STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

PORTERCARE ADVENTIST HEALTH SYSTEM: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
PORTERCARE ADVENTIST HEALTH SYSTEM (EIN 84-0438224)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-13
IRS object ID
201611349349304181
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-13T13:00:45-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470617373PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC HEALTH INITIATIVESBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1198 INVERNESS DRIVE WESTAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840438224EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PORTERCARE ADVENTIST HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPORTBusinessNameControlTxt
Phone3037656861PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 S DOWNING STAddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80210ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAN ENDERSONPersonNm
Person TitleSVP CFOPersonTitleTxt
Signature2016-05-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK STOCKIPreparerPersonNm
PTINP00642127PTIN
Phone3032989100PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1GARY CAMPBELLBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12525 S DOWNING STAddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80210ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,071,920,904GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption1071GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.centura.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1968FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionOUR COMPANY, A FAITH BASED ORGANIZATION, INVESTS IN CHARITY CARE, COMMUNITY PROGRAMS AND SPONSORSHIPS DESIGNED TO NURTURE THE HEALTH OF THE PEOPLE OF COLORADO WITH A GOAL TO KEEP THEM HEALTHY.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee7150TotalEmployeeCnt
Total Volunteers1050TotalVolunteersCnt
Total Gross UBI$2,584,764TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$445,782NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,914,123PYContributionsGrantsAmt
CY Contributions Grants$1,573,045CYContributionsGrantsAmt
PY Program Service Revenue$972,284,613PYProgramServiceRevenueAmt
CY Program Service Revenue$1,058,455,891CYProgramServiceRevenueAmt
PY Investment Income$11,615,849PYInvestmentIncomeAmt
CY Investment Income$2,589,087CYInvestmentIncomeAmt
PY Other Revenue$7,985,127PYOtherRevenueAmt
CY Other Revenue$8,335,265CYOtherRevenueAmt
PY Total Revenue$993,799,712PYTotalRevenueAmt
CY Total Revenue$1,070,953,288CYTotalRevenueAmt
PY Grants And Similar Paid$1,290,340PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,908,179CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$363,306,823PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$389,608,077CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$575,630,758PYOtherExpensesAmt
CY Other Expenses$623,089,930CYOtherExpensesAmt
PY Total Expenses$940,227,921PYTotalExpensesAmt
CY Total Expenses$1,014,606,186CYTotalExpensesAmt
PY Revenues Less Expenses$53,571,791PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$56,347,102CYRevenuesLessExpensesAmt
Total Assets BOY$1,415,367,426TotalAssetsBOYAmt
Total Assets EOY$1,478,784,518TotalAssetsEOYAmt
Total Liabilities BOY$469,346,588TotalLiabilitiesBOYAmt
Total Liabilities EOY$481,103,149TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$946,020,838NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$997,681,369NetAssetsOrFundBalancesEOYAmt
MissionWE EXTEND THE HEALING MINISTRY OF CHRIST BY CARING FOR THOSE WHO ARE ILL AND BY NURTURING THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$812,062,710ExpenseAmt
Grant$1,908,179GrantAmt
Revenue$1,058,455,891RevenueAmt
DescSEE SCHEDULE HDesc
Total Program Service Expenses$812,062,710TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee7150EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAROL TRAVISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3038048108PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1188 INVERNESS DR W SUITE 500AddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80112ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RANDY HAFFNER
CHAIRMAN50.000Yes (X)Yes (X)$929,758$0$162,371
ROBERT HENDERSCHEDT
BOARD MEMBER1.0050.00Yes (X)$0$1,024,371$183,750
TERRY SHAW
BOARD MEMBER1.0050.00Yes (X)$0$1,506,315$257,610
KRIS ORDELHEIDE
SECRETARY1.000Yes (X)$0$0$0
GARY CAMPBELL
PRESIDENT/CEO1.000Yes (X)$0$0$0
Dan Enderson
SVP Chief Finance Officer1.000Yes (X)$0$0$0
CHERYL CURRY
CFO-Littleton Adventist Hosp50.000$313,877$0$34,663Yes (X)
MORRE DEAN
CEO-Porter Adventist Hospital50.000$494,748$0$107,977Yes (X)
Jonathan Fisher
CFO -Parker Adventist Hospital50.000$206,547$0$28,173Yes (X)
ANDREW GAASCH
CFO-PORTER ADVENTIST HOSP50.000$351,249$0$31,292Yes (X)
Brett Spenst
CEO-Littleton Adventist Hospital50.000$427,491$0$83,012Yes (X)
Douglas Dennis
PHYSICIAN40.000$1,144,709$0$30,371Yes (X)
Raymond Kim
Physician40.000$1,549,554$0$39,309Yes (X)
Todd Miner
Physician40.000$1,410,689$0$39,241Yes (X)
Christopher OLIVER
PHYSICIAN40.000$932,855$0$35,929Yes (X)
Charlie Yang
PHYSICIAN40.000$1,158,953$0$37,792Yes (X)
Dennis Barts
CEO - Avista Adventist Hospital50.000$451,925$0$66,050Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,372,355TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,530,686TotReportableCompRltdOrgAmt
Total Other Compensation$1,137,540TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K415IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PREMIER EMERGENCY SERVICES PC
550 S WADSWORTH BLVDSUITE 410LAKEWOODCO80226HEALTHCARE SERVICES$1,334,621
CRITICAL C ARE PULMONARY & SLEEP ASSOCIATES
274 UNION BLVDSUITE 110LAKEWOODCO80228PHYSICIAN SERVICES$1,189,705
CHER LLC
PO BOX 974960DALLASTX75397HEALTHCARE SERVICES$1,150,386
MORRISON COMMUNITY LIVING
PO BOX 102289ATLANTACO30368FACILITY MANAGEMENT$1,115,787
COLORADO PULMONARY INTENSIVISTS
15 WEST DRY CREEK DRLITTLETONCO80120PHYSICIAN SERVICES$1,043,235
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K48CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$1,440,374RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$132,671AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$1,573,045TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Services900099$1,051,960,517$1,051,960,517$0$0
Equity changes of unconsolidated orgs900099$3,711,026$3,711,026$0$0
Rental Income900099$2,586,033$2,586,033$0$0
Guest Room Fees721310$105,415$105,415$0$0
Education611710$92,900$92,900$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,058,455,891TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,653,389TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,653,389ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$65,323RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$19,372RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$45,951RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,951TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$45,951ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$361,970OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$426,272OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other-$64,302OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$64,302TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$64,302ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$838,934GrossSalesOfInventoryAmt
Cost Of Goods Sold$521,972CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$316,962TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$316,962ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Cafeteria722100$4,208,352$0$133,118$4,075,234
Pharmacy Services446110$2,166,644$0$2,007,134$159,510
Research541700$359,139$0$359,139$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,238,217TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$85,373UnrelatedBusinessRevenueAmt
Exclusion$1,152,844ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,972,352OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,070,953,288TotalRevenueColumnAmt
Related Or Exempt Func Income$1,058,455,891RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,584,764UnrelatedBusinessRevenueAmt
Exclusion$8,339,588ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,908,179TotalAmt
Program Services$1,908,179ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$321,738,706TotalAmt
Program Services$257,390,965ProgramServicesAmt
Management And General$64,347,741ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,783,454TotalAmt
Program Services$11,026,763ProgramServicesAmt
Management And General$2,756,691ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$32,245,150TotalAmt
Program Services$25,796,120ProgramServicesAmt
Management And General$6,449,030ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,840,767TotalAmt
Program Services$17,472,614ProgramServicesAmt
Management And General$4,368,153ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,354TotalAmt
Program Services$1,083ProgramServicesAmt
Management And General$271ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$211,432TotalAmt
Program Services$169,146ProgramServicesAmt
Management And General$42,286ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$162,848,493TotalAmt
Program Services$130,274,920ProgramServicesAmt
Management And General$32,573,573ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,214,466TotalAmt
Program Services$2,571,573ProgramServicesAmt
Management And General$642,893ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,612,364TotalAmt
Program Services$7,689,891ProgramServicesAmt
Management And General$1,922,473ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$22,604,163TotalAmt
Program Services$18,083,330ProgramServicesAmt
Management And General$4,520,833ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,540,325TotalAmt
Program Services$1,232,260ProgramServicesAmt
Management And General$308,065ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$504,065TotalAmt
Program Services$403,252ProgramServicesAmt
Management And General$100,813ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$14,063,008TotalAmt
Program Services$11,250,406ProgramServicesAmt
Management And General$2,812,602ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$78,834,974TotalAmt
Program Services$63,067,979ProgramServicesAmt
Management And General$15,766,995ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,574,883TotalAmt
Program Services$3,659,906ProgramServicesAmt
Management And General$914,977ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Repairs and Maintenance$15,460,884$12,368,707$3,092,177
Dues and Subscriptions$1,392,484$1,113,987$278,497
Recruitment$144,831$115,865$28,966
Restructuring$461,795$369,436$92,359

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$307,620,409TotalAmt
Program Services$246,096,328ProgramServicesAmt
Management And General$61,524,081ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,014,606,186TotalAmt
Program Services$812,062,710ProgramServicesAmt
Management And General$202,543,476ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,230,184BOYAmt
EOY$1,350,704EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$39,301,890BOYAmt
EOY$18,841,179EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$125,813,285BOYAmt
EOY$144,501,814EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$77,333EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$4,278,068BOYAmt
EOY$7,227,592EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$20,699,843BOYAmt
EOY$22,878,953EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,524,177BOYAmt
EOY$4,632,646EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,047,202,170LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$406,548,747LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$589,663,295BOYAmt
EOY$640,653,423EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$15,357,622BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$440,699,160BOYAmt
EOY$454,733,518EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$88,074,186BOYAmt
EOY$88,074,186EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$85,725,716BOYAmt
EOY$95,813,170EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,415,367,426BOYAmt
EOY$1,478,784,518EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$81,549,962BOYAmt
EOY$102,771,713EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,424,064BOYAmt
EOY$1,636,044EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$386,372,562BOYAmt
EOY$376,695,392EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$469,346,588BOYAmt
EOY$481,103,149EOYAmt

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$945,916,982BOYAmt
EOY$997,577,513EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$103,856BOYAmt
EOY$103,856EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$946,020,838BOYAmt
EOY$997,681,369EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,415,367,426BOYAmt
EOY$1,478,784,518EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$56,347,102ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$324,716NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$5,011,287OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$26,104GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$26,104TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DESCRIPTION OF THE ACTIVITIES REPORTED ON LINES 1A THROUGH 1IFormAndLineReferenceDesc
ExplanationLINE 1F ANNUAL DUES WERE PAID TO COLORADO HEALTH ASSOCIATION, A PORTION OF WHICH WERE ALLOCATED TO LOBBYING. THE AMOUNT THAT REPRESENTS THIS ENTITY'S SHARE OF THE ALLOCATED LOBBYING EXPENSE IS AS FOLLOWS: COLORADO HEALTH ASSOCIATION $26,104ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$93,840,415InvestmentCostOrOtherBasisAmt
Book Value$93,840,415BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$643,193,498InvestmentCostOrOtherBasisAmt
Depreciation$267,435,330DepreciationAmt
Book Value$375,758,168BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$245,537,541InvestmentCostOrOtherBasisAmt
Depreciation$139,113,417DepreciationAmt
Book Value$106,424,124BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$64,630,716InvestmentCostOrOtherBasisAmt
Book Value$64,630,716BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$640,653,423TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
AHS INVESTMENT$453,700,942F
DSRF INVESTMENT$1,032,576F
FieldValueIRS element (for citing)
Total Book Value Program Rltd$454,733,518TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Investment in Unconsolidated Organizations$65,937,882
Intercompany Receivables$22,597,670
Deposits$3,465,539
Current Portion of AWUIL$1,785,336
Deferred Financing Costs$2,026,743
Malpractice Recoveries
FieldValueIRS element (for citing)
Total Book Value Other Assets$95,813,170TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Intercompany Payables$359,646,159
Annuities Payable$62,500
CRT Obligation$436,056
Malpractice$13,693,329
Physician Loan Forgiveness$2,333,507
Unclaimed Property$19,772
Environmental Remediation$410,729
Post Employment Benefits$93,340
FieldValueIRS element (for citing)
Total Liability$376,695,392TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationPORTERCARE ADVENTIST HEALTH SYSTEM'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ADVENTIST HEALTH SYSTEM (AHS), A RELATED ORGANIZATION. AHS'S FIN 48 FOOTNOTE FOR THE YEAR ENDED DECEMBER 31, 2014 IS AS FOLLOWS: "HEALTHCARE CORPORATION AND ITS AFFILIATED ORGANIZATIONS, OTHER THAN NORTH AMERICAN HEALTH SERVICES, INC. AND ITS SUBSIDIARIES (NAHS), ARE EXEMPT FROM STATE AND FEDERAL INCOME TAXES. ACCORDINGLY, HEALTHCARE CORPORATION AND ITS TAX-EXEMPT AFFILIATES ARE NOT SUBJECT TO FEDERAL, STATE, OR LOCAL INCOME TAXES EXCEPT FOR ANY NET UNRELATED BUSINESS TAXABLE INCOME. NAHS IS A WHOLLY OWNED, FOR-PROFIT SUBSIDIARY OF HEALTHCARE CORPORATION. NAHS AND ITS SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. NAHS FILES A CONSOLIDATED FEDERAL INCOME TAX RETURN AND, WHERE APPROPRIATE, CONSOLIDATED STATE INCOME TAX RETURNS. ALL TAXABLE INCOME WAS FULLY OFFSET BY NET OPERATING LOSS CARRYFORWARDS FOR FEDERAL INCOME TAX PURPOSES; AS SUCH, THERE IS NO PROVISION FOR CURRENT FEDERAL OR STATE INCOME TAX FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013. NAHS ALSO HAS TEMPORARY DEDUCTIBLE DIFFERENCES OF APPROXIMATELY $63,600 AND $65,000 AT DECEMBER 31, 2014 AND 2013, RESPECTIVELY, PRIMARILY AS A RESULT OF NET OPERATING LOSS CARRYFORWARDS. AT DECEMBER 31, 2014, NAHS HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $63,400, EXPIRING BEGINNING 2020 THROUGH 2026. DEFERRED TAXES HAVE BEEN PROVIDED FOR THESE AMOUNTS, RESULTING IN A NET DEFERRED TAX ASSET OF APPROXIMATELY $24,200 AND $24,700 AT DECEMBER 31, 2014 AND 2013, RESPECTIVELY. A FULL VALUATION ALLOWANCE HAS BEEN PROVIDED AT DECEMBER 31, 2014 AND 2013 TO OFFSET THE DEFERRED TAX ASSET SINCE HEALTHCARE CORPORATION HAS DETERMINED THAT IT IS MORE LIKELY THAN NOT THAT THE BENEFIT OF THE NET OPERATING LOSS CARRYFORWARDS WILL NOT BE REALIZED IN FUTURE YEARS. THE INCOME TAXES TOPIC OF THE ASC (ASC 740) PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN FINANCIAL STATEMENTS. ASC 740 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO MATERICAL UNCERTAIN TAX POSITION AS OF DECEMBER 31, 2014 AND 2013."ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,152,494TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,152,494NetCommunityBenefitExpnsAmt
Total Expense0.0093TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$55,468,485TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$55,468,485NetCommunityBenefitExpnsAmt
Total Expense0.0564TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$64,620,979TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$64,620,979NetCommunityBenefitExpnsAmt
Total Expense0.0657TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$752,858TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$752,858NetCommunityBenefitExpnsAmt
Total Expense0.0008TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,545,948TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,545,948NetCommunityBenefitExpnsAmt
Total Expense0.0026TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,289TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$52,289NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,517TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,517NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$422,473TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$422,473NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$3,779,085TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,779,085NetCommunityBenefitExpnsAmt
Total Expense0.0038TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$68,400,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$68,400,064NetCommunityBenefitExpnsAmt
Total Expense0.0696TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$31,434,400BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$192,888,066ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$275,065,009CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$82,176,943MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities5HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNumWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndEmergency Room OtherEmergencyRoomOtherIndOtherOtherDescChildrens HospitalChildrensHospitalInd
PORTER ADVENTIST HOSPITAL
3www.porterhospital.org/1036Yes (X)Yes (X)Yes (X)Yes (X)
LITTLETON ADVENTIST HOSPITAL
4www.mylittletonhospital.org1034Yes (X)Yes (X)Yes (X)Yes (X)CHILDREN'S ER
PARKER ADVENTIST HOSPITAL
1www.parkerhospital.org1005Yes (X)Yes (X)Yes (X)Yes (X)
AVISTA ADVENTIST HOSPITAL
2www.avistahospital.org90831Yes (X)Yes (X)Yes (X)
CASTLE ROCK ADVENTIST HOSPITAL
5www.castlerockhospital.org01L581Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (5 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndFAP Notice DisplayedFAPNoticeDisplayedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndIncome Level CriteriaIncomeLevelCriteriaIndCommuntity Notified FAPCommuntityNotifiedFAPIndPermit No ActionsPermitNoActionsInd
PORTER ADVENTIST HOSPITAL
3falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (true)Yes (true)falseYes (true)Yes (X)https://www.porterhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/PAH_CHNA_2Yes (X)See Supplemental NarrativeYes (X)Yes (true)12Yes (true)https://www.porterhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/Porter-AdvfalsefalseYes (true)Yes (X)1.04.0Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.porterhospital.org/financial-help/Yes (X)https://www.centura.org/uploadedFiles/Centura/CNA/Patient_Resources/FA-Application-1112.pdfYes (X)https://www.porterhospital.org/financial-help/Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
LITTLETON ADVENTIST HOSPITAL
4falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (true)Yes (true)falseYes (true)Yes (X)https://www.mylittletonhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/LAH_CYes (X)See Supplemental NarrativeYes (X)Yes (true)12Yes (true)https://www.mylittletonhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/LittlfalsefalseYes (true)Yes (X)1.04.0Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.mylittletonhospital.org/Financial-Help/Yes (X)https://www.centura.org/uploadedFiles/Centura/CNA/Patient_Resources/FA-Application-1112.pdfYes (X)https://www.mylittletonhospital.org/Financial-Help/Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
PARKER ADVENTIST HOSPITAL
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (true)Yes (true)falseYes (true)Yes (X)https://www.parkerhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/PKR_CHNA_2Yes (X)See Supplemental NarrativeYes (X)Yes (true)12Yes (true)https://www.parkerhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/Parker-AdvfalsefalseYes (true)Yes (X)1.04.0Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.parkerhospital.org/financial-help/Yes (X)https://www.centura.org/uploadedFiles/Centura/CNA/Patient_Resources/FA-Application-1112.pdfYes (X)https://www.parkerhospital.org/financial-help/Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalseYes (X)Yes (X)Yes (X)
AVISTA ADVENTIST HOSPITAL
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (true)falsefalseYes (true)Yes (X)https://www.avistahospital.org/avh/community/community-benefit/Yes (X)https://www.centura.org/community-benefits/Yes (X)Yes (true)12Yes (true)https://www.parkerhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/PKR_CHNA_2falsefalseYes (true)Yes (X)1.04.0Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.avistahospital.org/financial-help/Yes (X)https://www.centura.org/uploadedFiles/Centura/CNA/Patient_Resources/FA-Application-1112.pdfYes (X)https://www.avistahospital.org/financial-help/Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalseYes (X)
CASTLE ROCK ADVENTIST HOSPITAL
5falsefalsefalsefalsefalseYes (true)Yes (X)1.04.0Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.castlerockhospital.org/financial-help/Yes (X)https://www.centura.org/uploadedFiles/Centura/CNA/Patient_Resources/FA-Application-1112.pdfYes (X)https://www.castlerockhospital.org/financial-help/Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - PORTER ADVENTIST HOSPITAL. Community members were interviewed over a period of one year regarding the needs they perceived in their community for their perspectives on the predominant health issues in their communities. They were interviewed in either a one-on-one interview format, focus group, or as part of a Steering Committee. The interviewees comprised of representatives of the following groups: *Local Fire Departments- Wayne Zygowicz, EMS Division Chief *County Public Health Department- Patty Boyd, RD, MPH, Program Manager *Home Health / Hospice- Melody Wright, CNO *Long Term Care / Assisted Living- Camille Thompson, COO Christian Living Communities *Marry-Well Colorado- Lauren Reitsma, Executive Director for Relationship *Doctors Care- BeBe Kleinman, Executive Director *Adventist Community Services- Michael Bright, Executive Director *Stout Street Clinic- Carol Jenkins, RN
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - PORTER ADVENTIST HOSPITAL. Littleton Adventist Hospital Parker Adventist Hospital
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Porter Adventist Hospital. Many of the needs identified will be indirectly addressed by addressing health outcomes in an upstream manner. For example, substance abuse, suicide, and heart disease will be addressed by targeting the primary health needs of mental health, access to care, and obesity. Many of the issues identified are being addressed by strong community groups. An internal capacity assessment concluded that it would be more fortuitous to support and partner with successful groups already working in the community, instead of using resources to create new strategies, when success programs and strategies already existed. To have the greatest impact on the needs were identified, community benefit resources were carefully planned and allocated towards targeted evidence based strategies known to directly impact and improve the identified needs.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - Porter Adventist Hospital. Portercare Adventist Health System automatically discounts all self-pay patient accounts by 30% and also offers a prompt pay discount.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - LITTLETON ADVENTIST HOSPITAL. Community members were interviewed for their perspectives on the predominant health issues in their communities. They were interviewed in either a one-on-one interview format, focus group, or as part of a Steering Committee. Data was collected over the period from June 2011 to June 2012. The interviewees comprised of representatives of the following groups: *Littleton Fire Department- Wayne Zygowicz, EMS Division Chief *Tri-County Department of Health- Patty Boyd, RD MPH, Program Manager *Arapahoe Douglas Mental Health, Lisa Traudt *Doctors Care- BeBe Kleinman, Executive Director *Highlands Ranch Community Association - Jamie Noebel, Community Manager *Healthy Communities Group of Centura Health's South Denver Operating Group -Colorado Wellness - Bonnie Thomas, Owner and Nurse -Porter Adventist Hospital - Dianne McCallister, Chief Medical Officer -Adventist Community Services - Michael Bright, Executive Director** -Littleton Adventist Hospital - Kim Muramoto, Trauma Director -City of Littleton - Susan Thornton, Ex-Mayor -Littleton Adventist Hospital - Rhonda Ward, Chief Nursing Officer -Emergency Medical Service - Wayne Zygowicz, Chief -Greater Youth Initiative - Kay Wilmesher -Littleton Adventist Hospital - Lawrence Wood, Chief Medical Officer
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - LITTLETON ADVENTIST HOSPITAL. Porter Adventist Hospital Parker Adventist Hospital
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Littleton Adventist Hospital. Many of the needs identified will be indirectly addressed by addressing health outcomes in an upstream manner. For example, substance abuse, suicide, and heart disease will be addressed by targeting the primary health needs of mental health, access to care, and obesity. Many of the issues identified are being addressed by strong community groups. An internal capacity assessment concluded that it would be more fortuitous to support and partner with successful groups already working in the community, instead of using resources to create new strategies, when successful programs and strategies already existed. To have the greatest impact on the needs that were identified, community benefit resources were carefully planned and allocated towards targeted evidence based strategies known to directly impact and improve the identified needs.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - Littleton Adventist. Portercare Adventist Health System automatically discounts all self-pay patient accounts by 30% and also offers a prompt pay discount.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Parker Adventist Hospital. The hospital retained the Center for Health Administration at the University of Colorado Denver to obtain community input. Community perspectives were gathered through telephone interviews during February and March 2012. Interview questions were phrased in an open-ended manner so that respondents could identify whatever issues were most important to them. They were also asked for ideas on ways that the hospital could assist them in improving the health of their community. Residents were also asked for ideas on ways that the hospital could assist them in improving the health of their community. The following organizations were chosen to provide input: *City of Parker *Crossroads Community Church *Parker Chamber of Commerce *Parker Police Department *Parker Senior Center *Parker Task Force Food Bank *Ponderosa High School *South Metro Fire Rescue Authority *Tri-County Health Department *Women's Crisis and Family Outreach Center
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - PARKER ADVENTIST HOSPITAL. Porter Adventist Hospital Littleton Adventist Hospital
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Parker Adventist Hospital. Many of the needs identified will be indirectly addressed by addressing health outcomes in an upstream manner. For example, substance abuse, suicide, and heart disease will be addressed by targeting the primary health needs of mental health, access to care, and obesity. Many of the issues identified are being addressed by strong community groups. Rather than create new strategies where there existing successful strategies, Parker Hospital has decided to align its efforts with these successful community groups (e.g. Doctors Care).
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - Parker Adventist Hospital. Portercare Adventist Health System automatically discounts all self-pay patient accounts by 30% and also offers a prompt pay discount.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - AVISTA ADVENTIST HOSPITAL. Rather than repeat a duplicative community engagement with the same stakeholders, Avista chose to utilize the community feedback obtained through BCPH's PHIP. Primetime Research and Evaluation conducted interviews with the BCPH PHIP Core Team, as well as selected BCPH employees and a variety of community stakeholders. The interviews consisted of a review of a list of 30+ health outcomes and were followed by a discussion of what the interviewee felt were the most important health outcomes to prioritize over the next five years. Primetime Research and Evaluation also completed the formal health system capacity assessment in Boulder County, which was conducted through a series of ten 3-hour meetings held during the month of May 2011. Each meeting focused on one of the Ten Essential Public Health Services. These meetings were conducted through facilitated focus groups consisting of 6-10 invited participants. These participants' tasks were 1) to review the evaluation measures developed by the NPHPSP for that session's essential service, 2) participate in the group discussion about the health system's capacity and performance of that public health function, 3) come to a consensus on a rating score of the current capacity, and 4) to express concerns and provide recommendations for improvement. Participants selected for each meeting were chosen based on area of expertise or interest and relationship to the essential service to be discussed. Invitations were sent to a broad range of key partners from the local public health agency, state service agencies, community based organizations, academic institutions, hospitals, school systems, foundations, law enforcement agencies, and non-profit organizations. Additionally, invitations were sent to people in local governmental or quasi-governmental entities including first responders, elected officials, social service providers, administrators, diversity advocates, and others. Invitations were also extended to individuals in the business community, media, and judicial institutions. Approximately 70 key participants (6-10 per meeting) responded to the request to participate in the assessment sessions.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Avista Adventist Hospital. Key health needs for Avista were identified as access to health services, diabetes, mental health/substance abuse, obesity, and immunizations. After doing an assessment of existing capacity and community efforts, Avista hospital decided to focus on access to services and diabetes. The needs not addressed were already being addressed by strong community organizations, and hospital resources were better used towards creating targeted strategies to impact the prioritized needs. For example, Boulder County Public Health has an extensive immunization program. Instead of duplicating efforts, Avista decided to align and refer to Boulder County for immunizations. Efforts were strategically targeted towards areas where the largest need existed, and where Avista could have the greatest impact.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - Avista Adventist Hospital. Portercare Adventist Health System automatically discounts all self pay patient accounts by 30% and also offers a prompt pay discount.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - Castle Rock Adventist Hospital. Portercare Adventist Health System automatically discounts all self-pay patient accounts by 30% and also offers a prompt pay discount.
FieldValueIRS element (for citing)
Facility56FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (56 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
DIMENSION PAIN MANAGEMENT
400 W 144TH AVE STE 240WESTMINSTERCO80023EMP PHYSICIAN GROUP
COLORADO HEAD AND NECK SPECIALISTS
2555 S DOWNING ST STE 100DENVERCO80210EMP PHYSICIAN GROUP
CLEMENT PARK FAMILY MEDICINE
6901 S PIERCE ST STE 110LITTLETONCO80128EMP PHYSICIANS GROUP
MOUNTAIN VIEW FAMILY PHYSICIANS
2020 ONEIDA STDENVERCO80224EMP PHYSICIAN GROUP
COLORADO NEUROVASCULAR SPECIALISTS
7780 S BROADWAYLITTLETONCO80122EMP PHYSICIAN GROUP
ACCESS FAMILY MEDICINE
19284 COTTONWOOD DRIVE SUITE 201PARKERCO80138EMP PHYSICIAN GROUP
SOUTH SUBURBAN INTERNAL MEDICINE
7750 S BROADWAYLITTLETONCO80122EMP PHYSICIAN GROUP
CENTURA HEALTH AT SOUTHLANDS
6240 SO MAIN ST STE 255AURORACO80016EMP PHYSICIAN GROUP
BOULDER HOLISTIC MEDICINE
805 S BROADWAY SUITE 103BOULDERCO80305EMP PHYSICIAN GROUP
AVISTA FAMILY MEDICINE GUNBARREL
5365 SPINE ROAD SUITE CBOULDERCO80301EMP PHYSICIAN GROUP
NORTHWEST GASTROENTEROLOGY
80 HEALTH PARK DRIVELOUISVILLECO80027EMP PHYSICIAN GROUP
RIDGELINE FAMILY MEDICINE
2352 MEADOWS BLVD STE 300CASTLE ROCKCO80108EMP PHYSICIANS GROUP
COLORADO JOINT REPLACEMENT
2535 S DOWNING STDENVERCO80210EMP PHYSICIAN GROUP
AVISTA INTERNAL MEDICINE
90 HEALTHPARK DR STE 350LOUISVILLECO80027EMP PHYSICIAN GROUP
COMPREHENSIVE BREAST CARE
2555 S DOWNING ST SUITE 130DENVERCO80210EMP PHYSICIAN GROUP
CENTER FOR ORTHOPEDICS
7720 S BROADWAYLITTLETONCO80122EMP PHYSICIAN GROUP
CHATFIELD WOMEN'S CARE
7720 S BROADWAYLITTLETONCO80122EMP PHYSICIAN GROUP
PARKER ENDOCRINOLOGY
9397 CROWN CREST BLVD STE 220PARKERCO80138EMP PHYSICIANS GROUP
APOLLO INTERNAL MEDICINE
950 E HARVARD AVE SUITE 530DENVERCO80210EMP PHYSICIAN GROUP
PRIMARY CARE (HARVARD PARK)
950 E HARVARD AVE SUITE 660DENVERCO80210EMP PHYSICIAN GROUP
CENTURA HEALTH PHYSICIAN GROUP AT CLERMONT PARK
2479 S CLERMONT STDENVERCO80222EMP PHYSICIANS GROUP
PORTER HOSPICE
1391 SPEER BLVD 600DENVERCO80204ADMIN OFFICE HOME HOSPICE COORDINATION
PINNACLE WOMEN'S HEALTHCARE AT PARKER
9397 CROWN CREST BLVD STE 331PARKERCO80138EMP PHYSICIANS GROUP
COMPREHENSIVE OBGYN AT PARKER
9397 CREOWN CREST BLVD STE 431PARKERCO80138EMP PHYSICIANS GROUP
HIGHLANDS RANCH MEDICAL ASSOCIATES
9135 S RIDGELINE BLVD STE 190HIGHLANDS RANCHCO80129EMP PHYSICIANS GROUP
AVISTA WOMEN'S HEALTH
611 MITCHELL WAY STE 103ERIECO80516EMP PHYSICIAN GROUP
MILE HIGH ONCOLOGY
7780 S BROADWAY STE 380LITTLETONCO80122EMP PHYSICIAN GROUP
CYPRESS HEMOTOLOGY AND ONCOLOGY
2555 S DOWNING ST STE 240DENVERCO80210EMP PHYSICIAN GROUP
AVISTA FAMILY MEDICINE (ERIE)
611 MITCHELL WAYERIECO80516EMP PHYSICIAN GROUP
FLATRONS HEART AND VASCULAR
90 HEALTHPARK DRIVE STE 350LOUISVILLECO80027EMP PHYSICIAN GROUP
ENDOSCOPY CENTER AT PORTER LLC
1001 SOUTH PARK DRIVELITTLETONCO80120DIAGNOSTIC SERVICES
COLORADO ENT SPECIALISTS
9397 CROWN CREST BLVD STE 431PARKERCO80138EMP PHYSICIAN GROUP
CYPRESS ONCOLOGY - PKR
9399 CROWN CREST BLVD SUITE 215PARKERCO80138EMP PHYSICIAN GROUP
ARACEA WOMEN'S CENTER
300 S JACKSON STDENVERCO80209EMP PHYSICIAN GROUP
South Denver Cardiology Associates
1000 SouthPark DriveLITTLETONCO80120EMP PHYSICIANS GROUP
CHATFIELD FAMILY MEDICINE
10789 BRADFORD RD STE 150LITTLETONCO80127EMP PHYSICIAN GROUP
TIMBERVIEW CLINIC AT PARKER
9399 CROWN CREST BLVD STE 200PARKERCO80138EMP PHYSICIAN GROUP
INTEGRATED OBGYN AT PARKER
9397 CROWN CREST BLVD STE 220PARKERCO80138EMP PHYSICIANS GROUP
CENTER ENDOCRINOLOGY AND DIABETES
7750 S BROADWAY STE 220LITTLETONCO80122EMP PHYSICIAN GROUP
PORTER PRIMARY CARE
300 S JACKSON STDENVERCO80209EMP PHYSICIAN GROUP
BARIATRIC AND METABOLIC CENTER
9399 CROWN CREST BLVD STE 110PARKERCO80138EMP PHYSICIAN GROUP
EP CLINIC
2525 S DOWNING ST CARDIAC CATH LABDENVERCO80210EMP PHYSICIAN GROUP
CENTURA MEDICAL ASSOCIATES
2525 S DOWNING STDENVERCO80210EMP PHYSICIAN GROUP
SOUTH QUEBEC FAMILY MEDICINE
6081 S QUEBEC ST STE 100CENTENNIALCO80111EMP PHYSICIANS GROUP
AFFILIATED EAR NOSE AND THROAT PHYSICIANS
8000 E PRENTICE AVE STE D12GRENWOOD VILLAGECO80111EMP PHYSICIANS GROUP
Castle Rock Affiliated ENT
2352 Meadows BlvdCastle RockCO80109EMP PHYSICIANS GROUP
Castle Rock Orthopedics
2352 Meadows BlvdCastle RockCO80109EMP PHYSICIANS GROUP
Castle Rock Oncology
2352 Meadows BlvdCastle RockCO80109EMP PHYSICIANS GROUP
Castle Rock Hospitalists
2353 Meadows BlvdCastle RockCO80109EMP PHYSICIANS GROUP
Ridgeline Family Medicine at Castle Pines
250 Max DriveCastle PinesCO80109EMP PHYSICIANS GROUP
CHPG Ridgegate OBGYN at CRAH
2352 Meadows BlvdCastle RockCO80109EMP PHYSICIANS GROUP
CHPG Ridgegate OBGYN at Lone Tree
10099 Ridgegate ParkwayLone TreeCO80124EMP PHYSICIANS GROUP
CHPG Senior Care PAHS Holly Creek
5500 East Peakview AveCentennialCO80121EMP PHYSICIANS GROUP
Center for Endocrinology and Diabetes
7750 S BroadwayLittletonCO80122EMP PHYSICIANS GROUP
South Quebec Family Medicine
6081 South Quebec StCentennialCO80111EMP PHYSICIANS GROUP
South Suburban Internal Medicine
7750 South BroadwayLittletonCO80122EMP PHYSICIANS GROUP

Supplemental Information Detail SupplementalInformationDetail (26 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 1 CASTLE ROCK ADVENTIST HOSPITALCASTLE ROCK ADVENTIST HOSPITAL OPENED IN AUGUST OF 2013. THE COMMUNITY HEALTH NEEDS ASSESSMENT WILL BE COMPLETED IN FY16 AND REPORTED ON THE 2015 FORM 990.
