BRIGHTON COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- BRIGHTON COMMUNITY HOSPITAL ASSOCIATION (EIN 84-0482695)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-10-19
- IRS object ID
- 201532929349300918
- Schema version
- 2014v5.0
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-10-19T12:22:21-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Tejon Suite 800 | AddressLine1Txt |
| City | Colorado Springs | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 809039848 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840482695 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brighton Community Hospital Association | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % THE ORGANIZATION | InCareOfNm |
| Business Name Control | BRIG | BusinessNameControlTxt |
| Phone | 3034981600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Prairie Center Parkway | AddressLine1Txt |
| City | Brighton | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HAROLD DUPPER | PersonNm |
| Person Title | VP FINANCE | PersonTitleTxt |
| Phone | 3034981600 | PhoneNum |
| Signature | 2015-08-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rita F Worster CPA | PreparerPersonNm |
| PTIN | P00290681 | PTIN |
| Phone | 7194714290 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Platte Valley Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN HICKS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 PRAIRIE CENTER PARKWAY | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $146,734,056 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PVMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | The mission of Platte Valley Medical Center is to provide excellent quality comprehensive health services, which are affordable, convenient, and responsive to community needs. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 727 | TotalEmployeeCnt |
| Total Volunteers | 209 | TotalVolunteersCnt |
| Total Gross UBI | $77,275 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $36,269 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $515,669 | PYContributionsGrantsAmt |
| CY Contributions Grants | $320,692 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $100,141,312 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $107,565,152 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,508,251 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,626,303 | CYInvestmentIncomeAmt |
| PY Other Revenue | $71,365 | PYOtherRevenueAmt |
| CY Other Revenue | $1,151,917 | CYOtherRevenueAmt |
| PY Total Revenue | $105,236,597 | PYTotalRevenueAmt |
| CY Total Revenue | $112,664,064 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $65,260 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $136,476 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,133,132 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $42,585,168 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $198,523 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $54,071,446 | PYOtherExpensesAmt |
| CY Other Expenses | $58,089,071 | CYOtherExpensesAmt |
| PY Total Expenses | $94,269,838 | PYTotalExpensesAmt |
| CY Total Expenses | $100,810,715 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,966,759 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,853,349 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $218,966,317 | TotalAssetsBOYAmt |
| Total Assets EOY | $230,554,929 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $100,329,868 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $98,663,341 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $118,636,449 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $131,891,588 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To provide high quality health care services in a setting which considers not only the physical, but also the mental and spiritual needs of the community it serves. The medical center accepts all patients in emergency situations without regard to race, religion, national origin, or ability to pay. Individuals are classified as charity patients by the medical center if their income falls within pre-established parameters and they are not eligible for assistance under federal and/or state financial assistance programs. Because the hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as net revenue. Charity care provided at established rates for the years ended December 31, 2014 and 2013 were $10,179,266 and $16,516,145 respectively. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $16,286,929 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $13,896,169 | RevenueAmt |
| Desc | INPATIENT ROUTINE CARE, TOTAL PATIENT DAYS: 9,393 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $54,459,874 | ExpenseAmt |
| Grant | $136,476 | GrantAmt |
| Revenue | $70,254,231 | RevenueAmt |
| Desc | INPATIENT/OUTPATIENT ANCILLIARY SERVICES, WEIGHTED PATIENT DAYS: 24,445 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,550,630 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $23,762,098 | RevenueAmt |
| Desc | TOTAL EMERGENCY ROOM VISITS AND AMBULANCE CALLS: 26,633 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $86,297,433 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 130 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 727 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THE ORGANIZATION | PersonNm |
| Phone | 3034981600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 PRAIRIE CENTER PARKWAY | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 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 |
|---|---|---|---|---|---|---|---|---|---|
| JOHN HICKS | |||||||||
| CEO/PRESIDENT | 50.0 | 1.0 | Yes (X) | Yes (X) | $679,009 | $0 | $38,909 | ||
| GERRY LEWIS-JENKINS | |||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $250 | $0 | $0 | |||
| MICHAEL DOLAN | |||||||||
| DIRECTOR/FOUNDATION CHAIR | 3.0 | 1.0 | Yes (X) | $350 | $0 | $0 | |||
| WILLIAM LEE MD | |||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $250 | $0 | $0 | |||
| SUE CORBETT | |||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $250 | $0 | $0 | |||
| MICHELLE LEBLANC-GROSS | |||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $250 | $0 | $0 | |||
| ROBERT R FEIS | |||||||||
| DIRECTOR/VICE CHAIR | 3.0 | 1.0 | Yes (X) | Yes (X) | $350 | $0 | $0 | ||
| MATT FLAHERTY MD | |||||||||
| DIRECTOR | 3.0 | 0.25 | Yes (X) | $19,875 | $0 | $0 | |||
| FAYE HUMMEL PHD | |||||||||
| DIRECTOR/CHAIR | 3.0 | 0.0 | Yes (X) | Yes (X) | $250 | $0 | $0 | ||
| SONYA NORMAN MD | |||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $250 | $200,543 | $16,084 | |||
| LOWELL PALMQUIST | |||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $250 | $0 | $0 | |||
| JOHN RHOADES | |||||||||
| DIRECTOR | 3.0 | 1.0 | Yes (X) | $350 | $0 | $0 | |||
| ROD BLUNCK | |||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $250 | $0 | $0 | |||
| KIRK QUACKENBUSH MD | |||||||||
| DIRECTOR/CHIEF OF STAFF | 3.0 | 0.0 | Yes (X) | $22,830 | $0 | $0 | |||
| RICHARD GONZALES | |||||||||
| DIRECTOR | 3.0 | 0.0 | Yes (X) | $250 | $0 | $0 | |||
| HAROLD DUPPER | |||||||||
| CFO/CORPORATE SECRETARY | 50.0 | 0.0 | Yes (X) | $366,060 | $0 | $33,991 | |||
| KURT GENSERT | |||||||||
| COO/CNO | 50.0 | 0.0 | $314,271 | $0 | $47,941 | Yes (X) | |||
| DUANE LIVADNEY | |||||||||
| RADIOLOGY SUPERVISOR | 50.0 | 0.0 | $140,675 | $0 | $35,375 | Yes (X) | |||
| MARY FEENEY | |||||||||
| DIRECTOR OF EMERGENCY SERVICES | 40.0 | 0.0 | $145,886 | $0 | $18,199 | Yes (X) | |||
| DARRELL MESSERSMITH | |||||||||
| DIRECTOR OF INFORMATION SERVIC | 40.0 | 0.0 | $133,682 | $0 | $29,510 | Yes (X) | |||
| ERIC STIRM | |||||||||
| PHARMACY DIRECTOR | 40.0 | 0.0 | $180,730 | $0 | $57,417 | Yes (X) | |||
| KAREN WELZ | |||||||||
| OR DIRECTOR | 40.0 | 0.0 | $152,770 | $0 | $35,691 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,159,088 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $200,543 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $313,117 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 53 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SIEMENS MEDICAL SOLUTIONS | |||||
| PO BOX 120001 | DALLAS | TX | 75312 | SOFTWARE SUPPORT | $1,716,459 |
| SOUND PHYSICIANS | |||||
| 1123 PACIFIC AVENUE | TACOMA | WA | 98402 | Hospitalist services | $1,194,885 |
| ANESTHESIA SERVICES INC | |||||
| 15797 FORTUNE CT | BRIGHTON | CO | 80601 | ANESTHESIA SERVICES | $886,503 |
| CHILDREN'S HOSPITAL | |||||
| 13123 E 16TH AVE | AURORA | CO | 80045 | SPECIAL CARE NURSERY | $809,359 |
| INTEGRAL HEALTHCARE SERVICES | |||||
| 750 W HAMPDEN AVE 501 | ENGLEWOOD | CO | 80110 | COLLECTION SERVICES | $693,269 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 43 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $320,692 | RelatedOrganizationsAmt |
| Total Contributions | $320,692 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES REV, NET OF ALLOWANCE | 900099 | $87,152,231 | $87,152,231 |
| MEDICARE/MEDICAID | 900099 | $16,858,820 | $16,858,820 |
| CLINIC SUPPORT SERVICES REVENUE | 900099 | $2,461,278 | $2,461,278 |
| ELECTRONIC HEALTH RECORDS REVENUE | 900099 | $1,046,696 | $1,046,696 |
| LOSS FROM SPECIALTY CLINC SUBSIDIARY | 900099 | -$263,130 | -$263,130 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $309,257 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $309,257 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $107,565,152 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,599,068 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $77,275 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,521,793 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $808,638 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $786,691 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $21,947 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,947 | TotalRevenueColumnAmt |
| Exclusion | $21,947 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $34,190,536 | SecuritiesAmt |
| Other | $120,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $33,217,994 | SecuritiesAmt |
| Other | $65,307 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $972,542 | SecuritiesAmt |
| Other | $54,693 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,027,235 | TotalRevenueColumnAmt |
| Exclusion | $1,027,235 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CAFETERIA SALES | 900099 | $474,161 | $474,161 | |
| 340B PHARMACY REVENUE | 900099 | $257,796 | $257,796 | |
| MISCELLANEOUS REVENUE | 900099 | $398,013 | $308,463 | $89,550 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,129,970 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $112,664,064 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $107,912,498 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $77,275 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,353,599 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,476 | TotalAmt |
| Program Services | $136,476 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,476,360 | TotalAmt |
| Program Services | $1,270,703 | ProgramServicesAmt |
| Management And General | $205,657 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,570,527 | TotalAmt |
| Program Services | $26,919,165 | ProgramServicesAmt |
| Management And General | $3,563,759 | ManagementAndGeneralAmt |
| Fundraising | $87,603 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $869,203 | TotalAmt |
| Program Services | $757,479 | ProgramServicesAmt |
| Management And General | $105,148 | ManagementAndGeneralAmt |
| Fundraising | $6,576 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,214,022 | TotalAmt |
| Program Services | $6,267,695 | ProgramServicesAmt |
| Management And General | $923,864 | ManagementAndGeneralAmt |
| Fundraising | $22,463 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,455,056 | TotalAmt |
| Program Services | $2,176,559 | ProgramServicesAmt |
| Management And General | $266,448 | ManagementAndGeneralAmt |
| Fundraising | $12,049 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,175 | TotalAmt |
| Management And General | $14,175 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,892 | TotalAmt |
| Management And General | $309,892 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,067 | TotalAmt |
| Program Services | $9,845 | ProgramServicesAmt |
| Management And General | $373,222 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,759 | TotalAmt |
| Management And General | $5,759 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,714 | TotalAmt |
| Management And General | $213,714 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,764,424 | TotalAmt |
| Program Services | $8,110,054 | ProgramServicesAmt |
| Management And General | $2,635,070 | ManagementAndGeneralAmt |
| Fundraising | $19,300 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,591 | TotalAmt |
| Management And General | $242,591 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,454,772 | TotalAmt |
| Program Services | $3,935,166 | ProgramServicesAmt |
| Management And General | $476,014 | ManagementAndGeneralAmt |
| Fundraising | $43,592 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,644,589 | TotalAmt |
| Program Services | $1,098,906 | ProgramServicesAmt |
| Management And General | $2,540,883 | ManagementAndGeneralAmt |
| Fundraising | $4,800 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $885,877 | TotalAmt |
| Program Services | $754,685 | ProgramServicesAmt |
| Management And General | $131,192 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,407 | TotalAmt |
| Program Services | $42,237 | ProgramServicesAmt |
| Management And General | $28,589 | ManagementAndGeneralAmt |
| Fundraising | $581 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,004 | TotalAmt |
| Program Services | $77,580 | ProgramServicesAmt |
| Management And General | $23,344 | ManagementAndGeneralAmt |
| Fundraising | $80 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,081,255 | TotalAmt |
| Program Services | $2,652,036 | ProgramServicesAmt |
| Management And General | $429,219 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,570,696 | TotalAmt |
| Program Services | $8,921,948 | ProgramServicesAmt |
| Management And General | $1,648,194 | ManagementAndGeneralAmt |
| Fundraising | $554 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $684,145 | TotalAmt |
| Program Services | $586,384 | ProgramServicesAmt |
| Management And General | $97,761 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $12,224,222 | $12,224,222 | ||
| BAD DEBT EXPENSE | $5,024,756 | $5,024,756 | ||
| PROVIDER FEE | $4,087,891 | $4,087,891 | ||
| OTHER DIRECT EXPENSES | $1,324,835 | $1,243,646 | $80,264 | $925 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,810,715 | TotalAmt |
| Program Services | $86,297,433 | ProgramServicesAmt |
| Management And General | $14,314,759 | ManagementAndGeneralAmt |
| Fundraising | $198,523 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,662,142 | BOYAmt |
| EOY | $8,065,330 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,183,753 | BOYAmt |
| EOY | $20,857,021 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,221,640 | BOYAmt |
| EOY | $13,974,564 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,051 | BOYAmt |
| EOY | $31,820 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $590,647 | BOYAmt |
| EOY | $694,460 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,671,748 | BOYAmt |
| EOY | $1,931,469 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $162,867,112 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $80,190,296 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,160,951 | BOYAmt |
| EOY | $82,676,816 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,758,998 | BOYAmt |
| EOY | $75,894,482 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,252,200 | BOYAmt |
| EOY | $9,091,548 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,252,187 | BOYAmt |
| EOY | $17,337,419 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,966,317 | BOYAmt |
| EOY | $230,554,929 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,541,167 | BOYAmt |
| EOY | $11,609,736 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,788,701 | BOYAmt |
| EOY | $87,053,605 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,329,868 | BOYAmt |
| EOY | $98,663,341 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,700,490 | BOYAmt |
| EOY | $129,901,843 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,935,959 | BOYAmt |
| EOY | $1,989,745 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,636,449 | BOYAmt |
| EOY | $131,891,588 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,966,317 | BOYAmt |
| EOY | $230,554,929 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,853,349 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,577,415 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$175,625 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $5,759 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $5,759 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | LOBBYING EXPENSE | FormAndLineReferenceDesc |
| Explanation | PART II-B LINE 1G BRIGHTON COMMUNITY HOSPITAL ASSOCIATION D/B/A PLATTE VALLEY MEDICAL CENTER RECEIVED CORRESPONDENCE FROM THE AMERICAN HOSPITAL ASSOCIATION AND COLORADO HEALTH AND HOSPITAL ASSOCIATION REGARDING THEIR MEMBERSHIP DUES. A PORTION OF THEIR DUES WAS ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,935,964 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $374,478 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $320,692 | OtherExpendituresAmt |
| End Year Balance | $1,989,750 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,823,296 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $628,337 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $515,669 | OtherExpendituresAmt |
| End Year Balance | $1,935,964 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,483,995 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $487,280 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $147,979 | OtherExpendituresAmt |
| End Year Balance | $1,823,296 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,387,279 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $186,906 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $90,190 | OtherExpendituresAmt |
| End Year Balance | $1,483,995 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,295,994 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $416,950 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $102,928 | GrantsOrScholarshipsAmt |
| Other Expenditures | $222,737 | OtherExpendituresAmt |
| End Year Balance | $1,387,279 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,132,497 | OtherCostOrOtherBasisAmt |
| Book Value | $11,132,497 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $90,239,560 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,192,462 | DepreciationAmt |
| Book Value | $50,047,098 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $255,631 | OtherCostOrOtherBasisAmt |
| Depreciation | $255,631 | DepreciationAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,430,146 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,385,083 | DepreciationAmt |
| Book Value | $14,045,063 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,809,278 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,357,120 | DepreciationAmt |
| Book Value | $7,452,158 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $82,676,816 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEFERRED FINANCING COSTS | $8,248,344 |
| FOUNDATION | $1,989,750 |
| INTEREST INVESTMENT RECEIVABLE | $397,394 |
| RELATED PARTY RECEIVABLE | $6,701,931 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,337,419 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $106,366,405 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,577,415 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $117,590 | OtherRevenueAmt |
| Revenue Not Reported | $1,695,005 | RevenueNotReportedAmt |
