POUDRE VALLEY HEALTH CARE INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- POUDRE VALLEY HEALTH CARE INC (EIN 84-1262971)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-16
- IRS object ID
- 201641379349306119
- 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 K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T13:29:09-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 461497033 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EKS&H LLLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7979 E TUFTS AVENUE SUITE 400 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 802372521 | 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 | 841262971 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POUDRE VALLEY HEALTH CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | POUD | BusinessNameControlTxt |
| Phone | 9702377000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2315 E HARMONY ROAD NO 200 | AddressLine1Txt |
| City | FORT COLLINS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80528 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANIE DOUGHTY | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 9702377000 | PhoneNum |
| Signature | 2016-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DORI J EGGETT | PreparerPersonNm |
| PTIN | P00645252 | PTIN |
| Phone | 3037409400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KEVIN UNGER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2315 E HARMONY RD 200 | AddressLine1Txt |
| City | FT COLLINS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80528 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $512,813,222 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UCHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | WE IMPROVE LIVES THROUGH LEARNING, HEALING, DISCOVERY, AND THROUGH HUMAN CONNECTION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 4255 | TotalEmployeeCnt |
| Total Volunteers | 600 | TotalVolunteersCnt |
| Total Gross UBI | $4,645,969 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $3,061,887 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,199,637 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,220,807 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $446,107,775 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $471,312,432 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,060,636 | PYInvestmentIncomeAmt |
| CY Investment Income | $23,773,424 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,929,131 | PYOtherRevenueAmt |
| CY Other Revenue | $10,670,778 | CYOtherRevenueAmt |
| PY Total Revenue | $478,297,179 | PYTotalRevenueAmt |
| CY Total Revenue | $507,977,441 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $36,808,195 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $31,381,120 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $186,655,969 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $185,330,975 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $216,747,452 | PYOtherExpensesAmt |
| CY Other Expenses | $205,327,882 | CYOtherExpensesAmt |
| PY Total Expenses | $440,211,616 | PYTotalExpensesAmt |
| CY Total Expenses | $422,039,977 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $38,085,563 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $85,937,464 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,439,397,024 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,242,473,093 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $687,341,243 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,327,312,245 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $752,055,781 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $915,160,848 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS, WE IMPROVE LIVES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $384,072,441 | ExpenseAmt |
| Grant | $31,381,120 | GrantAmt |
| Revenue | $471,145,859 | RevenueAmt |
| Desc | POUDRE VALLEY HEALTH CARE INC. (PVHC) PROVIDES TERTIARY, ACUTE, INPATIENT, OUTPATIENT AS WELL AS EMERGENCY CARE. PVHC SERVICES COMMUNITIES IN NORTHERN COLORADO, SOUTHWESTERN NEBRASKA, AND SOUTHEASTERN WYOMING. DURING FISCAL YEAR 2015, PVHC RECORDED 59,798 PATIENT DAYS, 15,358 ADMISSIONS, 223,571 OUTPATIENT VISITS, 58,589 EMERGENCY VISITS, 2,297 DELIVERIES, 4,502 INPATIENT SURGERIES, AND 4,987 OUTPATIENT SURGERIES. | Desc |
| Total Program Service Expenses | $384,072,441 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 265 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4255 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEPHANIE DOUGHTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9702377000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2315 E HARMONY ROAD SUITE 200 | AddressLine1Txt |
| City | FORT COLLINS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80528 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTINE CHIN | ||||||||||
| BOARD CHAIR | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MIKE DELLENBACH | ||||||||||
| VICE BOARD CHAIR | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DENNIS HOUSKA | ||||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| THAINE MICHIE | ||||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHRIS OSBORN | ||||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN MENTEN | ||||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES SPROWELL MD | ||||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| LAURIE STEELE | ||||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAN STROH | ||||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVE THORSON MD | ||||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN UNGER | ||||||||||
| PRESIDENT/CEO | 25.00 | 25.00 | Yes (X) | Yes (X) | $538,803 | $538,803 | $108,353 | |||
| STEPHANIE DOUGHTY | ||||||||||
| CFO | 25.00 | 25.00 | Yes (X) | $293,273 | $293,273 | $61,859 | ||||
| DONNA PODUSKA | ||||||||||
| CNO | 50.00 | $235,278 | $0 | $33,364 | Yes (X) | |||||
| MICHAEL RANDLE | ||||||||||
| CMO, CHMG | 50.00 | $369,807 | $0 | $54,037 | Yes (X) | |||||
| STANLEY GUNSTREAM | ||||||||||
| VP CHIEF QUALITY OFFICER | 40.00 | $399,640 | $0 | $52,039 | Yes (X) | |||||
| KENNETH WATANABE | ||||||||||
| PSYCHIATRIST | 40.00 | $268,454 | $0 | $46,452 | Yes (X) | |||||
| JANELL WOZNIAK | ||||||||||
| PHYSICIAN-RESIDENCY PGRM DIRECTOR | 40.00 | $269,788 | $0 | $45,828 | Yes (X) | |||||
| JOSEPH GOTTFRIED | ||||||||||
| PSYCHIATRIST | 40.00 | $258,080 | $0 | $47,667 | Yes (X) | |||||
| DANNY ROBINSON | ||||||||||
| CEO, CHMG | 25.00 | 25.00 | $215,053 | $198,520 | $58,081 | Yes (X) | ||||
| STEVEN SCHWARTZ | ||||||||||
| CFO, CHMG | 25.00 | 25.00 | $94,617 | $124,677 | $37,248 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,942,793 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,155,273 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $544,928 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 105 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NORTHERN COLORADO HOSPITALISTS | |||||
| 2121 E HARMONY RD 300 | FT COLLINS | CO | 80528 | MEDICAL | $2,123,439 |
| FORT COLLINS WOMEN'S CLINIC | |||||
| 1107 S LEMAY AVE 300 | FT COLLINS | CO | 80524 | MEDICAL | $1,697,678 |
| ALLIED BARTON SECURITY | |||||
| 161 WASHINGTON ST 600 | CONSHOHOCKEN | PA | 19428 | SECURITY | $1,691,419 |
| SUMMIT PATHOLOGY | |||||
| 5802 WRIGHT DR | LOVELAND | CO | 80538 | MEDICAL | $1,368,374 |
| FORT COLLINS YOUTH CLINIC | |||||
