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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-13T13:00:45-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 470617373 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC HEALTH INITIATIVES | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 INVERNESS DRIVE WEST | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840438224 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORTERCARE ADVENTIST HEALTH SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PORT | BusinessNameControlTxt |
| Phone | 3037656861 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 S DOWNING ST | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80210 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAN ENDERSON | PersonNm |
| Person Title | SVP CFO | PersonTitleTxt |
| Signature | 2016-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARK STOCKI | PreparerPersonNm |
| PTIN | P00642127 | PTIN |
| Phone | 3032989100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARY CAMPBELL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2525 S DOWNING ST | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,071,920,904 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 1071 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.centura.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1968 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | OUR 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 Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 7150 | TotalEmployeeCnt |
| Total Volunteers | 1050 | TotalVolunteersCnt |
| Total Gross UBI | $2,584,764 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$445,782 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,914,123 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,573,045 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $972,284,613 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,058,455,891 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,615,849 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,589,087 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,985,127 | PYOtherRevenueAmt |
| CY Other Revenue | $8,335,265 | CYOtherRevenueAmt |
| PY Total Revenue | $993,799,712 | PYTotalRevenueAmt |
| CY Total Revenue | $1,070,953,288 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,290,340 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,908,179 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $363,306,823 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $389,608,077 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $575,630,758 | PYOtherExpensesAmt |
| CY Other Expenses | $623,089,930 | CYOtherExpensesAmt |
| PY Total Expenses | $940,227,921 | PYTotalExpensesAmt |
| CY Total Expenses | $1,014,606,186 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $53,571,791 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $56,347,102 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,415,367,426 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,478,784,518 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $469,346,588 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $481,103,149 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $946,020,838 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $997,681,369 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $812,062,710 | ExpenseAmt |
| Grant | $1,908,179 | GrantAmt |
| Revenue | $1,058,455,891 | RevenueAmt |
| Desc | SEE SCHEDULE H | Desc |
| Total Program Service Expenses | $812,062,710 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 7150 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAROL TRAVIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3038048108 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 188 INVERNESS DR W SUITE 500 | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80112 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| RANDY HAFFNER | ||||||||||
| CHAIRMAN | 50.00 | 0 | Yes (X) | Yes (X) | $929,758 | $0 | $162,371 | |||
| ROBERT HENDERSCHEDT | ||||||||||
| BOARD MEMBER | 1.00 | 50.00 | Yes (X) | $0 | $1,024,371 | $183,750 | ||||
| TERRY SHAW | ||||||||||
| BOARD MEMBER | 1.00 | 50.00 | Yes (X) | $0 | $1,506,315 | $257,610 | ||||
| KRIS ORDELHEIDE | ||||||||||
| SECRETARY | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| GARY CAMPBELL | ||||||||||
| PRESIDENT/CEO | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Dan Enderson | ||||||||||
| SVP Chief Finance Officer | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| CHERYL CURRY | ||||||||||
| CFO-Littleton Adventist Hosp | 50.00 | 0 | $313,877 | $0 | $34,663 | Yes (X) | ||||
| MORRE DEAN | ||||||||||
| CEO-Porter Adventist Hospital | 50.00 | 0 | $494,748 | $0 | $107,977 | Yes (X) | ||||
| Jonathan Fisher | ||||||||||
| CFO -Parker Adventist Hospital | 50.00 | 0 | $206,547 | $0 | $28,173 | Yes (X) | ||||
| ANDREW GAASCH | ||||||||||
| CFO-PORTER ADVENTIST HOSP | 50.00 | 0 | $351,249 | $0 | $31,292 | Yes (X) | ||||
| Brett Spenst | ||||||||||
| CEO-Littleton Adventist Hospital | 50.00 | 0 | $427,491 | $0 | $83,012 | Yes (X) | ||||
| Douglas Dennis | ||||||||||
| PHYSICIAN | 40.00 | 0 | $1,144,709 | $0 | $30,371 | Yes (X) | ||||
| Raymond Kim | ||||||||||
| Physician | 40.00 | 0 | $1,549,554 | $0 | $39,309 | Yes (X) | ||||
| Todd Miner | ||||||||||
| Physician | 40.00 | 0 | $1,410,689 | $0 | $39,241 | Yes (X) | ||||
| Christopher OLIVER | ||||||||||
| PHYSICIAN | 40.00 | 0 | $932,855 | $0 | $35,929 | Yes (X) | ||||
| Charlie Yang | ||||||||||
| PHYSICIAN | 40.00 | 0 | $1,158,953 | $0 | $37,792 | Yes (X) | ||||
| Dennis Barts | ||||||||||
| CEO - Avista Adventist Hospital | 50.00 | 0 | $451,925 | $0 | $66,050 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,372,355 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,530,686 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,137,540 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 415 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| PREMIER EMERGENCY SERVICES PC | ||||||
| 550 S WADSWORTH BLVD | SUITE 410 | LAKEWOOD | CO | 80226 | HEALTHCARE SERVICES | $1,334,621 |
| CRITICAL C ARE PULMONARY & SLEEP ASSOCIATES | ||||||
| 274 UNION BLVD | SUITE 110 | LAKEWOOD | CO | 80228 | PHYSICIAN SERVICES | $1,189,705 |
| CHER LLC | ||||||
| PO BOX 974960 | DALLAS | TX | 75397 | HEALTHCARE SERVICES | $1,150,386 | |
| MORRISON COMMUNITY LIVING | ||||||
| PO BOX 102289 | ATLANTA | CO | 30368 | FACILITY MANAGEMENT | $1,115,787 | |
| COLORADO PULMONARY INTENSIVISTS | ||||||
| 15 WEST DRY CREEK DR | LITTLETON | CO | 80120 | PHYSICIAN SERVICES | $1,043,235 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 48 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $1,440,374 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $132,671 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $1,573,045 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient Services | 900099 | $1,051,960,517 | $1,051,960,517 | $0 | $0 |
| Equity changes of unconsolidated orgs | 900099 | $3,711,026 | $3,711,026 | $0 | $0 |
| Rental Income | 900099 | $2,586,033 | $2,586,033 | $0 | $0 |
| Guest Room Fees | 721310 | $105,415 | $105,415 | $0 | $0 |
| Education | 611710 | $92,900 | $92,900 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,058,455,891 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,653,389 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,653,389 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $65,323 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $19,372 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $45,951 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,951 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $45,951 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $361,970 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $426,272 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$64,302 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$64,302 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$64,302 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $838,934 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $521,972 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $316,962 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $316,962 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Cafeteria | 722100 | $4,208,352 | $0 | $133,118 | $4,075,234 |
| Pharmacy Services | 446110 | $2,166,644 | $0 | $2,007,134 | $159,510 |
| Research | 541700 | $359,139 | $0 | $359,139 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,238,217 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $85,373 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,152,844 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,972,352 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,070,953,288 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,058,455,891 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,584,764 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,339,588 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,908,179 | TotalAmt |
| Program Services | $1,908,179 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,738,706 | TotalAmt |
| Program Services | $257,390,965 | ProgramServicesAmt |
| Management And General | $64,347,741 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,783,454 | TotalAmt |
| Program Services | $11,026,763 | ProgramServicesAmt |
| Management And General | $2,756,691 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,245,150 | TotalAmt |
| Program Services | $25,796,120 | ProgramServicesAmt |
| Management And General | $6,449,030 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,840,767 | TotalAmt |
| Program Services | $17,472,614 | ProgramServicesAmt |
| Management And General | $4,368,153 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,354 | TotalAmt |
| Program Services | $1,083 | ProgramServicesAmt |
| Management And General | $271 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,432 | TotalAmt |
| Program Services | $169,146 | ProgramServicesAmt |
| Management And General | $42,286 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,848,493 | TotalAmt |
| Program Services | $130,274,920 | ProgramServicesAmt |
| Management And General | $32,573,573 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,214,466 | TotalAmt |
| Program Services | $2,571,573 | ProgramServicesAmt |
| Management And General | $642,893 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,612,364 | TotalAmt |
| Program Services | $7,689,891 | ProgramServicesAmt |
| Management And General | $1,922,473 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,604,163 | TotalAmt |
| Program Services | $18,083,330 | ProgramServicesAmt |
| Management And General | $4,520,833 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,540,325 | TotalAmt |
| Program Services | $1,232,260 | ProgramServicesAmt |
| Management And General | $308,065 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,065 | TotalAmt |
| Program Services | $403,252 | ProgramServicesAmt |
| Management And General | $100,813 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,063,008 | TotalAmt |
| Program Services | $11,250,406 | ProgramServicesAmt |
| Management And General | $2,812,602 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,834,974 | TotalAmt |
| Program Services | $63,067,979 | ProgramServicesAmt |
| Management And General | $15,766,995 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,574,883 | TotalAmt |
| Program Services | $3,659,906 | ProgramServicesAmt |
| Management And General | $914,977 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $307,620,409 | TotalAmt |
| Program Services | $246,096,328 | ProgramServicesAmt |
| Management And General | $61,524,081 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,014,606,186 | TotalAmt |
| Program Services | $812,062,710 | ProgramServicesAmt |
| Management And General | $202,543,476 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,230,184 | BOYAmt |
| EOY | $1,350,704 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,301,890 | BOYAmt |
| EOY | $18,841,179 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,813,285 | BOYAmt |
| EOY | $144,501,814 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $77,333 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,278,068 | BOYAmt |
| EOY | $7,227,592 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,699,843 | BOYAmt |
| EOY | $22,878,953 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,524,177 | BOYAmt |
| EOY | $4,632,646 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,047,202,170 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $406,548,747 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $589,663,295 | BOYAmt |
| EOY | $640,653,423 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,357,622 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $440,699,160 | BOYAmt |
| EOY | $454,733,518 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,074,186 | BOYAmt |
| EOY | $88,074,186 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,725,716 | BOYAmt |
| EOY | $95,813,170 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,415,367,426 | BOYAmt |
| EOY | $1,478,784,518 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,549,962 | BOYAmt |
| EOY | $102,771,713 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,424,064 | BOYAmt |
| EOY | $1,636,044 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $386,372,562 | BOYAmt |
| EOY | $376,695,392 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $469,346,588 | BOYAmt |
| EOY | $481,103,149 | EOYAmt |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $945,916,982 | BOYAmt |
| EOY | $997,577,513 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,856 | BOYAmt |
| EOY | $103,856 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $946,020,838 | BOYAmt |
| EOY | $997,681,369 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,415,367,426 | BOYAmt |
| EOY | $1,478,784,518 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $56,347,102 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $324,716 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,011,287 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $26,104 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $26,104 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DESCRIPTION OF THE ACTIVITIES REPORTED ON LINES 1A THROUGH 1I | FormAndLineReferenceDesc |
| Explanation | LINE 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 $26,104 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $93,840,415 | InvestmentCostOrOtherBasisAmt |
| Book Value | $93,840,415 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $643,193,498 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $267,435,330 | DepreciationAmt |
| Book Value | $375,758,168 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $245,537,541 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $139,113,417 | DepreciationAmt |
| Book Value | $106,424,124 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $64,630,716 | InvestmentCostOrOtherBasisAmt |
| Book Value | $64,630,716 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $640,653,423 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| AHS INVESTMENT | $453,700,942 | F |
| DSRF INVESTMENT | $1,032,576 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $454,733,518 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $95,813,170 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $376,695,392 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | PORTERCARE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,152,494 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,152,494 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0093 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,468,485 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $55,468,485 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0564 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $64,620,979 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $64,620,979 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0657 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $752,858 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $752,858 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0008 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,545,948 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,545,948 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0026 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,289 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $52,289 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,517 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,517 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $422,473 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $422,473 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,779,085 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,779,085 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0038 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $68,400,064 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $68,400,064 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0696 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $31,434,400 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $192,888,066 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $275,065,009 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$82,176,943 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 5 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (5 entries)
| FacilityFacilityNum | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Emergency Room OtherEmergencyRoomOtherInd | OtherOtherDesc | Childrens HospitalChildrensHospitalInd |
|---|---|---|---|---|---|---|---|---|---|
| PORTER ADVENTIST HOSPITAL | |||||||||
| 3 | www.porterhospital.org/ | 1036 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |||
| LITTLETON ADVENTIST HOSPITAL | |||||||||
| 4 | www.mylittletonhospital.org | 1034 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | CHILDREN'S ER | ||
| PARKER ADVENTIST HOSPITAL | |||||||||
| 1 | www.parkerhospital.org | 1005 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |||
| AVISTA ADVENTIST HOSPITAL | |||||||||
| 2 | www.avistahospital.org | 90831 | Yes (X) | Yes (X) | Yes (X) | ||||
| CASTLE ROCK ADVENTIST HOSPITAL | |||||||||
| 5 | www.castlerockhospital.org | 01L581 | Yes (X) | Yes (X) | Yes (X) | ||||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (5 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Income Level CriteriaIncomeLevelCriteriaInd | Communtity Notified FAPCommuntityNotifiedFAPInd | Permit No ActionsPermitNoActionsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PORTER ADVENTIST HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | https://www.porterhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/PAH_CHNA_2 | Yes (X) | See Supplemental Narrative | Yes (X) | Yes (true) | 12 | Yes (true) | https://www.porterhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/Porter-Adv | false | false | Yes (true) | Yes (X) | 1.0 | 4.0 | Yes (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.pdf | Yes (X) | https://www.porterhospital.org/financial-help/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | |||
| LITTLETON ADVENTIST HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | https://www.mylittletonhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/LAH_C | Yes (X) | See Supplemental Narrative | Yes (X) | Yes (true) | 12 | Yes (true) | https://www.mylittletonhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/Littl | false | false | Yes (true) | Yes (X) | 1.0 | 4.0 | Yes (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.pdf | Yes (X) | https://www.mylittletonhospital.org/Financial-Help/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | |||
| PARKER ADVENTIST HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | https://www.parkerhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/PKR_CHNA_2 | Yes (X) | See Supplemental Narrative | Yes (X) | Yes (true) | 12 | Yes (true) | https://www.parkerhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/Parker-Adv | false | false | Yes (true) | Yes (X) | 1.0 | 4.0 | Yes (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.pdf | Yes (X) | https://www.parkerhospital.org/financial-help/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | Yes (X) | Yes (X) | Yes (X) |
| AVISTA ADVENTIST HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | false | false | Yes (true) | Yes (X) | https://www.avistahospital.org/avh/community/community-benefit/ | Yes (X) | https://www.centura.org/community-benefits/ | Yes (X) | Yes (true) | 12 | Yes (true) | https://www.parkerhospital.org/uploadedFiles/Centura/Content/Community/Community_Benefits/PKR_CHNA_2 | false | false | Yes (true) | Yes (X) | 1.0 | 4.0 | Yes (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.pdf | Yes (X) | https://www.avistahospital.org/financial-help/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | Yes (X) | |||
| CASTLE ROCK ADVENTIST HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5 | false | false | false | false | false | Yes (true) | Yes (X) | 1.0 | 4.0 | Yes (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.pdf | Yes (X) | https://www.castlerockhospital.org/financial-help/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | ||||||||||||||||||||||||||
Supplemental Information SupplementalInformationGrp (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 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 , 1 | Facility , 1 - PORTER ADVENTIST HOSPITAL. Littleton Adventist Hospital Parker Adventist Hospital |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 1 - LITTLETON ADVENTIST HOSPITAL. Porter Adventist Hospital Parker Adventist Hospital |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 1 - PARKER ADVENTIST HOSPITAL. Porter Adventist Hospital Littleton Adventist Hospital |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 56 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (56 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| DIMENSION PAIN MANAGEMENT | ||||
| 400 W 144TH AVE STE 240 | WESTMINSTER | CO | 80023 | EMP PHYSICIAN GROUP |
| COLORADO HEAD AND NECK SPECIALISTS | ||||
| 2555 S DOWNING ST STE 100 | DENVER | CO | 80210 | EMP PHYSICIAN GROUP |
| CLEMENT PARK FAMILY MEDICINE | ||||
| 6901 S PIERCE ST STE 110 | LITTLETON | CO | 80128 | EMP PHYSICIANS GROUP |
| MOUNTAIN VIEW FAMILY PHYSICIANS | ||||
| 2020 ONEIDA ST | DENVER | CO | 80224 | EMP PHYSICIAN GROUP |
| COLORADO NEUROVASCULAR SPECIALISTS | ||||
| 7780 S BROADWAY | LITTLETON | CO | 80122 | EMP PHYSICIAN GROUP |
| ACCESS FAMILY MEDICINE | ||||
| 19284 COTTONWOOD DRIVE SUITE 201 | PARKER | CO | 80138 | EMP PHYSICIAN GROUP |
| SOUTH SUBURBAN INTERNAL MEDICINE | ||||
| 7750 S BROADWAY | LITTLETON | CO | 80122 | EMP PHYSICIAN GROUP |
| CENTURA HEALTH AT SOUTHLANDS | ||||
| 6240 SO MAIN ST STE 255 | AURORA | CO | 80016 | EMP PHYSICIAN GROUP |
| BOULDER HOLISTIC MEDICINE | ||||
| 805 S BROADWAY SUITE 103 | BOULDER | CO | 80305 | EMP PHYSICIAN GROUP |
| AVISTA FAMILY MEDICINE GUNBARREL | ||||
| 5365 SPINE ROAD SUITE C | BOULDER | CO | 80301 | EMP PHYSICIAN GROUP |
| NORTHWEST GASTROENTEROLOGY | ||||
| 80 HEALTH PARK DRIVE | LOUISVILLE | CO | 80027 | EMP PHYSICIAN GROUP |
| RIDGELINE FAMILY MEDICINE | ||||
| 2352 MEADOWS BLVD STE 300 | CASTLE ROCK | CO | 80108 | EMP PHYSICIANS GROUP |
| COLORADO JOINT REPLACEMENT | ||||
| 2535 S DOWNING ST | DENVER | CO | 80210 | EMP PHYSICIAN GROUP |
| AVISTA INTERNAL MEDICINE | ||||
| 90 HEALTHPARK DR STE 350 | LOUISVILLE | CO | 80027 | EMP PHYSICIAN GROUP |
| COMPREHENSIVE BREAST CARE | ||||
| 2555 S DOWNING ST SUITE 130 | DENVER | CO | 80210 | EMP PHYSICIAN GROUP |
| CENTER FOR ORTHOPEDICS | ||||
| 7720 S BROADWAY | LITTLETON | CO | 80122 | EMP PHYSICIAN GROUP |
| CHATFIELD WOMEN'S CARE | ||||
| 7720 S BROADWAY | LITTLETON | CO | 80122 | EMP PHYSICIAN GROUP |
| PARKER ENDOCRINOLOGY | ||||
| 9397 CROWN CREST BLVD STE 220 | PARKER | CO | 80138 | EMP PHYSICIANS GROUP |
| APOLLO INTERNAL MEDICINE | ||||
| 950 E HARVARD AVE SUITE 530 | DENVER | CO | 80210 | EMP PHYSICIAN GROUP |
| PRIMARY CARE (HARVARD PARK) | ||||
| 950 E HARVARD AVE SUITE 660 | DENVER | CO | 80210 | EMP PHYSICIAN GROUP |
| CENTURA HEALTH PHYSICIAN GROUP AT CLERMONT PARK | ||||
| 2479 S CLERMONT ST | DENVER | CO | 80222 | EMP PHYSICIANS GROUP |
| PORTER HOSPICE | ||||
| 1391 SPEER BLVD 600 | DENVER | CO | 80204 | ADMIN OFFICE HOME HOSPICE COORDINATION |
| PINNACLE WOMEN'S HEALTHCARE AT PARKER | ||||
| 9397 CROWN CREST BLVD STE 331 | PARKER | CO | 80138 | EMP PHYSICIANS GROUP |
| COMPREHENSIVE OBGYN AT PARKER | ||||
| 9397 CREOWN CREST BLVD STE 431 | PARKER | CO | 80138 | EMP PHYSICIANS GROUP |
| HIGHLANDS RANCH MEDICAL ASSOCIATES | ||||
| 9135 S RIDGELINE BLVD STE 190 | HIGHLANDS RANCH | CO | 80129 | EMP PHYSICIANS GROUP |
| AVISTA WOMEN'S HEALTH | ||||
| 611 MITCHELL WAY STE 103 | ERIE | CO | 80516 | EMP PHYSICIAN GROUP |
| MILE HIGH ONCOLOGY | ||||
| 7780 S BROADWAY STE 380 | LITTLETON | CO | 80122 | EMP PHYSICIAN GROUP |
| CYPRESS HEMOTOLOGY AND ONCOLOGY | ||||
| 2555 S DOWNING ST STE 240 | DENVER | CO | 80210 | EMP PHYSICIAN GROUP |
| AVISTA FAMILY MEDICINE (ERIE) | ||||
| 611 MITCHELL WAY | ERIE | CO | 80516 | EMP PHYSICIAN GROUP |
| FLATRONS HEART AND VASCULAR | ||||
| 90 HEALTHPARK DRIVE STE 350 | LOUISVILLE | CO | 80027 | EMP PHYSICIAN GROUP |
| ENDOSCOPY CENTER AT PORTER LLC | ||||
| 1001 SOUTH PARK DRIVE | LITTLETON | CO | 80120 | DIAGNOSTIC SERVICES |
| COLORADO ENT SPECIALISTS | ||||
| 9397 CROWN CREST BLVD STE 431 | PARKER | CO | 80138 | EMP PHYSICIAN GROUP |
| CYPRESS ONCOLOGY - PKR | ||||
| 9399 CROWN CREST BLVD SUITE 215 | PARKER | CO | 80138 | EMP PHYSICIAN GROUP |
| ARACEA WOMEN'S CENTER | ||||
| 300 S JACKSON ST | DENVER | CO | 80209 | EMP PHYSICIAN GROUP |
| South Denver Cardiology Associates | ||||
| 1000 SouthPark Drive | LITTLETON | CO | 80120 | EMP PHYSICIANS GROUP |
| CHATFIELD FAMILY MEDICINE | ||||
| 10789 BRADFORD RD STE 150 | LITTLETON | CO | 80127 | EMP PHYSICIAN GROUP |
| TIMBERVIEW CLINIC AT PARKER | ||||
| 9399 CROWN CREST BLVD STE 200 | PARKER | CO | 80138 | EMP PHYSICIAN GROUP |
| INTEGRATED OBGYN AT PARKER | ||||
| 9397 CROWN CREST BLVD STE 220 | PARKER | CO | 80138 | EMP PHYSICIANS GROUP |
| CENTER ENDOCRINOLOGY AND DIABETES | ||||
| 7750 S BROADWAY STE 220 | LITTLETON | CO | 80122 | EMP PHYSICIAN GROUP |
| PORTER PRIMARY CARE | ||||
| 300 S JACKSON ST | DENVER | CO | 80209 | EMP PHYSICIAN GROUP |
| BARIATRIC AND METABOLIC CENTER | ||||
| 9399 CROWN CREST BLVD STE 110 | PARKER | CO | 80138 | EMP PHYSICIAN GROUP |
| EP CLINIC | ||||
| 2525 S DOWNING ST CARDIAC CATH LAB | DENVER | CO | 80210 | EMP PHYSICIAN GROUP |
| CENTURA MEDICAL ASSOCIATES | ||||
| 2525 S DOWNING ST | DENVER | CO | 80210 | EMP PHYSICIAN GROUP |
| SOUTH QUEBEC FAMILY MEDICINE | ||||
| 6081 S QUEBEC ST STE 100 | CENTENNIAL | CO | 80111 | EMP PHYSICIANS GROUP |
| AFFILIATED EAR NOSE AND THROAT PHYSICIANS | ||||
| 8000 E PRENTICE AVE STE D12 | GRENWOOD VILLAGE | CO | 80111 | EMP PHYSICIANS GROUP |
| Castle Rock Affiliated ENT | ||||
| 2352 Meadows Blvd | Castle Rock | CO | 80109 | EMP PHYSICIANS GROUP |
| Castle Rock Orthopedics | ||||
| 2352 Meadows Blvd | Castle Rock | CO | 80109 | EMP PHYSICIANS GROUP |
| Castle Rock Oncology | ||||
| 2352 Meadows Blvd | Castle Rock | CO | 80109 | EMP PHYSICIANS GROUP |
| Castle Rock Hospitalists | ||||
| 2353 Meadows Blvd | Castle Rock | CO | 80109 | EMP PHYSICIANS GROUP |
| Ridgeline Family Medicine at Castle Pines | ||||
| 250 Max Drive | Castle Pines | CO | 80109 | EMP PHYSICIANS GROUP |
| CHPG Ridgegate OBGYN at CRAH | ||||
| 2352 Meadows Blvd | Castle Rock | CO | 80109 | EMP PHYSICIANS GROUP |
| CHPG Ridgegate OBGYN at Lone Tree | ||||
| 10099 Ridgegate Parkway | Lone Tree | CO | 80124 | EMP PHYSICIANS GROUP |
| CHPG Senior Care PAHS Holly Creek | ||||
| 5500 East Peakview Ave | Centennial | CO | 80121 | EMP PHYSICIANS GROUP |
| Center for Endocrinology and Diabetes | ||||
| 7750 S Broadway | Littleton | CO | 80122 | EMP PHYSICIANS GROUP |
| South Quebec Family Medicine | ||||
| 6081 South Quebec St | Centennial | CO | 80111 | EMP PHYSICIANS GROUP |
| South Suburban Internal Medicine | ||||
| 7750 South Broadway | Littleton | CO | 80122 | EMP PHYSICIANS GROUP |
Supplemental Information Detail SupplementalInformationDetail (26 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 1 CASTLE ROCK ADVENTIST HOSPITAL | CASTLE 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 HOSPITAL | https://www.avistahospital.org/for-patients-and-families/billing-and-financial-services/financial-help/ |
| Schedule H, Part V, Section B, Line 16a PARKER ADVENTIST HOSPITAL | https://www.parkerhospital.org/for-patients-and-families/billing-and-financial-services/financial-help/ |
| Schedule H, Part V, Section B, Line 16b PARKER ADVENTIST HOSPITAL | https://www.parkerhospital.org/for-patients-and-families/billing-and-financial-services/financial-help/ |
| Schedule H, Part V, Section B, Line 16c PARKER ADVENTIST HOSPITAL | https://www.parkerhospital.org/for-patients-and-families/billing-and-financial-services/financial-help/ |
| Schedule H, Part V, Section B, Line 16a AVISTA ADVENTIST HOSPITAL | https://www.avistahospital.org/for-patients-and-families/billing-and-financial-services/financial-help/ |
| Schedule H, Part V, Section B, Line 16b AVISTA ADVENTIST HOSPITAL | https://www.avistahospital.org/for-patients-and-families/billing-and-financial-services/financial-help/ |
| Schedule H, Part V, Section B, Line 7 Parker Adventist Hospital | https://www.centura.org/uploadedFiles/Centura/Content/Community/Community_Benefits/PKR_CHNA_2012_Final.pdf |
| Schedule H, Part V, Section B, Line 7 Porter Adventist Hospital | https://www.centura.org/uploadedFiles/Centura/Content/Community/Community_Benefits/PAH_CHNA_2012_Final.pdf |
| Schedule H, Part V, Section B, Line 7 Littleton Adventist Hospital | https://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 calculation | 31433765 |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | PORTERCARE 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 amount | Portercare 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 Methodology | Portercare 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 footnote | PORTERCARE 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 costs | Cost 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 assistance | Portercare 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 assessment | The 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 assistance | Information 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 information | Portercare 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 health | Portercare 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 system | Portercare 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 report | CO |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (19 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Doctors Care | |||||||||||
| 191 E Orchard Rd | 102NE | Littleton | CO | 80121 | 841150815 | 501(c)(3) | $0 | $40,000 | Book | Drugs | Donation for 2015 |
| Arthritis Foundation | |||||||||||
| 2280 S Albion St | Denver | CO | 80222 | 383826066 | 501(c)(3) | $19,750 | Sponsorship | ||||
| University of Denver | |||||||||||
| 2201 S Gaylord St | Denver | CO | 80208 | 840404231 | 501(c)(3) | $12,500 | Sponsorship | ||||
| Colorado Wellness Connection | |||||||||||
| 4960 E Mineral Circle | Centennial | CO | 80122 | 841504515 | 501(c)(3) | $7,500 | Health Fair | ||||
| Clinica Campesina | |||||||||||
| 345 Plaza Court N | 1A | Lafayette | CO | 80026 | 840743432 | 501(c)(3) | $166,129 | Mission Support | |||
| Portercare Foundation | |||||||||||
| 7995 E Prentice Ave | 204 | Greenwood Village | CO | 80111 | 840745018 | 501(c)(3) | $29,160 | Sponsorship | |||
| Denver Botanic Gardens | |||||||||||
| 909 York St | Denver | CO | 80206 | 840440359 | 501(c)(3) | $14,750 | Sponsorship | ||||
| Women's Crisis Center | |||||||||||
| PO Box 367 | Castle Rock | CO | 80104 | 742385006 | 501(c)(3) | $7,500 | Sponsorship | ||||
| Classic Bicycle Racing | |||||||||||
| 1515 Arapahoe St | Denver | CO | 80202 | 273045655 | $6,250 | 2014 Pro Challenge | |||||
| Douglas County Libraries Foundation | |||||||||||
| 9292 Ridgeline Blvd | Highlands Ranch | CO | 80129 | 841207775 | 501(c)(3) | $5,175 | Sponsorship | ||||
| Greater Parker Foundation | |||||||||||
| 20120 East Main St | Parker | CO | 80138 | 263664272 | 501(c)(3) | $10,000 | Sponsorship | ||||
| Highlands Ranch Community Association | |||||||||||
| 9568 S University Blvd | Highlands Ranch | CO | 80126 | 840869474 | 501(c)(3) | $6,667 | Sponsorship | ||||
| Littleton Adventist Hospital | |||||||||||
| Dept 1640 | Denver | CO | 80291 | 840438224 | 501(c)(3) | $19,527 | Sponsorship | ||||
| Littleton Public Schools Foundation | |||||||||||
| 5776 S Crocker St | Littleton | CO | 80120 | 841185005 | 501(c)(3) | $15,000 | Sponsorship | ||||
| Parker Chamber of Commerce | |||||||||||
| 19590 East Main St | 100 | Parker | CO | 80138 | 840721419 | 501(c)(6) | $6,200 | Membership | |||
| Parker Task Force | |||||||||||
| PO Box 2645 | Parker | CO | 80134 | 742494265 | 501(c)(3) | $10,000 | Sponsorship | ||||
| The Community Foundation | |||||||||||
| 1123 Spruce St | Boulder | CO | 80302 | 841171836 | 501(c)(3) | $6,000 | Sponsorship | ||||
| Town of Castle Rock | |||||||||||
| 100 N Wilcox | Castle Rock | CO | 80104 | 846000640 | 501(c)(3) | $10,296 | Sponsorship | ||||
| March of Dimes | |||||||||||
| 421 South Tejon | 310 | Colorado Springs | CO | 80903 | 131846366 | 501(c)(3) | $7,500 | Sponsorship | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 19 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule I, Part I, Line 2 Description Of Procedure 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 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Personal Services | Yes (X) | PersonalServicesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| REPORTABLE INDIVIDUALS COMPENSATED BY UNRELATED ORGANIZATIONS | ALL 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 companions | SENIOR 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 payments | SEE SCHEDULE J, PART I, LINE 1A - TRAVEL FOR COMPANIONS DISCLOSURE |
| Schedule J, Part I, Line 1a Health or social club dues or initiation fees | SEE SCHEDULE J, PART I, LINE 1A - TRAVEL FOR COMPANIONS DISCLOSURE |
| Schedule J, Part I, Line 1a Personal services | SEE 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 compensation | Portercare 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 plan | CENTURA 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 payments | PARTICIPANTS 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Christopher Oliver | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship With Org | Employee | RelationshipWithOrgTxt |
| Loan Purpose | Physician Remuneration | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $290,000 | OriginalPrincipalAmt |
| Balance Due | $77,333 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | Yes (true) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (true) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $77,333 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 16b JOINT VENTURE POLICY | PORTERCARE 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 COMPENSATION | OUTSIDE 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 committee | PURSUANT 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 stockholders | THE 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 body | AHS, 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 stockholders | THE 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 body | A 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 policy | PORTERCARE 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 employees | See Above |
| Form 990, Part VI, Line 19 Required documents available to the public | THE 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 Revenue | Other 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 Fees | Other 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 Expenses | All 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 balances | Transfers to Affiliates - -4966616; Minority Interest Distribution - -44671; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (103 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Adventist Bolingbrook Hospital | ||||||||||
| 500 Remington Blvd | Bolingbrook | IL | 60440 | 651219504 | Operation of Hospital & Related Services | IL | 501(c)(3 | 3 | Adventist Hlth SystemSunbelt Inc | false |
| Adventist Care Centers - Courtland Inc | ||||||||||
| 730 Courtland Street | Orlando | FL | 32804 | 205774723 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| Adventist GlenOaks Hospital | ||||||||||
| 701 Winthrop Avenue | Glendale Heights | IL | 60139 | 363208390 | Operation of Hospital & Related Services | IL | 501(c)(3 | 3 | Adventist Hlth SystemSunbelt Inc | false |
| Adventist Hlth Mid-America Inc | ||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 521347407 | Hlthcare Related Services | KS | 501(c)(3 | Type I | Adventist Hlth SystemSunbelt Inc | false |
| Adventist Hlth Partners Inc | ||||||||||
| 1000 Remington Bvd St 200 | Bolingbrook | IL | 60440 | 364138353 | Operate out-patient physician clinics | IL | 501(c)(3 | 3 | AHS Midwest Management Inc | false |
| Adventist Hlth System Sunbelt Hlthcare Corp | ||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 592170012 | Management Services | FL | 501(c)(3 | Type I | NA | false |
| Adventist Hlth System Georgia Inc | ||||||||||
| 1035 Red Bud Road | Calhoun | GA | 30701 | 581425000 | Operation of Hospital & Related Services | GA | 501(c)(3 | 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| Adventist Hlth SystemSunbelt Inc | ||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 591479658 | Operation of Hospital & Related Services | FL | 501(c)(3 | 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| Adventist Hlth System Texas Inc | ||||||||||
| 11801 S Freeway | Burleson | TX | 36028 | 742578952 | Leasing Personnel to Affiliated Hospital | TX | 501(c)(3 | Type III-FI | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| ADVENTIST HINSDALE HOSPITAL | ||||||||||
| 120 North Oak Street | Hinsdale | IL | 60521 | 362276984 | Operation of Hospital & Related Services | IL | 501(c)(3 | 3 | Adventist Hlth SystemSunbelt Inc | false |
| Adventist University of Health Sciences Inc | ||||||||||
| 671 Lake Winyah Drive | Orlando | FL | 32803 | 593069793 | Education/Operation of School | FL | 501(c)(3 | 2 | Adventist Hlth SystemSunbelt Inc | false |
| AHS Midwest Management Inc | ||||||||||
| 1000 Remington Blvd Ste 200 | Bolingbrook | IL | 60440 | 363354567 | Operation of Physician Practice Mgmt | IL | 501(c)(3 | Type I | Adventist Hlth SystemSunbelt Inc | false |
| AHSCentral Texas Inc | ||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742621825 | Provide Office Space - Medical Professionals | TX | 501(c)(3 | Type III-FI | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| Apopka Hlth Care Properties Inc | ||||||||||
| 305 E Oak Street | Apopka | FL | 32703 | 510605694 | Lease to Related Organization | GA | 501(c)(3 | Type III-O | Sunbelt Hlth Care Centers Inc | false |
| Battle Creek Adventist Hospital | ||||||||||
| 1000 Remington Blvd Ste 200 | Bolingbrook | IL | 60440 | 381359189 | Inactive | MI | 501(c)(3 | 3 | Adventist Hlth SystemSunbelt Inc | false |
| Bolingbrook Hospital Foundation | ||||||||||
| 1000 Remington Blvd | Bolingbrook | IL | 60440 | 900494445 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3 | 7 | Midwest Hlth Foundation | false |
| Bradford Heights Hlth and Rehab Center Inc | ||||||||||
| 950 Highpoint Drive | Hopkinsville | KY | 42240 | 205782342 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| Burleson Nursing & Rehab Center Inc | ||||||||||
| 301 Huguley Blvd | Burleson | TX | 76028 | 205782243 | Operation of Home for the Aged/Hlthcare Delivery | TX | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| Caldwell Hlth Care Properties Inc | ||||||||||
| 1333 West Main | Princeton | KY | 42445 | 510605680 | Lease to Related Organization | GA | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| Central Texas Hlthcare Collaborative | ||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 453739929 | Support Operation of Hospital | TX | 501(c)(3 | Type I | Adventist Hlth SystemSunbelt Inc | false |
| Central Texas Medical Center Foundation | ||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742259907 | Fund-raising for Tax-exempt hospital | TX | 501(c)(3 | 7 | NA | false |
| Chickasaw Hlth Care Properties Inc | ||||||||||
| 250 S Chickasaw Trail | Orlando | FL | 32825 | 510605681 | Lease to Related Organization | GA | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| Chippewa Valley Hospital and Oakview Care Center Inc | ||||||||||
| 1220 Third Avenue West | Durand | WI | 54736 | 391365168 | Operation of Hospital & Related Services | WI | 501(c)(3 | 3 | Adventist Hlth SystemSunbelt Inc | false |
| Cobb Medical Associates LLC | ||||||||||
| 3949 South Cobb Drive SE | Smyrna | GA | 30080 | 582617089 | Operation of Physician Practices & Medical Services | GA | 501(c)(3 | 3 | Emory-Adventist Inc | false |
| Courtland Hlth Care Properties Inc | ||||||||||
| 730 Courtland Street | Orlando | FL | 32804 | 510605682 | Lease to Related Organization | GA | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| Creekwood Place Nursing and Rehab Center Inc | ||||||||||
| 683 E Third Street | Russellville | KY | 42276 | 205782260 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| Dairy Road Hlth Care Properties Inc | ||||||||||
| 7350 Dairy Road | Zephyrhills | FL | 33540 | 510605684 | Lease to Related Organization | GA | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| East Orlando Hlth and Rehab Center Inc | ||||||||||
| 250 S Chickasaw Trail | Orlando | FL | 32825 | 205774748 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| Emory Adventist Inc | ||||||||||
| 3949 South Cobb Drive | Smyrna | GA | 30080 | 582171011 | Operation of Hospital & Related Svcs | GA | 501(c)(3 | 3 | Adventist Hlth SystemSunbelt Inc | false |
| Fletcher Hospital Inc | ||||||||||
| 100 Hospital Drive | Hendersonville | NC | 28792 | 560543246 | Operation of Hospital & Related Svcs | NC | 501(c)(3 | 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| FLNC Inc | ||||||||||
| 3355 E Semoran Blvd | Apopka | FL | 32703 | 205774761 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| FLORIDA HOSPITAL HEALTHCARE PARTNERS INC | ||||||||||
| 770 West Granada Blvd 101 | Ormond Beach | FL | 32174 | 462354804 | Operation of Physician Practices & Medical Services | FL | 501(c)(3 | 3 | Adventist Hlth SystemSunbelt Inc | false |
| Florida Hospital Medical Group Inc | ||||||||||
| 2600 Westhall Ln | Maitland | FL | 32751 | 593214635 | Operation of Physician Practices & Medical Services | FL | 501(c)(3 | 3 | Adventist Hlth SystemSunbelt Inc | false |
| Florida Hospital Physician Group Inc | ||||||||||
| 14055 Riveredge Drive Ste 250 | Tampa | FL | 33637 | 462021581 | Operation of Physician Practices & Medical Services | FL | 501(c)(3 | 3 | Adventist Hlth System Sunbelt Hlthcare Corp | false |
| Florida Hospital Waterman Inc | ||||||||||
| 1000 Waterman Way | Tavares | FL | 32778 | 593140669 | Operation of Hospital & Related Services | FL | 501(c)(3 | 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| Florida Hospital Zephyrhills Inc | ||||||||||
| 7050 Gall Blvd | Zephyrhills | FL | 33541 | 592108057 | Operation of Hospital & Related Services | FL | 501(c)(3 | 3 | Adventist Hlth SystemSunbelt Inc | false |
| Foundation for Shawnee Mission Medical Center Inc | ||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 480868859 | Fund-raising for Tax-exempt hospital | KS | 501(c)(3 | Type I | Shawnee Mission Medical Center Inc | false |
| Fountain Inn Nursing & Rehab CenterInc | ||||||||||
| 602 Courtland St Ste 200 | Orlando | FL | 32804 | 472180518 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| GlenOaks Hospital Foundation | ||||||||||
| 701 Winthrop Avenue | Glendale Heights | IL | 60139 | 363926044 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3 | 7 | Midwest Hlth Foundation | false |
| Helen Ellis Memorial Hospital Auxiliary Inc | ||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 592106043 | Fund-raising for Tax-exempt hospital/foundation | FL | 501(c)(3 | Type III-FI | NA | false |
| Helen Ellis Memorial Hospital Foundation Inc | ||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 593690149 | Fund-raising for Tax-exempt hospital | FL | 501(c)(3 | Type III-FI | NA | false |
| Hinsdale Hospital Foundation | ||||||||||
| 7 Salt Creek Lane Suite 203 | Hinsdale | IL | 60521 | 521466387 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3 | 7 | Midwest Hlth Foundation | false |
| Hospice of the Comforter Inc | ||||||||||
| 480 W Central Parkway | Altamonte Springs | FL | 32714 | 592935928 | Operation of Hospice | FL | 501(c)(3 | 9 | The Comforter Health Care Group Inc | false |
| Hospice of the Comforter Foundation Inc | ||||||||||
| 480 W Central Parkway | Altamonte Springs | FL | 32714 | 271858033 | Fund Raising for Affiliated Tax-Exempt Hospice | FL | 501(c)(3 | 7 | The Comforter Health Care Group Inc | false |
| In-Motion Rehab Inc | ||||||||||
| 602 Courtland Street Ste 200 | Orlando | FL | 32804 | 208023411 | Therapy services to tax exempt nursing homes | KS | 501(c)(3 | Type II | Sunbelt Hlth Care Centers Inc | false |
| Jellico Community Hospital Inc | ||||||||||
| 188 Hospital Lane | Jellico | TN | 37762 | 620924706 | Operation of Hospital & Related Services | TN | 501(c)(3 | 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| La Grange Memorial Hospital Foundation | ||||||||||
| 5101 S Willow Springs Rd | La Grange | IL | 60525 | 300247776 | Fund-raising for Tax-exempt hospital | IL | 501(c)(3 | 7 | Midwest Hlth Foundation | false |
| Lake County Health Care Properties Inc | ||||||||||
| 602 Courtland St Ste 200 | Orlando | FL | 32804 | 472179868 | Lease to Related Organization | FL | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| Memorial Hlth Systems Foundation Inc | ||||||||||
| 770 West Granada Blvd | Ormond Beach | FL | 32174 | 311771522 | Fund-raising for Tax-exempt hospital | FL | 501(c)(3 | 7 | NA | false |
| Memorial Hlth Systems Inc | ||||||||||
| 301 Memorial Medical Pkwy | Daytona Beach | FL | 32117 | 590973502 | Operation of Hospital & Related Services | FL | 501(c)(3 | 3 | Adventist Hlth SystemSunbelt Inc | false |
| Memorial Hospital West Volusia Inc | ||||||||||
| 701 West Plymouth Avenue | Deland | FL | 32720 | 593256803 | Operation of Hospital & Related Services | FL | 501(c)(3 | 3 | Memorial Hlth Systems Inc | false |
| Memorial Hospital Flagler Inc | ||||||||||
| 60 Memorial Medical Parkway | Palm Coast | FL | 32164 | 592951990 | Operation of Hospital & Related Services | FL | 501(c)(3 | 3 | Memorial Hlth Systems Inc | false |
| Memorial Hospital Inc | ||||||||||
| 210 Marie Langdon Drive | Manchester | KY | 40962 | 610594620 | Operation of Hospital & Related Services | KY | 501(c)(3 | 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| Merriam Hlth Care Properties Inc | ||||||||||
| 9700 West 62nd Street | Merriam | KS | 66203 | 364595806 | Lease to Related Organization | KS | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| Metroplex Adventist Hospital Inc | ||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 742225672 | Operation of Hospital & Related Services | TX | 501(c)(3 | 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| Metroplex Clinic Physicians Inc | ||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 113762050 | Physician Hlthcare services to the community | TX | 501(c)(3 | 3 | Metroplex Adventist Hospital Inc | false |
| Metroplex Hospital Inc | ||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 461256516 | Future Operation of Hospital & Related Svcs | FL | 501(c)(3 | 3 | Adventist Hlth System Sunbelt Hlthcare Corp | false |
| Midwest Hlth Foundation | ||||||||||
| 120 North Oak Street | Hinsdale | IL | 60521 | 352230515 | Support of subsidiary Foundations | IL | 501(c)(3 | Type II | NA | false |
| Mills Hlth & Rehab Center Inc | ||||||||||
| 500 Beck Lane | Mayfield | KY | 42066 | 205782320 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| Mission Strategies of Georgia Inc | ||||||||||
| 3949 S Cobb Drive | Smyrna | GA | 30080 | 900866024 | Provision of support to the nursing home division | GA | 501(c)(3 | Type II | Sunbelt Hlth Care Centers Inc | false |
| Missouri Adventist Hlth Inc | ||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 431224729 | Support Hlth Care Services | MO | 501(c)(3 | Type III-O | Adventist Hlth Mid-America Inc | false |
| North Regional EMS Inc | ||||||||||
| 188 Hospital Lane | Jellico | TN | 37762 | 262653616 | EMS Services | TN | 501(c)(3 | 9 | Jellico Community Hospital Inc | false |
| Ormond Beach Memorial Hospital Auxiliary Inc | ||||||||||
| 301 Memorial Medical Parkway | Daytona Beach | FL | 32117 | 591721962 | Volunteer support services | FL | 501(c)(3 | Type III-FI | NA | false |
| Overland Park Nursing & Rehab Center Inc | ||||||||||
| 6501 West 75th Street | Overland Park | KS | 66204 | 205774821 | Operation of Home for the Aged/Hlthcare Delivery | KS | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| Paragon Hlth Care Properties Inc | ||||||||||
| 950 Highpoint Drive | Hopkinsville | KY | 42240 | 510605686 | Lease to Related Organization | GA | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| Pasco-Pinellas Hillsborough Community Hlth System Inc | ||||||||||
| 2600 Bruce B Downs Blvd | Wesley Chapel | FL | 33544 | 208488713 | Operation of Hospital & Related Services | FL | 501(c)(3 | 3 | Adventist Hlth System Sunbelt Hlthcare Corp | false |
| Portercare Adventist Hlth System | ||||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 840438224 | Operation of Hospital & Related Services | CO | 501(c)(3 | 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| Princeton Hlth and Rehab Center Inc | ||||||||||
| 1333 West Main | Princeton | KY | 42445 | 205782272 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| Princeton Professional Services Inc | ||||||||||
| 601 E Rollins Street | Orlando | FL | 32803 | 591191045 | Provision of Hlthcare Services | FL | 501(c)(3 | 9 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| Quality Circle for Hlthcare Inc | ||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 263789368 | Hlthcare Quality Services | FL | 501(c)(3 | Type I | Adventist Hlth System Sunbelt Hlthcare Corp | false |
| Resource Personnel Inc | ||||||||||
| 602 Courtland Street Ste 200 | Orlando | FL | 32804 | 208040875 | Provide administrative support to tax exempt nursing homes | FL | 501(c)(3 | Type II | Sunbelt Hlth Care Centers Inc | false |
| Rocky Mountain Adventist Hlthcare Foundation | ||||||||||
| 7995 E Prentice Ave 204 | Greenwood Village | CO | 80111 | 840745018 | Fund-raising for Tax-exempt hospital | CO | 501(c)(3 | 7 | NA | false |
| Rollins Brook Community Care Corp | ||||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 461656773 | Inactive | TX | 501(c)(3 | Type I | Adventist Hlth SystemSunbelt Inc | false |
| Russellville Hlth Care Properties Inc | ||||||||||
| 683 East Third Street | Russellville | KY | 42276 | 510605691 | Lease to Related Organization | GA | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| San Marcos Hlth Care Properties Inc | ||||||||||
| 1900 Medical Parkway | San Marcos | TX | 78666 | 510605693 | Lease to Related Organization | GA | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| San Marcos Nursing and Rehab Center Inc | ||||||||||
| 1900 Medical Parkway | San Marcos | TX | 78666 | 205782224 | Operation of Home for the Aged/Hlthcare Delivery | TX | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| Shawnee Mission Hlth Care Inc | ||||||||||
| 6501 West 75th Street | Overland Park | KS | 66204 | 480952508 | Lease to Related Organization | KS | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| Shawnee Mission Medical Center Inc | ||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 480637331 | Operation of Hospital & Related Services | KS | 501(c)(3 | 3 | Adventist Hlth Mid-America Inc | false |
| South Central Inc | ||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 593689740 | Management Support | GA | 501(c)(3 | Type III-FI | NA | false |
| South Pasco Hlth Care Properties Inc | ||||||||||
| 38250 A Avenue | Zephyrhills | FL | 33542 | 510605679 | Lease to Related Organization | GA | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| Southwest Volusia Hlth Services Inc | ||||||||||
| 1055 Saxon Blvd | Orange City | FL | 32763 | 593281591 | Medical Office Building for Hospital | FL | 501(c)(3 | Type I | Southwest Volusia Hlthcare Corp | false |
| Southwest Volusia Hlthcare Corp | ||||||||||
| 1055 Saxon Blvd | Orange City | FL | 32763 | 593149293 | Operation of Hospital & Related Services | FL | 501(c)(3 | 3 | Adventist Hlth SystemSunbelt Inc | false |
| Specialty Physicians of Central Texas Inc | ||||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 208814408 | Physician Hlthcare services to the community | TX | 501(c)(3 | 3 | Adventist Hlth SystemSunbelt Inc | false |
| Spring View Hlth and Rehab Center Inc | ||||||||||
| 718 Goodwin Lane | Leitchfield | KY | 42754 | 205782288 | Operation of Home for the Aged/Hlthcare Delivery | KY | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| Sunbelt Hlth and Rehab Center Apopka Inc | ||||||||||
| 305 East Oak Street | Apopka | FL | 32703 | 205774856 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| Sunbelt Hlth Care Centers Inc | ||||||||||
| 602 Courtland Street Ste 200 | Orlando | FL | 32804 | 581473135 | Management Services | TN | 501(c)(3 | Type II | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| SunSystem Development Corp | ||||||||||
| 900 Hope Way | Altamonte Springs | FL | 32714 | 592219301 | Fund Raising for Affiliated Tax-Exempt Hospitals | FL | 501(c)(3 | 7 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| Takoma Regional Hospital Inc | ||||||||||
| 401 Takoma Ave | Greeneville | TN | 37743 | 510603966 | Operation of Hospital & Related Services | TN | 501(c)(3 | 3 | Adventist Hlth SystemSunbelt Inc | false |
| TAKOMA REGIONAL HOSPITAL Foundation INC | ||||||||||
| 401 Takoma Ave | Greeneville | TN | 37743 | 471334302 | Fund Raising for Affiliated Tax-Exempt Hospital | TN | 501(c)(3 | 7 | Takoma Regional Hospital Inc | false |
| Tarpon Springs Hospital Foundation Inc | ||||||||||
| 1395 S Pinellas Ave | Tarpon Springs | FL | 34689 | 590898901 | Operation of Hospital & Related Services | FL | 501(c)(3 | 3 | University Community Hospital Inc | false |
| Tarrant County Hlth Care Properties Inc | ||||||||||
| 301 Huguley Blvd | Burleson | TX | 76028 | 510605677 | Lease to Related Organization | GA | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| Taylor Creek Hlth Care Properties Inc | ||||||||||
| 718 Goodwin Lane | Leitchfield | KY | 42754 | 510605678 | Lease to Related Organization | GA | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| The Comforter Health Care Group Inc | ||||||||||
| 605 Montgomery Road | Altamonte Springs | FL | 32714 | 271857940 | Lease to Related Organization | FL | 501(c)(3 | Type III-FI | Adventist Hlth System Sunbelt Hlthcare Corp | false |
| The Volunteer Auxiliary of Florida Hospital Flagler Inc | ||||||||||
| 60 Memorial Medical Parkway | Palm Coast | FL | 32164 | 592486582 | Volunteer support services | FL | 501(c)(3 | Type III-FI | NA | false |
| TRI-COUNTY NURSING AND REHAB Center Inc | ||||||||||
| 602 Courtland St Ste 200 | Orlando | FL | 32804 | 472219363 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| Trinity Nursing and Rehab Center Inc | ||||||||||
| 9700 West 62nd Street | Merriam | KS | 66203 | 205774890 | Operation of Home for the Aged/Hlthcare Delivery | KS | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| University Community Hospital Foundation Inc | ||||||||||
| 3100 E Fletcher Ave | Tampa | FL | 33613 | 592554889 | Fund-raising for Tax-exempt hospital | FL | 501(c)(3 | Type I | NA | false |
| University Community Hospital Specialty Care Inc | ||||||||||
| 3100 E Fletcher Ave | Tampa | FL | 33613 | 593231322 | Inactive | FL | 501(c)(3 | Type I | University Community Hospital Inc | false |
| University Community Hospital Inc | ||||||||||
| 3100 E Fletcher Ave | Tampa | FL | 33613 | 591113901 | Operation of Hospital & Related Services | FL | 501(c)(3 | 3 | Adventist Hlth System Sunbelt Hlthcare Corp | Yes (true) |
| West Florida Health Home Care Inc fka South Cent Nurs Home Prop | ||||||||||
| PO Box 1289 | Tampa | FL | 33601 | 593686109 | Will be operating Home Health Agency | GA | 501(c)(3 | Type III-O | Adventist Hlth System Sunbelt Hlthcare Corp | false |
| West Kentucky Hlth Care Properties Inc | ||||||||||
| 500 Beck Lane | Mayfield | KY | 42066 | 510605676 | Lease to Related Organization | GA | 501(c)(3 | Type III-FI | Sunbelt Hlth Care Centers Inc | false |
| Zephyr Haven Hlth and Rehab Center Inc | ||||||||||
| 38250 A Avenue | Zephyrhills | FL | 33542 | 205774930 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
| Zephyrhills Hlth and Rehab Center Inc | ||||||||||
| 7350 Dairy Road | Zephyrhills | FL | 33540 | 205774967 | Operation of Home for the Aged/Hlthcare Delivery | FL | 501(c)(3 | 9 | Sunbelt Hlth Care Centers Inc | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | OwnershipOwnershipPct | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Appalachian Therapy Services LLC | ||||||||||||||
| 100 Hospital Drive | Hendersonville | NC | 28792 | 202463851 | Therapy Staffing | NC | Fletcher Hospital Inc | N/A | 0.5 | |||||
| Clear Creek MOB Ltd | ||||||||||||||
| 2201 S Clear Creek Rd | Killeen | TX | 76549 | 742609195 | Real Estate | TX | Clear Creek MOB Inc | N/A | 0.61 | |||||
| Endoscopy Center at Porter LLC | ||||||||||||||
| 1001 South Park Drive | Littleton | CO | 80120 | 205855038 | Medical Services | CO | Portercare Adventist Health System | Related | 0.51 | $27,350 | $131,570 | false | $0 | false |
| Florida Hospital DMERT LLC | ||||||||||||||
| 2450 Maitland Center Pkwy Ste 200 | Maitland | FL | 32751 | 202392253 | Medical Equipment | FL | Princeton Prof Services Inc | N/A | 0.67 | |||||
| Florida Hospital Home Infusion | ||||||||||||||
| 2450 Maitland Center Pkwy Ste 200 | Maitland | FL | 32751 | 593142824 | Home Infusion Services | FL | Princeton Prof ServsFH Waterman | N/A | 0.57 | |||||
| KCCCSMMC Cancer Center LLC (11-4813) | ||||||||||||||
| 9100 W 74th Street | Shawnee Mission | KS | 66204 | 270909763 | Equipment Rental | KS | Shawnee Mission Med Ctr Inc | N/A | 0.5 | |||||
| PAHSUSP Surgery Centers LLC | ||||||||||||||
| 15305 Dallas Pkwy Ste 1600 LB 28 | Addison | TX | 75010 | 263057950 | Medical Services | CO | Portercare Adventist Health System | Related | 0.51 | $1,101,609 | $904,818 | false | $0 | false |
| San Marcos MRI LP | ||||||||||||||
| 1330 Wonder World Dr Ste 202 | San Marcos | TX | 78666 | 770597972 | Imaging & Testing | TX | Adventist Hlth SystemSunbelt Inc | N/A | 0.6 | |||||
| Shawnee Mission Open MRI LLC | ||||||||||||||
| 9100 W 74th Street Box 2923 | Shawnee Mission | KS | 66201 | 270011796 | Imaging & Testing | KS | Shawnee Mission Med Ctr Inc | N/A | 0.55 | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Altamonte Medical Plaza Condominium Association Inc | |||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 592855792 | Condo Association | FL | NA | C Corporation | false |
| Apopka Medical Plaza Condominium Association Inc | |||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 593000857 | Condo Association | FL | NA | C Corporation | false |
| CC MOB Inc | |||||||||
| 2201 S Clear Creek Road | Killeen | TX | 76549 | 742616875 | Real Estate Rental | TX | NA | C Corporation | false |
| Central Texas Medical Associates | |||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742729873 | Physician Clinics | TX | NA | C Corporation | false |
| Central Texas Provider's Network | |||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 742827652 | Physician Hospital Org. | TX | NA | C Corporation | false |
| Florida Hospital Flagler Medical Offices Association Inc | |||||||||
| 60 Memorial Medical Parkway | Palm Coast | FL | 32164 | 262158309 | Condo Association | FL | NA | C Corporation | false |
| Florida Hospital Healthcare System Inc | |||||||||
| 602 Courtland Street | Orlando | FL | 32804 | 593215680 | PHO/TPA | FL | NA | C Corporation | false |
| Florida Medical Plaza Condo Association Inc | |||||||||
| 601 East Rollins Street | Orlando | FL | 32803 | 592855791 | Condo Association | FL | NA | C Corporation | false |
| Florida Memorial Health Network Inc | |||||||||
| 770 W Granada Blvd Ste 317 | Ormond Beach | FL | 32174 | 593403558 | Physician Hospital Org. | FL | NA | C Corporation | false |
| HUGULEY ALLIANCE FOUNDATION (11-8414) | |||||||||
| 11801 South Freeway | Fort Worth | TX | 76115 | 752642209 | Inactive | TX | NA | C Corporation | false |
| Kissimmee Multispecialty Clinic Condominium Association Inc | |||||||||
| 201 Hilda Street Suite 30 | Kissimmee | FL | 34741 | 593539564 | Condo Association | FL | NA | C Corporation | false |
| Midwest Management Services Inc | |||||||||
| 9100 West 74th Street | Shawnee Mission | KS | 66204 | 480901551 | Real Estate Rental | KS | NA | C Corporation | false |
| North American Health Services Inc & Subs | |||||||||
| 900 Hope Way | Altamonte Springs | TN | 32714 | 621041820 | Lessor/Holding Co. | TN | NA | C Corporation | false |
| ORMOND PROF Associates CONDO ASSOC'N Inc (430 YR END) | |||||||||
| 770 W Granada Blvd Ste 101 | Ormond Beach | FL | 32174 | 592694434 | Condo Association | FL | NA | C Corporation | false |
| Park Ridge Property Owner's Association Inc | |||||||||
| 1 Park Place Naples Road | Fletcher | NC | 28732 | 030380531 | Condo Association | NC | NA | C Corporation | false |
| Porter Affiliated Hlth Services Inc dba Diversified Affiliated Hlth Svcs | |||||||||
| 2525 S Downing Street | Denver | CO | 80210 | 840956175 | Healthcare Services | CO | NA | C Corporation | false |
| San Marcos Regional MRI Inc | |||||||||
| 1301 Wonder World Drive | San Marcos | TX | 78666 | 770597968 | Holding Company | TX | NA | C Corporation | false |
| The Garden Retirement Community Inc | |||||||||
| 602 Courtland Street Ste 200 | Orlando | FL | 32804 | 593414055 | Real Estate Rental | FL | NA | C Corporation | false |
| Winter Park Medical Office Building I Condo Assoc Inc | |||||||||
| 200 Lakemont Ave | Winter Park | FL | 32792 | 452228478 | Physician Clinics | FL | NA | C Corporation | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCKY MOUNTAIN ADVENTIST HEALTHCARE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $1,440,374 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |