmt |
| Management And General | $32,493 | ManagementAndGeneralAmt |
| Fundraising | $992 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,517 | TotalAmt |
| Program Services | $83,749 | ProgramServicesAmt |
| Management And General | $29,668 | ManagementAndGeneralAmt |
| Fundraising | $100 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,828,492 | TotalAmt |
| Program Services | $2,305,504 | ProgramServicesAmt |
| Management And General | $522,988 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,694,185 | TotalAmt |
| Program Services | $8,802,073 | ProgramServicesAmt |
| Management And General | $1,891,558 | ManagementAndGeneralAmt |
| Fundraising | $554 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,918 | TotalAmt |
| Program Services | $581,348 | ProgramServicesAmt |
| Management And General | $146,570 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $13,757,760 | $13,757,760 | ||
| BAD DEBT EXPENSE | $4,559,778 | $4,559,778 | ||
| PROVIDER FEE | $5,048,682 | $5,048,682 | ||
| OTHER DIRECT EXPENSES | $642,789 | $458,450 | $183,784 | $555 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,571,021 | TotalAmt |
| Program Services | $93,060,602 | ProgramServicesAmt |
| Management And General | $16,303,813 | ManagementAndGeneralAmt |
| Fundraising | $206,606 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,065,330 | BOYAmt |
| EOY | $9,820,460 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,857,021 | BOYAmt |
| EOY | $13,889,898 | 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 | $13,974,564 | BOYAmt |
| EOY | $14,652,471 | 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 | $31,820 | BOYAmt |
| EOY | $18,956 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $694,460 | BOYAmt |
| EOY | $836,706 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,931,469 | BOYAmt |
| EOY | $2,201,344 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $158,969,473 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,388,504 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,676,816 | BOYAmt |
| EOY | $156,580,969 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,894,482 | BOYAmt |
| EOY | $69,356,260 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,091,548 | BOYAmt |
| EOY | $9,469,875 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $10,000,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,337,419 | BOYAmt |
| EOY | $14,513,847 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,554,929 | BOYAmt |
| EOY | $301,340,786 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,609,736 | BOYAmt |
| EOY | $18,056,862 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $87,053,605 | BOYAmt |
| EOY | $83,205,671 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $318,461 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,663,341 | BOYAmt |
| EOY | $101,580,994 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,901,843 | BOYAmt |
| EOY | $197,833,771 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,989,745 | BOYAmt |
| EOY | $1,926,021 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,891,588 | BOYAmt |
| EOY | $199,759,792 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,554,929 | BOYAmt |
| EOY | $301,340,786 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,051,336 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,055,364 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $63,872,232 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $6,147 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $6,147 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1g | FormAndLineReferenceDesc |
| Explanation | Lobbying: BRIGHTON COMMUNITY HOSPITAL ASSOCIATION D/B/A PLATTE VALLEY MEDICAL CENTER RECEIVED CORRESPONDENCE FROM THE AMERICAN HOSPITAL ASSOCIATION AND COLORADO HEALTH AND HOSPITAL ASSOCIATION REGARDING THEIR MEMBERSHIP DUES. A PORTION OF THEIR DUES WAS ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,989,750 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $258,849 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $322,578 | OtherExpendituresAmt |
| End Year Balance | $1,926,021 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,935,964 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $374,478 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $320,692 | OtherExpendituresAmt |
| End Year Balance | $1,989,750 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,823,296 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $628,337 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $515,669 | OtherExpendituresAmt |
| End Year Balance | $1,935,964 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,483,995 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $487,280 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $147,979 | OtherExpendituresAmt |
| End Year Balance | $1,823,296 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,387,279 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $186,906 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $90,190 | OtherExpendituresAmt |
| End Year Balance | $1,483,995 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,703,100 | OtherCostOrOtherBasisAmt |
| Book Value | $13,703,100 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,565,516 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,156,815 | DepreciationAmt |
| Book Value | $108,722,331 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $255,631 | OtherCostOrOtherBasisAmt |
| Depreciation | $255,631 | DepreciationAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,447,785 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,501,906 | DepreciationAmt |
| Book Value | $13,945,879 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,997,441 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,787,782 | DepreciationAmt |
| Book Value | $20,209,659 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $156,580,969 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RELATED PARTY PAYABLE | Desc |