| Revenue Subtotal | $104,671,400 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $202,177 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $7,790,487 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $7,992,664 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $112,664,064 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $93,111,544 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $63,804 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $63,804 | ExpensesNotReportedAmt |
| Expenses Subtotal | $93,047,740 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $202,177 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $7,560,798 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $7,762,975 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $100,810,715 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Describe the intended uses of the organization's endowment funds | SCHEDULE D, PART V, LINE 4 THE TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE MEDICAL CENTER HAS BEEN LIMITED BY DONORS TO A SPECIFIC TIME PERIOD OR PURPOSE. |
| UNCERTAIN TAX POSITIONS | PART X, LINE 2 Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. |
| REVENUE ON BOOKS, NOT ON RETURN | SCHEDULE D, PART XI, LINE 2D CHANGE IN INTEREST IN NET ASSETS OF PLATTE VALLEY MEDICAL CENTER FOUNDATION 53,786 ELIMINATIONS BETWEEN DISREGARDED ENTITY & PVMC 63,804 TOTAL 117,590 |
| REVENUE ON RETURN, NOT ON BOOKS | SCHEDULE D, PART XI, LINE 4B REVENUE PASSED THRU THE COLORADO HOSPITAL ASSN TRUST FOR WORKER'S COMPENSATION 227,178 REVENUE OF PVMC CLINIC SUPPORT SERVICES (SINGLE MEMBER LLC) included in the clinic subsidiary information on the consolidated financial statements 2,461,278 BAD DEBT EXPENSE CLASSED AS REVENUE IN FINANCIAL STATEMENTS 5,024,756 IMPUTED INTEREST - CLINICS 77,275 TOTAL 7,790,487 |
| EXPENSE ON RETURN, NOT ON BOOKS | SCHEDULE D, SCHEDULE D, PART XII, LINE 4B EXPENSE PASSED THRU THE COLORADO HOSPITAL ASSN TRUST FOR WORKER'S COMPENSATION 74,764 EXPENSE OF PVMC CLINIC SUPPORT SERVICES (SINGLE MEMBER LLC) included in the clinic subsidiary information on the consolidated financial statements 2,461,278 BAD DEBT EXPENSE CLASSED AS REVENUE IN FINANCIAL STATEMENTS 5,024,756 TOTAL 7,560,798 |
| EXPENSE ON BOOKS, NOT ON RETURN | SCHEDULE D, PART XII, LINE 2D ELIMINATIONS BETWEEN DISREGARDED ENTITY & PVMC 63,804 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 425 | PersonsServedCnt |
| Total Community Benefit Expns | $3,390,713 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,390,713 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03540 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16524 | PersonsServedCnt |
| Total Community Benefit Expns | $24,039,207 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,523,622 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,515,585 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09930 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16949 | PersonsServedCnt |
| Total Community Benefit Expns | $27,429,920 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,523,622 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,906,298 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13470 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 15 | ActivitiesOrProgramsCnt |
| Persons Served | 102671 | PersonsServedCnt |
| Total Community Benefit Expns | $113,664 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,663 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $104,001 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 202 | PersonsServedCnt |
| Total Community Benefit Expns | $150,454 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $150,454 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 119399 | PersonsServedCnt |
| Total Community Benefit Expns | $136,878 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $136,878 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 19 | ActivitiesOrProgramsCnt |
| Persons Served | 222272 | PersonsServedCnt |
| Total Community Benefit Expns | $400,996 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,663 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $391,333 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 19 | ActivitiesOrProgramsCnt |
| Persons Served | 239221 | PersonsServedCnt |
| Total Community Benefit Expns | $27,830,916 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,533,285 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,297,631 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13880 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 58 | PersonsServedCnt |
| Total Community Benefit Expns | $895 | TotalCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 58 | PersonsServedCnt |
| Total Community Benefit Expns | $895 | TotalCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,024,756 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $18,990,710 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $17,243,080 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,747,630 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIGHTON COMMUNITY HOSPITAL ASSOC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Prairie Center Parkway | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.pvmc.org | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIGHTON COMMUNITY HOSPITAL ASSOC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | PVMC.ORG/ABOUT-US/COMMUNITY-BENEFITS/ | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | PVMC.ORG/ABOUT-US/COMMUNITY-BENEFITS/ | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 125. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | X | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | X | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | Targeted interviews were used to gather information and opinions from persons who represent the broad interests of the community served by pvmc. Sixteen interviews were completed during september and october, 2012. For the interviews, community stakeholders identified by pvmc were contacted and asked to participate in the needs assessment. Interviewees included individuals who are leaders and representatives of medically underserved, low-income, minority and chronic disease populations, or regional, state or local health or other departments or agencies that have "current data or other information relevant to the health needs of the community served by the hospital facility". A list of the stakeholder interview respondents, their titles, organizations and leadership roles can be found in attachment 2 of the community health needs assessment. |
| SCHEDULE H, PART V, SECTION B, LINE 11 | The needs that were identified as priorities by the 2013 CHNA included: Access to Care, Cancer and Cardiovascular Disease. To address the identified health need of access to care, PVMC is: - Offering financial assistance to individuals who do not qualify for the State Safety-net Healthcare Programs, Colorado Indigent Care Program (CICP) or Medicaid and who do not have the resources to pay for their care. - Offering assistance with financial counseling, education on insurance programs, screening for Medicaid, and assistance with Medicaid application process to our inpatient, outpatient and Emergency department clients. Financial counseling is available if the patient does not qualify for Medicaid. - Providing infrastructure in two communities (Ft. Lupton and Commerce City) that currently have very limited access to medical providers by building medical office buildings. - Subsidizing primary care and specialty medical providers in communities where access to these services is limited. - Subsidizing an ambulance service for our service area. - Providing resources for recruitment of local primary care physicians (PCP). We provide staff for the recruitment process and financial guarantees when necessary. - Providing a hospitalist program for management of inpatient care to the patients of community primary care providers, allowing community providers to remain full-time at their clinics for primary care visits. - Offering health education, preventive services and free and low-cost screenings to the community including: * An annual health fair, offering low-cost blood tests as well as free screenings, exams and consultation with a medical professional. Calls are made to participants with critically abnormal lab values. Assistance is provided to people who do not have access to health care services. * Girl's Night Out, which is an annual event that offers education, screening exams, consultations with medical professionals, and easy access to making mammogram appointments. - Subsidizing the cost of a health coach for the employee wellness program for the local municipality of Brighton. To address the identified health need of cancer, PVMC offers: - A monthly Cancer Support Group, which is open to the public. - Low-cost mammograms for uninsured women. - Free cancer screenings: skin cancer checks, pap smears, breast exams at an annual health fair. - Educational seminars on cancer topics which are open to the public and presented at the hospital and the local senior center. To address the identified health need of cardiovascular disease, PVMC offers: - A stroke support group, which is open to the community. - Cardiac Rehab and Cardiac Support Group which are open to the community. - Educational seminars related to cardiac care are open to the community. - An Annual Health Fair offering blood pressure checks and Cardiac Risk Assessment. - A Stroke Fair to provide stroke education to the community. Other Health Needs not addressed: Platte Valley Medical Center has chosen not to actively address the remaining health needs identified in the CHNA as they were not selected as priority health needs: birth indicators (prenatal care, low birth weight), housing / homelessness, mental health, overweight and obesity, preventive care, smoking, transportation, and unintentional injuries. Taking existing community resources into consideration, Platte Valley Medical Center has selected to concentrate on those health needs that we can most effectively address given our areas of focus and expertise. Therefore, the hospital's charitable resources will be placed on the selected priority health needs. |
| SCHEDULE H, PART V, SECTION B, LINE 13b | EXPLAIN INCOME LEVEL OTHER THAN FPG: PLATTE VALLEY MEDICAL CENTER LOOKS AT OTHER FACTORS IN ADDITION TO FAMILY INCOME LIMITS AS A PERCENTAGE OF FEDERAL POVERTY GUIDELINES, SUCH AS MONTHLY EXPENSES AND INDIVIDUAL FINANCIAL SITUATIONS. |
| SCHEDULE H, PART V, SECTION B, LINE 16a & 16C | WEBSITE URL FOR FAP AND PLAIN LANGUAGE FAP SUMMARY: https://www.pvmc.org/patients-visitors/billing-insurance/charity-care-poli cy/ |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | FREE AND DISCOUNTED CARE ELIGIBILITY PERCENTAGES PLATTE VALLEY MEDICAL CENTER LOOKS AT OTHER FACTORS IN ADDITION TO FAMILY INCOME LIMITS AS A PERCENTAGE OF FEDERAL POVERTY GUIDELINES, SUCH AS MONTHLY EXPENSES AND INDIVIDUAL FINANCIAL SITUATIONS. |
| SCHEDULE H, PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE The organization's bad debt expense is presented as a component of net patient service revenue on the financial statements, therefore it is not reduced from the denominator in arriving at the percentage calculation. Total bad debt expense netted against patient service revenue was $5,024,756. |
| SCHEDULE H, PART I, LINE 7 | The organization used a cost-to charge ratio for lines 7a and 7b. The cost-to-charge ratio was derived from Form 990, Schedule H instructions, Worksheet 2, Ratio of Patient Care Cost-to-Charges. The information for lines 7e through 7i was derived from information in the general ledger and other financial data related specifically to the various types of community benefits. |
| SCHEDULE H, PART II, Coalition Building | DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES PROMOTED THE HEALTH OF THE COMMUNITY IT SERVES: PVMC sponsors a quarterly meeting of agencies in our service area known as the Brighton Service Agency Coalition. This meeting is a networking meeting for community service organizations to hear about resources for their clients. Some of the members of the coalition include people from: local health clinics, mental health counseling centers, school district, home health care agencies, transportation providers, homeless shelter, Adams County Human Services Agency, and Adams County Work Force Center. The PVMC staff also forwards any emails generated by the members to the full coalition to help promote upcoming events or educational offerings. |
| SCHEDULE H, PART III, LINE 2 & 4 | Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Medical Center analyzes contractually due amounts and provides an allowance for the difference between contract rates for services and the amounts charged for services and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid, or for payers who are known to be having financial difficulties that make unlikely the realization of amounts due). For receivables associated with patients with self-pay account balances (including both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Medical Center records a significant provision for uncollectible accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Medical Center's allowance for doubtful accounts for self-pay patients was 74% and 67% of self-pay accounts receivable at December 31, 2014 and 2013, respectively. The Medical Center identified and wrote off bad debt accounts of approximately $4,316,000 for the year ended December 31, 2014, which was a decrease of approximately $505,000 over approximately $4,821,000 for the year ended December 31, 2013. Due to financial class changes as a result of the Affordable Care Act and Medicaid expansion, much of the decrease was the result of the dynamics associated with increased Medicaid eligibility and a reduction in self-pay, although higher out-of-pocket responsibilities of consumer-driven health care plans continue to impact doubtful account write-offs. Bad debt expense is determined using the methodology as described in the note to the financial statements as shown above. |
| SCHEDULE H, PART III, LINE 8 | The Medicare allowable costs were determined from the Medicare cost report. IRS Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. This implies that treating Medicare patients is a community benefit. |
| SCHEDULE H, PART III, LINE 9B | The hospital charity care policy outlines steps for financial counselors to follow to identify and qualify patients eligible for charity care and steps to collect information. The policy also describes the application form to be completed by the patient, the review process by a financial counselor, patient follow up, and the write off of patient charges to charity care. |
| SCHEDULE H, PART VI, NEEDS ASSESSMENT | Programs and services provided by the hospital to the community are based upon strategic assessment of community need conducted by hospital administration and the hospital board of directors. Information considered in the assessment include Platte Valley Medical Center historic and projected inpatient admissions, historic and projected outpatient and emergency room visit data, County and State demographics, Colorado Department of Public Health and Environment health statistics, and community requests. |
| SCHEDULE H, PART VI, PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | Platte Valley Medical Center makes available to patients a Frequently Asked Questions (FAQ's) hand-out, which includes information about financial assistance, and whom to call. The same FAQ is located on Platte Valley Medical Center's website. Financial counselors are located in the emergency department during peak days and hours to screen for, identify, and advise patients who need financial assistance. In addition, financials counselors are staffed monday through friday to work with patients who need financial assistance to settle their accounts or schedule hospital services. |
| SCHEDULE H, PART VI, COMMUNITY INFORMATION | Our primary service area includes the communities of Brighton (zip codes 80601,80602, and 80603), Ft. Lupton (80621), and Commerce City (80022). Specifically the following : Carrier Routes: RR1, RR3, RR4, 445, RR6, RR7 & Census Tracts: 008512 and 00870. Our secondary service area includes: Thornton (80241), Henderson (80640), Hudson (80642), & Keenesberg (80643). |
| SCHEDULE H, PART VI, PROMOTION OF COMMUNITY HEALTH | PVMC utilizes a tithing program to fund the "Community Health Improvement Program." Through a granting process, this program provides funding to local non-profit organizations whose programs have a link to health promotion. The hospital provides a site for clinical education for local Community colleges and Universities. Student programs include nursing, pharmacist, phlebotomy, medical imaging, EMT, dietitian, physical therapist, surgical and nursing assistant. The hospital provides educational support programs through the cancer and stroke support groups and educational seminars which are offered monthly. Through the annual flu clinics, members of the community have access to low cost or no copay influenza and pneumonia immunizations. Due to the hospital's dedication to an annual health fair and to an annual stroke fair and women's health fair, members of the community have access to low or no cost health screenings and blood tests. The ambulance service provides first aid stand by to the majority of community sponsored events (city celebrations, school sponsored athletic events, county events) throughout the year at no cost to the organizations that are sponsoring the event. The emergency department sponsors an educational event for high school students during the prom season. Students are videotaped during the simulation of a fatal drunk driving accident, trip to the emergency department and notification to the parents of the death of the child. There is an entire day centered around this event for the students involved in the simulation as well as all the students at the school. At the end of the school day, the video is shown to the entire student body to show the devastating consequences of drunk driving. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| WELD CENTRAL HIGH SCHOOL | |||||||
| 99 WEST BROADWAY AVE | KEENESBURG | CO | 80643 | 846013310 | GOVERNMENT | $18,500 | ATHLETIC TRAINER |
| COLORADO MISSION OF MERCY | |||||||
| 430 COLORADO AVENUE | PUEBLO | CO | 81004 | 271586585 | 501(C)(3) | $15,000 | SUBSIDIZE COST FREE DENTAL CARE |
| UNITED WAY OF WELD COUNTY | |||||||
| PO BOX 1944 | GREELEY | CO | 80632 | 846011918 | 501(C)(3) | $9,000 | SUBSIDIZE THREE CHILDRENS PROGRAMS |
| PENNOCK CENTER FOR COUNSELING | |||||||
| 211 S 21ST AVE | BRIGHTON | CO | 80601 | 200986823 | 501 (C)(3) | $10,572 | SUBSIDIZE COST |
| HOPE MIRACLE HOUSE | |||||||
| 306 PARK AVE | FORT LUPTON | CO | 80621 | 465508034 | 501(C)(3) | $9,000 | HOMELESS SHELTER SPRINKLER SYSTEM |
| SENIOR HUB | |||||||
| 2360 WEST 90TH AVENUE | FEDERAL HEIGHTS | CO | 80260 | 742412032 | 501 (C)(3) | $7,000 | SUBSIDIZE COST |
| THE BOYS & GIRLS CLUBS OF WELD | |||||||
| PO BOX 812 | GREELEY | CO | 80632 | 840529902 | 501(C)(3) | $20,000 | SUPPORT PROGRAMS |
| CASA | |||||||
| 1100 JUDICIAL CENTER DR | BRIGHTON | CO | 80601 | 311657019 | 501(C)(3) | $10,000 | HELP WITH COST ADVOCATE COORDINATOR |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DESCRIBE THE ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS | FormAndLineReferenceDesc |
| Explanation | SCHEDULE I, PART I, LINE 2 All grant recipients are first required to submit applications which detail the intended uses of grant funds. After grants have been awarded, recipients are required to complete a final report indicating how grant funds were actually spent. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN HICKS | ||||||||||||||
| CEO/PRESIDENT | $454,318 | $0 | $133,488 | $0 | $91,203 | $0 | $20,800 | $0 | $18,109 | $0 | $717,918 | $0 | $0 | $0 |
| SONYA NORMAN MD | ||||||||||||||
| DIRECTOR | $0 | $200,379 | $0 | $0 | $250 | $164 | $0 | $16,018 | $0 | $66 | $250 | $216,627 | $0 | $0 |
| DUANE LIVADNEY | ||||||||||||||
| RADIOLOGY SUPERVISOR | $90,268 | $0 | $0 | $0 | $50,407 | $0 | $6,049 | $0 | $29,326 | $0 | $176,050 | $0 | $0 | $0 |
