STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BRIGHTON COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION (EIN 84-0482695)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-08-14
IRS object ID
201402269349303165
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-08-14T14:04:19-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Tejon Suite 800AddressLine1
CityColorado SpringsCity
StateCOState
ZIP Code809039848ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840482695EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Brighton Community Hospital AssociationBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% THE ORGANIZATIONInCareOfNm
Business Name ControlBRIGBusinessNameControlTxt
Phone3034981600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Prairie Center ParkwayAddressLine1
Address Line2SuiteAddressLine2
CityBrightonCity
StateCOState
ZIP Code80601ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHarold DupperPersonNm
Person TitleVP of FinancePersonTitleTxt
Phone7194714290PhoneNum
Signature2014-07-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Phone7194714290PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Platte Valley Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerJohn HicksPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Prairie Center ParkwayAddressLine1
CityBrightonCity
StateCOState
ZIP Code80601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$143,398,147GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.pvmc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1958FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionThe 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 Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee702TotalEmployeeCnt
Total Volunteers151TotalVolunteersCnt
Total Gross UBI$26,643TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$1,929NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$147,976PYContributionsGrantsAmt
CY Contributions Grants$515,669CYContributionsGrantsAmt
PY Program Service Revenue$86,745,840PYProgramServiceRevenueAmt
CY Program Service Revenue$100,141,312CYProgramServiceRevenueAmt
PY Investment Income$3,316,327PYInvestmentIncomeAmt
CY Investment Income$4,508,251CYInvestmentIncomeAmt
PY Other Revenue$387,289PYOtherRevenueAmt
CY Other Revenue$71,365CYOtherRevenueAmt
PY Total Revenue$90,597,432PYTotalRevenueAmt
CY Total Revenue$105,236,597CYTotalRevenueAmt
PY Grants And Similar Paid$69,414PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$65,260CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$37,160,115PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,133,132CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$188,425CYTotalFundraisingExpenseAmt
PY Other Expenses$49,201,840PYOtherExpensesAmt
CY Other Expenses$54,071,446CYOtherExpensesAmt
PY Total Expenses$86,431,369PYTotalExpensesAmt
CY Total Expenses$94,269,838CYTotalExpensesAmt
PY Revenues Less Expenses$4,166,063PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,966,759CYRevenuesLessExpensesAmt
Total Assets BOY$212,352,424TotalAssetsBOYAmt
Total Assets EOY$218,966,317TotalAssetsEOYAmt
Total Liabilities BOY$104,383,189TotalLiabilitiesBOYAmt
Total Liabilities EOY$100,329,868TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$107,969,235NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$118,636,449NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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, 2013 AND 2012 WERE $16,516,145 AND $18,706,457 RESPECTIVELY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$16,828,968ExpenseAmt
Revenue$14,426,330RevenueAmt
DescInpatient Routine Care, Total Patient Days: 9,146.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$49,999,697ExpenseAmt
Grant$65,260GrantAmt
Revenue$63,977,606RevenueAmt
DescInpatient/Outpatient Ancillary Services, Weighted Patient Days: 22,746.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$14,698,337ExpenseAmt
Revenue$21,116,903RevenueAmt
DescTotal Emergency room visits and Ambulance Calls: 25,853.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$81,527,002TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document137IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee702EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHE ORGANIZATIONPersonNm
Phone3034981600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 PRAIRIE CENTER PARKWAYAddressLine1
CityBrightonCity
StateCOState
ZIP Code80601ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
John Hicks
CEO/President50.01.5Yes (X)Yes (X)$695,809$0$35,168
Gerry Lewis-Jenkins
Director3.0Yes (X)$150
Michael Dolan
Director/chair3.01.0Yes (X)Yes (X)$250
William Lee MD
Director3.0Yes (X)$150
Sue Corbett
Director3.0Yes (X)$150
Michelle LeBlanc-Gross
Director3.0Yes (X)$150
Robert R Feis
Director/Foundation Chair3.01.0Yes (X)$250
Matt Flaherty MD
Director3.0Yes (X)$38,688
Faye Hummel PhD
Director/vice chair3.0Yes (X)Yes (X)$150
Sonya Norman MD
Director3.0Yes (X)$150$41,128$52
Lowell Palmquist
Director3.0Yes (X)$150
John Rhoades
Director3.01.0Yes (X)$250
Rod Blunck EdD
Director3.0Yes (X)$150
Kirk Quackenbush MD
Director/Chief of Staff3.01.0Yes (X)$20,250
Harold Dupper
CFO/Corporate Secretary50.01.0Yes (X)$357,486$34,342
Kurt Gensert
COO/CNO50.01.0$316,536$51,283Yes (X)
Eric Stirm
Pharmacy Director40.0$173,729$35,566Yes (X)
Karen Welz
OR Director40.0$145,952$20,179Yes (X)
Duane Livadney
Radiology Supervisor50.0$138,954$34,999Yes (X)
Robert Nebel
Pharmacist40.0$141,899$6,233Yes (X)
Jackie Dunkin
HR Director40.0$131,821$27,822Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,163,074TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$41,128TotReportableCompRltdOrgAmt
Total Other Compensation$245,644TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K47IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
SIEMENS MEDICAL SOLUTIONS
PO BOX 120001DALLASTX75312SOFTWARE SUPPORT$1,895,927
Sound Physicians
1123 Pacific AvenueTACOMAWA98402Physician Support$1,396,028
Anesthesia Services Inc
15797 Fortune CtBRIGHTONCO80601Anesthesia Services$794,882
CHILDREN'S HOSPITAL
13123 E 16TH AVE BOX 010AURORACO80045SPECIAL CARE NURSERY$721,440
integral healthcare services
750 w hampden ave 501ENGLEWOODCO80110collection services$672,558
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Related Organizations$515,669RelatedOrganizationsAmt
Total Contributions$515,669TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PATIENT SERVICES REV, NET OF ALLOWANCE900099$76,695,518$76,695,518
MEDICARE/MEDICAID900099$16,607,758$16,607,758
CLINIC SUPPORT SERVICES REVENUE900099$1,821,555$1,821,555
CLINIC SUPPORT SERVICES CONSOLIDATION CORRECTION900099$2,524,625$2,524,625
CAFETERIA SALES900099$472,744$472,744

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,019,112TotalRevenueColumnAmt
Related Or Exempt Func Income$1,871,383RelatedOrExemptFuncIncomeAmt
Exclusion$147,729ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$100,141,312TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,737,544TotalRevenueColumnAmt
Unrelated Business Revenue$26,643UnrelatedBusinessRevenueAmt
Exclusion$2,710,901ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$977,769RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$906,404RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$71,365RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,365TotalRevenueColumnAmt
Exclusion$71,365ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$38,996,518SecuritiesAmt
Other$29,335OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$37,225,801SecuritiesAmt
Other$29,345OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,770,717SecuritiesAmt
Other-$10OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,770,707TotalRevenueColumnAmt
Exclusion$1,770,707ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$105,236,597TotalRevenueColumnAmt
Related Or Exempt Func Income$99,520,839RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$26,643UnrelatedBusinessRevenueAmt
Exclusion$5,173,446ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$65,260TotalAmt
Program Services$65,260ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,592,729TotalAmt
Program Services$1,330,236ProgramServicesAmt
Management And General$262,493ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$28,540,765TotalAmt
Program Services$25,152,775ProgramServicesAmt
Management And General$3,299,289ManagementAndGeneralAmt
Fundraising$88,701FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$765,485TotalAmt
Program Services$658,584ProgramServicesAmt
Management And General$101,368ManagementAndGeneralAmt
Fundraising$5,533FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,950,537TotalAmt
Program Services$5,956,619ProgramServicesAmt
Management And General$973,493ManagementAndGeneralAmt
Fundraising$20,425FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,283,616TotalAmt
Program Services$1,982,906ProgramServicesAmt
Management And General$289,363ManagementAndGeneralAmt
Fundraising$11,347FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$261,741TotalAmt
Program Services$1,259ProgramServicesAmt
Management And General$260,482ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$167,654TotalAmt
Program Services$680ProgramServicesAmt
Management And General$166,974ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$5,603TotalAmt
Management And General$5,603ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$205,717TotalAmt
Management And General$205,717ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,070,791TotalAmt
Program Services$8,078,217ProgramServicesAmt
Management And General$1,973,577ManagementAndGeneralAmt
Fundraising$18,997FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$207,188TotalAmt
Program Services$2,211ProgramServicesAmt
Management And General$204,977ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,170,188TotalAmt
Program Services$3,774,788ProgramServicesAmt
Management And General$359,112ManagementAndGeneralAmt
Fundraising$36,288FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,971,139TotalAmt
Program Services$866,850ProgramServicesAmt
Management And General$2,099,748ManagementAndGeneralAmt
Fundraising$4,541FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$944,933TotalAmt
Program Services$811,079ProgramServicesAmt
Management And General$133,854ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$62,187TotalAmt
Program Services$36,825ProgramServicesAmt
Management And General$24,063ManagementAndGeneralAmt
Fundraising$1,299FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$88,689TotalAmt
Program Services$55,321ProgramServicesAmt
Management And General$33,368ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,487,173TotalAmt
Program Services$2,992,692ProgramServicesAmt
Management And General$494,481ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,397,418TotalAmt
Program Services$8,921,628ProgramServicesAmt
Management And General$1,475,236ManagementAndGeneralAmt
Fundraising$554FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$626,997TotalAmt
Program Services$536,100ProgramServicesAmt
Management And General$90,897ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$9,103,308$9,103,308
BAD DEBT EXPENSE$5,982,486$5,982,486
PROVIDER FEE$4,705,046$4,705,046
OTHER DIRECT EXPENSES$613,188$512,132$100,316$740

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$94,269,838TotalAmt
Program Services$81,527,002ProgramServicesAmt
Management And General$12,554,411ManagementAndGeneralAmt
Fundraising$188,425FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,333,581BOYAmt
EOY$8,662,142EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,679,555BOYAmt
EOY$17,183,753EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,675,294BOYAmt
EOY$12,221,640EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$289,578BOYAmt
EOY$212,051EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$608,763BOYAmt
EOY$590,647EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,352,113BOYAmt
EOY$1,671,748EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$156,099,450LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$70,938,499LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$90,187,359BOYAmt
EOY$85,160,951EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$71,783,621BOYAmt
EOY$71,758,998EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,389,811BOYAmt
EOY$6,252,200EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,052,749BOYAmt
EOY$15,252,187EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$212,352,424BOYAmt
EOY$218,966,317EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,181,310BOYAmt
EOY$9,541,167EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,201,879BOYAmt
EOY$90,788,701EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$104,383,189BOYAmt
EOY$100,329,868EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$106,145,939BOYAmt
EOY$116,700,490EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,823,296BOYAmt
EOY$1,935,959EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$107,969,235BOYAmt
EOY$118,636,449EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$212,352,424BOYAmt
EOY$218,966,317EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,966,759ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$235,392NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$64,153OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$5,603DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$5,603TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B LINE 1GFormAndLineReferenceDesc
ExplanationBRIGHTON 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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,823,296BeginningYearBalanceAmt
Investment Earnings Or Losses$628,337InvestmentEarningsOrLossesAmt
Other Expenditures$515,669OtherExpendituresAmt
End Year Balance$1,935,964EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,483,995BeginningYearBalanceAmt
Investment Earnings Or Losses$487,280InvestmentEarningsOrLossesAmt
Other Expenditures$147,979OtherExpendituresAmt
End Year Balance$1,823,296EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,387,279BeginningYearBalanceAmt
Investment Earnings Or Losses$186,906InvestmentEarningsOrLossesAmt
Other Expenditures$90,190OtherExpendituresAmt
End Year Balance$1,483,995EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,295,994BeginningYearBalanceAmt
Investment Earnings Or Losses$416,950InvestmentEarningsOrLossesAmt
Grants Or Scholarships$102,928GrantsOrScholarshipsAmt
Other Expenditures$222,737OtherExpendituresAmt
End Year Balance$1,387,279EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,277,935BeginningYearBalanceAmt
Investment Earnings Or Losses-$508,054InvestmentEarningsOrLossesAmt
Grants Or Scholarships$473,887GrantsOrScholarshipsAmt
End Year Balance$1,295,994EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,132,497OtherCostOrOtherBasisAmt
Book Value$11,132,497BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$89,482,771OtherCostOrOtherBasisAmt
Depreciation$35,376,929DepreciationAmt
Book Value$54,105,842BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$255,631OtherCostOrOtherBasisAmt
Depreciation$228,918DepreciationAmt
Book Value$26,713BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,506,138OtherCostOrOtherBasisAmt
Depreciation$32,455,119DepreciationAmt
Book Value$15,051,019BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,722,413OtherCostOrOtherBasisAmt
Depreciation$2,877,533DepreciationAmt
Book Value$4,844,880BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$85,160,951TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DEFERRED FINANCING COSTS$9,103,350
FOUNDATION$1,935,964
INTEREST INVESTMENT RECEIVABLE$414,510
RELATED PARTY RECEIVABLE$3,798,363
FieldValueIRS element (for citing)
Total Book Value Other Assets$15,252,187TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$96,859,108TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$235,392NetUnrealizedGainsInvstAmt
Other Revenue$112,663OtherRevenueAmt
Revenue Not Reported-$122,729RevenueNotReportedAmt
Revenue Subtotal$96,981,837RevenueSubtotalAmt
Investment Expenses Not Incld$193,275InvestmentExpensesNotIncldAmt
Other Revenues Not Included$8,061,485OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$8,254,760RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$105,236,597TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$86,191,894TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$86,191,894ExpensesSubtotalAmt
Investment Expenses Not Incld2$193,275InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$7,884,669OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$8,077,944ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$94,269,838TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
INTENDED USES OF ENDOWMENT FUNDSTHE TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE MEDICAL CENTER HAS BEEN LIMITED BY DONORS TO A SPECIFIC TIME PERIOD OR PURPOSE.
UNCERTAIIN TAX POSITIONSManagement 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.
OTHER REVENUE ON BOOKS NOT ON RETURNCHANGE IN INTEREST IN NET ASSETS OF PLATTE VALLEY MEDICAL CENTER FOUNDATION 112,663 TOTAL 112,663
REVENUE ON RETURN NOT ON BOOKSREVENUE PASSED THRU THE COLORADO HOSPITAL ASSN TRUST FOR WORKER'S COMPENSATION 230,801 REVENUE OF PVMC CLINIC SUPPORT SERVICES (SINGLE MEMBER LLC) included in the clinic subsidiary information on the consolidated financial statements 1,821,555 BAD DEBT EXPENSE CLASSED AS REVENUE IN FINANCIAL STATEMENTS 5,982,486 IMPUTED INTEREST - CLINICS 26,643 TOTAL 8,061,485
EXPENSES ON RETURN NOT ON BOOKSEXPENSE PASSED THRU THE COLORADO HOSPITAL ASSN TRUST FOR WORKER'S COMPENSATION 80,628 EXPENSE OF PVMC CLINIC SUPPORT SERVICES (SINGLE MEMBER LLC) included in the clinic subsidiary information on the consolidated financial statements 1,821,555 BAD DEBT EXPENSE CLASSED AS REVENUE IN FINANCIAL STATEMENTS 5,982,486 TOTAL 7,884,669

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other125.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served435PersonsServedCnt
Total Community Benefit Expns$7,112,443TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,250,456DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,862,042NetCommunityBenefitExpnsAmt
Total Expense0.05510TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served11696PersonsServedCnt
Total Community Benefit Expns$17,145,399TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,686,929DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,458,567NetCommunityBenefitExpnsAmt
Total Expense0.06180TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served12131PersonsServedCnt
Total Community Benefit Expns$24,257,842TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,937,385DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,320,609NetCommunityBenefitExpnsAmt
Total Expense0.11690TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served76002PersonsServedCnt
Total Community Benefit Expns$131,815TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,740DirectOffsettingRevenueAmt
Net Community Benefit Expns$130,075NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served186PersonsServedCnt
Total Community Benefit Expns$349,751TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$349,751NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served11921PersonsServedCnt
Total Community Benefit Expns$98,474TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$98,474NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs23ActivitiesOrProgramsCnt
Persons Served88109PersonsServedCnt
Total Community Benefit Expns$580,040TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,740DirectOffsettingRevenueAmt
Net Community Benefit Expns$578,300NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs23ActivitiesOrProgramsCnt
Persons Served100240PersonsServedCnt
Total Community Benefit Expns$24,837,882TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,939,125DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,898,909NetCommunityBenefitExpnsAmt
Total Expense0.12350TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served59PersonsServedCnt
Total Community Benefit Expns$1,018TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,018NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served59PersonsServedCnt
Total Community Benefit Expns$1,018TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,018NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$5,982,486BadDebtExpenseAmt
Reimbursed By Medicare$11,610,305ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$11,040,462CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$569,843MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIGHTON COMMUNITY HOSPITAL ASSOCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Prairie Center ParkwayAddressLine1
CityBRIGHTONCity
StateCOState
ZIP Code80601ZIPCode
FieldValueIRS element (for citing)
Website Addresswww.pvmc.orgWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BRIGHTON COMMUNITY HOSPITAL ASSOCBusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://pvmc.org/about-us/our-missionOwnWebsiteURLTxt
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (true)AllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care125.FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care250.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
ResidencyYes (X)ResidencyInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Lowest Negotiated RatesYes (X)LowestNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FREE AND DISCOUNTED CARE ELIGIBILITY PERCENTAGESPLATTE 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.
BAD DEBT EXPENSEThe 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 $5,982,486.
CALCULATION OF COMMUNITY BENEFIT EXPENSESThe organization used a cost-to charge ratio for lines 7a and 7b. The cost-to-charge ratio was derived from 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.
BAD DEBT EXPENSEAccounts 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 doubtful accounts 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 90% of self-pay accounts receivable at December 31, 2013 and 2012. The Medical Center's write-offs for doubtful accounts of approximately $4,821,000 for the year ended December 31, 2013, was an increase of approximately $201,000 over approximately $4,620,000 for the year ended December 31, 2012. Due to challenges of collecting patient account responsibilities, much of the increase was the result of the dynamics associated with increased patient liabilities related to higher deductible health care plans. Bad debt expense is determined using the methodology as described in the note to the financial statements as shown above.
MEDICAREThe 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.
CHARITY CAREOur 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.
NEEDS ASSESSMENTPrograms 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.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPlatte 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.
COMMUNITY INFORMATIONOur 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).
PROMOTION OF COMMUNITY HEALTHPVMC 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.
INPUT FROM REPRESENTATIVES OF THE COMMUNITYtargeted 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 I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
Pennock Center for Counseling
211 S 21st AveBrightonCO80601200986823501(c)(3)$10,000Subsidize cost
WELD CENTRAL HIGH SCHOOL
99 WEST BROADWAY AVEKEENESBURGCO80643846013310GOVERNMENT$19,169ATHLETIC TRAINER SALARY
WELD CENTRAL HIGH SCHOOL
99 WEST BROADWAY AVEKEENESBURGCO80643846013310GOVERNMENTATHLETIC EQUIPMENT$9,091FMVATHLETIC EQUIPMENT
almost home inc
231 north main streetbrightonCO80601841220644501(c)(3)$10,000manager salary
via mobility
2855 n 63rd streetboulderCO80301840777296501(c)(3)$10,000transportation
the senior hub
2360 west 90th avenuefederal heightsCO80221742412032501(c)(3)$7,000subsidize cost
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrant Monitoring ProceduresFormAndLineReferenceDesc
ExplanationAll 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

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John Hicks
CEO/President$454,329$0$133,488$0$107,992$0$20,400$0$14,768$0$730,977$0$0$0
Harold Dupper
CFO/Corporate Secretary$247,807$71,540$38,139$20,400$13,942$391,828$0
Kurt Gensert
COO/CNO$227,158$67,160$22,218$20,400$30,883$367,819$0
Eric Stirm
Pharmacy Director$157,600$15,870$259$6,377$29,189$209,295$19,131
Karen Welz
OR Director$129,308$10,498$6,146$4,576$15,603$166,131$15,656
Duane Livadney
Radiology Supervisor$89,309$0$49,645$5,926$29,073$173,953$0
Jackie Dunkin
HR Director$115,033$14,015$2,773$5,194$22,628$159,643$14,098

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Question 1aThe benefits marked on line 1 of Schedule J are provided to executives and board of directors for attendance at educational and similar events and are taxed accordingly including gross-up payments. During the return year 2013, no such payments were made.
Part I Question 7The organization has an incentive bonus policy that is determined and adopted by the board and administration of the organization. The policy has multi-tiered financial, operational/strategic, quality performance, and community integration objectives.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Adams County ColoradoBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN846000732BondIssuerEIN
CUSIP005622be4CUSIPNum
Bond Issued2005-06-15BondIssuedDt
Issue Price$123,605,753IssuePriceAmt
PurposeCONSTRUCT AND EQUIP FACILITYPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$14,870,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$123,671,567TotalProceedsAmt
In Reserve Fund$7,804,000InReserveFundAmt
Capitalized Interest$7,855,216CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$1,335,822IssuanceCostsFromProceedsAmt
Credit Enhancement$1,056,070CreditEnhancementAmt
Working Capital Expenditures$5,708,505WorkingCapitalExpendituresAmt
Capital Expenditures$85,981,654CapitalExpendituresAmt
Other Spent Proceeds$13,055,000OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2007SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecYes (true)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1GOLDMAN SACHS CAPBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge0.5TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICYes (true)GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line1JP MORGAN CHASEBusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC2.1TermOfGICPct
Regulatory Safe Harbor StsfdYes (true)RegulatorySafeHarborStsfdInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line Reference0FormAndLineReferenceDesc
ExplanationTHE REBATE COMPUTATION WAS PERFORMED ON AUGUST 25, 2010 FOR THE PERIOD JUNE 15, 2005 TO JUNE 15, 2010.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Question 2John Hicks and Harold Dupper have a business relationship because they are directors of the wholly owned subsidiaries disclosed on Schedule R, Part IV.
Form 990, Part VI, Question 6 and 7aThe 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.
Form 990, Part VI, Question 11bTHE 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 COMMITTIEE WHERE THEY APPROVE AND RECOMMEND THE 990 TO THE BOARD OF DIRECTORS. ONCE APPROVED, A COPY OF THE 990 IS PROVIDED TO EACH BOARD MEMBER BEFORE FILING WITH THE IRS.
Form 990, Part VI, Question 12cThe organization has a compliance officer who monitors the organization's conflict of interest policy. The board of directors, officers and key employees are required annually to complete and review the conflict of interest policy and disclose any potential conflicts. Directors are not permitted to vote on issues where they have a conflict of interest.
Form 990, Part VI, Question 15a and 15bPlatte Valley Medical Center uses the services of an independent compensation consultant, Integrated Healthcare Strategies (MINNEAPOLIS, MN), to establish compensation for the CEO, other officers and Key Employees. A review was done in 2013. Upon completion of the compensation analysis, the compensation package is recommended to the compensation committee of the board for approval. Officers have written employment contracts which are signed and maintained by the human resource department.
Form 990, Part VI, Question 19The governing documents, conflict of interest policy, and financial statements are made available to the public upon request.
Part VI, Line 1aThe 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.
Part XI, Line 5CHANGE IN INTEREST IN NET ASSETS OF PLATTE VALLEY MEDICAL CENTER FOUNDATION 112,663 REVENUE PASSED THRU THE COLORADO HOSPITAL ASSN TRUST FOR WORKER'S COMPENSATION (150,173) IMPUTED INTEREST - CLINICS (26,643) TOTAL (64,153)
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:3911554
FORM 990 PART IX LINE 11GDESCRIPTION:LAB SERVICES TOTAL FEES:1416023
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION SERVICES TOTAL FEES:962526
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED STAFF LABOR TOTAL FEES:883080
FORM 990 PART IX LINE 11GDESCRIPTION:NURSERY SPECIALIST TOTAL FEES:789821
FORM 990 PART IX LINE 11GDESCRIPTION:MAINTENANCE TOTAL FEES:651993
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER CONTRACT SERVICES TOTAL FEES:1455794

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PVMC Clinic Support Services LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Prairie Center ParkwayAddressLine1
CityBrightonCity
StateCOState
ZIP Code80601ZIPCode
FieldValueIRS element (for citing)
EIN453962647EIN
Primary ActivitiesClinical SvcsPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Total Income$1,847,618TotalIncomeAmt
End Of Year Assets$506,219EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1pvmcBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Platte Valley Medical Center FoundationBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Prairie Center ParkwayAddressLine1
CityBrightonCity
StateCOState
ZIP Code80601ZIPCode
FieldValueIRS element (for citing)
EIN742255936EIN
Primary ActivitiesFundraisingPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLN11 TYPE IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PVMCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
PVMC Physician Services Inc
1606 PRAIRIE CENTER PARKWAY SUITEBRIGHTONCO80601943458548MEDICALCOPVMCC$75$1,1131.00000Yes (true)
High Plains Heart & Vascular Center Inc
1606 Prairie Center Parkway SuiteBrightonCO80601272038197MedicalCOPVMCC$1,010,965$193,5661.00000Yes (true)
Integrated Internal MedicINE&AcupuncturE
1606 Prairie Center Parkway SuiteBrightonCO80601274433325MedicalCOPVMCC$416,786$115,6451.00000Yes (true)
Mountain View Orthopedics Inc
1606 Prairie Center Parkway SuiteBrightonCO80601275382523MedicalCOPVMCC$1,864,334$288,9361.00000Yes (true)
EAGLE RIDGE MEDICAL INC
1606 PRAIRIE CENTER PKWY 240BRIGHTONCO80601462387681MEDICALCOPVMCC$209,071$124,7451.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Platte Valley Medical Center Foundation
c$515,669CASH TRANSFER
High Plains Heart & Vascular Center
q$376,600cash transfer
Integrated Internal Medicine & Acupuncture
q$282,020cash transfer
Mountain View Orthopedics Inc
q$657,708cash transfer
eagle ridge medical inc
q$121,827cash transfer
high plains heart & vascular center
d$1,748,861a/r balance
Integrated Internal Medicine & Acupuncture
d$481,228a/r balance
Mountain View Orthopedics Inc
d$1,314,075a/r balance
eagle ridge medical inc
d$230,576a/r balance