| Amt | $318,461 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $318,461 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 | Describe the intended uses of the organization's endowment funds: THE TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE MEDICAL CENTER HAS BEEN LIMITED BY DONORS TO A SPECIFIC TIME PERIOD OR PURPOSE. |
| Schedule D, Part X, Line 2 | UNCERTAIN TAX POSITIONS: Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 240 | PersonsServedCnt |
| Total Community Benefit Expns | $2,491,522 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,491,522 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02370 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 17259 | PersonsServedCnt |
| Total Community Benefit Expns | $27,852,971 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,148,329 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,704,642 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07340 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 17499 | PersonsServedCnt |
| Total Community Benefit Expns | $30,344,493 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,148,329 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,196,164 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09710 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 38399 | PersonsServedCnt |
| Total Community Benefit Expns | $123,156 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,764 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $113,392 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 163 | PersonsServedCnt |
| Total Community Benefit Expns | $232,363 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $232,363 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 58573 | PersonsServedCnt |
| Total Community Benefit Expns | $163,060 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $163,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 22 | ActivitiesOrProgramsCnt |
| Persons Served | 97135 | PersonsServedCnt |
| Total Community Benefit Expns | $518,579 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,764 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $508,815 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 22 | ActivitiesOrProgramsCnt |
| Persons Served | 114634 | PersonsServedCnt |
| Total Community Benefit Expns | $30,863,072 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,158,093 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,704,979 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10200 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 53 | PersonsServedCnt |
| Total Community Benefit Expns | $1,052 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,052 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 53 | PersonsServedCnt |
| Total Community Benefit Expns | $1,052 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,052 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,559,778 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $19,783,428 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,666,684 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,116,744 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIGHTON COMMUNITY HOSPITAL ASSOC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Prairie Center Parkway | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.pvmc.org | WebsiteAddressTxt |
| State License | 010311 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIGHTON COMMUNITY HOSPITAL ASSOC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | PVMC.ORG/ABOUT-US/COMMUNITY-BENEFITS/ | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | PVMC.ORG/ABOUT-US/COMMUNITY-BENEFITS/ | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | 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 (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | Targeted interviews were used to gather information and opinions from persons who represent the broad interests of the community served by pvmc. Sixteen interviews were completed during september and october, 2012. For the interviews, community stakeholders identified by pvmc were contacted and asked to participate in the needs assessment. Interviewees included individuals who are leaders and representatives of medically underserved, low-income, minority and chronic disease populations, or regional, state or local health or other departments or agencies that have "current data or other information relevant to the health needs of the community served by the hospital facility". A list of the stakeholder interview respondents, their titles, organizations and leadership roles can be found in attachment 2 of the community health needs assessment. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | The needs that were identified as priorities by the 2013 CHNA included: Access to Care, Cancer and Cardiovascular Disease. To address the identified health need of access to care, PVMC is: - Offering financial assistance to individuals who do not qualify for the State Safety-net Healthcare Programs, Colorado Indigent Care Program (CICP) or Medicaid and who do not have the resources to pay for their care. - Offering assistance with financial counseling, education on insurance programs, screening for Medicaid, and assistance with Medicaid application process to our inpatient, outpatient and Emergency department clients. Financial counseling is available if the patient does not qualify for Medicaid. - Providing infrastructure in two communities (Ft. Lupton and Commerce City) that currently have very limited access to medical providers by building medical office buildings. - Subsidizing primary care and specialty medical providers in communities where access to these services is limited. - Subsidizing an ambulance service for our service area. - Providing resources for recruitment of local primary care physicians (PCP). We provide staff for the recruitment process and financial guarantees when necessary. - Providing a hospitalist program for management of inpatient care to the patients of community primary care providers, allowing community providers to remain full-time at their clinics for primary care visits. - Offering health education, preventive services and free and low-cost screenings to the community including: * An annual health fair, offering low-cost blood tests as well as free screenings, exams and consultation with a medical professional. Calls are made to participants with critically abnormal lab values. Assistance is provided to people who do not have access to health care services. * Girl's Night Out, which is an annual event that offers education, screening exams, consultations with medical professionals, and easy access to making mammogram appointments. - Subsidizing the cost of a health coach for the employee wellness program for the local municipality of Brighton. To address the identified health need of cancer, PVMC offers: - A monthly Cancer Support Group, which is open to the public. - Low-cost mammograms for uninsured women. - Free cancer screenings: skin cancer checks, pap smears, breast exams at an annual health fair. - Educational seminars on cancer topics which are open to the public and presented at the hospital and the local senior center. To address the identified health need of cardiovascular disease, PVMC offers: - A stroke support group, which is open to the community. - Cardiac Rehab and Cardiac Support Group which are open to the community. - Educational seminars related to cardiac care are open to the community. - An Annual Health Fair offering blood pressure checks and Cardiac Risk Assessment. - A Stroke Fair to provide stroke education to the community. Other Health Needs not addressed: Platte Valley Medical Center has chosen not to actively address the remaining health needs identified in the CHNA as they were not selected as priority health needs: birth indicators (prenatal care, low birth weight), housing / homelessness, mental health, overweight and obesity, preventive care, smoking, transportation, and unintentional injuries. Taking existing community resources into consideration, Platte Valley Medical Center has selected to concentrate on those health needs that we can most effectively address given our areas of focus and expertise. Therefore, the hospital's charitable resources will be placed on the selected priority health needs. |
| SCHEDULE H, PART V, SECTION B, LINE 13b | EXPLAIN INCOME LEVEL OTHER THAN FPG: PLATTE VALLEY MEDICAL CENTER LOOKS AT OTHER FACTORS IN ADDITION TO FAMILY INCOME LIMITS AS A PERCENTAGE OF FEDERAL POVERTY GUIDELINES, SUCH AS MONTHLY EXPENSES AND INDIVIDUAL FINANCIAL SITUATIONS. |
| SCHEDULE H, PART V, SECTION B, LINE 16a, 16b & 16C | WEBSITE URL FOR FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE FAP SUMMARY: https://www.pvmc.org/charitycare/ |
| SCHEDULE H, PART V, SECTION B, LINE 22d | Following a determination of financial-assistance eligibility, an individual will not be charged more than the amounts generally billed (AGB) for emergency or other medical care provided to individuals with insurance covering that care. Platte Valley Medical center has adopted the look-back method of calculating AGB which means the AGB is calculated by reviewing all past claims that have been paid in full to the hospital for medically necessary care by Medicare fee-for-service together with all private health insurers paying claims to the hospital in a prior 12-month period. In most cases the previous calendar year is used. This amount can include co-insurance; copayments and deductibles. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | PLATTE VALLEY MEDICAL CENTER LOOKS AT OTHER FACTORS IN ADDITION TO FAMILY INCOME LIMITS AS A PERCENTAGE OF FEDERAL POVERTY GUIDELINES, SUCH AS MONTHLY EXPENSES AND INDIVIDUAL FINANCIAL SITUATIONS. |
| SCHEDULE H, PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 BUT EXCLUDED FOR PURPOSES OF CALCULATING PERCENTAGES IN THIS COLUMN EQUAL $4,559,778. |
| SCHEDULE H, PART I, LINE 7 | The organization used a cost-to charge ratio for lines 7a and 7b. The cost-to-charge ratio was derived from Form 990, Schedule H instructions, Worksheet 2, Ratio of Patient Care Cost-to-Charges. The information for lines 7e through 7i was derived from information in the general ledger and other financial data related specifically to the various types of community benefits. |
| SCHEDULE H, PART II, Coalition Building | DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES PROMOTED THE HEALTH OF THE COMMUNITY IT SERVES: PVMC sponsors a quarterly meeting of agencies in our service area known as the Brighton Service Agency Coalition. This meeting is a networking meeting for community service organizations to hear about resources for their clients. Some of the members of the coalition include people from: local health clinics, mental health counseling centers, school district, home health care agencies, transportation providers, homeless shelter, Adams County Human Services Agency, and Adams County Work Force Center. The PVMC staff also forwards any emails generated by the members to the full coalition to help promote upcoming events or educational offerings. |
| SCHEDULE H, PART III, SECTION A, LINES 2 & 4 | Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Medical Center analyzes contractually due amounts and provides an allowance for the difference between contract rates for services and the amounts charged for services and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make unlikely the realization of amounts due). For receivables associated with patients with self-pay account balances (including both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Medical Center records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Medical Centers allowance for doubtful accounts for self-pay patients was 66% and 74% of self-pay accounts receivable at December 31, 2015 and 2014, respectively. The Medical Center identified and wrote off bad debt accounts of approximately $1,632,000 and $2,615,000 for the three month period ended December 31, 2015 and the nine month period ended September 30, 2015 compared to approximately $4,316,000 for the year ended December 31, 2014. Due to financial class changes as a result of the Affordable Care Act and Medicaid expansion, much of the decrease was the result of the dynamics associated with increased Medicaid eligibility and a reduction in self-pay, although higher out-of-pocket responsibilities of consumer-driven health care plans continue to impact doubtful account write-offs. Bad debt expense is determined using the methodology as described in the note to the financial statements as shown above. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | The Medicare allowable costs were determined from the Medicare cost report. IRS Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. This implies that treating Medicare patients is a community benefit. |
| SCHEDULE H, PART III, SECTION C, LINE 9B | The hospital charity care policy outlines steps for financial counselors to follow to identify and qualify patients eligible for charity care and steps to collect information. The policy also describes the application form to be completed by the patient, the review process by a financial counselor, patient follow up, and the write off of patient charges to charity care. |
| SCHEDULE H, PART VI, LINE 2 | NEEDS ASSESSMENT: Programs and services provided by the hospital to the community are based upon strategic assessment of community need conducted by hospital administration and the hospital board of directors. Information considered in the assessment include Platte Valley Medical Center historic and projected inpatient admissions, historic and projected outpatient and emergency room visit data, County and State demographics, Colorado Department of Public Health and Environment health statistics, and community requests. |
| SCHEDULE H, PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: Platte Valley Medical Center makes available to patients a Frequently Asked Questions (FAQ's) hand-out, which includes information about financial assistance, and whom to call. The same FAQ is located on Platte Valley Medical Center's website. Financial counselors are located in the emergency department during peak days and hours to screen for, identify, and advise patients who need financial assistance. In addition, financials counselors are staffed monday through friday to work with patients who need financial assistance to settle their accounts or schedule hospital services. |
| SCHEDULE H, PART VI, LINE 4 | COMMUNITY INFORMATION: Our primary service area includes the communities of Brighton (zip codes 80601,80602, and 80603), Ft. Lupton (80621), and Commerce City (80022). Specifically the following : Carrier Routes: RR1, RR3, RR4, RR5, RR6, RR7 & Census Tracts: 008512 and 00870. Our secondary service area includes: Thornton (80241), Henderson (80640), Hudson (80642), & Keenesberg (80643). |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH: PVMC utilizes a tithing program to fund the "Community Health Improvement Program." Through a granting process, this program provides funding to local non-profit organizations whose programs have a link to health promotion. The hospital provides a site for clinical education for local Community colleges and Universities. Student programs include nursing, pharmacist, phlebotomy, medical imaging, EMT, dietitian, physical therapist, surgical and nursing assistant. The hospital provides educational support programs through the cancer and stroke support groups and educational seminars which are offered monthly. Through the annual flu clinics, members of the community have access to low cost or no copay influenza and pneumonia immunizations. Due to the hospital's dedication to an annual health fair and to an annual stroke fair and women's health fair, members of the community have access to low or no cost health screenings and blood tests. The ambulance service provides first aid stand by to the majority of community sponsored events (city celebrations, school sponsored athletic events, county events) throughout the year at no cost to the organizations that are sponsoring the event. The emergency department sponsors an educational event for high school students during the prom season. Students are videotaped during the simulation of a fatal drunk driving accident, trip to the emergency department and notification to the parents of the death of the child. There is an entire day centered around this event for the students involved in the simulation as well as all the students at the school. At the end of the school day, the video is shown to the entire student body to show the devastating consequences of drunk driving. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM: Platte valley medical center is a controlled entity of the sisters of charity of leavenworth health system, inc. (sclhs). Sclhs and its affiliated entities have a common calling and mission: "we reveal and foster god's healing love by improving the health of the people and communities we serve, especially those who are poor and vulnerable." We strive to provide high-quality, compassionate and affordable healthcare in each of our hospital sites and their respective community, as well as in a variety of outpatient settings and in the home. Sclhs is a faith-based, nonprofit healthcare organization that operates nine hospitals, two safety net clinics, one childrens mental health center and more than 190 ambulatory service centers in three states colorado, kansas and montana. The health system includes more than 15,000 full-time associates and more than 500 employed providers. As our health system grows, were leveraging that