Schedule H, Part V, Section B, Line 16c AVISTA ADVENTIST HOSPITALhttps://www.avistahospital.org/for-patients-and-families/billing-and-financial-services/financial-help/
Schedule H, Part V, Section B, Line 16a PARKER ADVENTIST HOSPITALhttps://www.parkerhospital.org/for-patients-and-families/billing-and-financial-services/financial-help/
Schedule H, Part V, Section B, Line 16b PARKER ADVENTIST HOSPITALhttps://www.parkerhospital.org/for-patients-and-families/billing-and-financial-services/financial-help/
Schedule H, Part V, Section B, Line 16c PARKER ADVENTIST HOSPITALhttps://www.parkerhospital.org/for-patients-and-families/billing-and-financial-services/financial-help/
Schedule H, Part V, Section B, Line 16a AVISTA ADVENTIST HOSPITALhttps://www.avistahospital.org/for-patients-and-families/billing-and-financial-services/financial-help/
Schedule H, Part V, Section B, Line 16b AVISTA ADVENTIST HOSPITALhttps://www.avistahospital.org/for-patients-and-families/billing-and-financial-services/financial-help/
Schedule H, Part V, Section B, Line 7 Parker Adventist Hospitalhttps://www.centura.org/uploadedFiles/Centura/Content/Community/Community_Benefits/PKR_CHNA_2012_Final.pdf
Schedule H, Part V, Section B, Line 7 Porter Adventist Hospitalhttps://www.centura.org/uploadedFiles/Centura/Content/Community/Community_Benefits/PAH_CHNA_2012_Final.pdf
Schedule H, Part V, Section B, Line 7 Littleton Adventist Hospitalhttps://www.centura.org/uploadedFiles/Centura/Content/Community/Community_Benefits/LAH_CHNA_2012_Final.pdf
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation31433765
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistancePORTERCARE ADVENTIST HEALTH SYSTEM DOES NOT USE A COST ACCOUNTING SYSTEM TO DETERMINE THE COST OF CHARITY CARE PROVIDED. THE ESTIMATED COST OF CARE IS CALCULATED BY APPLYING THE RATIO OF EACH FACILITY'S TOTAL EXPENSES TO TOTAL GROSS REVENUE, APPLIED TO THE APPLICABLE GROSS REVENUES (E.G. MEDICARE, MEDICAID). WORKSHEET 2 WAS NOT USED TO DEVELOP THE COST TO CHARGE RATIO.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountPortercare Adventist Health System (PAHS) USES THE OVERALL COST TO GROSS CHARGE RATIO APPLICABLE TO EACH FACILITY TO DETERMINE THE COSTS IN PART III LINES 2 AND 3. PAHS AUTOMATICALLY DISCOUNTS ALL SELF PAY PATIENT ACCOUNTS BY 30% AND ALSO OFFERS A PROMPT PAY DISCOUNT. THIS ALLOWANCE IS NOT INCLUDED IN THE CALCULATION OF THE COST OF BAD DEBTS IN INSTANCES WHERE A PATIENT DOES NOT PAY HIS OR HER BILL.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyPortercare Adventist Health System does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from those individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date that the patient is determined to qualify for charity care.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnotePORTERCARE ADVENTIST HEALTH SYSTEM (PAHS) DOES NOT ISSUE SEPARATE AUDITED FINANCIAL STATEMENTS; HOWEVER, PAHS IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ADVENTIST HEALTH SYSTEM (AHS) AND THEIR FOOTNOTE IS REFERENCED BELOW. BAD DEBT EXPENSE IS REPORTED ON PAHS' INTERNAL FINANCIAL STATEMENTS AS AN EXPENSE. THE AMOUNT REPORTED IS BASED ON THE AMOUNT DEEMED TO NOT BE COLLECTIBLE BY PATIENTS WHO HAVE THE ABILITY TO PAY. FINANCIAL STATEMENT FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS: THE SYSTEM'S PATIENT ACCEPTANCE POLICY IS BASED ON ITS MISSION STATEMENT AND ITS CHARITABLE PURPOSES. ACCORDINGLY, THE SYSTEM ACCEPTS PATIENTS IN IMMEDIATE NEED OF CARE, REGARDLESS OF THEIR ABILITY TO PAY. PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FOR SERVICES RENDERED. THE SYSTEM RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, REVENUE IS RECOGNIZED ON THE BASIS OF DISCOUNTED RATES IN ACCORDANCE WITH THE SYSTEM'S POLICY. PATIENT SERVICE REVENUE IS REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS COLLECTIONS DATA BY MAJOR PAYOR SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE SYSTEM'S SELF-PAY PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED. THUS, THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO SELF-PAY PATIENTS. THE SYSTEM'S ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR SELF-PAY PATIENTS WAS 97% OF SELF-PAY ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2014 AND 2013. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE SYSTEM'S POLICIES. FOR ALL PATIENTS OTHER THAN CHARITY PATIENTS, PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND SELF-PAY DISCOUNTS AND BEFORE THE PROVISION FOR BAD DEBTS, RECOGNIZED FROM MAJOR PAYOR SOURCES IS AS FOLLOWS: THIRD PARTY PAYORS, NET OF CONTRACUTAL ALLOWANCES: 2014: $8,074,102 2013: $7,240,083 SELF-PAY PATIENTS, NET OF DISCOUNTS 2014: $396,147 2013: $426,173 THE SYSTEM HAS NOT EXPERIENCED SIGNIFICANT CHANGES IN WRITE-OFF TRENDS AND HAS NOT CHANGED ITS SELF-PAY DISCOUNT OR CHARITY CARE POLICY FOR THE YEARS ENDED DECEMBER 31, 2014 OR 2013. THE SYSTEM HAS DETERMINED, BASED ON AN ASSESSMENT AT THE REPORTING-ENTITY LEVEL, THAT PATIENT SERVICE REVENUE IS PRIMARILY RECORDED PRIOR TO ASSESSING THE PATIENT'S ABILITY TO PAY AND AS SUCH, THE ENTIRE PROVISION FOR BAD DEBTS IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsCost for each hospital's cost report is pulled from year end trial balances. The cost is then evaluated and all non-allowable cost is removed via adjustments. The remaining allowable cost is then allocated to appropriate patient care and non-patient care cost centers based on Medicare allocation principles. Rationale for Including a Medicare Shortfall as Community Benefit: As a 501(c)(3) organization, the filing organization provides emergency and non-elective care to all regardless of ability to pay. All hospital services are provided in a non-discriminatory manner to patients who are covered beneficiaries under the Medicare program. As a public insurance program, Medicare provides a pre-established reimbursement rate/amount to health care providers for the services they provide to patients. In some cases, the reimbursement amount provided to a hospital may exceed its costs of providing a particular service or services to a patient. In other cases, the Medicare reimbursement amount may result in the hospital experiencing a shortfall of reimbursement received over costs incurred. In those cases where an overall shortfall is generated for providing services to all Medicare patients, the shortfall amount should be considered as a benefit to the community. Tax-exempt hospitals are required to accept all Medicare patients regardless of the profitability, or lack thereof, with respect to the services they provide to Medicare patients. The population of individuals covered under the Medicare program is sufficiently large so that the provision of services to the population is a benefit to the community and relieves the burdens of government. In those situations where the provision of services to the total Medicare patient population of a tax-exempt hospital during any year results in a shortfall of reimbursement received over the cost of providing care, the tax-exempt hospital has provided a benefit to a class of persons broad enough to be considered a benefit to the community. Despite a financial shortfall, a tax-exempt hospital must and will continue to accept and care for Medicare patients. Typically, tax-exempt hospitals provide health care services based upon an assessment of the health care needs of their community as opposed to their taxable counterparts where profitability often drives decisions about patient care services that are offered. Patient care provided by tax-exempt hospitals that results in Medicare shortfalls should be considered as providing a benefit to the community and relieving the burdens of government.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistancePortercare Adventist Health System's debt collection policy provides the performance of a reasonable review of each patient's account prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment. The review of patient accounts is done to assure that the patient or their guarantor is not eligible for assistance through Portercare Adventist Health System's charity care policy, uninsured discount policy or another financial assistance program (i.e. Medicaid). Portercare Adventist Health System requires the following of its third-party collection agencies: * Neither Portercare Adventist Health System hospitals or their collection agencies will request bench or arrest warrants as a result of non-payment; * Neither Portercare Adventist Health System hospitals or their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and * No Portercare Adventist Health System collection agency may seek court action without hospital approval.
Schedule H, Part V, Section B, Line 16a FAP website- PARKER ADVENTIST HOSPITAL: Line 16a URL: https://www.parkerhospital.org/financial-help/; - AVISTA ADVENTIST HOSPITAL: Line 16a URL: https://www.avistahospital.org/financial-help/; - PORTER ADVENTIST HOSPITAL: Line 16a URL: https://www.porterhospital.org/financial-help/; - LITTLETON ADVENTIST HOSPITAL: Line 16a URL: https://www.mylittletonhospital.org/Financial-Help/; - CASTLE ROCK ADVENTIST HOSPITAL: Line 16a URL: https://www.castlerockhospital.org/financial-help/;
Schedule H, Part V, Section B, Line 16b FAP Application website- PARKER ADVENTIST HOSPITAL: Line 16b URL: https://www.centura.org/uploadedFiles/Centura/CNA/Patient_Resources/FA-Application-1112.pdf; - AVISTA ADVENTIST HOSPITAL: Line 16b URL: https://www.centura.org/uploadedFiles/Centura/CNA/Patient_Resources/FA-Application-1112.pdf; - PORTER ADVENTIST HOSPITAL: Line 16b URL: https://www.centura.org/uploadedFiles/Centura/CNA/Patient_Resources/FA-Application-1112.pdf; - LITTLETON ADVENTIST HOSPITAL: Line 16b URL: https://www.centura.org/uploadedFiles/Centura/CNA/Patient_Resources/FA-Application-1112.pdf; - CASTLE ROCK ADVENTIST HOSPITAL: Line 16b URL: https://www.centura.org/uploadedFiles/Centura/CNA/Patient_Resources/FA-Application-1112.pdf;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- PARKER ADVENTIST HOSPITAL: Line 16c URL: https://www.parkerhospital.org/financial-help/; - AVISTA ADVENTIST HOSPITAL: Line 16c URL: https://www.avistahospital.org/financial-help/; - PORTER ADVENTIST HOSPITAL: Line 16c URL: https://www.porterhospital.org/financial-help/; - LITTLETON ADVENTIST HOSPITAL: Line 16c URL: https://www.mylittletonhospital.org/Financial-Help/; - CASTLE ROCK ADVENTIST HOSPITAL: Line 16c URL: https://www.castlerockhospital.org/financial-help/;
Schedule H, Part VI, Line 2 Needs assessmentThe hospitals provides several services and resources to the communities it serves beyond the prioritized needs specifically identified in the Community Needs Assessment. It sponsors wellness events such as breast feeding education, asthma screenings, and financially supports wellness initiatives of cities and public schools. It also provides transportation for low income patients and housing at no cost or very low cost for the families of low income patients of the hospitals that are far from their residence. It also supports, financially and through volunteerism, initiatives such as soup kitchens and meals on wheels to provide food and nutrition education to address hunger issues. Hospital staff also volunteer to serve as preceptors for students of local health professional programs and serve on boards of local community organizations that provide social services to populations in need.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceInformation concerning financial assistance is included on Centura's website. The website not only lists phone numbers for patients to call to discuss financial assistance, but also includes Centura's policy for charity care and its policies related to uninsured patients. In addition, at the time of registration, uninsured patients are screened to determine if the patients qualify for any Federal, State or County programs. Uninsured patients are also sent a letter requesting that the patient call to determine eligibility for various assistance programs, including charity.
Schedule H, Part VI, Line 4 Community informationPortercare Adventist Health System hospitals provides healthcare services to the direct and surrounding communities where they are located. In addition, due to some of the specialized healthcare services available at these hospital facilities, a number of our patients come from what would be considered outside the immediate geographic area. Many Portercare related hospitals serve the Front Range communities, which have diverse populations and different healthcare needs.
Schedule H, Part VI, Line 5 Promotion of community healthPortercare Adventist Health System hospitals implements several efforts and initiatives to promote the health of the community. It provides financial and volunteer support to clinics that provide care to low income patients. Staff volunteer on the boards of community based organizations that provide essential services to disadvantaged patients. Furthermore, the hospitals provides donations to the initiatives of community based organizations, cities and public schools to support events that promote health and wellness.
Schedule H, Part VI, Line 6 Affiliated health care systemPortercare Adventist Health System is operated as part of Centura Health Corporation ("Centura"). Centura and its affiliated organizations are dedicated to extending the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people in our communities. Specifically, Centura has launched a system-wide strategic plan to improve the quality, consistency, availability, and affordability of health care to communities throughout Colorado. The three main components of this strategy are (1) to continue investing in technology advancements that improve the quality, costs, and coordination of care including the establishment of electronic health records linking our physicians, clinics, hospitals, long-term facilities and home care services; (2) providing wellness care, thereby potentially reducing health care costs by helping patients to maintain good health, growing the level of support and outreach provided to rural communities, and increasing access, affordability and quality of health care; and (3) coordinate and develop systems of care, looking to each facility and entity in Centura to share best practices and improve overall efficiency and communication system-wide from birth to home care.