| MARY FEENEY | ||||||||||||||
| DIRECTOR OF EMERGENCY SERVICES | $94,547 | $0 | $8,883 | $0 | $42,456 | $0 | $1,787 | $0 | $16,412 | $0 | $164,085 | $0 | $0 | $0 |
| DARRELL MESSERSMITH | ||||||||||||||
| DIRECTOR OF INFORMATION SERVIC | $119,857 | $0 | $13,617 | $0 | $208 | $0 | $4,220 | $0 | $25,290 | $0 | $163,192 | $0 | $0 | $0 |
| HAROLD DUPPER | ||||||||||||||
| CFO/CORPORATE SECRETARY | $247,793 | $0 | $73,329 | $0 | $44,938 | $0 | $20,800 | $0 | $13,191 | $0 | $400,051 | $0 | $0 | $0 |
| KURT GENSERT | ||||||||||||||
| COO/CNO | $227,006 | $0 | $68,839 | $0 | $18,426 | $0 | $20,800 | $0 | $27,141 | $0 | $362,212 | $0 | $0 | $0 |
| ERIC STIRM | ||||||||||||||
| PHARMACY DIRECTOR | $161,335 | $0 | $19,131 | $0 | $264 | $0 | $27,968 | $0 | $29,449 | $0 | $238,147 | $0 | $0 | $0 |
| KAREN WELZ | ||||||||||||||
| OR DIRECTOR | $131,579 | $0 | $10,399 | $0 | $10,792 | $0 | $20,801 | $0 | $14,890 | $0 | $188,461 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Information Regarding BenefITS Provided | SCHEDULE J, PART I, LINE 1A CHRISTMAS GIFTS ARE GROSSED UP FOR HOSPITAL EMPLOYEES AND TAXED: JOHN HICKS, HAROLD DUPPER, KURT GENSERT, ERIC STIRM, KAREN WELZ, DUANE LIVADNEY RECEIVED CHRISTMAS GIFTS DURING 2014. |
| SEVERANCE PAYMENTS | SCHEDULE J, PART I, LINE 4A MARY FEENEY WAS PAID A ONE TIME SEVERANCE PAYMENT DURING 2014 IN THE AMOUNT OF $42,388.06. THIS AMOUNT IS INCLUDED ON SCHEDULE J, PART II, COLUMN (B)(III) AS OTHER REPORTABLE COMPENSATION. |
| Explanation of non-fixed payments | SCHEDULE J, PART I, LINE 7 The organization has an incentive bonus policy that is determined and adopted by the board and administration of the organization. The policy has multi-tiered financial, operational/strategic, quality performance, and community integration objectives. |
| INFORMATION REGARDING COMPENSATION REPORTING | SCHEDULE J, PART II BONUSES EARNED FOR THE 2014 CALENDAR YEAR WERE PAID OUT WITHIN 2.5 MONTHS AFTER YEAR END FOR ALL EXECUTIVES. THE FOLLOWING INDIVIDUALS DID NOT RECEIVE 2014 BONUS PAYOUTS WITHIN THAT TIME FRAME, THEREFORE THE W-2 WAGE AMOUNT ON PART II INCLUDES THE 2014 BONUS (EARNED IN 2013, PAID OUT IN 2014), AND THE OTHER DEFERRED COMPENSATION COLUMN WILL INCLUDE THE ACCRUAL OF THE 2014 BONUS (EARNED IN 2014, PAID IN 2015). - ERIC STIRM - KAREN WELZ |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADAMS COUNTY COLORADO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 846000732 | BondIssuerEIN |
| CUSIP | 005622BE4 | CUSIPNum |
| Bond Issued | 2005-06-15 | BondIssuedDt |
| Issue Price | $123,605,753 | IssuePriceAmt |
| Purpose | CONSTRUCT AND EQUIP FACILITY | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $31,346,395 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $123,671,567 | TotalProceedsAmt |
| In Reserve Fund | $8,679,000 | InReserveFundAmt |
| Capitalized Interest | $7,855,216 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $1,335,822 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $1,056,070 | CreditEnhancementAmt |
| Working Capital Expenditures | $5,708,505 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $85,981,654 | CapitalExpendituresAmt |
| Other Spent Proceeds | $13,055,000 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2007 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Change In Use Bond Financed Prop | 0.00000 | ChangeInUseBondFinancedPropPct |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | Yes (true) | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (true) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOLDMAN SACHS CAP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 0.5 | TermOfHedgePct |
| Superintegrated Hedge | false | SuperintegratedHedgeInd |
| Hedge Terminated | false | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | Yes (true) | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JP MORGAN CHASE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 2.1 | TermOfGICPct |
| Regulatory Safe Harbor Stsfd | Yes (true) | RegulatorySafeHarborStsfdInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART IV, LINE 2C | FormAndLineReferenceDesc |
| Explanation | THE REBATE COMPUTATION WAS PERFORMED ON AUGUST 25, 2010 FOR THE PERIOD JUNE 15, 2005 TO JUNE 15, 2010. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Anesthesia Services LLC | |||
| see part IV | $886,503 | anesthesia services | false |
| COPIC | |||
| see part IV | $388,004 | insurance services | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION | FormAndLineReferenceDesc |
| Explanation | PART IV, COLUMN B ANESTHESIA SERVICES, LLC - MATTHEW FLAHERTY IS A DIRECTOR OF PVMC, AND OWNS A GREATER THAN 5% INTEREST IN ANESTHESIA SERVICES, LLC. PVMC PAID ANESTHESIA SERVICES $886,503 DURING 2014. COPIC - GERRY LEWIS-JENKINS IS A DIRECTOR OF PVMC, AND IS AN OFFICER OF COPIC. PVMC PAID COPIC $388,004 DURING 2014. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (19 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Material Differences in Voting Rights | Form 990, Part VI, Section A, line 1a The CEO serves on the Board and is paid by Platte Valley Medical Center as an employee. Therefore, he does not vote on his own compensation but is permitted to vote on all other matters. |
| Family/Business Relationship | Form 990, Part VI, Section A, Line 2 John Hicks and Harold Dupper have a business relationship because they are directors of the wholly owned subsidiaries disclosed on Schedule R, Part IV. |
| Classes of Members or Stockholders and voting rights | Form 990, Part VI, Section A, Line 6 & 7a The membership of the Brighton Community Hospital Association shall consist of Founders (Founders are defined as contributors to the original 1960 capital campaign and are Association members for life.); all duly elected and appointed members of the Hospital Board of Directors then in office; and all individuals, families, entities or organizations who have made a donation to the Association or the Platte Valley Medical Center Foundation in a qualifying amount. Qualifying membership levels per calendar year are: Individual (one vote) $50, Family (two votes) $75, Corporation (one vote) $150. Gifts from other foundations in any amount would not qualify to receive a ballot. If a donor is in compliance with a multi-year pledge, they will receive the appropriate number for their level of contribution for that voting cycle. In the event that a donor has made a multi-year pledge and completes the gift prior to the pledge due date, the donor will continue to receive the appropriate number of ballots and mailings through the initial terms of the pledge. If the pledge is in default and has been written off by the Foundation Finance Committee, the donor will receive the appropriate number of ballots for the amount of the pledge that was received during the voting cycle. There may be variations from the above or extenuating circumstances regarding particular donors that may require a judgment call to be made. For this reason, prior to each ballot mailing, the mailing list will be reviewed by the CEO or an appointed representative. MEMBERSHIP CALENDAR Association Board Member Elections: A rolling two-year list of qualifying donors who have contributed from the last election to the present election will be created for the ballot mailing. This provides all Association Members a vote whether they gave in an election year or not. Membership Mailings (i.e. Annual Report and event invitations): The last full calendar year of qualifying donors and all donors in the current calendar year up to the time of the mailing will be used. |