growth to achieve benefits of scale, identifying cost and other advantages that we gain due to our size. Were also working to streamline and unify our system wide processes to eliminate costly duplication of effort. We actively encourage our people to pursue creative ideas that improve efficiency, service and the overall care experience. When our associates or leadership teams identify best practices in any area of care, we rapidly replicate those across all care sites. Platte valley medical center promotes the health of the community by delivering direct high quality healthcare services that are responsive to the needs of its patients and their families. This includes coordinating community benefit processes, providing guidance with community needs assessments, and establishing consistent financial assistance and charity care policies and procedures. Additionally, sclhs benefits affiliates through quality improvement and performance excellence initiatives; system-wide information technology implementation and infrastructure; strategic and operations direction and oversight; supply chain management and purchasing; finance administration and revenue cycle support, benefits administration, risk management; disaster planning and crisis assistance, central cash management and investment, internal audit, legal services, tax services and mission integration. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| PENNOCK CENTER FOR COUNSELING | |||||||
| 211 S 21ST AVE | BRIGHTON | CO | 80601 | 200986823 | 501(C)(3) | $15,000 | operating funds |
| ALMOST HOME INC | |||||||
| 231 NORTH MAIN STREET | BRIGHTON | CO | 80601 | 841220644 | 501(C)(3) | $16,840 | operating funds |
| THE SENIOR HUB | |||||||
| 2360 WEST 90TH AVENUE | FEDERAL HEIGHTS | CO | 80260 | 742412032 | 501(C)(3) | $8,000 | |
| WELD COUNTY FOOD BANK | |||||||
| 1108 H STREET | GREELEY | CO | 80631 | 742244826 | 501(C)(3) | $10,000 | |
| CASA | |||||||
| 1100 JUDICIAL CENTER DR | BRIGHTON | CO | 80601 | 311657019 | 501(C)(3) | $10,000 | operating funds |
| VIA MOBILITY SERVICES | |||||||
| 2855 N 63RD STREET | BOULDER | CO | 80301 | 840777296 | 501(C)(3) | $10,000 | |
| THE BOYS & GIRLS CLUBS OF WELD | |||||||
| PO BOX 812 | GREELEY | CO | 80632 | 840529902 | 501(C)(3) | $25,000 | program funding |
| BRIGHTON SDA | |||||||
| 567 E BROMLEY LN | BRIGHTON | CO | 80601 | 841210598 | 501(C)(3) | $8,000 | support operations |
| WELD CENTRAL HIGH SCHOOL | |||||||
| 99 WEST BROADWAY AVE | KEENSBURG | CO | 80643 | 846013310 | government | $18,500 | |
| BRIGHTON CHAMBER OF COMMERCE | |||||||
| PO Box 605 | Hudson | CO | 80642 | 275348251 | 501(c)(6) | $11,250 | SUPPORT OPERATIONS |
| SOUTH EAST WELD COUNTY | |||||||
| PO BOX 456 | KEENESBURG | CO | 80643 | 237306107 | 501(c)(5) | $6,215 | SUPPORT OPERATIONS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 11 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Question 2 | FormAndLineReferenceDesc |
| Explanation | Organization's procedures for monitoring the use of grant funds: All grant recipients are first required to submit applications which detail the intended uses of grant funds. After grants have been awarded, recipients are required to complete a final report indicating how grant funds were actually spent. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN HICKS | ||||||||||||||
| CEO/PRESIDENT | $489,906 | $0 | $131,431 | $0 | $117,393 | $0 | $21,200 | $0 | $17,708 | $0 | $777,638 | $0 | $0 | $0 |
| MICHAEL TAYLOR | ||||||||||||||
| DIRECTOR | $0 | $666,411 | $0 | $0 | $125 | $195,970 | $0 | $113,501 | $0 | $20,228 | $125 | $996,110 | $0 | $0 |
| SHAWN DUFFORD MD | ||||||||||||||
| DIRECTOR | $0 | $450,362 | $0 | $69,601 | $125 | $9,580 | $0 | $77,580 | $0 | $21,801 | $125 | $628,924 | $0 | $0 |
| SONYA NORMAN MD | ||||||||||||||
| DIRECTOR | $0 | $152,933 | $0 | $19,719 | $175 | $238 | $0 | $19,830 | $0 | $66 | $175 | $192,786 | $0 | $0 |
| HAROLD DUPPER | ||||||||||||||
| CFO/CORPORATE SECRETARY | $267,376 | $0 | $72,198 | $0 | $45,336 | $0 | $21,200 | $0 | $13,191 | $0 | $419,301 | $0 | $0 | $0 |
| KURT GENSERT | ||||||||||||||
| VICE PRESIDENT OF OPERATIONS | $250,557 | $0 | $67,778 | $0 | $36,232 | $0 | $21,200 | $0 | $27,560 | $0 | $403,327 | $0 | $0 | $0 |
| DUANE LIVADNEY | ||||||||||||||
| MEDICAL IMAGING SUPERVISOR | $152,102 | $0 | $0 | $0 | $4,159 | $0 | $9,748 | $0 | $15,427 | $0 | $181,436 | $0 | $0 | $0 |
| ERIC STIRM | ||||||||||||||
| PHARMACY DIRECTOR | $168,584 | $0 | $20,819 | $0 | $270 | $0 | $26,213 | $0 | $29,787 | $0 | $245,673 | $0 | $0 | $0 |
| JACKIE DUNKIN | ||||||||||||||
| HUMAN RESOURCES DIRECTOR | $124,206 | $0 | $15,343 | $0 | $5,187 | $0 | $16,491 | $0 | $20,797 | $0 | $182,024 | $0 | $0 | $0 |
| KAREN WELZ | ||||||||||||||
| OR DIRECTOR | $136,850 | $0 | $16,897 | $0 | $6,421 | $0 | $19,166 | $0 | $14,786 | $0 | $194,120 | $0 | $0 | $0 |
| MARK BAKER | ||||||||||||||
| CATH LAB MANAGER | $128,261 | $0 | $11,244 | $0 | $3,753 | $0 | $12,861 | $0 | $21,938 | $0 | $178,057 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, line 1a | Information Regarding Benefits Provided: CHRISTMAS GIFTS ARE GROSSED UP FOR HOSPITAL EMPLOYEES AND TAXED: JOHN HICKS, HAROLD DUPPER, KURT GENSERT, ERIC STIRM, KAREN WELZ, DUANE LIVADNEY, JACKIE DUNKIN AND MARK BAKER RECEIVED CHRISTMAS GIFTS DURING 2015. Platte Valley Medical Center (PVMC) provides travel for companions. The benefit includes any amount for flights plus 50% of meals (unless otherwise specifically allocated on the reimbursement request). The amount is grossed up and is a taxable benefit for the individual receiving the benefit. There were no spousal travel benefits used in 2015 for any of the officers, directors, and highest compensated employees of PVMC. |
| Schedule J, Part I, line 7 | Explanation of non-fixed payments: The organization has an incentive bonus policy that is determined and adopted by the board and administration of the organization. The policy has multi-tiered financial, operational/strategic, quality performance, and community integration objectives. |
| SCHEDULE J, PART II | INFORMATION REGARDING COMPENSATION REPORTING: BONUSES EARNED FOR THE 2015 CALENDAR YEAR WERE PAID OUT WITHIN 2.5 MONTHS AFTER YEAR END FOR ALL EXECUTIVES. THE FOLLOWING INDIVIDUALS DID NOT RECEIVE 2015 BONUS PAYOUTS WITHIN THAT TIME FRAME, THEREFORE THE W-2 WAGE AMOUNT ON PART II INCLUDES THE 2015 BONUS (EARNED IN 2014, PAID OUT IN 2015), AND THE OTHER DEFERRED COMPENSATION COLUMN WILL INCLUDE THE ACCRUAL OF THE 2015 BONUS (EARNED IN 2015, PAID IN 2016). - ERIC STIRM - KAREN WELZ - DUANE LIVADNEY - JACKIE DUNKIN - MARK BAKER |
| Schedule J, Part I Line 4b | PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION" CREDITS IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATIONS NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANTS EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANTS ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENFIT AMOUNT STAYS IN THE RETIREMENT PLAN. FOR THE PERSONS LISTED ON 990 PART VII AND SCHEDULE J PART II, THERE WERE NO AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2015. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENTS W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATIONS NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2015. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENTS W-2. FOR THE PERSONS LISTED ON 990 PART VII AND SCHEDULE J PART II, THERE WERE NO AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2015. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(iii). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(iii) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. |
| Schedule J, Part I, Line 7 | OTHER NON-FIXED PAYMENTS THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF BOARD APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, PATIENT EXPERIENCE, EMPLOYEE SAFETY AND COMMUNITY BENEFIT/MISSION TARGETS. AWARDS ARE BASED ON THE BOARDS DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLANS STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLANS ARE BASED ON A COMBINATION OF PERFORMANCE MEASURES. PERFORMANCE MEASURES INCLUDE OPERATING INCOME, STEWARDSHIP, PATIENT EXPERIENCE, EMPLOYEE SAFETY AND COMMUNITY BENEFIT/MISSION TARGETS. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (25 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Question 1a | Material Differences in Voting Rights: The CEO serves on the Board and is paid by Platte Valley Medical Center as an employee. Therefore, he does not vote on his own compensation but is permitted to vote on all other matters. |
| Form 990, Part VI, Section A, Line 2 | Family/Business Relationship: John Hicks and Harold Dupper have a business relationship because they are directors of the wholly owned subsidiaries disclosed on Schedule R, Part IV. |
| Form 990, Part VI, Section A, Line 4 | Changes to Organizational Documents since Prior 990: THE BYLAWS ARTICLES OF INCORPORATION WERE AMENDED TO REFLECT INTEGRITY HEALTH AS THE SOLE MEMBER OF PLATTE VALLEY MEDICAL CENTER. |
| Form 990, Part VI, Section A, Line 6 | Classes of Members or Stockholders: THE SOLE MEMBER OF THIS CORPORATION SHALL BE INTEGRITY HEALTH, A COLORADO NOT-FOR-PROFIT CORPORATION (THE "CORPORATE MEMBER"). |
| Form 990, Part VI, Section A, Line 7a | Members who can elect members of the governing body: THE ORGANIZATION'S SOLE CORPORATE MEMBER HAS RESERVED POWERS TO APPOINT MEMBERS OF THE ORGANIZATIONS BOARD. |
| Form 990, Part VI, Section A, Line 7b | Decisions of governing body subject to approval by members: The following matters with respect to pvmc are reserved solely to the corporate member: (a) To change the Mission and Philosophy; (b) To adopt, amend or repeal the Articles of Incorporation or these Bylaws; (c) To appoint/remove Directors, and exercise the authority of pvmc to appoint the members of the board of directors; (d) To implement corporate goals, policies and procedures; (e) To establish parameters and authority to approve: acquiring assets, incurring indebtedness, or lease, sell, transfer, assume, encumber or any other disposition of assets; (f) To cause the merger, dissolution, conversion into another form of entity, or corporate restructuring; (g) To approve the annual strategic plans and operating and capital budgets and deviations; (h) To appoint the auditors of PVMC; (i) To have full oversight and approval authority over the PVMC's executive compensation and benefits paid to any director, trustee, officer, employee or other person. |
| Form 990, Part VI, Section B, line 11b | Process to Review the Form 990: THE FORM 990 IS PREPARED BY A THIRD PARTY. THE 990 GOES THROUGH A DETAILED REVIEW BY THE ACCOUNTING MANAGER AND CHIEF FINANCIAL OFFICER. ONCE THIS REVIEW IS COMPLETE, THE 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. ONCE APPROVED, A COPY OF THE 990 IS MADE AVAILABLE TO EACH BOARD MEMBER BEFORE FILING WITH THE IRS. |
| Form 990, Part VI, Section B, line 12c | Process for Monitoring Compliance with Conflict of Interest Policy: The organization has a compliance officer who monitors the organization's conflict of interest policy. The board of directors, officers and key employees are required annually to complete and review the conflict of interest policy and disclose any potential conflicts. Directors are not permitted to vote on issues where they have a conflict of interest. |
| Form 990, Part VI, Section B, line 15a & 15b | Describe process for determining compensation: Platte Valley Medical Center uses the services of an independent compensation consultant, Yaffee & Company, to establish compensation for the CEO, other officers and Key Employees. A review was done in 2015. Upon completion of the compensation analysis, the compensation package is recommended to the compensation committee of the board for approval. Officers have written employment contracts which are signed and maintained by the human resource department. |