Schedule H, Part VI, Line 7 State filing of community benefit reportCO

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (19 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
Doctors Care
191 E Orchard Rd102NELittletonCO80121841150815501(c)(3)$0$40,000BookDrugsDonation for 2015
Arthritis Foundation
2280 S Albion StDenverCO80222383826066501(c)(3)$19,750Sponsorship
University of Denver
2201 S Gaylord StDenverCO80208840404231501(c)(3)$12,500Sponsorship
Colorado Wellness Connection
4960 E Mineral CircleCentennialCO80122841504515501(c)(3)$7,500Health Fair
Clinica Campesina
345 Plaza Court N1ALafayetteCO80026840743432501(c)(3)$166,129Mission Support
Portercare Foundation
7995 E Prentice Ave204Greenwood VillageCO80111840745018501(c)(3)$29,160Sponsorship
Denver Botanic Gardens
909 York StDenverCO80206840440359501(c)(3)$14,750Sponsorship
Women's Crisis Center
PO Box 367Castle RockCO80104742385006501(c)(3)$7,500Sponsorship
Classic Bicycle Racing
1515 Arapahoe StDenverCO80202273045655$6,2502014 Pro Challenge
Douglas County Libraries Foundation
9292 Ridgeline BlvdHighlands RanchCO80129841207775501(c)(3)$5,175Sponsorship
Greater Parker Foundation
20120 East Main StParkerCO80138263664272501(c)(3)$10,000Sponsorship
Highlands Ranch Community Association
9568 S University BlvdHighlands RanchCO80126840869474501(c)(3)$6,667Sponsorship
Littleton Adventist Hospital
Dept 1640DenverCO80291840438224501(c)(3)$19,527Sponsorship
Littleton Public Schools Foundation
5776 S Crocker StLittletonCO80120841185005501(c)(3)$15,000Sponsorship
Parker Chamber of Commerce
19590 East Main St100ParkerCO80138840721419501(c)(6)$6,200Membership
Parker Task Force
PO Box 2645ParkerCO80134742494265501(c)(3)$10,000Sponsorship
The Community Foundation
1123 Spruce StBoulderCO80302841171836501(c)(3)$6,000Sponsorship
Town of Castle Rock
100 N WilcoxCastle RockCO80104846000640501(c)(3)$10,296Sponsorship
March of Dimes
421 South Tejon310Colorado SpringsCO80903131846366501(c)(3)$7,500Sponsorship
FieldValueIRS element (for citing)
Total501c3 Org19Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant FundsGRANTS ARE MADE AT THE DISCRETION OF THE FACILITY CEOS. THE CEOS MAKE REQUESTS FOR FUNDING, WHICH CAN BE EITHER A DONATION TO A SPECIFIC ENTITY OR AN INVOICE FOR A SPECIFIC EXPENSE. MOST RECIPIENTS OF MONIES ARE 501(C)(3) ENTITIES. AS SUCH, THEY ENSURE THAT ALL MONIES RECEIVED ARE USED FOR THEIR INTENDED PURPOSE ONLY. FOR ALL TUITION REIMBURSEMENTS, RECIPIENTS ARE REQUIRED TO MAINTAIN MINIMUM ACADEMIC STANDARDS AND PROVIDE DOCUMENTATION THAT THEY ARE MEETING THESE STANDARDS. RECIPIENTS MUST SUBMIT WRITTEN SUBSTANTIATION OF ALL EXPENSES INCURRED BEFORE REIMBURSEMENTS WILL BE PAID.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.GRANTS ARE MADE AT THE DISCRETION OF THE FACILITY CEOS. THE CEOS MAKE REQUESTS FOR FUNDING, WHICH CAN BE EITHER A DONATION TO A SPECIFIC ENTITY OR AN INVOICE FOR A SPECIFIC EXPENSE. MOST RECIPIENTS OF MONIES ARE 501(C)(3) ENTITIES. AS SUCH, THEY ENSURE THAT ALL MONIES RECEIVED ARE USED FOR THEIR INTENDED PURPOSE ONLY. FOR ALL TUITION REIMBURSEMENTS, RECIPIENTS ARE REQUIRED TO MAINTAIN MINIMUM ACADEMIC STANDARDS AND PROVIDE DOCUMENTATION THAT THEY ARE MEETING THESE STANDARDS. RECIPIENTS MUST SUBMIT WRITTEN SUBSTANTIATION OF ALL EXPENSES INCURRED BEFORE REIMBURSEMENTS WILL BE PAID.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RANDY HAFFNER
CHAIRMAN$591,435$0$219,184$0$119,139$0$140,604$0$21,767$0$1,092,129$0$109,812$0
ROBERT HENDERSCHEDT
BOARD MEMBER$0$650,059$0$222,556$0$151,756$0$138,708$0$45,042$0$1,208,121$0$98,094
TERRY SHAW
BOARD MEMBER$0$936,467$0$320,728$0$249,120$0$204,363$0$53,247$0$1,763,925$0$175,971
Dennis Barts
CEO - Avista Adventist Hospital$318,011$0$126,615$0$7,299$0$53,702$0$12,348$0$517,975$0$12,835$0
CHERYL CURRY
CFO-Littleton Adventist Hosp$248,095$0$63,508$0$2,274$0$15,600$0$19,063$0$348,540$0$0$0
MORRE DEAN
CEO-Porter Adventist Hospital$373,371$0$74,132$0$47,245$0$86,482$0$21,495$0$602,725$0$31,506$0
Jonathan Fisher
CFO -Parker Adventist Hospital$176,013$0$29,136$0$1,398$0$10,089$0$18,084$0$234,720$0$0$0
ANDREW GAASCH
CFO-PORTER ADVENTIST HOSP$284,365$0$66,061$0$823$0$12,900$0$18,392$0$382,541$0$0$0
Brett Spenst
CEO-Littleton Adventist Hospital$301,218$0$115,089$0$11,184$0$69,950$0$13,062$0$510,503$0$0$0
Douglas Dennis
PHYSICIAN$738,413$0$400,080$0$6,216$0$15,600$0$14,771$0$1,175,080$0$0$0
Raymond Kim
Physician$1,147,849$0$400,580$0$1,125$0$15,600$0$23,709$0$1,588,863$0$0$0
Todd Miner
Physician$979,666$0$429,330$0$1,693$0$15,600$0$23,641$0$1,449,930$0$0$0
Christopher OLIVER
PHYSICIAN$932,071$0$0$0$784$0$15,600$0$20,329$0$968,784$0$0$0
Charlie Yang
PHYSICIAN$758,039$0$400,000$0$914$0$15,600$0$22,192$0$1,196,745$0$0$0

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
REPORTABLE INDIVIDUALS COMPENSATED BY UNRELATED ORGANIZATIONSALL KEY EMPLOYEES AND HOSPITAL CEOS ARE COMPENSATED BY CENTURA HEALTH CORPORATION, WHO MANAGES THE DAILY ACTIVITIES OF PORTERCARE ADVENTIST HOSPITALS UNDER A JOINT OPERATING AGREEMENT DATED DECEMBER 8, 1995 BETWEEN THE ADVENTIST HEALTHCARE SYSTEM AND CATHOLIC HEALTH INITIATIVES. AS SUCH, THEIR SALARIES ARE PAID TO THEM BY CENTURA, AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED IN THEIR CAPACITY AS KEY EMPLOYEES OR OFFICERS OF PAHS. ALL OF THEIR REPORTABLE COMPENSATION IS DISCLOSED ON FORM 990, SCHEDULE J, PART II, ROW (I) AND FORM 990, PART VII, COLUMN (D) AS REPORTING ORGANIZATION COMPENSATION. IN ADDITION, THE CEO AND CFO OF PAHS WERE APPOINTED AS SUCH BY THE PAHS BOARD OF DIRECTORS. WHILE THEY ARE OFFICERS OF THESE ENTITIES, A VERY SMALL PORTION OF THEIR TIME IS DIRECTLY RELATED TO THE OPERATIONS OF PAHS. THEY ARE COMPENSATED BY CENTURA, WHICH IS CHARGED WITH MANAGING THE FACILITIES. THEIR RESPECTIVE COMPENSATION IS NOT REPORTED ON THE FILING ORGANIZATION'S 990 BUT IN FACT IS REPORTED IN FULL ON PART VII AND SCHEDULE J OF CENTURA HEALTH CORPORATION'S FORM 990.
Schedule J, Part I, Line 1a Travel for companionsSENIOR VPS AND HOSPITAL CEOS ARE PAID THROUGH CENTURA HEALTH CORP AND ARE ELIGIBLE FOR THE FOLLOWING BENEFITS: TRAVEL FOR COMPANIONS, HEALTH OR SOCIAL CLUB DUES, AND REIMBURSEMENT UP TO $10,000 FOR PERSONAL SERVICES SUCH AS TAX, FINANCIAL, AND ESTATE PLANNING SERVICES, ALONG WITH TAX GROSS-UP PAYMENTS FOR ANY REIMBURSEMENTS INCLUDED IN TAXABLE COMPENSATION. ALL BENEFITS ARE PROVIDED PURSUANT TO A WRITTEN POLICY GOVERNING PAYMENT AND REIMBURSEMENT, SUBSTANTIATION IS REQUIRED FOR ALL EXPENSES SUBMITTED FOR REIMBURSEMENT, AND REIMBURSEMENTS ARE INCLUDED IN TAXABLE COMPENSATION WHERE APPROPRIATE.
Schedule J, Part I, Line 1a Tax indemnification and gross-up paymentsSEE SCHEDULE J, PART I, LINE 1A - TRAVEL FOR COMPANIONS DISCLOSURE
Schedule J, Part I, Line 1a Health or social club dues or initiation feesSEE SCHEDULE J, PART I, LINE 1A - TRAVEL FOR COMPANIONS DISCLOSURE
Schedule J, Part I, Line 1a Personal servicesSEE SCHEDULE J, PART I, LINE 1A - TRAVEL FOR COMPANIONS DISCLOSURE
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationPortercare Adventist Health System's (PAHS) CEO IS PAID BY CENTURA HEALTH CORPORATION (CENTURA). OUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEOS. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO AND APPROVED BY THE COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planCENTURA OFFERS A NON-QUALIFIED RETIREMENT PLAN IN WHICH SENIOR EXECUTIVES (SENIOR VPS AND ABOVE) ARE PROVIDED A 10% OF SALARY ALLOWANCE TO PURCHASE INSURANCE PRODUCTS OR CONTRIBUTED INTO THE DEFERRED COMPENSATION PLAN. IN ADDITION, A PENSION RESTORATION BENEFIT IS PROVIDED WHICH CREDITS PARTICIPANTS WITH A BENEFIT WHICH IS CALCULATED BASED ON THE EXCESS OF THE PARTICIPANT'S COMPENSATION OVER THE MAXIMUM ALLOWED FOR PENSION CONTRIBUTIONS. AMOUNTS DEFERRED ARE NOT REPORTED AS TAXABLE INCOME UNTIL/UNLESS A TRIGGERING EVENT OCCURS. THIS DEFERRED COMPENSATION PLAN HAS A SUBSTANTIAL RISK OF FORFEITURE PROVISION AND AN ELECTED VESTING SCHEDULE. THE FOLLOWING RECEIVED CONTRIBUTIONS TO A NON-QUALIFIED PLAN FOR THE CALENDAR YEAR 2014: Morre Dean $48,191 Brett Spenst $47,725 Dennis Barts $31,801 Randy Haffner $134,104 During 2014 the following Distributions were made: Morre Dean $31,506 Randy Haffner $109,812 IN ADDITION, TWO OF THE BOARD MEMBERS ARE COMPENSATED BY ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHS) AND IN RECOGNITION OF THE CONTRIBUTION THAT EACH EXECUTIVE MAKES TO THE SUCCESS OF AHS, AHS PROVIDES TO ELIGIBLE EXECUTIVES PARTICIPATION IN THE AHS EXECUTIVE FLEX BENEFIT PROGRAM (THE PLAN). THE PURPOSE OF THE PLAN IS TO OFFER ELIGIBLE EXECUTIVES AN OPPORTUNITY TO ELECT FROM AMONG A VARIETY OF SUPPLEMENTAL BENEFITS, INCLUDING DEFERRED COMPENSATION BENEFITS TAXABLE UNDER INTERNAL REVENUE CODE (IRC) SECTION 457(F), TO INDIVIDUALLY TAILOR A BENEFITS PROGRAM APPROPRIATE TO EACH EXECUTIVE'S NEEDS. THE PLAN PROVIDES ELIGIBLE PARTICIPANTS A PRE-DETERMINED BENEFITS ALLOWANCE CREDIT THAT IS EQUAL TO A PERCENTAGE OF THE EXECUTIVE'S BASE PAY FROM WHICH IS DEDUCTED THE COST OF MANDATORY AND ELECTIVE EMPLOYEE BENEFITS. THE PRE-DETERMINED BENEFITS ALLOWANCE CREDIT PERCENTAGE IS APPROVED BY THE AHS BOARD STRATEGY & COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE OF THE BOARD OF DIRECTORS OF AHS. ANY FUNDS THAT REMAIN AFTER THE COST OF MANDATORY AND ELECTIVE BENEFITS ARE SUBTRACTED FROM THE PRE-DETERMINED BENEFITS ANNUAL AMOUNT ARE CONTRIBUTED, AT THE EMPLOYEE'S OPTION, TO EITHER AN IRC 457(F) DEFERRED COMPENSATION ACCOUNT OR TO AN IRC 457(B) ELIGIBLE DEFERRED COMPENSATION PLAN. UPON ATTAINMENT OF AGE 65, ALL PREVIOUS 457(F) DEFERRED AMOUNTS ARE PAID IMMEDIATELY TO THE PARTICIPANT AND ANY FUTURE EMPLOYER CONTRIBUTIONS ARE MADE QUARTERLY FROM THE PLAN DIRECTLY TO THE PARTICIPANT. THE PLAN DOCUMENTS DEFINE AN EMPLOYEE WHO IS ELIGIBLE TO PARTICIPATE IN THE PLAN TO GENERALLY INCLUDE THE CHIEF EXECUTIVE OFFICERS OF AHS ENTITIES AND VICE PRESIDENTS OF ALL AHS ENTITIES WHOSE BASE SALARY IS AT LEAST $210,000. THE PLAN PROVIDES FOR A CLASS YEAR VESTING SCHEDULE (2 YEARS FOR EACH CLASS YEAR) WITH RESPECT TO AMOUNTS ACCUMULATED IN THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT. DISTRIBUTIONS COULD ALSO BE MADE FROM THE EXECUTIVE'S 457(F) DEFERRED COMPENSATION ACCOUNT UPON ATTAINMENT OF AGE 65 OR UPON AN INVOLUNTARY SEPARATION. THE ACCOUNT IS FORFEITED BY THE EXECUTIVE UPON A VOLUNTARY SEPARATION. IN ADDITION TO THE PLAN, AHS HAS INSTITUTED A DEFINED BENEFIT, NON-TAX-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES WHO HAVE PROVIDED LENGTHY SERVICE TO AHS AND/OR TO OTHER SEVENTH-DAY ADVENTIST CHURCH HOSPITAL OR HEALTH CARE INSTITUTIONS. PARTICIPATION IN THE PLAN IS OFFERED TO AHS EXECUTIVES ON A PRORATA SCHEDULE BEGINNING WITH 20 YEARS OF SERVICE AS AN EMPLOYEE OF AHS AND/OR ANOTHER HOSPITAL OR HEALTHCARE INSTITUTION CONTROLLED BY THE SEVENTH-DAY ADVENTIST CHURCH AND WHO SATISFY CERTAIN OTHER QUALIFYING CRITERIA. THIS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS DESIGNED TO PROVIDE ELIGIBLE EXECUTIVES WITH THE ECONOMIC EQUIVALENT OF AN ANNUAL INCOME BEGINNING AT NORMAL RETIREMENT AGE EQUAL TO 60% OF THE AVERAGE OF THE PARTICIPANT'S THREE HIGHEST YEARS OF BASE SALARY FROM AHS ACTIVE EMPLOYMENT INCLUSIVE OF INCOME FROM ALL OTHER SEVENTH-DAY ADVENTIST CHURCH HEALTHCARE EMPLOYER-FINANCED RETIREMENT INCOME SOURCES AND INVESTMENT INCOME EARNED ON THOSE CONTRIBUTIONS THROUGH SOCIAL SECURITY NORMAL RETIREMENT AGE AS DEFINED IN THE PLAN. THE NUMBER OF YEARS INCLUDED IN HIGHEST AVERAGE COMPENSATION IS DETERMINED BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE SERP AND BY THE INDIVIDUAL'S YEAR OF ENTRY TO THE AHS EXECUTIVE FLEX BENEFIT PROGRAM. 457(F) EMPLOYER CONTRIBUTIONS FOR CALENDAR YEAR 2014 WERE: ROBERT HENDERSCHEDT $124,603 TERRY SHAW $190,258 457(F) EMPLOYER DISTRIBUTIONS FOR CALENDAR YEAR 2014 WERE: ROBERT HENDERSCHEDT $121,878 TERRY SHAW $176,733 SERP PAYMENTS FOR CALENDAR YEAR 2014 WERE: Terry Shaw $176,733
Schedule J, Part I, Line 7 Non-fixed paymentsPARTICIPANTS IN CENTURA'S INCENTIVE COMPENSATION PLANS INCLUDE DIRECTORS AND ABOVE. PAYOUTS ARE BASED ON METRICS ESTABLISHED AND APPROVED BY CENTURA'S COMPENSATION COMMITTEE. THE METRICS INCLUDE QUANTIFIABLE MEASURES PERTAINING TO FINANCIAL PERFORMANCE, SAFETY AND QUALITY AND ASSOCIATE SATISFACTION WITH EACH METRIC WEIGHTED IN DETERMINING THE OVERALL SCORE. THE INCENTIVE COMPENSATION PAYOUT IS CALCULATED BASED ON THE CUMULATIVE SCORE FOR ALL METRICS AND THE PAYOUT IS BASED ON A COMBINATION OF THE SCORE, THE INDIVIDUAL'S BASE COMPENSATION AMOUNT AND POSITION (E.G. DIRECTOR, VICE PRESIDENT).

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Christopher OliverBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgEmployeeRelationshipWithOrgTxt
Loan PurposePhysician RemunerationLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$290,000OriginalPrincipalAmt
Balance Due$77,333BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$77,333TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 16b JOINT VENTURE POLICYPORTERCARE ADVENTIST HEALTH SYSTEM HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER, ADVENTIST HEALTH SYSTEM'S (AHS) SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATIONS, AT ALL TIMES, RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S LENGTH, WITH PRICES SET AT FAIR MARKET VALUE.
Form 990, Part VI, Line 15 PROCESS USED TO ESTABLISH COMPENSATIONOUTSIDE CONSULTANTS ARE ENGAGED TO PROVIDE RECOMMENDATIONS TO CENTURA'S COMPENSATION COMMITTEE REGARDING THE COMPENSATION OF FACILITY CEOS AND CENTURA SENIOR EXECUTIVES. THE CONSULTANT'S RECOMMENDATIONS ARE THEN PRESENTED TO, CONSIDERED BY, AND APPROVED BY THE COMPENSATION COMMITTEE. CENTURA'S HUMAN RESOURCES DEPARTMENT PERFORMS ANALYSES OF THE MARKET TO DETERMINE COMPENSATION RANGES FOR THE REMAINDER OF CENTURA ASSOCIATES WHICH ARE REVIEWED AND APPROVED BY CENTURA'S SENIOR LEADERSHIP.
Form 990, Part VI, Line 1a Delegate broad authority to a committeePURSUANT TO ARTICLE IV OF THE BYLAWS OF PORTERCARE ADVENTIST HEALTH SYSTEM, THE BOARD OF TRUSTEES MAY, BY RESOLUTION OR RESOLUTIONS PASSED BY A MAJORITY OF THE TRUSTEES THEREOF, APPOINT AN EXECUTIVE COMMITTEE OR SUCH OTHER COMMITTEES FOR ANY PURPOSE AND DELEGATE TO SUCH COMMITTEES ANY OF THE POWERS AND AUTHORITY OF THE BOARD OF TRUSTEES AS IS PERMITTED BY LAW. COLORADO LAW PRECLUDES A COMMITTEE OF THE BOARD FROM (I) AUTHORIZING DISTRIBUTIONS; (II) APPROVING OR PROPOSING TO THE MEMBER ACTIONS THAT ARTICLES 121-137 OF TITLE 7 OF THE COLORADO REVISED STATUTES REQUIRE TO BE APPROVED BY THE MEMBER; (III) AMENDING THE CORPORATION'S AMENDED AND RESTATED ARTICLES OF INCORPORATION; (IV) ADOPTING, AMENDING OR REPEALING THE BYLAWS; (V) APPROVING A PLAN OF MERGER NOT REQUIRING APPROVAL OF THE MEMBER; OR (VI) APPROVING A SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF ITS PROPERTY, WITH OR WITHOUT GOOD WILL, OTHERWISE THAN IN THE USUAL AND REGULAR COURSE OF BUSINESS SUBJECT TO APPROVAL OF THE MEMBER. SUCH COMMITTEES SHALL HAVE THE POWER TO ACT ONLY IN INTERVALS BETWEEN MEETINGS OF THE BOARD OF TRUSTEES AND SHALL, AT ALL TIMES, BE SUBJECT TO THE CONTROL OF THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES, OR IF THE BOARD DOES NOT ACT, THE COMMITTEES, SHALL ESTABLISH RULES AND REGULATIONS FOR MEETINGS AND SHALL MEET AT SUCH TIMES AS ARE DEEMED NECESSARY, PROVIDED THAT A REASONABLE NOTICE OF ALL MEETINGS SHALL BE GIVEN TO COMMITTEE MEMBERS. NO ACT OF A COMMITTEE SHALL BE VALID UNLESS APPROVED BY THE VOTE OR WRITTEN CONSENT OF A MAJORITY OF ITS MEMBERS. COMMITTEES SHALL KEEP REGULAR MINUTES OF PROCEEDINGS AND REPORT THE SAME TO THE BOARD FROM TIME TO TIME AS THE BOARD MAY REQUIRE.
Form 990, Part VI, Line 6 Classes of members or stockholdersTHE SOLE CORPORATE MEMBER OF PAHS IS ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHS), A FLORIDA NONPROFIT CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyAHS, THE SOLE CORPORATE MEMBER, HAS THE POWER TO APPOINT OR REMOVE THE MEMBERS OF THE GOVERNING BODY.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE CORPORATE MEMBER, AHS, ACTING THROUGH THE BOARD OF TRUSTEES, MAINTAINS ALL RIGHTS PERMITTED TO BE EXERCISED BY DIRECTORS OF A COLORADO CORPORATION EXCEPT AS LIMITED BY THE ORGANIZATIONS' ARTICLES, BYLAWS, OR AFFILIATION AGREEMENT WITH CATHOLIC HEALTH INITIATIVES (CHI). THE AGREEMENT OF BOTH AHS AND CHI IS REQUIRED FOR CERTAIN SIGNIFICANT DECISIONS INVOLVING CENTURA FACILITIES. IN ADDITION, PURSUANT TO THE AFFILIATION AGREEMENT BETWEEN CHI, CHIC, CENTURA HEALTH CORPORATION, AND PORTERCARE ADVENTIST HEALTH SYSTEM, CERTAIN MATTERS AFFECTING CHIC MUST BE APPROVED BY BOTH PORTERCARE AND CHI. THOSE ITEMS INCLUDE: - THE TRANSFER OF ASSETS VALUED AT OVER $1,000,000 - THE ISSUANCE OF A DEBT INSTRUMENT IN EXCESS OF $250,000 - THE AMENDMENT OF THE ORGANIZING DOCUMENTS - THE ADMISSION OF A NEW SPONSOR - A MERGER OR DISSOLUTION OR REORGANIZATION - SETTLEMENT OF LEGAL PROCEEDINGS IN EXCESS OF $2,000,000 - CAPITAL EXPENDITURES IN EXCESS OF $2,000,000
Form 990, Part VI, Line 11b Review of form 990 by governing bodyA DRAFT OF THE FORM 990 IS PROVIDED TO MANAGEMENT, INCLUDING THE CFO, FOR REVIEW. THE RETURN IS E-MAILED TO THE ENTIRE BOARD FOR REVIEW PRIOR TO FILING. AFTER PRESENTATION TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
Form 990, Part VI, Line 12c Conflict of interest policyPORTERCARE ADVENTIST HEALTH SYSTEM HAS ADOPTED CENTURA HEALTH'S CONFLICT OF INTEREST POLICY: 1. CONFLICT OF INTEREST POLICY 1.1 CONSISTENT WITH CENTURA INTEGRITY STANDARDS, IT IS POLICY THAT EACH BOARD OF TRUSTEE MEMBER, CORPORATE OFFICER, AND KEY EMPLOYEE ACT AT ALL TIMES IN A MANNER THAT IS CONSISTENT WITH CENTURA'S MISSION AND VALUES BASED SERVICE TO THE COMMUNITY AND EXERCISE CARE THAT HE OR SHE DOES NOT HAVE ANY PERSONAL INTEREST WHICH MIGHT CONFLICT WITH OR APPEAR TO CONFLICT WITH THE INTEREST OF CENTURA OR WHICH MIGHT INFLUENCE THEIR JUDGMENT OR ACTIONS IN PERFORMING THEIR DUTIES. 1.1.1 IN CONNECTION WITH AN ACTUAL OR POSSIBLE TRANSACTION OR ARRANGEMENT INVOLVING CENTURA, ANY BOARD MEMBER, CORPORATE OFFICER, OR KEY EMPLOYEE WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST MUST DISCLOSE AND BE GIVEN THE OPPORTUNITY TO SHARE ALL MATERIAL FACTS WITH THE BOARD CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. 1.1.2 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES ARE ALSO REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS ON AN ANNUAL BASIS THROUGH THE CONFLICT OF INTEREST QUESTIONNAIRE. 2. PROCEDURE FOR DISCLOSING AND REVIEWING TRANSACTION OR ARRANGEMENT CONFLICT OF INTERESTS: 2.1 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES THAT HAVE A FINANCIAL INTEREST IN ANY ACTUAL OR POSSIBLE TRANSACTION INVOLVING CENTURA ARE REQUIRED TO DISCLOSE THE FINANCIAL INTEREST. 2.1.1 IN ORDER TO DETERMINE IF A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WHO IS CONSIDERED TO HAVE A FINANCIAL INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING. AFTER SUCH PRESENTATION, THE INDIVIDUAL SHALL LEAVE THE MEETING FOR DISCUSSION AND A VOTE ON THE ISSUE. 2.1.2 AFTER EXERCISING DUE DILLEGENCE, THE BOARD OR BOARD COMMITTEE SHALL DETERMINE WHETHER CENTURA CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION WITH REASONABLE EFFORTS FROM ANOTHER PERSON OR ENTITY. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY ATTAINABLE, THE BOARD OR BOARD COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER THE TRANSACTION IS IN CENTURA'S BEST INTEREST AND IS FAIR. 3. PROCEDURE FOR DISCLOSING AND REVIEWING OTHER CONFLICT OF INTERESTS: 3.1 BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES SHALL ALSO DISCLOSE IN ADVANCE TO CENTURA LEADERS ANY NON-TRANSACTIONAL ACTIONS OR RELATIONSHIPS THAT HAVE THE POTENTIAL TO CREATE A CONFLICT OF INTEREST. 3.1.1 THE BOARD OR BOARD COMMITTEE SHALL CAREFULLY REVIEW AND SCRUTINIZE ANY CONFLICT OF INTEREST. BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS, THE BOARD SHALL TAKE WHATEVER ACTION IS DEEMED APPROPRIATE WITH RESPECT TO THE BOARD MEMBER, CORPORATE OFFICER, OR KEY EMPLOYEE UNDER THE CIRCUMSTANCES, INCLUDING POSSIBLE CORRECTIVE ACTION, IN ORDER TO BEST PROTECT THE INTERESTS OF CENTURA. 3.1.2 ON AN ANNUAL BASIS, BOARD MEMBERS, CORPORATE OFFICERS, AND KEY EMPLOYEES WILL ALSO BE SENT AN EMAIL REQUESTING THEY COMPLETE THE BOARD MEMBER AND CORPORATE OFFICER CONFLICT OF INTEREST QUESTIONNAIRE BY THE SPECIFIED DUE DATE IN THE EMAIL. 3.1.3 THE CORPORATE RESPONSIBILITY DEPARTMENT SHALL NOTIFY THE CHAIRPERSON OF THE BOARD OF ANY POTENTIAL CONFLICTS AND THE CHAIRPERSON, OR DESIGNEE, SHALL PERFORM FURTHER INVESTIGATION AS HE OR SHE DEEMS APPROPRIATE. 4. RECORD OF PROCEEDINGS: 4.1 THE MINUTES OF THE BOARD AND BOARD COMMITTEE SHALL CONTAIN: 4.1.1 THE NAMES OF PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST AND THE NATURE OF THE FINANCIAL INTEREST. 4.1.2 THE NAMES OF PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO ANY FINANCIAL INTEREST, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES, AND A RECORD OF THE BOARD OR BOARD COMMITTEE DECISION. 5. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: 5.1 IF THE BOARD OR BOARD COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE EITHER AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR ALL MATERIAL FACTS SURROUNDING AN ACTUAL OR POSSIBLE CONFLICT, THE INDIVIDUAL WILL BE GIVEN A CHANCE TO EXPLAIN. 5.1.1 AFTER HEARING THE RESPONSE, THE BOARD WILL CONDUCT SUCH ADDITIONAL INVESTIGATION AS APPROPRIATE. IF THE BOARD DETERMINES THAT THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AS REQUIRED BY THE CONFLICT OF INTEREST POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesSee Above
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE ON THE COLORADO SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOther Miscellaneous Revenue - Total Revenue: 1238217, Related or Exempt Function Revenue: , Unrelated Business Revenue: 85373, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1152844;
Form 990, Part IX, Line 11g Other FeesOther Fees for Services - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 32573573, Fundraising Expenses: ;
Form 990, Part IX, Line 11g Other ExpensesAll other expenses - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 61524081, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTransfers to Affiliates - -4966616; Minority Interest Distribution - -44671;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (103 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Adventist Bolingbrook Hospital
500 Remington BlvdBolingbrookIL60440651219504Operation of Hospital & Related ServicesIL501(c)(33Adventist Hlth SystemSunbelt Incfalse
Adventist Care Centers - Courtland Inc
730 Courtland StreetOrlandoFL32804205774723Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(39Sunbelt Hlth Care Centers Incfalse
Adventist GlenOaks Hospital
701 Winthrop AvenueGlendale HeightsIL60139363208390Operation of Hospital & Related ServicesIL501(c)(33Adventist Hlth SystemSunbelt Incfalse
Adventist Hlth Mid-America Inc