| Process to Review the Form 990 | Form 990, Part VI, Section B, line 11b The form 990 is prepared by a third party. The 990 goes through a detailed review by the accounting manager and chief financial officer. Once this review is complete, the 990 is presented to the audit/finance committee where they approve and recommend the 990 to the board of directors. Once approved, a copy of the 990 is made available to each board member before filing with the IRS. |
| Process for Monitoring Compliance with Conflict of Interest Policy | Form 990, Part VI, Section B, line 12c The organization has a compliance officer who monitors the organization's conflict of interest policy. The board of directors, officers and key employees are required annually to complete and review the conflict of interest policy and disclose any potential conflicts. Directors are not permitted to vote on issues where they have a conflict of interest. |
| Review of CEO & other officer's compensation | Form 990, Part VI, Section B, line 15a & 15b Platte Valley Medical Center uses the services of an independent compensation consultant, Yaffee & Company, to establish compensation for the CEO, other officers and Key Employees. A review was done in 2014. Upon completion of the compensation analysis, the compensation package is recommended to the compensation committee of the board for approval. Officers have written employment contracts which are signed and maintained by the human resource department. |
| Governing Documents Available to the Public | Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statements are made available to the public upon request. |
| Other Changes in Net Assets | Form 990, Part XI, Line 9 CHANGE IN INTEREST IN NET ASSETS OF PLATTE VALLEY MEDICAL CENTER FOUNDATION 53,786 NET REVENUE PASSED THRU THE COLORADO HOSPITAL ASSN TRUST FOR WORKER'S COMPENSATION (152,414) IMPUTED INTEREST - CLINICS (77,275) EQUITY ADJUSTMENT 278 TOTAL (175,625) |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:4010766 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACTED STAFF LABOR TOTAL FEES:701943 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LAB SERVICES TOTAL FEES:1013537 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION SERVICES TOTAL FEES:1144849 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING TOTAL FEES:1001767 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SURGICAL ASSISTANT TOTAL FEES:45032 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:NURSERY SPECIALIST TOTAL FEES:814118 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHARMACY SERVICES TOTAL FEES:107298 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MAINTENANCE TOTAL FEES:649694 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER HEALTH SERVICES TOTAL FEES:453017 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER SERVICES TOTAL FEES:822403 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|
| PVMC CLINIC SUPPORT SERVICES INC | |||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 453962647 | CLINICAL SVCs | CO | $2,461,278 | $441,191 | PVMC |
| PLATTE VALLEY MEDICAL IMAGING LLC | |||||||||
| 1606 PRAIRIE CENTER PARKWAY 130 | BRIGHTON | CO | 80601 | 320402320 | XRAY SERVICE | CO | $50,942 | $51,942 | PVMC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLATTE VALLEY MEDICAL CENTER FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 PRAIRIE CENTER PARKWAY | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742255936 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | ln11 type I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PVMC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PVMC PHYSICIAN SERVICES INC | ||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 943458548 | MEDICAL | CO | PVMC | C-Corporation | $944 | $2,053 | 1.00000 | Yes (true) |
| HIGH PLAINS HEART AND VASCULAR CENTER | ||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE | BRIGHTON | CO | 80601 | 272038197 | MEDICAL | CO | PVMC | C-Corporation | $1,449,033 | $318,144 | 1.00000 | Yes (true) |
| INTEGRATED INTERNAL MEDICINE ACUPUNCTURE | ||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE | BRIGHTON | CO | 80601 | 274433325 | MEDICAL | CO | PVMC | C-Corporation | $508,121 | $154,916 | 1.00000 | Yes (true) |
| MOUNTAIN VIEW ORTHOPEDICS INC | ||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE | BRIGHTON | CO | 80601 | 275382523 | MEDICAL | CO | PVMC | C-Corporation | $2,535,437 | $384,162 | 1.00000 | Yes (true) |
| EAGLE RIDGE MEDICAL INC | ||||||||||||
| 1606 PRAIRIE CENTER PKWY SUITE 240 | BRIGHTON | CO | 80601 | 462387681 | MEDICAL | CO | PVMC | C-Corporation | $950,886 | $219,383 | 1.00000 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (14 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PVMC Physician Services Inc | ||
| A | $300 | imputed amount |
| High Plains Heart & Vascular Center Inc | ||
| A | $214,634 | imputed amount |
| INTEGRATED INTERNAL MEDICINE ACUPUNCTURE | ||
| A | $127,175 | imputed amount |
| Mountain View Orthopedics Inc | ||
| A | $192,243 | imputed amount |
| EAGLE RIDGE MEDICAL INC | ||
| A | $140,113 | imputed amount |
| Platte Valley Medical Center Foundation | ||
| C | $320,692 | CASH TRANSFER |
| High Plains Heart & Vascular Center | ||
| D & R | $2,719,941 | a/r balance |
| Integrated Internal Medicine & Acupuncture | ||
| D & R | $938,878 | a/r balance |
| Mountain View Orthopedics Inc | ||
| D & R | $2,325,416 | a/r balance |
| eagle ridge medical inc | ||
| D & R | $687,511 | a/r balance |
| high plains heart & vascular center | ||
| Q | $758,799 | billed amount |
| Integrated Internal Medicine & Acupuncture | ||
| Q | $330,727 | billed amount |
| Mountain View Orthopedics Inc | ||
| Q | $895,398 | billed amount |
| eagle ridge medical inc | ||
| Q | $476,354 | billed amount |