| Form 990, Part VI, Section C, line 19 | Governing Documents Available to the Public: The governing documents, conflict of interest policy, and financial statements are made available to the public upon request. |
| Form 990, Part XI, Line 9 | Other Changes in net assets: CHANGE IN INTEREST IN NET ASSETS OF PLATTE VALLEY MEDICAL CENTER FOUNDATION (63,724) NET REVENUE PASSED THRU THE COLORADO HOSPITAL ASSN TRUST FOR WORKER'S COMPENSATION (80,409) IMPUTED INTEREST - CLINICS (149,986) NET ASSET ADJUSTMENT FOR CHANGE IN CONTROL 64,166,351 TOTAL 63,872,232 |
| Form 990, Part XII, Line 2C | Change in Oversight or Selection Process during the Tax Year: Integrity Health Board assumed the oversight role replacing oversight role of The Platte Valley Medical Center Board Investment/Audit Committee. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:4360228 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACTED STAFF LABOR TOTAL FEES:929860 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LAB SERVICES TOTAL FEES:978383 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION SERVICES TOTAL FEES:1104536 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING TOTAL FEES:3719999 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SURGICAL ASSISTANT TOTAL FEES:20461 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:NURSERY SPECIALIST TOTAL FEES:812499 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHARMACY SERVICES TOTAL FEES:126894 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MAINTENANCE TOTAL FEES:764974 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER HEALTH SERVICES TOTAL FEES:433277 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER MISC SERVICES TOTAL FEES:1053315 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:137127 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER CONTRACT LABOR TOTAL FEES:18240 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| CLINIC SUPPORT SERVICES LLC | |||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 453962647 | CLINICAL SVCs | CO | $4,016,641 | $633,488 | PVMC |
| PLATTE VALLEY MEDICAL IMAGING LLC | |||||||||
| 1606 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 320402320 | IMAGING SVCS | CO | $187,387 | $239,320 | PVMC |
| WorkWellness LLC | |||||||||
| 1450 DEXTER AVENUE | FORT LUPTON | CO | 80621 | 474891329 | Medical svcs | CO | $12,933 | $28,631 | PVMC |
| SPECTRUM MEDICAL IMAGING LLC | |||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 475236844 | IMAGING SVCS | CO | $0 | $0 | PVMC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PLATTE VALLEY MEDICAL CENTER FOUNDATION | ||||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 742255936 | Fundraising | CO | 501(C)(3) | 11A TYPE I | PVMC | Yes (true) |
| SIS OF CHARITY LEAVENWORTH HEALTH (SCLH) | ||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 237379161 | MGMT ORG | KS | 501(C)(3) | 11C TYPE 3 | NA | false |
| INTEGRITY HEALTH | ||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 474520350 | SUPPORT ORG | CO | 501(C)(3) | 11C TYPE 3 | SCLH | false |
| MOUNT ST VINCENT HOME INC | ||||||||||
| 4159 LOWELL BOULEVARD | DENVER | CO | 80211 | 840405260 | RESIDENT CARE | CO | 501(C)(3) | Line 9 | SCLH | false |
| NJH-SJH INC | ||||||||||
| 500 ELDORADO BLVD SUITE 4300 | DENVER | CO | 80211 | 471194849 | MGMT ORG | CO | 501(C)(3) | 11A TYPE I | SCLH | false |
| SAINT JOSEPH HOSPITAL INC (SJH) | ||||||||||
| 1375 E 19TH AVENUE | DENVER | CO | 80218 | 840417134 | HOSPITAL SVCS | CO | 501(C)(3) | Line 3 | SCLH | false |
| SAINT JOSEPH HOSPITAL FOUNDATION | ||||||||||
| 1375 E 19TH AVENUE | DENVER | CO | 80218 | 840735096 | SUPPORT ORG | CO | 501(C)(3) | 11A TYPE I | SJH | false |
| SCL HEALTH - FRONT RANGE INC (SCFR) | ||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 841103606 | HOSPITAL SVCS | CO | 501(C)(3) | Line 3 | SCLH | false |
| GOOD SAMARITAN MEDICAL CENTER FDN | ||||||||||
| 200 EXEMPLA CIRCLE | LAFAYETTE | CO | 80026 | 841649162 | SUPPORT ORGS | CO | 501(C)(3) | Line 7 | SCFR | false |
| LUTHERAN MEDICAL CENTER FOUNDATION | ||||||||||
| 8300 WEST 38TH AVENUE | WHEAT RIDGE | CO | 80033 | 208846152 | SUPPORT ORGS | CO | 501(C)(3) | Line 7 | SCFR | false |
| ST MARYS HOSPITAL & MEDICAL CTR (SMHMC) | ||||||||||
| 2635 N 7TH STREET | GRAND JUNCTION | CO | 81501 | 840425720 | HOSPITAL SVCS | CO | 501(C)(3) | Line 3 | SCLH | false |
| ST MARYS HOSPITAL FOUNDATION | ||||||||||
| 2635 N 7TH STREET | GRAND JUNCTION | CO | 81501 | 237001007 | SUPPORT ORG | CO | 501(C)(3) | 11A TYPE I | SMHMC | false |
| CARITAS CLINICS INC | ||||||||||
| 818 NORTH 7TH STREET | LEAVENWORTH | KS | 66048 | 481009910 | CLINIC SVCS | KS | 501(C)(3) | LINE 3 | SCLH | false |
| MARIAN CLINIC INC | ||||||||||
| 3164 EAST SIXTH AVENUE | TOPEKA | KS | 66607 | 481046905 | CLINIC SVCS | KS | 501(C)(3) | LINE 3 | SCLH | false |
| ST FRANCIS HEALTH CENTER INC (SFHC) | ||||||||||
| 1700 SW 7TH STREET | TOPEKA | KS | 66606 | 480547719 | HOSPITAL SVCS | KS | 501(C)(3) | LINE 3 | SCLH | false |
| ST FRANCIS HEALTH CENTER FOUNDATION | ||||||||||
| 1700 SW 7TH STREET | TOPEKA | KS | 66606 | 481092520 | SUPPORT ORG | KS | 501(C)(3) | 11A TYPE I | SFHC | false |
| HOLY ROSARY HEALTHCARE (HRH) | ||||||||||
| 2600 WILSON STREET | MILES CITY | MT | 59301 | 810231792 | HOSPITAL SVCS | MT | 501(C)(3) | Line 3 | SCLH | false |
| HOLY ROSARY HEALTHCARE FOUNDATION INC | ||||||||||
| 2600 WILSON STREET | MILES CITY | MT | 59301 | 202270238 | SUPPORT ORG | MT | 501(C)(3) | 11A TYPE I | HRH | false |
| ST JAMES HEALTHCARE (SJHC) | ||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 810231785 | HOSPITAL SVCS | MT | 501(C)(3) | Line 3 | SCLH | false |
| ST JAMES HEALTHCARE FOUNDATION INC | ||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 651202190 | SUPPORT ORG | MT | 501(C)(3) | 11A TYPE I | SJHC | false |
| ST VINCENT HEALTHCARE (SVH) | ||||||||||
| 1233 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810232124 | HOSPITAL SVCS | MT | 501(C)(3) | Line 3 | SCLH | false |
| ST VINCENT HEALTHCARE FOUNDATION INC | ||||||||||
| 1106 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810468034 | SUPPORT ORGS | MT | 501(C)(3) | Line 7 | SVH | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|
| DENVER WEST ENDOSCOPY CENTER LLC | ||||||
| 382 S ARTHUR AVENUE | LOUISVILLE | CO | 80027 | 460788218 | OP ENDOSCOPY | CO |
| EKG INTERPRETATION SERVICE | ||||||
| 3464 S WILLOW STREET SUITE 111 | DENVER | CO | 80231 | 840927945 | EKG INTERPRET | CO |
| GRAND VALLEY SURGICAL CENTER LLC | ||||||
| 710 WELLINGTON | GRAND JUNCTION | CO | 81501 | 841505075 | OP SURGERY | CO |
| HEALTHCARE MANAGEMENT LLC | ||||||
| PO BOX 1929 | GRAND JUNCTION | CO | 81502 | 841238904 | MANAGEMENT SVCS | CO |
| LUTHERAN CAMPUS ASC LLC | ||||||
| 3455 LUTHERAN PKWY STE 150 | WHEAT RIDGE | CO | 80033 | 020749532 | OP SURGERY | CO |
| PAVILION IMAGING LLC | ||||||
| 750 WELLINGTON | GRAND JUNCTION | CO | 81501 | 030516198 | RADIOLOGY | CO |
| SAN JUAN CANCER CENTER LLC | ||||||
| 600 SOUTH 5TH STREET | MONTROSE | CO | 81401 | 202856331 | OP CANCER | CO |
| SMHMMH AIR MEDICAL TRANSPORT LLC | ||||||
| 500 ELDORADO BLVD SUITE4300 | BROOMFIELD | CO | 80021 | 473525381 | MED AIR TRANSPORT | CO |
| SCL HOME HEALTH SOLUTIONS LLC | ||||||
| 500 ELDORADO BLVD SUITE 4200 | BROOMFIELD | CO | 80021 | 462418729 | HOME CARE | DE |
| SCLTDI JV LLC | ||||||
| 5214 MARYLAND WAY SUITE 200 | BRENTWOOD | TN | 37027 | 472294770 | RADIOLOGY | DE |
| ATHLETIC MEDICINE & PERFORMANCE LLC | ||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 272270640 | PHYSICAL THERAPY | MT |
| MED-MAP LLC | ||||||
| PO BOX 1295 | BILLINGS | MT | 59103 | 810491356 | RENTAL REAL ESTAT | MT |
| NORTHERN ROCKIES HEALTHCARE ALLIANCE | ||||||
| 2475 VILLAGE LANE SUITE 302 | BILLINGS | MT | 59102 | 383978770 | PROVIDER NETWORK | MT |
| YELLOWSTONE SURGERY CENTER LLC | ||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 721519467 | OP SURGERY | MT |
| CODY MEDICAL ARTS COMPLEX LLC | ||||||
| 720 LINDSAY LANE | CODY | WY | 82414 | 331031839 | RENTAL REAL ESTAT | WY |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PVMC PHYSICIAN SERVICES INC | |||||||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE | BRIGHTON | CO | 80601 | 943458548 | MEDICAL SERVICES | CO | PVMC | C-Corporation | $0 | $0 | 1.00000 | Yes (true) | |||||
| HIGH PLAINS HEART & VASCULAR CENTER INC | |||||||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE | BRIGHTON | CO | 80601 | 272038197 | MEDICAL SERVICES | CO | PVMC | C-Corporation | $1,993,296 | $417,780 | 1.00000 | Yes (true) | |||||
| INTEGRATIVE INTERNAL MED & ACUPUNCTURE | |||||||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE | BRIGHTON | CO | 80601 | 274433325 | MEDICAL SERVICES | CO | PVMC | C-Corporation | $1,062,728 | $225,054 | 1.00000 | Yes (true) | |||||
| MOUNTAIN VIEW ORTHOPEDICS INC | |||||||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE | BRIGHTON | CO | 80601 | 275382523 | MEDICAL SERVICES | CO | PVMC | C-Corporation | $2,866,759 | $409,282 | 1.00000 | Yes (true) | |||||
| EAGLE RIDGE MEDICAL INC | |||||||||||||||||
| 1606 PRAIRIE CENTER PKWY SUITE 240 | BRIGHTON | CO | 80601 | 462387681 | MEDICAL SERVICES | CO | PVMC | C-Corporation | $1,291,775 | $693,730 | 1.00000 | Yes (true) | |||||
| Apex Surgical Partners Inc | |||||||||||||||||
| 1606 PRAIRIE CENTER PKWY SUITE 240 | Brighton | CO | 80601 | 473268324 | MEDICAL SERVICES | CO | PVMC | C-corporation | $525,791 | $447,138 | 1.00000 | Yes (true) | |||||
| CARITAS INC AND SUBSIDIARIES | |||||||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 480941069 | HEALTHCARE | KS | NA | C-CORPORATION | false | ||||||||
| PROVIDENCE MEDICAL CENTER INC | |||||||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 480784446 | HOSPITAL SERVICES | KS | NA | C-CORPORATION | false | ||||||||
| SAINT JOHN HOSPITAL INC | |||||||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 480543768 | HOSPITAL SERVICES | KS | NA | C-CORPORATION | false | ||||||||
| ST FRANCIS ACCOUNTABLE HEALTH NETWORK | |||||||||||||||||
| 1700 SW 7TH STREET | TOPEKA | KS | 66606 | 462874128 | HEALTHCARE | KS | NA | C-CORPORATION | false | ||||||||
| LEAVEN INSURANCE COMPANY LTD | |||||||||||||||||
| 980370522 | INSURANCE | NA | C-CORPORATION | false | 23 LIME TREE BAY AVENUE | WEST BAY ROAD | CJ | KY1-1102 | CJ | ||||||||
| PVMC MEDICAL TEAM | |||||||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 473988808 | MED SOFTWARE | CO | PVMC | C-CORPORATION | $294,750 | $360,515 | 1.00000 | Yes (true) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (17 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PVMC Physician Services Inc | ||
| A | $291 | financials |
| High Plains Heart & Vascular Center Inc | ||
| A | $230,267 | financials |
| INTEGRATIVE INTERNAL MED & ACUPUNCTURE | ||
| A | $174,955 | financials |
| Mountain View Orthopedics Inc | ||
| A | $220,671 | financials |
| EAGLE RIDGE MEDICAL INC | ||
| A | $204,040 | financials |
| Apex Surgical Partners Inc | ||
| A | $8,176 | financials |
| Platte Valley Medical Center Foundation | ||
| C | $322,573 | CASH TRANSFER |
| High Plains Heart & Vascular Center Inc | ||
| D & R | $3,956,373 | a/r balance |
| INTEGRATIVE INTERNAL MED & ACUPUNCTURE | ||
| D & R | $1,457,095 | a/r balance |
| Mountain View Orthopedics Inc | ||
| D & R | $3,879,331 | a/r balance |
| eagle ridge medical inc | ||
| D & R | $1,700,246 | a/r balance |
| Apex Surgical Partners Inc | ||
| D & R | $840,945 | a/r balance |
| High Plains Heart & Vascular Center Inc | ||
| Q | $1,201,160 | billed amount |
| INTEGRATIVE INTERNAL MED & ACUPUNCTURE | ||
| Q | $518,688 | billed amount |
| Mountain View Orthopedics Inc | ||
| Q | $1,254,160 | billed amount |
| eagle ridge medical inc | ||
| Q | $672,903 | billed amount |
| Apex Surgical Partners Inc | ||
| Q | $232,139 | billed amount |