| 1214 OAK PARK DR | FORT COLLINS | CO | 80525 | MEDICAL | $1,315,833 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 47 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,572,744 | RelatedOrganizationsAmt |
| Government Grants | $374,771 | GovernmentGrantsAmt |
| All Other Contributions | $273,292 | AllOtherContributionsAmt |
| Noncash Contributions | $1,486,876 | NoncashContributionsAmt |
| Total Contributions | $2,220,807 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| NET PATIENT SVC REV | 900099 | $472,344,142 | $472,344,142 | ||
| PROVIDER FEE INCOME | 621400 | $28,906,490 | $28,906,490 | ||
| DIETARY SVC INCOME | 900099 | $2,088,151 | $2,088,151 | ||
| JOINT VENTURE | 621400 | -$32,303,826 | -$32,948,229 | $644,403 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $277,475 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $252,116 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $25,359 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $471,312,432 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,081,537 | TotalRevenueColumnAmt |
| Exclusion | $11,081,537 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $880,994 | TotalRevenueColumnAmt |
| Exclusion | $880,994 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,444,483 | RealAmt |
| Personal | $123,404 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,987,551 | RealAmt |
| Personal | $123,404 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,456,932 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,456,932 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $3,452,131 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,004,801 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,105,547 | SecuritiesAmt |
| Other | $7,146,673 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $2,441,327 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,105,547 | SecuritiesAmt |
| Other | $4,705,346 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,810,893 | TotalRevenueColumnAmt |
| Exclusion | $11,810,893 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $381,521 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $283,499 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,022 | TotalRevenueColumnAmt |
| Exclusion | $98,022 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| MISCELLANEOUS REVENUE | 621400 | $2,054,043 | $1,529,967 | $524,076 | |
| EHR REVENUE | 624100 | $1,061,373 | $1,061,373 | ||
| INCOME TAX REFUND | 621400 | $408 | $408 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,115,824 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $507,977,441 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $471,145,859 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,645,969 | UnrelatedBusinessRevenueAmt |
| Exclusion | $29,964,806 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,381,120 | TotalAmt |
| Program Services | $31,381,120 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,300,678 | TotalAmt |
| Program Services | $383,497 | ProgramServicesAmt |
| Management And General | $917,181 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,727 | TotalAmt |
| Program Services | $65,727 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,932,975 | TotalAmt |
| Program Services | $128,797,885 | ProgramServicesAmt |
| Management And General | $13,135,090 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,357,875 | TotalAmt |
| Program Services | $21,142,024 | ProgramServicesAmt |
| Management And General | $2,215,851 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,803,450 | TotalAmt |
| Program Services | $15,911,454 | ProgramServicesAmt |
| Management And General | $891,996 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,870,270 | TotalAmt |
| Program Services | $1,692,846 | ProgramServicesAmt |
| Management And General | $177,424 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,250 | TotalAmt |
| Management And General | $30,250 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,051 | TotalAmt |
| Management And General | $67,051 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,600 | TotalAmt |
| Management And General | $26,600 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $939,162 | TotalAmt |
| Management And General | $939,162 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,033,581 | TotalAmt |
| Program Services | $23,673,138 | ProgramServicesAmt |
| Management And General | $4,360,443 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,039,738 | TotalAmt |
| Program Services | $7,258 | ProgramServicesAmt |
| Management And General | $3,032,480 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,054,559 | TotalAmt |
| Program Services | $3,615,057 | ProgramServicesAmt |
| Management And General | $439,502 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,847,192 | TotalAmt |
| Program Services | $5,108,102 | ProgramServicesAmt |
| Management And General | $739,090 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,894,293 | TotalAmt |
| Program Services | $3,524,859 | ProgramServicesAmt |
| Management And General | $369,434 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,074,293 | TotalAmt |
| Program Services | $784,771 | ProgramServicesAmt |
| Management And General | $289,522 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,351 | TotalAmt |
| Program Services | $278,506 | ProgramServicesAmt |
| Management And General | $44,845 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,696,030 | TotalAmt |
| Program Services | $9,696,030 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,440,248 | TotalAmt |
| Program Services | $17,268,543 | ProgramServicesAmt |
| Management And General | $5,171,705 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,966,969 | TotalAmt |
| Program Services | $127,182 | ProgramServicesAmt |
| Management And General | $1,839,787 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| UBI TAXES | $944,998 | $944,998 | |
| MEDICAL SUPPLIES | $76,833,971 | $91,107 | $76,742,864 |
| BAD DEBT | $21,354,240 | $21,354,240 | |
| PROVIDER FEE EXPENSE | $20,647,416 | $20,647,416 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,113,940 | TotalAmt |
| Program Services | $1,869,922 | ProgramServicesAmt |
| Management And General | $2,244,018 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,039,977 | TotalAmt |
| Program Services | $384,072,441 | ProgramServicesAmt |
| Management And General | $37,967,536 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,709,644 | BOYAmt |
| EOY | $68,533,778 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,026,320 | BOYAmt |
| EOY | $1,489,346 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,214,512 | BOYAmt |
| EOY | $50,779,998 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,364,113 | BOYAmt |
| EOY | $45,308 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,500,134 | BOYAmt |
| EOY | $6,998,323 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,427,999 | BOYAmt |
| EOY | $3,617,968 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $554,669,199 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $299,827,366 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $261,849,234 | BOYAmt |
| EOY | $254,841,833 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,123,945 | BOYAmt |
| EOY | $780,602,336 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,997,063 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,095,655 | BOYAmt |
| EOY | $26,245,368 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,072,088,405 | BOYAmt |
| EOY | $1,049,318,835 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,439,397,024 | BOYAmt |
| EOY | $2,242,473,093 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,074,553 | BOYAmt |
| EOY | $63,770,176 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,473 | BOYAmt |
| EOY | $59,968 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,401,661 | BOYAmt |
| EOY | $204,385,503 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,854,723 | BOYAmt |
| EOY | $23,496,487 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,379,436 | BOYAmt |
| EOY | $61,245 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $369,561,397 | BOYAmt |
| EOY | $1,035,538,866 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $687,341,243 | BOYAmt |
| EOY | $1,327,312,245 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $752,055,781 | BOYAmt |
| EOY | $915,160,848 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $752,055,781 | BOYAmt |
| EOY | $915,160,848 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,439,397,024 | BOYAmt |
| EOY | $2,242,473,093 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $85,937,464 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,658,679 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $80,826,282 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $26,600 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $26,600 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF DUES FROM MEMBERSHIP IN CHA AND AHA THAT ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,287,236 | BeginningYearBalanceAmt |
| Contributions | $2,977,196 | ContributionsAmt |
| Investment Earnings Or Losses | $98,459 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,595,156 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,525,623 | OtherExpendituresAmt |
| End Year Balance | $11,242,112 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,692,037 | BeginningYearBalanceAmt |
| Contributions | $4,841,525 | ContributionsAmt |
| Investment Earnings Or Losses | $985,793 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,756,845 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,455,274 | OtherExpendituresAmt |
| End Year Balance | $11,287,236 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,938,992 | BeginningYearBalanceAmt |
| Contributions | $2,680,308 | ContributionsAmt |
| Investment Earnings Or Losses | $520,466 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $565,964 | GrantsOrScholarshipsAmt |
| Other Expenditures | $881,765 | OtherExpendituresAmt |
| End Year Balance | $10,692,037 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,589,487 | BeginningYearBalanceAmt |
| Contributions | $1,202,986 | ContributionsAmt |
| Investment Earnings Or Losses | $379,517 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $448,977 | GrantsOrScholarshipsAmt |
| Other Expenditures | $784,021 | OtherExpendituresAmt |
| End Year Balance | $8,938,992 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,012,240 | BeginningYearBalanceAmt |
| Contributions | $3,552,647 | ContributionsAmt |
| Investment Earnings Or Losses | -$345,716 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,678,528 | GrantsOrScholarshipsAmt |
| Other Expenditures | $712,777 | OtherExpendituresAmt |
| Administrative Expenses | $238,379 | AdministrativeExpensesAmt |
| End Year Balance | $8,589,487 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.56390 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.43610 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,951,616 | OtherCostOrOtherBasisAmt |
| Book Value | $59,951,616 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $189,616,546 | OtherCostOrOtherBasisAmt |
| Depreciation | $103,943,845 | DepreciationAmt |
| Book Value | $85,672,701 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $92,100,199 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,372,188 | DepreciationAmt |
| Book Value | $28,728,011 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $153,624,020 | OtherCostOrOtherBasisAmt |
| Depreciation | $100,998,658 | DepreciationAmt |
| Book Value | $52,625,362 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,376,818 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,512,675 | DepreciationAmt |
| Book Value | $27,864,143 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $254,841,833 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY RECEIVABLE | $1,022,579,823 |
| DEFERRED DEBT ISSUANCE COSTS | $3,057,982 |
| OTHER RECEIVABLES | $3,994,117 |
| DEFERRED PENSION OUTFLOW COSTS | $19,686,913 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,049,318,835 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLES | $1,013,097,204 |
| ACCRUED INTEREST PAYABLE | $1,355,370 |
| OTHER DEFERRED EXPENSES | $2,852,960 |
| PENSION LIABILITIES | $18,233,332 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,035,538,866 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $521,456,621 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$3,658,679 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $2,110,955 | OtherRevenueAmt |
| Revenue Not Reported | -$1,547,724 | RevenueNotReportedAmt |
| Revenue Subtotal | $523,004,345 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$15,026,904 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$15,026,904 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $507,977,441 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $401,486,954 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,110,955 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,110,955 | ExpensesNotReportedAmt |
| Expenses Subtotal | $399,375,999 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $22,663,978 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $22,663,978 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $422,039,977 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUNDS ARE USED FOR THE INTENDED PURPOSE TO FUND SCHOLARSHIPS, EDUCATION, PROGRAMS, AND COMMUNITY BENEFIT. TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE FOUNDATION HAVE BEEN LIMITED BY THE DONOR TO A SPECIFIC TIME PERIOD OR PURPOSE. THESE NET ASSETS ARE AVAILABLE FOR VARIOUS HEALTH CARE PURPOSES AS DEFINED BY DONORS. THE ENDOWMENT FUND IS OWNED BY POUDRE VALLEY HEALTH SYSTEM FOUNDATION. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 2,110,955. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT IN AFS INCOME 21,354,239. AUXILIARY INCOME NOT INCLUDED IN AFS INCOME 98,022. CONTRIBUTIONS FROM PV FOUNDATION NOT IN AFS INCOME 225,739. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 25,359. RENTAL EXP AS INCOME ON 990 10,071. INCOME TAX REFUND REDUCED EXPENSES ON AFS 408. INVESTMENT EXPENSE REPORTED AS INCOME ON AFS 939,162. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS -37,679,904. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE INCLUDED IN EXPENSE ON AFS 2,110,955. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT IN AFS INCOME 21,354,239. AUXILIARY GRANTS NOT ON AFS 109,000. RENTAL EXP AS INCOME ON 990 10,071. PHARMACY SALES INCLUDED IN EXPENSE ON AFS 25,359. INCOME TAX REFUND REDUCED EXPENSES ON AFS 408. CASH CONTRIBUTIONS FROM FOUNDATION NOT IN AFS REVENUE 225,739. INVESTMENT EXPENSE REPORTED AS INCOME ON AFS 939,162. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $759,922 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $759,922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,689,920 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,887,549 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,802,371 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02560 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,652,344 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,567,826 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $84,518 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $83,102,186 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $71,455,375 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,646,811 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02760 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,417,945 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $177,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,240,145 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,644,690 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,040,346 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,604,344 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01090 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,016,258 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,065,985 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,950,273 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00700 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,057,678 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $213,539 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $844,139 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $31,289,872 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $31,289,872 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07410 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,426,443 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,497,670 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,928,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09930 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $132,528,629 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $78,953,045 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $53,575,584 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12690 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $200 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $81,338 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $81,338 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,245 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,245 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $150,370 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $150,370 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $234,153 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $234,153 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $23,781,564 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $137,860,111 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $176,974,237 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$39,114,126 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (8 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 HARMONY SURGERY CENTER LLC | ||
| AMBULATORY SURGERY | 0.50000 | 0.50000 |
| 2 PEAK SURGICAL MANAGEMENT | ||
| MANAGEMENT SERVICES | 0.14000 | 0.86000 |
| 3 HARMONY IMAGING CENTER LLC | ||
| MEDICAL IMAGING | 0.46000 | 0.54000 |
| 4 SURGERY CENTER OF FORT COLLINS | ||
| AMBULATORY SURGERY | 0.26000 | 0.49000 |
| 5 GATEWAY MEDICAL SERVICES | ||
| REAL ESTATE/MEDICAL EQUIPMENT | 0.50000 | 0.50000 |
| 6 EYE AND LASER CENTER OF NORTHERN COLO LLC | ||
| LASER SURGERY | 0.50000 | 0.50000 |
| 7 VEIN AND LASER CENTER OF N COLO | ||
| LASER SURGERY | 0.33000 | 0.67000 |
| 8 PVHS-ICM EHW LLC | ||
| MEDICAL CLINIC | 0.50000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POUDRE VALLEY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1024 S LEMAY | AddressLine1Txt |
| City | FORT COLLINS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80524 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | PHARMACY, LAB, CARDIOVASCULAR | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POUDRE VALLEY HEALTH CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| POUDRE VALLEY HEALTH CARE | PART V, SECTION B, LINE 3J: THE CHNA REPORT ALSO DESCRIBES CLINICAL SERVICES PROVIDED BY HOSPITAL FACILITY ADDRESSING THE FOUR LEADING CAUSES OF MORTALITY IN THE COUNTY. |
| POUDRE VALLEY HEALTH CARE | PART V, SECTION B, LINE 5: TWO COMMUNITY MEETINGS WERE HELD DURING FEBRUARY 2013 WHERE FINDINGS FROM THE CHNA WERE PRESENTED, QUESTIONS AND COMMENTS WERE RECEIVED AND RESPONSES PROVIDED. THE FOLLOWING INDIVIDUALS WERE CONSULTED:ANNETTE ALFANO, UNIVERSITY OF COLORADO HEALTHMARY ATCHISON, KAISER PERMANENTEKRISTIN BIERI, FOOD BANK FOR LARIMER COUNTYDEBORAH CAMPBELL, LARIMER COUNTY COMPASSJENNIFER CHASE, NORTHERN COLORADO AIDS PROJECTANDREA CLEMENT-JOHNSON, LARIMER COUNTY DEPARTMENT OF HEALTH & ENVIRONMENTBRUCE COOPER, HEALTH DISTRICT OF NORTHERN LARIMER COUNTYLORI DAIGLE, NORTHERN COLORADO AIDS PROJECTALISON DAWSON, DISABLED RESOURCE SERVICESEMILY DAWSON PETERSEN, TOUCHSTONE HEALTH PARTNERSTOM DONNELLY, LARIMER COUNTY COMMISSIONERSMICHELE DOYLE, COLUMBINE HEALTH CARE SYSTEMSLINDA FELLION, EARLY CHILDHOOD COUNCIL OF LARIMER COUNTYLEW GAITER, LARIMER COUNTY COMMISSIONERSCHAZZ GLAZE, SALUD FAMILY HEALTH CENTERNEIL GLUCKMAN, LARIMER COUNTY, ASSISTANT COUNTY MANAGERMARTHA HARGRAVES, COMMUNITY MEMBERBARBARA HARTMAN, THOMPSON SCHOOL DISTRICTSUE HEWITT, HEALTH DISTRICT OF NORTHERN LARIMER COUNTYJESSICA HINTERBERG, CANDO WITH UNIVERSITY OF COLORADO HEALTHERICA IVERSON, FOOD BANK FOR LARIMER COUNTYSTEVE JOHNSON, LARIMER COUNTY COMMISSIONERSASHLEY KASPRZAK, TEAM FORT COLLINSKATY KOHNEN, LEAGUE OF WOMEN VOTERSJENNY LANGNESS, ALPHA CENTERJENNIFER LEE, LARIMER COUNTY BOARD OF HEALTHDIANA LINDEN, PLANNED PARENTHOOD OF THE ROCKY MOUNTAIN'S RESPONSIBLE SEX EDUCATION INSTITUTEMARIE MACPHERSON, LARIMER COUNTY DEPT OF HEALTH AND ENVIRONMENTJOHN MCGEE, CROSSROADS SAFEHOUSEDAWN NANNINI, TEAM FORT COLLINSKAREN NICHOLSON, ESTES PARK MEDICAL CENTERTRACI ODDY, BANNER MCKEE MEDICAL CENTERCAROL PLOCK, HEALTH DISTRICT OF NORTHERN LARIMER COUNTYMARK RICHARDS, LARIMER COUNTY BOARD OF HEALTHDOUG RYAN, LARIMER COUNTY DEPARTMENT OF HEALTH & ENVIRONMENTKIM SHARPE, HEALTHIER COMMUNITIES COALITION OF LARIMER COUNTYBILL STOUT, WOMEN'S RESOURCE CENTERAVERIL STRAND, LARIMER COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENTDEIRDRE SULLIVAN, CANDO WITH UNIVERSITY OF COLORADO HEALTHJILL TAYLOR, UNIVERSITY OF COLORADO HEALTHGRACE TAYLOR, UNIVERSITY OF COLORADO HEALTHMARILYN THAYER, COMMUNITY ORGANIZING TO REACH EMPOWERMENT (CORE) CENTERLEE THIELEN, THIELEN CONSULTINGCOLETTE THOMPSON, UNIVERSITY OF COLORADO HEALTHJANE VISTE, LARIMER COUNTY DEPARTMENT OF HEALTH AND ENVIRONMENTSCOTT VON BARGEN, TURNING POINT CENTER FOR YOUTH & FAMILY DEVELOPMENTMARGARET WATSON, UNITED WAY 2-1-1 OF LARIMER COUNTYNANCY WEBER, POUDRE SCHOOL DISTRICTVALERIE WENDELL, BOHEMIAN FOUNDATIONLISE YOUNGBLADE, HUMAN DEVELOPMENT AND FAMILY STUDIES/COLORADO STATE UNIVERSITYSTEVE YURASH, LARIMER COUNTY BOARD OF HEALTH |
| POUDRE VALLEY HEALTH CARE | PART V, SECTION B, LINE 6A: MEDICAL CENTER OF THE ROCKIES ALSO PARTICIPATED IN THE 2012 CHNA. |
| POUDRE VALLEY HEALTH CARE | PART V, SECTION B, LINE 6B: ALPHA CENTERBOHEMIAN FOUNDATIONCOLUMBINE HEALTH CARE SYSTEMSCOMMUNITY ORGANIZING TO REACH EMPOWERMENT CENTERCROSSROADS SAFEHOUSEDISABLES RESOURCE SERVICESEARLY CHILDHOOD COUNCIL OF LARIMER COUNTYFOOD BANK FOR LARIMER COUNTYHEALTH DISTRICT OF N. LARIMER COUNTYHEALTHIER COMMUNITIES COALITION OF LARIMER COUNTYHUMAN DEVELOMENT AND FAMILY STUDIES @ CSUKAISER PERMANENTELARIMER COUNTRY DEPARTMENT OF HEALTH AND ENVIRONMENTLARIMER COUNTYLARIMER COUNTY BOARD OF HEALTHLARIMER COUNTY COMMISSIONERSLARIMER COUNTY COMPASSLEAGUE OF WOMEN VOTERSNORTHERN COLORADO AIDS PROJECTPLANNED PARENTHOODPOUDRE SCHOOL DISTRICTSALUD FAMILY HEALTH CENTERTEAM FORT COLLINSTHIELEN CONSULTINGTHOMPSON SCHOOL DISTRICTTOUCHSTONE HEALTH PARTNERSTURNING POINT CENTER FOR YOUTH AND FAMILY DEVELOPMENTUNITED WAY OF LARIMER COUNTYWOMEN'S RESOURCE CENTERPART V, LINE 7A:WEBSITE: HTTPS://WWW.UCHEALTH.ORG/DOCUMENTS/FILE-PDF/ABOUT- CHNA-WEB201213.PDFPART V, LINE 10A: HTTPS://WWW.UCHEALTH.ORG/DOCUMENTS/FILE-PDF /ABOUT-2013-IMPLEMENTATIONSTRATEGY-UCHEALTHNORTH.PDF |
| POUDRE VALLEY HEALTH CARE | PART V, SECTION B, LINE 11: AN IDENTIFIED HEALTH ISSUE RELATED TO A HIGH RATE OF UNINTENDED TEEN PREGNANCY IN WELD COUNTY IS NOT BEING ADDRESSED WITH DIRECT RESOURCES ALLOCATED FROM POUDRE VALLEY HOSPITAL OR THE MEDICAL CENTER OF THE ROCKIES. THE WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT PROVIDES REPRODUCTIVE HEALTH SERVICES FOR TEENS THROUGH A TITLE X CLINIC. ADDITIONAL EDUCATION AND OUTREACH TO WELD COUNTY TEENS IS PROVIDED BY A COMMUNITY ORGANIZATION; LUTHERAN FAMILY SERVICES. POUDRE VALLEY HOSPITAL AND MEDICAL CENTER OF THE ROCKIES PROVIDED SUPPORT TO THIS ORGANIZATION THROUGH CASH DONATIONS TOTALING $2,460.00 DURING THE 2012/13 FISCAL YEAR AND $2,500 DURING THE 2013/14 FISCAL YEAR. ANOTHER IDENTIFIED HEALTH ISSUE - MOTOR VEHICLE SAFETY FOR TEENS IN WELD COUNTY - IS ALSO NOT BEING DIRECTLY ADDRESSED DUE TO LACK OF RESOURCES. THE ISSUE IS BEING ADDRESSED BY A NON-PROFIT COMMUNITY COALITION - DRIVE SMART WELD COUNTY - WHICH HAS DEDICATED RESOURCES AND ACTION PLANS TO ADDRESS THIS ISSUE.PART V, LINE 16:FINANCIAL ASSISTANCE POLICY: HTTPS://WWW.UCHEALTHBILLPAY.ORG/PAYMENTOPTIONS.ASPX?TABID=4 |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| POUDRE VALLEY HEALTH CARE PART V, SECTION B, LINE 16A WEBSITE: | SEE PART V, SECTION C |
| POUDRE VALLEY HEALTH CARE PART V, SECTION B, LINE 16B WEBSITE: | SEE PART V, SECTION C |
| POUDRE VALLEY HEALTH CARE PART V, SECTION B, LINE 16C WEBSITE: | SEE PART V, SECTION C |
| 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 | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| HARMONY CAMPUS MOB | |||||
| 2121 E HARMONY RD | FORT COLLINS | CO | 80528 | PHYSICIAN OFFICES, ONCOLOGY, HCOR, CANCER CENTER | |
| HARMONY CAMPUS AMBULATORY CARE CENTER | |||||
| 2127 E HARMONY RD | FORT COLLINS | CO | 80528 | SURGERY CENTER, DIAGNOSTIC CENTER, IMAGING, URGENT CARE | |
| MCR NORTH MOB | |||||
| 2500 ROCKY MTN AVE | LOVELAND | CO | 80538 | PHYSICIAN OFFICES | |
| CHMG CLINICS | |||||
| 1400 E BOULDER STREET | COLORADO SPRINGS | CO | 80909 | PHYSICIAN OFFICES | |
| GREELEY MEDICAL CLINIC | |||||
| 1900 16TH STREET | GREELEY | CO | 80631 | PHYSICIAN OFFICES,LAB, RADIOLOGY & ONCOLOGY | |
| REDSTONE | |||||
| 2315 E HARMONY RD | FORT COLLINS | CO | 80528 | OUTPAITENT LAB, PHYSICIAN OFFICE, UROLOGY | |
| CHMG-LONGMONT | |||||
| 1925 MOUNTAIN VIEW AVE | LONGMONT | CO | 80501 | PHYSICIAN OFFICES | |
| PHYSICIAN CLINICS | |||||
| 4110 BRIARGATE PARKWAY | COLORADO SPRINGS | CO | 80920 | PHYSICIAN OFFICES | |
| PEAKVIEW MEDICAL CENTER | |||||
| 5881 W 16TH STREET | GREELEY | CO | 80634 | PHYSICIAN OFFICES, LAB & RADIOLOGY | |
| PENNOCK PLACE | |||||
| 1025 PENNOCK PLACE | FORT COLLINS | CO | 80524 | PHYSICIAN OFFICES, BLOOD BANK | |
| MOUNTAIN CREST BEHAVIORAL HEALTH | |||||
| 4601 CORBETT DR | FORT COLLINS | CO | 80528 | BEHAVORIAL HEALTH | |
| PROSPECT MEDICAL PLAZA | |||||
| 1106 E PROSPECT SUITE 100 | FORT COLLINS | CO | 80524 | PHYSICIAN OFFICES, OUTPAITENT REHAB, NEUROLOGY, INT MEDICINE | |
| CENTRE AVE HEALTH AND REHAB-JV | |||||
| 915 CENTRE AVE | FORT COLLINS | CO | 80526 | REHAB | |
| SNOW MESA | |||||
| 4674 SNOW MESA DRIVE | FORT COLLINS | CO | 80528 | PHYSICIAN OFFICES | |
| CHMG CHEYENNE MEDICAL SPECIALISTS | |||||
| 5050 POWDERHOUSE RD | CHEYENNE | WY | 82009 | PHYSICIAN OFFICES | |
| WESTBRIDGE | |||||
| 1107 S LEMAY | FORT COLLINS | CO | 80524 | PHYSICIAN OFFICES, BLOOD DRAW, SLEEP LAB, WEE STEPS | |
| CHMG PHYSICIAN CLINICS | |||||
| 525 N FOOTE AVE SUITE 302 | COLORADO SPRINGS | CO | 80910 | PHYSICIAN OFFICES | |
| SURGERY CENTER OF FT COLLINS-JV | |||||
| 1100 E PROSPECT RD | FORT COLLINS | CO | 80524 | SURGERY CENTER | |
| MCR SOUTH MOB | |||||
| 2500 ROCKY MTN AVE | LOVELAND | CO | 80538 | PHYSICIAN OFFICES, HCOR, SSOR, SLEEP LAB, SURGERY CENTER | |
| WINDSOR MEDICAL CENTER | |||||
| 1455 MAIN STREET | WINDSOR | CO | 80550 | PHYSICIAN OFFICES, RADIOLOGY, LAB | |
| MEMORIAL NEUROSCIENCES | |||||
| 1725 BOULDER STREET SUITE 101 | COLORADO SPRINGS | CO | 80909 | PHYSICIAN OFFICES | |
| UROLOGY CENTER OF THE ROCKIES | |||||
| 3520 E 15TH STREET | LOVELAND | CO | 80538 | PHYSICIAN OFFICES | |
| EXPRESS LAB | |||||
| 1020 DOCTORS LANE | FORT COLLINS | CO | 80524 | LAB | |
| CHMG OB-GYN CLINIC | |||||
| 1715 61ST AVENUE | GREELEY | CO | 80631 | PHYSICIAN OFFICES | |
| NORTH SPRINGS FAMILY MEDICINE & URGENT C | |||||
| 8540 SCARBOROUGH DRIVE | COLORADO SPRINGS | CO | 80920 | PHYSICIAN OFFICES | |
| CHILDREN'S THERAPY | |||||
| 1500 S LEMAY | FORT COLLINS | CO | 80526 | THERAPY | |
| WEST LOVELAND | |||||
| 3850 N GRANT AVE | LOVELAND | CO | 80538 | URGENT CARE, PHYSICIAN OFFICES | |
| TIMBERLINE MEDICAL | |||||
| 131 STANLEY DR | ESTES PARK | CO | 80517 | PHYSICIAN OFFICES | |
| CHMG PRIMARY CARE AT BRIARGATE | |||||
| 8890 N UNION BLVD SUITE 100B | COLORADO SPRINGS | CO | 80920 | PHYSICIAN OFFICES | |
| PHYSICIAN CLINICS | |||||
| 175 S UNION BLVD | COLORADO SPRINGS | CO | 80910 | PHYSICIAN OFFICES | |
| COLUMBINE POUDRE HOMECARE-JV | |||||
| 915 CENTRE AVE | FORT COLLINS | CO | 80526 | HOME HEALTHCARE | |
| HCORSCOTTSBLUFF | |||||
| 2 W 42ND ST 2200 | SCOTTSBLUFF | NE | 69361 | PHYSICIAN OFFICES | |
| CHMG PRIMARY CARE - ROCKRIMMON | |||||
| 6615 DELMONICO DRIVE | COLORADO SPRINGS | CO | 80919 | PHYSICIAN OFFICES | |
| MEMORIAL SUNFLOWER FAMILY MEDICINE | |||||
| 1730 N CORONA STREET | COLORADO SPRINGS | CO | 80907 | PHYSICIAN OFFICES | |
| PRIMARY CARE-STERLING | |||||
| 620 IRIS DRIVE | STERLING | CO | 80751 | PHYSICIAN OFFICES | |
| EYE LASER CENTER OF N COLORADO-JV | |||||
| 1725 EAST PROSPECT RD | FORT COLLINS | CO | 80525 | PHYSICIAN OFFICES | |
| CHMG-FIRESTONE | |||||
| 660 FIRESTONE BLVD | FIRESTONE | CO | 80504 | PHYSICIAN OFFICES | |
| THOMPSON VALLEY TOWNE CENTER | |||||
| 1327 EAGLE DRIVE | LOVELAND | CO | 80537 | PHYSICIAN OFFICES | |
| ORTHOPEDIC & HAND | |||||
| 3830 N GRANT AVE | LOVELAND | CO | 80538 | PHYSICIAN OFFICES | |
| YAMPA VALLEY STEAMBOAT | |||||
| 940 CENTRAL PARK DR 290 | STEAMBOAT SPRINGS | CO | 80487 | PHYSICIAN OFFICES | |
| THE VEIN AND LASER CENTER-JV | |||||
| 2008 CARIBOU DRIVE | FORT COLLINS | CO | 80525 | PHYSICIAN OFFICES | |
| CHMG PRIMARY CARE - NO UNION | |||||
| 5333 N UNION BLVD SUITE 200 | COLORADO SPRINGS | CO | 80918 | PHYSICIAN OFFICES | |
| FORT MORGAN | |||||
| 1000 LINCOLN STREET 207 | FORT MORGAN | CO | 80701 | PHYSICIAN OFFICES | |
| WATER VALLEY | |||||
| 1870 MARINA PLAZA DRIVE | WINDSOR | CO | 80550 | OUTPATIENT REHAB | |
| LARAMIE | |||||
| 3116 WILLET DRIVE | LARAMIE | WY | 82070 | PHYSICIAN OFFICES | |
| ESTES PARK | |||||
| 555 PROSPECT AVE | ESTES PARK | CO | 80517 | PHYSICIAN OFFICES | |
| CRAIG | |||||
| 595 RUSSELL STREET | CRAIG | CO | 81625 | PHYSICIAN OFFICES | |
| SIDNEY | |||||
| 1625 DORWART DRIVE | SIDNEY | NE | 69162 | PHYSICIAN OFFICES | |
| CHMG HCOR CV SURGEON | |||||
| 2030 MOUNTAIN VIEW AVE 540 | LONGMONT | CO | 80501 | PHYSICIAN OFFICES | |
| PHLEBOTOMY STATION | |||||
| 1107 SOUTH LEMAY AVE | FORT COLLINS | CO | 80526 | LAB DRAWS | |
| PHLEBOTOMY STATION | |||||
| 1113 OAKRIDGE DRIVE | FORT COLLINS | CO | 80525 | LAB DRAWS | |
| PHLEBOTOMY STATION | |||||
| 2001 S SHIELDS | FORT COLLINS | CO | 80526 | LAB DRAWS | |
| PHLEBOTOMY STATION | |||||
| 2025 BIG HORN DRIVE | FORT COLLINS | CO | 80525 | LAB DRAWS | |
| PHLEBOTOMY STATION | |||||
| 3519 RICHMOND DRIVE | FORT COLLINS | CO | 80526 | LAB DRAWS | |
| HAYTHORN BROTHERS | |||||
| 7251 W 20TH ST | GREELEY | CO | 80631 | SLEEP LAB | |
| PRIMARY CARE-MONUMENT | |||||
| 15854 JACKSON CREEK PARKWAY SUITE | MONUMENT | CO | 80132 | PHYSICIAN OFFICES | 120 |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR LINE 7B AND 7C. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE TO COST-TO-CHARGES.LINE 7A WAS DERIVED USING A COST-TO-CHARGE RATIO FROM THE COST REPORT.THE INFORMATION FOR LINES 7E THROUGH 7I WAS DERIVED FROM INFORMATION IN THE GENERAL LEDGER AND OTHER FINANCIAL DATA RELATED SPECIFICALLY TO THE VARIOUS TYPES OF COMMUNITY BENEFITS. |
| PART I, LINE 7G: | INCLUDES PHYSICIAN GROUPS AS A SUBSIDIZED SERVICE. THESE CLINICS PROVIDE SERVICES IN UNDERSERVED AREAS IN COLORADO, NEBRASKA AND WYOMING. |
| PART I, LN 7 COL(F): | TOTAL BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR PRIOR TO THE PERCENTAGE CALCULATION = $23,781,564. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | AS MENTIONED UNDER PROMOTION OF COMMUNITY HEALTH WE HAVE A MULTITUDE OF PROGRAMS DESIGNED TO ADDRESS THE HEALTH OF OUR COMMUNITY INVOLVING ALL AGE GROUPS AND FOCUS ON WHAT AN INDIVIDUAL CAN DO TO IMPROVE HIS/HER HEALTH. MANY OF THE PROGRAMS REFLECTED IN PART II ARE DESIGNED TO PROMOTE HEALTHY OPTIONS AND CHOICES FOR OUR COMMUNITY WHICH IS AN IMPORTANT PART OF OVERALL COMMUNITY HEALTH AND THEREFORE A BENEFIT TO THE COMMUNITY.PART III, LINE 2: ACCOUNTS WITH UNRESOLVED PATIENT LIABILITY AFTER REASONABLE COLLECTION EFFORTS, SET BY POLICY AND IN CONJUNCTION WITH FEDERAL, STATE, AND PAYOR SPECIFIC REGULATIONS, WILL BE ASSIGNED TO BAD DEBT. THESE ACCOUNTS SHALL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY, OR IN SELECTED INSTANCES, ATTORNEYS, FOR ADDITIONAL COLLECTION ACTIVITIES. |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ALLOWANCES FOR DOUBTFUL ACCOUNTS, CONTRACTUAL ADJUSTMENTS, AND MEDICALLY INDIGENT ALLOWANCES.PART III, LINE 5: MEDICARE REVENUE WAS COMPUTED AS FOLLOWS:PVHC COST REPORT: 87,131,659CENTER AVE COST REPORT: 3,678,552COLUMBINE HOMECARE COST REPORT: 1,200,461PVHC DISALLOWED PROGRAMS: 800,587JOINT VENTURES: 45,048,852TOTAL TO LINE 5: 137,860,111PART III, LINE 6: ALLOWABLE COSTS AS REPORTED ON THE POUDRE VALLEY HEALTH CARE INC. 2015 COST REPORT AGGREGATED WITH DISREGARDED ENTITIES AND OWNERSHIP PORTIONS OF JOINT VENTURES. PART III, LINE 6: MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS WAS COMPUTED AS FOLLOWS:PVHC COST REPORT: 106,716,188CENTRE AVE COST REPORT: 5,645,512COLUMBINE HOMECARE COST REPORT: 1,436,645PVHC DISALLOWED PROGRAMS: 1,089,938JOINT VENTURES: 62,085,954TOTAL TO LINE 6: 176,974,237 |
| PART III, LINE 8: | APPROXIMATELY 23.48% OF NET PATIENT SERVICE REVENUE IS FROM PARTICIPATION IN THE MEDICARE PROGRAM, THUS PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES TO A SIGNIFICANT PORTION OF THE COMMUNITY POPULATION. |
| PART III, LINE 9B: | PATIENT PROVIDES DOCUMENTATION BASED ON COLORADO INDIGENT CARE GUIDELINES, REVIEWED BY FINANCIAL ASSISTANCE COMMITTEE (FAC), CROSS FUNCTIONAL TEAM CHAIRED BY DIRECTOR PATIENT FINANCIAL SERVICES. UPON APPROVAL OR DENIAL OF THE REQUEST FOR CHARITABLE AID FROM THE FAC, THE PATIENT WILL BE ADVISED OF THE DECISION. THE BILL IS PARTIALLY OR TOTALLY ADJUSTED AS APPROVED BY THE FAC, NO FURTHER COLLECTION PROCESS WITH THE PATIENT. FOR ANY PORTION NOT ADJUSTED OFF, THE PROPER SEQUENCE OF ATTEMPTS TO COLLECT ARE FOLLOWED. FINAL ASSIGNMENT OF THE BILL IS TO A COLLECTION AGENCY. |
| PART VI, LINE 2: | HEALTH CARE NEEDS ARE ADDITIONALLY IDENTIFIED THROUGH COLLABORATIVE RELATIONSHIPS WITH HEALTHCARE PROVIDERS IN THE COMMUNITIES WE SERVE. AN EXAMPLE IS OUR CARE COORDINATION INITIATIVE TARGETED TO AT-RISK CHILDREN WITH SPECIAL HEALTHCARE NEEDS . PHYSICIANS IDENTIFIED THE NEED TO IMPROVE THE COORDINATION AND TIMELINESS OF CARE FOR THIS POPULATION; WE RESPONDED BY DEVELOPING AND STAFFING A CARE COORDINATION / PATIENT NAVIGATION SERVICE MODEL (HEALTHY HARBORS). |
| PART VI, LINE 3: | THERE ARE SEVERAL WAYS WE NOTIFY THE PATIENT AND ATTEMPT TO ASSIST THEM. FOR SURGERIES AND HIGH DOLLAR SCHEDULED PROCEDURES, WE PROVIDE THEM WITH AN ESTIMATE AT REGISTRATION AND GO OVER ALL FINANCIAL ASSISTANCE OPTIONS AVAILABLE IF THEY ARE INTERESTED. WE ALSO HAVE FINANCIAL COUNSELORS AVAILABLE EACH DAY THAT CAN ANSWER QUESTIONS AND HELP THEM FILL OUT CHARITY APPLICATIONS. FOR THOSE THAT ARE UNINSURED, OUR CONDITIONS OF SERVICE FORM HAS A SPOT THEY INITIAL STATING THAT WE HAVE OFFERED ASSISTANCE AND MADE THEM AWARE OF PROGRAMS AVAILABLE TO THEM. ONCE A PERSON HAS RECEIVED CARE IN THE EMERGENCY DEPARTMENT, WE ALSO HAVE EDUCATED STAFF THAT ASSISTS THEM AND EDUCATES THEM OF WHAT IS AVAILABLE FOR FINANCIAL ASSISTANCE. IN ADDITION, ONCE A PATIENT DOES RECEIVE A STATEMENT OR BILL, THERE IS INFORMATION ON THE BILL OF WHO THEY CAN CALL TO GET INFORMATION ON FINANCIAL ASSISTANCE. |
| PART VI, LINE 4: | POUDRE VALLEY HEALTH CARE INC. IS A LOCALLY OWNED, PRIVATE, NON-PROFIT ORGANIZATION WITH A STRONG VISION: FROM HEALTH CARE TO HEALTH. BASED IN NORTHERN COLORADO, PVHC PROVIDES EVIDENCE-BASED HEALTHCARE AND WELLNESS SERVICES AND PRODUCTS IN COLORADO, NEBRASKA AND WYOMING, ACROSS A SERVICE AREA COVERING MORE THAN 50,000 SQUARE MILES.PVHC IS A PART OF THE UNIVERSITY OF COLORADO HEALTH WHICH AIMS TO DELIVER THE HIGHEST QUALITY PATIENT CARE WITH THE HIGHEST QUALITY PATIENT EXPERIENCE. THE PARTNERSHIP COMBINES POUDRE VALLEY HOSPITAL, MEDICAL CENTER OF THE ROCKIES, COLORADO HEALTH MEDICAL GROUP, UNIVERSITY OF COLORADO HOSPITAL AND MEMORIAL HEALTH SYSTEM INTO AN ORGANIZATION DEDICATED TO BUILDING HEALTHIER COMMUNITIES AND PROVIDING UNMATCHED PATIENT CARE IN THE ROCKY MOUNTAIN WEST. THE ORGANIZATION'S MISSION IS AS FOLLOWS: WE IMPROVE LIVES. IN BIG WAYS THROUGH LEARNING, HEALING AND DISCOVERY. IN SMALL, PERSONAL WAYS THROUGH HUMAN CONNECTION. BUT IN ALL WAYS, WE IMPROVE LIVES. |
| PART VI, LINE 5: | WE HAVE IMPLEMENTED A MULTITUDE OF PROGRAMS AND SERVICES THAT ADDRESS THE HEALTH NEEDS OF OUR BROADER COMMUNITY TARGETING ALL AGE GROUPS WHILE MAINTAINING A SPECIAL FOCUS ON SERVING VULNERABLE POPULATIONS . WE ALSO GIVE DOLLARS TO OTHER ENTITIES THAT WORK TO IMPROVE THE HEALTH OF OUR COMMUNITY. EXAMPLES ARE: TEEN PREGNANCY PREVENTION EDUCATION; SUBSTANCE ABUSE PREVENTION EDUCATION FOR YOUTH AND YOUNG ADULTS; OBESITY PREVENTION; IMPROVED FOOD SECURITY FOR LOW INCOME RESIDENTS; AND MENTAL HEALTH SERVICES FOR THE UNDERSERVED. |
| PART VI, LINE 6: | ALL THE SERVICES WE OFFER ARE AVAILABLE TO ANYONE THAT USES ANY OF OUR FACILITIES IN THE HEALTH SYSTEM. OUR GEOGRAPHY IS NOT THAT LARGE SO WE ARE ABLE TO ACCOMMODATE THE DIFFERENT COMMUNITIES THAT UTILIZE OUR SERVICES WITH THE SAME LEVEL OF COMMUNITY HEALTH PROGRAMMING. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CO |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| COLORADO STATE UNIVERSITY | |||||||
| 601 S HOWES ST | FORT COLLINS | CO | 80523 | 846000545 | GOVERNMENT | $1,001,200 | SEE SCH I, PART IV |
| DOWNTOWN BUSINESS ASSOCIATION | |||||||
| 19 OLD TOWN SQUARE 230 | FORT COLLINS | CO | 80524 | 840535419 | 501(C )(3) | $30,000 | SEE SCH I, PART IV |
| GREELEY CENTENNIAL ROTARY | |||||||
| 1035 37TH AVE CT | GREELEY | CO | 80634 | 840714073 | 501(C )(3) | $7,500 | SEE SCH I, PART IV |
| IVINSON MEMORIAL HOSPITAL FOUNDATION | |||||||
| 255 N 30TH STREET | LARAMIE | WY | 82072 | 836000188 | 501(C )(3) | $6,350 | SEE SCH I, PART IV |
| MARCH OF DIMES | |||||||
| 1325 S COLORADO BLVD B308 | DENVER | CO | 80222 | 131846366 | 501(C )(3) | $12,500 | SEE SCH I, PART IV |
| POUDRE VALLEY MEDICAL GROUP | |||||||
| 2315 E HARMONY ROAD 200 | FORT COLLINS | CO | 80528 | 800348943 | N/A | $23,197,544 | SEE SCH I, PART IV |
| UNIVERSITY OF COLORADO SCHOOL OF MEDICINE | |||||||
| 13001 17TH PLACE | AURORA | CO | 80045 | 846000555 | 501(C )(3) | $5,900,180 | SEE SCH I, PART IV |
| THE COMMUNITY FOUNDATION | |||||||
| 4745 WHEATON DR 100 | FORT COLLINS | CO | 80528 | 840699243 | 501(C )(3) | $6,970 | SEE SCH I, PART IV |
| UNITED WAY OF LARIMER COUNTY | |||||||
| 424 PINE ST 102 | FORT COLLINS | CO | 80524 | 846031503 | 501(C )(3) | $39,146 | SEE SCH I, PART IV |
| UNIVERSITY OF N COLORADO | |||||||
| 501 20TH STREET | GREELEY | CO | 80639 | 846000546 | GOVERNMENT | $49,400 | SEE SCH I, PART IV |
| NORTHERN COLORADO UNITED FOR YOU | |||||||
| 2015 CLUBHOUSE 203 | GREELEY | CO | 80634 | 208575428 | 501(C )(3) | $24,500 | SEE SCH I, PART IV |
| PVH FOUNDATION | |||||||
| 2315 E HARMONY ROAD 200 | FORT COLLINS | CO | 80528 | 741894581 | 501(C )(3) | $962,661 | SEE SCH I, PART IV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 11 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION AWARDS GRANTS BASED ON THE BENEFIT TO THE COMMUNITY. THE ORGANIZATION REQUESTS INFORMATION FROM THE GRANTEES TO ENSURE THAT THE FUNDS WILL BE USED FOR THE SPECIFIED PURPOSE. QUESTION I, PART II, COLUMN H PURPOSE OF GRANT OR ASSISTANCE FOR RELATED ENTITIES, THE GRANTS ARE RELATED TO SPECIFIC REQUESTS. THE FUNDS ARE TO BE USED TO BENEFIT THE HEALTHCARE COMMUNITY OF NORTHERN COLORADO. EACH REQUEST IS EVALUATED ON AN INDIVIDUAL BASIS. FOR NON-RELATED COMMUNITY AND GOVERNMENTAL ORGANIZATIONS, THE GRANTS ARE MADE AT THE DISCRETION OF THE ORGANIZATION. THESE DISCRETIONARY GRANTS ARE TO BE USED TO BENEFIT THE HEALTHCARE COMMUNITY OF NORTHERN COLORADO. | ExplanationTxt |
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 |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEVIN UNGER | ||||||||||||||
| PRESIDENT/CEO | $226,390 | $226,390 | $302,581 | $302,581 | $9,832 | $9,832 | $3,900 | $3,900 | $50,277 | $50,276 | $592,980 | $592,979 | $229,185 | $229,185 |
| STEPHANIE DOUGHTY | ||||||||||||||
| CFO | $239,943 | $239,943 | $51,939 | $51,939 | $1,391 | $1,391 | $3,900 | $3,900 | $27,030 | $27,029 | $324,203 | $324,202 | $0 | $0 |
| DONNA PODUSKA | ||||||||||||||
| CNO | $192,486 | $0 | $39,783 | $0 | $3,009 | $0 | $7,001 | $0 | $26,363 | $0 | $268,642 | $0 | $0 | $0 |
| MICHAEL RANDLE | ||||||||||||||
| CMO, CHMG | $311,394 | $0 | $56,513 | $0 | $1,900 | $0 | $7,800 | $0 | $46,237 | $0 | $423,844 | $0 | $0 | $0 |
| STANLEY GUNSTREAM | ||||||||||||||
| VP CHIEF QUALITY OFFICER | $335,414 | $0 | $61,259 | $0 | $2,967 | $0 | $7,800 | $0 | $44,239 | $0 | $451,679 | $0 | $0 | $0 |
| KENNETH WATANABE | ||||||||||||||
| PSYCHIATRIST | $249,067 | $0 | $19,012 | $0 | $375 | $0 | $7,800 | $0 | $38,652 | $0 | $314,906 | $0 | $0 | $0 |
| JANELL WOZNIAK | ||||||||||||||
| PHYSICIAN-RESIDENCY PGRM DIRECTOR | $248,571 | $0 | $20,893 | $0 | $324 | $0 | $6,454 | $0 | $39,374 | $0 | $315,616 | $0 | $0 | $0 |
| JOSEPH GOTTFRIED | ||||||||||||||
| PSYCHIATRIST | $253,216 | $0 | $4,230 | $0 | $634 | $0 | $7,800 | $0 | $39,867 | $0 | $305,747 | $0 | $0 | $0 |
| DANNY ROBINSON | ||||||||||||||
| CEO, CHMG | $213,592 | $96,001 | $0 | $101,303 | $1,461 | $1,216 | $6,660 | $1,200 | $29,425 | $20,796 | $251,138 | $220,516 | $0 | $0 |
| STEVEN SCHWARTZ | ||||||||||||||
| CFO, CHMG | $94,415 | $88,080 | $0 | $36,308 | $202 | $289 | $2,888 | $3,776 | $13,931 | $16,653 | $111,436 | $145,106 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | TRAVEL FOR COMPANIONS: PER SYSTEM POLICY, TRAVEL FOR COMPANIONS IS NOT REIMBURSABLE. FOR CONVENIENCE OF TRAVEL ARRANGEMENTS FOR THE ANNUAL BOARD MEMBER RETREAT AND SELECT CONFERENCES, PVHC PAYS FOR ONE COMPANION PER BOARD MEMBER AND EMPLOYEE ATTENDING THE CONFERENCE. EACH BOARD MEMBER RECEIVES A FORM 1099 FOR THIS INCOME. EACH EMPLOYEE HAS THIS ADDED TO THEIR FORM W-2. GROSS-UP PAYMENTS: GROSS UP PAYROLL IS CALCULATED AT YEAR END FOR SPECIAL CHECKS CREATED TO ADD SPECIFIC ITEMS TO EMPLOYEE'S FORM W-2 WAGES INCLUDING COUNTRY CLUB DUES, PERSONAL USE OF LAPTOP COMPUTERS AND IPADS, SPOUSE TRAVEL FOR ANNUAL BOARD RETREAT AND SELECT CONFERENCES AND IMPUTED INCOME ON LIFE INSURANCE POLICIES. CLUB DUES: THE HEALTH SYSTEM EXPECTS THE HOSPITAL MANAGEMENT TO PARTICIPATE IN COMMUNITY LIFE AND THEREFORE THE SYSTEM PAYS SOCIAL CLUB DUES FOR SPECIFIC MEMBERS OF THE SENIOR MANAGEMENT GROUP. THE CLUB DUES ARE ADDED TO THE SENIOR MANAGEMENT'S FORM W-2 ON AN ANNUAL BASIS. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| COLORADO HEALTH FACILITIES AUTHORITY SERIES A | ||||||||
| A | 840752932 | 196474W48 | 2005-03-31 | $50,000,000 | REFUNDING 1999A BONDS | 0 | 0 | 0 |
| COLORADO HEALTH FACILITIES AUTHORITY SERIES B | ||||||||
| B | 840752932 | 196474W48 | 2005-03-31 | $26,294,807 | PAYMENT OF COMMERCIAL PAPER DEBT | 0 | 0 | 0 |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2015 SERIES A | ||||||||
| C | 841179794 | 914183AV0 | 2015-02-04 | $70,500,000 | CONSTRUCTION COSTS AT PVH | 0 | 0 | 0 |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY 2015 SERIES C | ||||||||
| D | 841179794 | 914183AX6 | 2015-02-04 | $56,850,000 | REFUNDING 2005F BONDS | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $50,000,000 | $3,133,031 | $433,893 | $3,097,393 | $46,468,713 | 2005 | 0 | Yes (1) | Yes (1) | Yes (1) | ||
| B | $26,294,807 | $1,644,630 | $397,052 | $897,754 | $25,000,000 | 2005 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| C | $70,500,000 | $625,100 | 2015 | 0 | 0 | 0 | Yes (1) | $828,412 | $69,671,588 | |||
| D | $56,850,000 | $436,806 | $56,413,194 | 2015 | 0 | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0.00250 | 0.00250 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0.00250 | 0.00250 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0.00250 | 0.00250 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | 0.00250 | 0.00250 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART I, COLUMN E | BOND ISSUE PRICE THE BOND ISSUE PRICE FOR THE SERIES B BOND DOES NOT EQUAL THE ISSUE PRICE LISTED ON THE FILED FORM 8038 AS THIS BOND WAS SPLIT WITH A RELATED ENTITY. ISSUE PRICE AS REPORTED ON FORM 8038: $83,000,000. |
| SCHEDULE K, PART IV, LINE 2C | THE REBATE CALCULATION WAS PERFORMED IN APRIL 2015 FOR BOND ISSUANCES A AND B. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHLEEN MICHIE | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $65,727 | TransactionAmt |
| Transaction | SEE PART V | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF PERSON: KATHLEEN MICHIE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: KATHLEEN MICHIE IS A FAMILY MEMBER OF THAINE MICHIE, DIRECTOR(D) DESCRIPTION OF TRANSACTION: W-2 WAGES | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | MEDICAL EQUIPMENT | 59 | $1,347,005 | FMV |
| Yes (X) | SECURITY EQUIPMENT | 1 | $139,871 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 6 | VOLUNTEERS PVH HAS 600 ACTIVE VOLUNTEERS IN FISCAL YEAR 2015. AT POUDRE VALLEY HOSPITAL, MEDICAL CENTER OF THE ROCKIES, AND OFF-SITE LOCATIONS, VOLUNTEERS PLAY AN INTEGRAL ROLE IN PROVIDING MUCH NEEDED SUPPORT FOR PATIENTS, VISITORS, PHYSICIANS, AND STAFF. FROM ASSISTING IN SURGERY AND CARDIAC WAITING ROOMS, INFORMATION DESK, VOLUNTEER PATIENT LIASONS, BABY KNITTERS, VOLUNTEENS, AND PET THERAPY TO NAME JUST A FEW OF THE MANY PROGRAMS, EVERY VOLUNTEER CONTRIBUTES TO THE SUCCESS OF POUDRE VALLEY HEALTH SYSTEM TO ENHANCE THE COMFORT AND CARE OF THE PATIENTS AND THEIR FAMILIES. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY INDEPENDENT CPAS. A PRELIMINARY DRAFT IS REVIEWED BY THE INTERNAL FINANCE DEPARTMENT. THE FINAL COPY OF THE FORM 990 IS PROVIDED IN AN ELECTRONIC FORMAT TO ALL BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES COMPLETION OF THE FORM ON AN ANNUAL BASIS BY THE BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. COMPLETED FORMS ARE SUBMITTED AND REVIEWED BY THE INTERNAL COMPLIANCE DEPARTMENT TO ENSURE COMPLIANCE WITH THE WRITTEN POLICY. ANY QUESTIONS OR ULTIMATE ENFORCEMENT WOULD BE HANDLED BY THE COMPLIANCE DEPARTMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | UCHEALTH CONTRACTS WITH HAYGROUP FOR EXECUTIVE COMPENSATION CONSULTING SERVICES. ON OUR BEHALF THE HAYGROUP COLLECTS AND REVIEWS COMPENSATION LEVELS FROM LIKE ORGANIZATION FOR LIKE JOBS AND PROVIDES UCHEALTH WITH THE COMPARATIVE MARKET DATA. THE DATA IS SUBMITTED TO THE CHIEF HUMAN RESOURCES OFFICER WHO ADVICES THE SYSTEM PRESIDENT AND CEO ON COMPENSATION DECISIONS FOR SENIOR EXECUTIVES. BASED ON THE MARKET DATA, THE SYSTEM PRESIDENT AND CEO DETERMINES THE SALARY OF THE ENTITY CEO'S COMPENSATION ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC BASED ON THE BUSINESS PURPOSE FOR THE REQUEST. THESE REQUESTS ARE ADDRESSED BY THE SENIOR MANAGEMENT TEAM ON A CASE BY CASE BASIS. |
| FORM 990, PART XI, LINE 9: | MCR DISTRIBUTIONS TO PVH 43,135,400. AUXILIARY INCOME ON 990, NOT IN AUDIT -98,022. DONATION TO FOUNDATION FROM AUXILLIARY NOT IN AUDIT EXPENSE 109,000. BOOK VS. TAX ADJUSTMENT IN EQUITY EARNINGS 37,679,904. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| TIMBERLINE MEDICAL CLINIC | |||||||||
| 131 STANLEY AVE | ESTES PARK | CO | 80517 | 043772090 | OUTPATIENT | CO | $42,647 | $256,098 | PVHC INC |
| LAKOTA LAKE LLC | |||||||||
| 2315 E HARMONY RD STE 200 | FORT COLLINS | CO | 80528 | 841447761 | OUTPATIENT | CO | $5,538,239 | $16,883,808 | PVHC INC |
| HERON LAKE LLC | |||||||||
| 2315 E HARMONY RD STE 200 | FORT COLLINS | CO | 80528 | 264189163 | OUTPATIENT | CO | -$19,096 | $657,338 | PVHC INC |
| UNITED MED ALLIANCE | |||||||||
| 2021 BATTLECREEK DRIVE STE A | FORT COLLINS | CO | 80528 | 820572743 | HEALTH CLAIMS | CO | $603,045 | PVHC INC | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL CENTER OF THE ROCKIES | ||||||||||
| 2315 E HARMONY RD STE 200 | FORT COLLINS | CO | 80528 | 043730045 | TERTIARY CARE | CO | 501(C)(3) | LINE 3 | PVHC INC | Yes (1) |
| PVHS FOUNDATION | ||||||||||
| 2315 E HARMONY RD STE 200 | FORT COLLINS | CO | 80528 | 741894581 | BENEFIT HEALTH | CO | 501(C)(3) | LINE 7 | PVHC INC | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HARMONY SURGERY CENTER | |||||||||||||
| 2127 E HARMONY RD 200 | FT COLLINS | CO | 80528 | 841479751 | AMBULATORY SURG | CO | N/A | RELATED | $1,900,616 | $2,787,702 | 0 | 0 | 0.50000 |
| CENTRE AVENUE HEALTH & REHAB FACILITY | |||||||||||||
| 947 WORTHINGTON CIRCLE | FT COLLINS | CO | 80526 | 841560494 | NURSING FACILITY | CO | N/A | RELATED | -$270,611 | $884,752 | 0 | 0 | 0.50000 |
| COLUMBINE POUDRE HOME CARE | |||||||||||||
| 947 WORTHINGTON CIRCLE | FT COLLINS | CO | 80526 | 841529817 | NURSING CARE | CO | N/A | RELATED | $186,453 | $421,030 | 0 | 0 | 0.50000 |
| EYE LASER CENTER OF NO COLORADO | |||||||||||||
| 1725 E PROSPECT RD | FORT COLLINS | CO | 80525 | 841518334 | LASER SURGERY | CO | N/A | UNRELATED | $62,032 | $97,390 | 0 | 0 | 0.50000 |
| GATEWAY MEDICAL SERVICES | |||||||||||||
| 2500 E PROSPECT RD | FORT COLLINS | CO | 80525 | 841427970 | REAL EST/MED | CO | N/A | UNRELATED | $4,091,236 | $10,495,595 | 0 | 0 | 0.50000 |
| POUDRE INFUSION THERAPY | |||||||||||||
| 947 WORTHINGTON CIRCLE | FORT COLLINS | CO | 80526 | 841530973 | MEDICAL SERVICES | CO | N/A | RELATED | -$46,748 | -$90,990 | 0 | 0 | 0.50000 |
| PVHS HOME MEDICAL SUPPLY | |||||||||||||
| 6820 N COUNTY RD 13 | LOVELAND | CO | 80538 | 202034599 | MEDICAL SUPPLY | CO | N/A | UNRELATED | $199,583 | $1,214,186 | 0 | Yes (1) | 0.50000 |
| THE VEIN AND LASER CENTER OF NO COLORADO | |||||||||||||
| 2008 CARIBOU DRIVE | FORT COLLINS | CO | 80525 | 204943970 | MEDICAL SERVICES | CO | N/A | UNRELATED | $10,719 | $44,089 | 0 | 0 | 0.33330 |
| HARMONY IMAGING CENTER | |||||||||||||
| 1951 WILMINGTON DRIVE | FORT COLLINS | CO | 80528 | 582479187 | MEDICAL IMAGING | CO | N/A | RELATED | $911,267 | $1,515,800 | 0 | 0 | 0.46000 |
| PEAK SURGICAL MANAGEMENT | |||||||||||||
| 2127 E HARMONY RD STE 200 | FORT COLLINS | CO | 80528 | 260899618 | SURGICAL MGMT | CO | N/A | RELATED | $101,918 | $69,981 | 0 | 0 | 0.14290 |
| SURGERY CENTER OF FORT COLLINS | |||||||||||||
| 1100 E PROSPECT ROAD | FORT COLLINS | CO | 80525 | 841541559 | SURGICAL PROC | CO | N/A | UNRELATED | $557,406 | $1,111,652 | 0 | 0 | 0.26000 |
| POUDRE VALLEY MEDICAL GROUP LLC | |||||||||||||
| 2315 E HARMONY RD STE 200 | FORT COLLINS | CO | 80528 | 800348943 | MEDICAL SERVICES | CO | N/A | RELATED | -$35,583,712 | $24,787,427 | 0 | Yes (1) | 0.99000 |
| PVHS-ICM EHW | |||||||||||||
| 3702 AUTOMATION WAY 103 | FORT COLLINS | CO | 80525 | 463311308 | MEDICAL SERVICES | CO | N/A | RELATED | -$24,509 | $147,454 | 0 | 0 | 0.50000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INNOVATION ENTERPRISES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2315 E HARMONY RD STE 200 | AddressLine1Txt |
| City | FORT COLLINS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80528 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202036774 | EIN |
| Primary Activities | IT CONSULTING | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PVHC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $981,858 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $2,385,612 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HARMONY SURGERY CENTER | ||
| A | $914,950 | TRANSACTION TOTAL |
| HARMONY SURGERY CENTER | ||
| Q | $587,134 | TRANSACTION TOTAL |
| HARMONY SURGERY CENTER | ||
| S | $1,762,097 | TRANSACTION TOTAL |
| EYE LASER CENTER OF NO COLORADO | ||
| M | $195,382 | TRANSACTION TOTAL |
| EYE LASER CENTER OF NO COLORADO | ||
| S | $63,000 | TRANSACTION TOTAL |
| GATEWAY MEDICAL SERVICES | ||
| S | $4,752,551 | TRANSACTION TOTAL |
| MEDICAL CENTER OF THE ROCKIES | ||
| L | $7,692,636 | TRANSACTION TOTAL |
| MEDICAL CENTER OF THE ROCKIES | ||
| N | $7,063,079 | TRANSACTION TOTAL |
| MEDICAL CENTER OF THE ROCKIES | ||
| S | $43,135,400 | TRANSACTION TOTAL |
| PVHS FOUNDATION | ||
| B | $914,115 | TRANSACTION TOTAL |
| PVHS FOUNDATION | ||
| C | $1,572,744 | TRANSACTION TOTAL |
| PVHS FOUNDATION | ||
| L | $65,301 | TRANSACTION TOTAL |
| PVHS FOUNDATION | ||
| N | $71,335 | TRANSACTION TOTAL |
| INNOVATION ENTERPRISES | ||
| A | $116,939 | TRANSACTION TOTAL |
| INNOVATION ENTERPRISES | ||
| A | $265,445 | TRANSACTION TOTAL |
| POUDRE VALLEY MEDICAL GROUP LLC | ||
| B | $23,197,253 | TRANSACTION TOTAL |
| POUDRE VALLEY MEDICAL GROUP LLC | ||
| J | $3,179,116 | TRANSACTION TOTAL |
| POUDRE VALLEY MEDICAL GROUP LLC | ||
| M | $3,728,747 | TRANSACTION TOTAL |