9100 W 74th StreetShawnee MissionKS66204521347407Hlthcare Related ServicesKS501(c)(3Type IAdventist Hlth SystemSunbelt Incfalse
Adventist Hlth Partners Inc
1000 Remington Bvd St 200BolingbrookIL60440364138353Operate out-patient physician clinicsIL501(c)(33AHS Midwest Management Incfalse
Adventist Hlth System Sunbelt Hlthcare Corp
900 Hope WayAltamonte SpringsFL32714592170012Management ServicesFL501(c)(3Type INAfalse
Adventist Hlth System Georgia Inc
1035 Red Bud RoadCalhounGA30701581425000Operation of Hospital & Related ServicesGA501(c)(33Adventist Hlth System Sunbelt Hlthcare CorpYes (true)
Adventist Hlth SystemSunbelt Inc
900 Hope WayAltamonte SpringsFL32714591479658Operation of Hospital & Related ServicesFL501(c)(33Adventist Hlth System Sunbelt Hlthcare CorpYes (true)
Adventist Hlth System Texas Inc
11801 S FreewayBurlesonTX36028742578952Leasing Personnel to Affiliated HospitalTX501(c)(3Type III-FIAdventist Hlth System Sunbelt Hlthcare CorpYes (true)
ADVENTIST HINSDALE HOSPITAL
120 North Oak StreetHinsdaleIL60521362276984Operation of Hospital & Related ServicesIL501(c)(33Adventist Hlth SystemSunbelt Incfalse
Adventist University of Health Sciences Inc
671 Lake Winyah DriveOrlandoFL32803593069793Education/Operation of SchoolFL501(c)(32Adventist Hlth SystemSunbelt Incfalse
AHS Midwest Management Inc
1000 Remington Blvd Ste 200BolingbrookIL60440363354567Operation of Physician Practice MgmtIL501(c)(3Type IAdventist Hlth SystemSunbelt Incfalse
AHSCentral Texas Inc
1301 Wonder World DriveSan MarcosTX78666742621825Provide Office Space - Medical ProfessionalsTX501(c)(3Type III-FIAdventist Hlth System Sunbelt Hlthcare CorpYes (true)
Apopka Hlth Care Properties Inc
305 E Oak StreetApopkaFL32703510605694Lease to Related OrganizationGA501(c)(3Type III-OSunbelt Hlth Care Centers Incfalse
Battle Creek Adventist Hospital
1000 Remington Blvd Ste 200BolingbrookIL60440381359189InactiveMI501(c)(33Adventist Hlth SystemSunbelt Incfalse
Bolingbrook Hospital Foundation
1000 Remington BlvdBolingbrookIL60440900494445Fund-raising for Tax-exempt hospitalIL501(c)(37Midwest Hlth Foundationfalse
Bradford Heights Hlth and Rehab Center Inc
950 Highpoint DriveHopkinsvilleKY42240205782342Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(39Sunbelt Hlth Care Centers Incfalse
Burleson Nursing & Rehab Center Inc
301 Huguley BlvdBurlesonTX76028205782243Operation of Home for the Aged/Hlthcare DeliveryTX501(c)(39Sunbelt Hlth Care Centers Incfalse
Caldwell Hlth Care Properties Inc
1333 West MainPrincetonKY42445510605680Lease to Related OrganizationGA501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
Central Texas Hlthcare Collaborative
1301 Wonder World DriveSan MarcosTX78666453739929Support Operation of HospitalTX501(c)(3Type IAdventist Hlth SystemSunbelt Incfalse
Central Texas Medical Center Foundation
1301 Wonder World DriveSan MarcosTX78666742259907Fund-raising for Tax-exempt hospitalTX501(c)(37NAfalse
Chickasaw Hlth Care Properties Inc
250 S Chickasaw TrailOrlandoFL32825510605681Lease to Related OrganizationGA501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
Chippewa Valley Hospital and Oakview Care Center Inc
1220 Third Avenue WestDurandWI54736391365168Operation of Hospital & Related ServicesWI501(c)(33Adventist Hlth SystemSunbelt Incfalse
Cobb Medical Associates LLC
3949 South Cobb Drive SESmyrnaGA30080582617089Operation of Physician Practices & Medical ServicesGA501(c)(33Emory-Adventist Incfalse
Courtland Hlth Care Properties Inc
730 Courtland StreetOrlandoFL32804510605682Lease to Related OrganizationGA501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
Creekwood Place Nursing and Rehab Center Inc
683 E Third StreetRussellvilleKY42276205782260Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(39Sunbelt Hlth Care Centers Incfalse
Dairy Road Hlth Care Properties Inc
7350 Dairy RoadZephyrhillsFL33540510605684Lease to Related OrganizationGA501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
East Orlando Hlth and Rehab Center Inc
250 S Chickasaw TrailOrlandoFL32825205774748Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(39Sunbelt Hlth Care Centers Incfalse
Emory Adventist Inc
3949 South Cobb DriveSmyrnaGA30080582171011Operation of Hospital & Related SvcsGA501(c)(33Adventist Hlth SystemSunbelt Incfalse
Fletcher Hospital Inc
100 Hospital DriveHendersonvilleNC28792560543246Operation of Hospital & Related SvcsNC501(c)(33Adventist Hlth System Sunbelt Hlthcare CorpYes (true)
FLNC Inc
3355 E Semoran BlvdApopkaFL32703205774761Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(39Sunbelt Hlth Care Centers Incfalse
FLORIDA HOSPITAL HEALTHCARE PARTNERS INC
770 West Granada Blvd 101Ormond BeachFL32174462354804Operation of Physician Practices & Medical ServicesFL501(c)(33Adventist Hlth SystemSunbelt Incfalse
Florida Hospital Medical Group Inc
2600 Westhall LnMaitlandFL32751593214635Operation of Physician Practices & Medical ServicesFL501(c)(33Adventist Hlth SystemSunbelt Incfalse
Florida Hospital Physician Group Inc
14055 Riveredge Drive Ste 250TampaFL33637462021581Operation of Physician Practices & Medical ServicesFL501(c)(33Adventist Hlth System Sunbelt Hlthcare Corpfalse
Florida Hospital Waterman Inc
1000 Waterman WayTavaresFL32778593140669Operation of Hospital & Related ServicesFL501(c)(33Adventist Hlth System Sunbelt Hlthcare CorpYes (true)
Florida Hospital Zephyrhills Inc
7050 Gall BlvdZephyrhillsFL33541592108057Operation of Hospital & Related ServicesFL501(c)(33Adventist Hlth SystemSunbelt Incfalse
Foundation for Shawnee Mission Medical Center Inc
9100 W 74th StreetShawnee MissionKS66204480868859Fund-raising for Tax-exempt hospitalKS501(c)(3Type IShawnee Mission Medical Center Incfalse
Fountain Inn Nursing & Rehab CenterInc
602 Courtland St Ste 200OrlandoFL32804472180518Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(39Sunbelt Hlth Care Centers Incfalse
GlenOaks Hospital Foundation
701 Winthrop AvenueGlendale HeightsIL60139363926044Fund-raising for Tax-exempt hospitalIL501(c)(37Midwest Hlth Foundationfalse
Helen Ellis Memorial Hospital Auxiliary Inc
1395 S Pinellas AveTarpon SpringsFL34689592106043Fund-raising for Tax-exempt hospital/foundationFL501(c)(3Type III-FINAfalse
Helen Ellis Memorial Hospital Foundation Inc
1395 S Pinellas AveTarpon SpringsFL34689593690149Fund-raising for Tax-exempt hospitalFL501(c)(3Type III-FINAfalse
Hinsdale Hospital Foundation
7 Salt Creek Lane Suite 203HinsdaleIL60521521466387Fund-raising for Tax-exempt hospitalIL501(c)(37Midwest Hlth Foundationfalse
Hospice of the Comforter Inc
480 W Central ParkwayAltamonte SpringsFL32714592935928Operation of HospiceFL501(c)(39The Comforter Health Care Group Incfalse
Hospice of the Comforter Foundation Inc
480 W Central ParkwayAltamonte SpringsFL32714271858033Fund Raising for Affiliated Tax-Exempt HospiceFL501(c)(37The Comforter Health Care Group Incfalse
In-Motion Rehab Inc
602 Courtland Street Ste 200OrlandoFL32804208023411Therapy services to tax exempt nursing homesKS501(c)(3Type IISunbelt Hlth Care Centers Incfalse
Jellico Community Hospital Inc
188 Hospital LaneJellicoTN37762620924706Operation of Hospital & Related ServicesTN501(c)(33Adventist Hlth System Sunbelt Hlthcare CorpYes (true)
La Grange Memorial Hospital Foundation
5101 S Willow Springs RdLa GrangeIL60525300247776Fund-raising for Tax-exempt hospitalIL501(c)(37Midwest Hlth Foundationfalse
Lake County Health Care Properties Inc
602 Courtland St Ste 200OrlandoFL32804472179868Lease to Related OrganizationFL501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
Memorial Hlth Systems Foundation Inc
770 West Granada BlvdOrmond BeachFL32174311771522Fund-raising for Tax-exempt hospitalFL501(c)(37NAfalse
Memorial Hlth Systems Inc
301 Memorial Medical PkwyDaytona BeachFL32117590973502Operation of Hospital & Related ServicesFL501(c)(33Adventist Hlth SystemSunbelt Incfalse
Memorial Hospital West Volusia Inc
701 West Plymouth AvenueDelandFL32720593256803Operation of Hospital & Related ServicesFL501(c)(33Memorial Hlth Systems Incfalse
Memorial Hospital Flagler Inc
60 Memorial Medical ParkwayPalm CoastFL32164592951990Operation of Hospital & Related ServicesFL501(c)(33Memorial Hlth Systems Incfalse
Memorial Hospital Inc
210 Marie Langdon DriveManchesterKY40962610594620Operation of Hospital & Related ServicesKY501(c)(33Adventist Hlth System Sunbelt Hlthcare CorpYes (true)
Merriam Hlth Care Properties Inc
9700 West 62nd StreetMerriamKS66203364595806Lease to Related OrganizationKS501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
Metroplex Adventist Hospital Inc
2201 S Clear Creek RoadKilleenTX76549742225672Operation of Hospital & Related ServicesTX501(c)(33Adventist Hlth System Sunbelt Hlthcare CorpYes (true)
Metroplex Clinic Physicians Inc
2201 S Clear Creek RoadKilleenTX76549113762050Physician Hlthcare services to the communityTX501(c)(33Metroplex Adventist Hospital Incfalse
Metroplex Hospital Inc
900 Hope WayAltamonte SpringsFL32714461256516Future Operation of Hospital & Related SvcsFL501(c)(33Adventist Hlth System Sunbelt Hlthcare Corpfalse
Midwest Hlth Foundation
120 North Oak StreetHinsdaleIL60521352230515Support of subsidiary FoundationsIL501(c)(3Type IINAfalse
Mills Hlth & Rehab Center Inc
500 Beck LaneMayfieldKY42066205782320Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(39Sunbelt Hlth Care Centers Incfalse
Mission Strategies of Georgia Inc
3949 S Cobb DriveSmyrnaGA30080900866024Provision of support to the nursing home divisionGA501(c)(3Type IISunbelt Hlth Care Centers Incfalse
Missouri Adventist Hlth Inc
9100 W 74th StreetShawnee MissionKS66204431224729Support Hlth Care ServicesMO501(c)(3Type III-OAdventist Hlth Mid-America Incfalse
North Regional EMS Inc
188 Hospital LaneJellicoTN37762262653616EMS ServicesTN501(c)(39Jellico Community Hospital Incfalse
Ormond Beach Memorial Hospital Auxiliary Inc
301 Memorial Medical ParkwayDaytona BeachFL32117591721962Volunteer support servicesFL501(c)(3Type III-FINAfalse
Overland Park Nursing & Rehab Center Inc
6501 West 75th StreetOverland ParkKS66204205774821Operation of Home for the Aged/Hlthcare DeliveryKS501(c)(39Sunbelt Hlth Care Centers Incfalse
Paragon Hlth Care Properties Inc
950 Highpoint DriveHopkinsvilleKY42240510605686Lease to Related OrganizationGA501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
Pasco-Pinellas Hillsborough Community Hlth System Inc
2600 Bruce B Downs BlvdWesley ChapelFL33544208488713Operation of Hospital & Related ServicesFL501(c)(33Adventist Hlth System Sunbelt Hlthcare Corpfalse
Portercare Adventist Hlth System
2525 S Downing StreetDenverCO80210840438224Operation of Hospital & Related ServicesCO501(c)(33Adventist Hlth System Sunbelt Hlthcare CorpYes (true)
Princeton Hlth and Rehab Center Inc
1333 West MainPrincetonKY42445205782272Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(39Sunbelt Hlth Care Centers Incfalse
Princeton Professional Services Inc
601 E Rollins StreetOrlandoFL32803591191045Provision of Hlthcare ServicesFL501(c)(39Adventist Hlth System Sunbelt Hlthcare CorpYes (true)
Quality Circle for Hlthcare Inc
900 Hope WayAltamonte SpringsFL32714263789368Hlthcare Quality ServicesFL501(c)(3Type IAdventist Hlth System Sunbelt Hlthcare Corpfalse
Resource Personnel Inc
602 Courtland Street Ste 200OrlandoFL32804208040875Provide administrative support to tax exempt nursing homesFL501(c)(3Type IISunbelt Hlth Care Centers Incfalse
Rocky Mountain Adventist Hlthcare Foundation
7995 E Prentice Ave 204Greenwood VillageCO80111840745018Fund-raising for Tax-exempt hospitalCO501(c)(37NAfalse
Rollins Brook Community Care Corp
2201 S Clear Creek RoadKilleenTX76549461656773InactiveTX501(c)(3Type IAdventist Hlth SystemSunbelt Incfalse
Russellville Hlth Care Properties Inc
683 East Third StreetRussellvilleKY42276510605691Lease to Related OrganizationGA501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
San Marcos Hlth Care Properties Inc
1900 Medical ParkwaySan MarcosTX78666510605693Lease to Related OrganizationGA501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
San Marcos Nursing and Rehab Center Inc
1900 Medical ParkwaySan MarcosTX78666205782224Operation of Home for the Aged/Hlthcare DeliveryTX501(c)(39Sunbelt Hlth Care Centers Incfalse
Shawnee Mission Hlth Care Inc
6501 West 75th StreetOverland ParkKS66204480952508Lease to Related OrganizationKS501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
Shawnee Mission Medical Center Inc
9100 W 74th StreetShawnee MissionKS66204480637331Operation of Hospital & Related ServicesKS501(c)(33Adventist Hlth Mid-America Incfalse
South Central Inc
900 Hope WayAltamonte SpringsFL32714593689740Management SupportGA501(c)(3Type III-FINAfalse
South Pasco Hlth Care Properties Inc
38250 A AvenueZephyrhillsFL33542510605679Lease to Related OrganizationGA501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
Southwest Volusia Hlth Services Inc
1055 Saxon BlvdOrange CityFL32763593281591Medical Office Building for HospitalFL501(c)(3Type ISouthwest Volusia Hlthcare Corpfalse
Southwest Volusia Hlthcare Corp
1055 Saxon BlvdOrange CityFL32763593149293Operation of Hospital & Related ServicesFL501(c)(33Adventist Hlth SystemSunbelt Incfalse
Specialty Physicians of Central Texas Inc
1301 Wonder World DriveSan MarcosTX78666208814408Physician Hlthcare services to the communityTX501(c)(33Adventist Hlth SystemSunbelt Incfalse
Spring View Hlth and Rehab Center Inc
718 Goodwin LaneLeitchfieldKY42754205782288Operation of Home for the Aged/Hlthcare DeliveryKY501(c)(39Sunbelt Hlth Care Centers Incfalse
Sunbelt Hlth and Rehab Center Apopka Inc
305 East Oak StreetApopkaFL32703205774856Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(39Sunbelt Hlth Care Centers Incfalse
Sunbelt Hlth Care Centers Inc
602 Courtland Street Ste 200OrlandoFL32804581473135Management ServicesTN501(c)(3Type IIAdventist Hlth System Sunbelt Hlthcare CorpYes (true)
SunSystem Development Corp
900 Hope WayAltamonte SpringsFL32714592219301Fund Raising for Affiliated Tax-Exempt HospitalsFL501(c)(37Adventist Hlth System Sunbelt Hlthcare CorpYes (true)
Takoma Regional Hospital Inc
401 Takoma AveGreenevilleTN37743510603966Operation of Hospital & Related ServicesTN501(c)(33Adventist Hlth SystemSunbelt Incfalse
TAKOMA REGIONAL HOSPITAL Foundation INC
401 Takoma AveGreenevilleTN37743471334302Fund Raising for Affiliated Tax-Exempt HospitalTN501(c)(37Takoma Regional Hospital Incfalse
Tarpon Springs Hospital Foundation Inc
1395 S Pinellas AveTarpon SpringsFL34689590898901Operation of Hospital & Related ServicesFL501(c)(33University Community Hospital Incfalse
Tarrant County Hlth Care Properties Inc
301 Huguley BlvdBurlesonTX76028510605677Lease to Related OrganizationGA501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
Taylor Creek Hlth Care Properties Inc
718 Goodwin LaneLeitchfieldKY42754510605678Lease to Related OrganizationGA501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
The Comforter Health Care Group Inc
605 Montgomery RoadAltamonte SpringsFL32714271857940Lease to Related OrganizationFL501(c)(3Type III-FIAdventist Hlth System Sunbelt Hlthcare Corpfalse
The Volunteer Auxiliary of Florida Hospital Flagler Inc
60 Memorial Medical ParkwayPalm CoastFL32164592486582Volunteer support servicesFL501(c)(3Type III-FINAfalse
TRI-COUNTY NURSING AND REHAB Center Inc
602 Courtland St Ste 200OrlandoFL32804472219363Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(39Sunbelt Hlth Care Centers Incfalse
Trinity Nursing and Rehab Center Inc
9700 West 62nd StreetMerriamKS66203205774890Operation of Home for the Aged/Hlthcare DeliveryKS501(c)(39Sunbelt Hlth Care Centers Incfalse
University Community Hospital Foundation Inc
3100 E Fletcher AveTampaFL33613592554889Fund-raising for Tax-exempt hospitalFL501(c)(3Type INAfalse
University Community Hospital Specialty Care Inc
3100 E Fletcher AveTampaFL33613593231322InactiveFL501(c)(3Type IUniversity Community Hospital Incfalse
University Community Hospital Inc
3100 E Fletcher AveTampaFL33613591113901Operation of Hospital & Related ServicesFL501(c)(33Adventist Hlth System Sunbelt Hlthcare CorpYes (true)
West Florida Health Home Care Inc fka South Cent Nurs Home Prop
PO Box 1289TampaFL33601593686109Will be operating Home Health AgencyGA501(c)(3Type III-OAdventist Hlth System Sunbelt Hlthcare Corpfalse
West Kentucky Hlth Care Properties Inc
500 Beck LaneMayfieldKY42066510605676Lease to Related OrganizationGA501(c)(3Type III-FISunbelt Hlth Care Centers Incfalse
Zephyr Haven Hlth and Rehab Center Inc
38250 A AvenueZephyrhillsFL33542205774930Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(39Sunbelt Hlth Care Centers Incfalse
Zephyrhills Hlth and Rehab Center Inc
7350 Dairy RoadZephyrhillsFL33540205774967Operation of Home for the Aged/Hlthcare DeliveryFL501(c)(39Sunbelt Hlth Care Centers Incfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtOwnershipOwnershipPctShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Appalachian Therapy Services LLC
100 Hospital DriveHendersonvilleNC28792202463851Therapy StaffingNCFletcher Hospital IncN/A0.5
Clear Creek MOB Ltd
2201 S Clear Creek RdKilleenTX76549742609195Real EstateTXClear Creek MOB IncN/A0.61
Endoscopy Center at Porter LLC
1001 South Park DriveLittletonCO80120205855038Medical ServicesCOPortercare Adventist Health SystemRelated0.51$27,350$131,570false$0false
Florida Hospital DMERT LLC
2450 Maitland Center Pkwy Ste 200MaitlandFL32751202392253Medical EquipmentFLPrinceton Prof Services IncN/A0.67
Florida Hospital Home Infusion
2450 Maitland Center Pkwy Ste 200MaitlandFL32751593142824Home Infusion ServicesFLPrinceton Prof ServsFH WatermanN/A0.57
KCCCSMMC Cancer Center LLC (11-4813)
9100 W 74th StreetShawnee MissionKS66204270909763Equipment RentalKSShawnee Mission Med Ctr IncN/A0.5
PAHSUSP Surgery Centers LLC
15305 Dallas Pkwy Ste 1600 LB 28AddisonTX75010263057950Medical ServicesCOPortercare Adventist Health SystemRelated0.51$1,101,609$904,818false$0false
San Marcos MRI LP
1330 Wonder World Dr Ste 202San MarcosTX78666770597972Imaging & TestingTXAdventist Hlth SystemSunbelt IncN/A0.6
Shawnee Mission Open MRI LLC
9100 W 74th Street Box 2923Shawnee MissionKS66201270011796Imaging & TestingKSShawnee Mission Med Ctr IncN/A0.55

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Altamonte Medical Plaza Condominium Association Inc
601 East Rollins StreetOrlandoFL32803592855792Condo AssociationFLNAC Corporationfalse
Apopka Medical Plaza Condominium Association Inc
601 East Rollins StreetOrlandoFL32803593000857Condo AssociationFLNAC Corporationfalse
CC MOB Inc
2201 S Clear Creek RoadKilleenTX76549742616875Real Estate RentalTXNAC Corporationfalse
Central Texas Medical Associates
1301 Wonder World DriveSan MarcosTX78666742729873Physician ClinicsTXNAC Corporationfalse
Central Texas Provider's Network
1301 Wonder World DriveSan MarcosTX78666742827652Physician Hospital Org.TXNAC Corporationfalse
Florida Hospital Flagler Medical Offices Association Inc
60 Memorial Medical ParkwayPalm CoastFL32164262158309Condo AssociationFLNAC Corporationfalse
Florida Hospital Healthcare System Inc
602 Courtland StreetOrlandoFL32804593215680PHO/TPAFLNAC Corporationfalse
Florida Medical Plaza Condo Association Inc
601 East Rollins StreetOrlandoFL32803592855791Condo AssociationFLNAC Corporationfalse
Florida Memorial Health Network Inc
770 W Granada Blvd Ste 317Ormond BeachFL32174593403558Physician Hospital Org.FLNAC Corporationfalse
HUGULEY ALLIANCE FOUNDATION (11-8414)
11801 South FreewayFort WorthTX76115752642209InactiveTXNAC Corporationfalse
Kissimmee Multispecialty Clinic Condominium Association Inc
201 Hilda Street Suite 30KissimmeeFL34741593539564Condo AssociationFLNAC Corporationfalse
Midwest Management Services Inc
9100 West 74th StreetShawnee MissionKS66204480901551Real Estate RentalKSNAC Corporationfalse
North American Health Services Inc & Subs
900 Hope WayAltamonte SpringsTN32714621041820Lessor/Holding Co.TNNAC Corporationfalse
ORMOND PROF Associates CONDO ASSOC'N Inc (430 YR END)
770 W Granada Blvd Ste 101Ormond BeachFL32174592694434Condo AssociationFLNAC Corporationfalse
Park Ridge Property Owner's Association Inc
1 Park Place Naples RoadFletcherNC28732030380531Condo AssociationNCNAC Corporationfalse
Porter Affiliated Hlth Services Inc dba Diversified Affiliated Hlth Svcs
2525 S Downing StreetDenverCO80210840956175Healthcare ServicesCONAC Corporationfalse
San Marcos Regional MRI Inc
1301 Wonder World DriveSan MarcosTX78666770597968Holding CompanyTXNAC Corporationfalse
The Garden Retirement Community Inc
602 Courtland Street Ste 200OrlandoFL32804593414055Real Estate RentalFLNAC Corporationfalse
Winter Park Medical Office Building I Condo Assoc Inc
200 Lakemont AveWinter ParkFL32792452228478Physician ClinicsFLNAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ROCKY MOUNTAIN ADVENTIST HEALTHCARE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$1,440,374InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt