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      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SIEMENS MEDICAL SOLUTIONS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 120001</AddressLine1>
            <City>DALLAS</City>
            <State>TX</State>
            <ZIPCode>75312</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE SUPPORT</ServicesDesc>
        <CompensationAmt>1895927</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Sound Physicians</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1123 Pacific Avenue</AddressLine1>
            <City>TACOMA</City>
            <State>WA</State>
            <ZIPCode>98402</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Physician Support</ServicesDesc>
        <CompensationAmt>1396028</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Anesthesia Services Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>15797 Fortune Ct</AddressLine1>
            <City>BRIGHTON</City>
            <State>CO</State>
            <ZIPCode>80601</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Anesthesia Services</ServicesDesc>
        <CompensationAmt>794882</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CHILDREN'S HOSPITAL</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>13123 E 16TH AVE BOX 010</AddressLine1>
            <City>AURORA</City>
            <State>CO</State>
            <ZIPCode>80045</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SPECIAL CARE NURSERY</ServicesDesc>
        <CompensationAmt>721440</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>integral healthcare services</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <City>ENGLEWOOD</City>
            <State>CO</State>
            <ZIPCode>80110</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>collection services</ServicesDesc>
        <CompensationAmt>672558</CompensationAmt>
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      <TotalContributionsAmt>515669</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES REV, NET OF ALLOWANCE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>76695518</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>16607758</TotalRevenueColumnAmt>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLINIC SUPPORT SERVICES REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1821555</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1821555</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLINIC SUPPORT SERVICES CONSOLIDATION CORRECTION</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2524625</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2524625</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAFETERIA SALES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>472744</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>2019112</TotalRevenueColumnAmt>
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        <ExclusionAmt>147729</ExclusionAmt>
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      <TotalProgramServiceRevenueAmt>100141312</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>2737544</TotalRevenueColumnAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
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      <LessRentalExpensesGrp>
        <RealAmt>906404</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>71365</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>38996518</SecuritiesAmt>
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      </GrossAmountSalesAssetsGrp>
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        <FundraisingAmt>11347</FundraisingAmt>
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      <FeesForServicesProfFundraising>
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      <AdvertisingGrp>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>5982486</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROVIDER FEE</Desc>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>12554411</ManagementAndGeneralAmt>
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      </TotalFunctionalExpensesGrp>
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      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
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    <IRS990ScheduleC documentId="IRS990ScheduleC">
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      <TotalDirectLobbyingGrp />
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      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
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      <TotLbbyExpendMnsLbbyngNonTxGrp />
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      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B LINE 1G</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
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    </IRS990ScheduleC>
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        <InvestmentEarningsOrLossesAmt>628337</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>515669</OtherExpendituresAmt>
        <EndYearBalanceAmt>1935964</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1483995</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>487280</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>147979</OtherExpendituresAmt>
        <EndYearBalanceAmt>1823296</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1387279</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>186906</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>90190</OtherExpendituresAmt>
        <EndYearBalanceAmt>1483995</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1295994</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>416950</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>102928</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>222737</OtherExpendituresAmt>
        <EndYearBalanceAmt>1387279</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>2277935</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-508054</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>473887</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>1295994</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <TermEndowmentBalanceEOYPct>1.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>11132497</OtherCostOrOtherBasisAmt>
        <BookValueAmt>11132497</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>89482771</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>35376929</DepreciationAmt>
        <BookValueAmt>54105842</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>255631</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>228918</DepreciationAmt>
        <BookValueAmt>26713</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>47506138</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>32455119</DepreciationAmt>
        <BookValueAmt>15051019</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>7722413</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2877533</DepreciationAmt>
        <BookValueAmt>4844880</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>85160951</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DEFERRED FINANCING COSTS</Desc>
        <BookValueAmt>9103350</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>FOUNDATION</Desc>
        <BookValueAmt>1935964</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INTEREST INVESTMENT RECEIVABLE</Desc>
        <BookValueAmt>414510</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RELATED PARTY RECEIVABLE</Desc>
        <BookValueAmt>3798363</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>15252187</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>96859108</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-235392</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>112663</OtherRevenueAmt>
      <RevenueNotReportedAmt>-122729</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>96981837</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>193275</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>8061485</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>8254760</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>105236597</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>86191894</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>86191894</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>193275</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>7884669</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>8077944</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>94269838</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>INTENDED USES OF ENDOWMENT FUNDS</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>UNCERTAIIN TAX POSITIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>OTHER REVENUE ON BOOKS NOT ON RETURN</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN INTEREST IN NET ASSETS OF PLATTE VALLEY MEDICAL CENTER FOUNDATION 112,663 TOTAL 112,663</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>REVENUE ON RETURN NOT ON BOOKS</FormAndLineReferenceDesc>
        <ExplanationTxt>REVENUE 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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>EXPENSES ON RETURN NOT ON BOOKS</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSE 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</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>125.</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent250Ind>X</Percent250Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <PersonsServedCnt>435</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>7112443</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2250456</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4862042</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05510</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <PersonsServedCnt>11696</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>17145399</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>11686929</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>5458567</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06180</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <PersonsServedCnt>12131</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>24257842</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>13937385</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>10320609</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.11690</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <ActivitiesOrProgramsCnt>12</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>76002</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>131815</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1740</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>130075</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00150</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <ActivitiesOrProgramsCnt>7</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>186</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>349751</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>349751</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00400</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <CashAndInKindContributionsGrp>
        <ActivitiesOrProgramsCnt>4</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>11921</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>98474</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>98474</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00110</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <ActivitiesOrProgramsCnt>23</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>88109</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>580040</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1740</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>578300</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00660</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>23</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>100240</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>24837882</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>13939125</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>10898909</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.12350</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <CoalitionBuildingGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>59</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1018</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1018</NetCommunityBenefitExpnsAmt>
      </CoalitionBuildingGrp>
      <TotalCommuntityBuildingActyGrp>
        <ActivitiesOrProgramsCnt>1</ActivitiesOrProgramsCnt>
        <PersonsServedCnt>59</PersonsServedCnt>
        <TotalCommunityBenefitExpnsAmt>1018</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1018</NetCommunityBenefitExpnsAmt>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>5982486</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>11610305</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>11040462</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>569843</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostAccountingSystemInd>X</CostAccountingSystemInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1>BRIGHTON COMMUNITY HOSPITAL ASSOC</BusinessNameLine1>
        </BusinessName>
        <USAddress>
          <AddressLine1>1600 Prairie Center Parkway</AddressLine1>
          <City>BRIGHTON</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
        </USAddress>
        <WebsiteAddressTxt>www.pvmc.org</WebsiteAddressTxt>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1>BRIGHTON COMMUNITY HOSPITAL ASSOC</BusinessNameLine1>
        </HospitalFacilityName>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
        <CHNAConductedYr>13</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>http://pvmc.org/about-us/our-mission</OwnWebsiteURLTxt>
        <AdoptImplementationStrategyInd>X</AdoptImplementationStrategyInd>
        <ExecImplementationStrategyInd>X</ExecImplementationStrategyInd>
        <DevelopCommunityWidePlanInd>X</DevelopCommunityWidePlanInd>
        <ExecCommunityWidePlanInd>X</ExecCommunityWidePlanInd>
        <IncludeOperationalPlanInd>X</IncludeOperationalPlanInd>
        <AdoptBudgetInd>X</AdoptBudgetInd>
        <PrioritizeHealthNeedsInd>X</PrioritizeHealthNeedsInd>
        <PrioritizeServicesInd>X</PrioritizeServicesInd>
        <AllNeedsAddressedInd>true</AllNeedsAddressedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>true</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>125.</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>true</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>250.</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <AssetLevelInd>X</AssetLevelInd>
        <MedicalIndigencyInd>X</MedicalIndigencyInd>
        <InsuranceStatusInd>X</InsuranceStatusInd>
        <UninsuredDiscountInd>X</UninsuredDiscountInd>
        <MedicaidMedicareInd>X</MedicaidMedicareInd>
        <StateRegulationInd>X</StateRegulationInd>
        <ResidencyInd>X</ResidencyInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <PostedOnWebsiteInd>X</PostedOnWebsiteInd>
        <PostedInEmergencyRoomInd>X</PostedInEmergencyRoomInd>
        <PostedInAdmissionOfficeInd>X</PostedInAdmissionOfficeInd>
        <ProvidedOnAdmissionInd>X</ProvidedOnAdmissionInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LowestNegotiatedRatesInd>X</LowestNegotiatedRatesInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FREE AND DISCOUNTED CARE ELIGIBILITY PERCENTAGES</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BAD DEBT EXPENSE</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $5,982,486.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CALCULATION OF COMMUNITY BENEFIT EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>The 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BAD DEBT EXPENSE</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>MEDICARE</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CHARITY CARE</FormAndLineReferenceDesc>
        <ExplanationTxt>Our 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; Census Tracts: 008512 and 00870. Our secondary service area includes: Thornton (80241), Henderson (80640), Hudson (80642), &amp; Keenesberg (80643).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>INPUT FROM REPRESENTATIVES OF THE COMMUNITY</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Pennock Center for Counseling</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>211 S 21st Ave</AddressLine1>
          <City>Brighton</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
        </USAddress>
        <RecipientEIN>200986823</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Subsidize cost</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>WELD CENTRAL HIGH SCHOOL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>99 WEST BROADWAY AVE</AddressLine1>
          <City>KEENESBURG</City>
          <State>CO</State>
          <ZIPCode>80643</ZIPCode>
        </USAddress>
        <RecipientEIN>846013310</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>19169</CashGrantAmt>
        <PurposeOfGrantTxt>ATHLETIC TRAINER SALARY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>WELD CENTRAL HIGH SCHOOL</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>99 WEST BROADWAY AVE</AddressLine1>
          <City>KEENESBURG</City>
          <State>CO</State>
          <ZIPCode>80643</ZIPCode>
        </USAddress>
        <RecipientEIN>846013310</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <NonCashAssistanceAmt>9091</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>ATHLETIC EQUIPMENT</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>ATHLETIC EQUIPMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>almost home inc</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>231 north main street</AddressLine1>
          <City>brighton</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
        </USAddress>
        <RecipientEIN>841220644</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>manager salary</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>via mobility</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>2855 n 63rd street</AddressLine1>
          <City>boulder</City>
          <State>CO</State>
          <ZIPCode>80301</ZIPCode>
        </USAddress>
        <RecipientEIN>840777296</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>transportation</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>the senior hub</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>2360 west 90th avenue</AddressLine1>
          <City>federal heights</City>
          <State>CO</State>
          <ZIPCode>80221</ZIPCode>
        </USAddress>
        <RecipientEIN>742412032</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7000</CashGrantAmt>
        <PurposeOfGrantTxt>subsidize cost</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>5</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Grant Monitoring Procedures</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <TravelForCompanionsInd>X</TravelForCompanionsInd>
      <IdemnificationGrossUpPmtsInd>X</IdemnificationGrossUpPmtsInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Hicks</PersonNm>
        <TitleTxt>CEO/President</TitleTxt>
        <BaseCompensationFilingOrgAmt>454329</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>133488</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>107992</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14768</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>730977</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Harold Dupper</PersonNm>
        <TitleTxt>CFO/Corporate Secretary</TitleTxt>
        <BaseCompensationFilingOrgAmt>247807</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>71540</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>38139</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20400</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13942</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>391828</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kurt Gensert</PersonNm>
        <TitleTxt>COO/CNO</TitleTxt>
        <BaseCompensationFilingOrgAmt>227158</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>67160</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>22218</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20400</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>30883</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>367819</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Eric Stirm</PersonNm>
        <TitleTxt>Pharmacy Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>157600</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15870</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>259</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6377</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29189</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>209295</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>19131</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karen Welz</PersonNm>
        <TitleTxt>OR Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>129308</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10498</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>6146</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4576</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15603</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>166131</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>15656</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Duane Livadney</PersonNm>
        <TitleTxt>Radiology Supervisor</TitleTxt>
        <BaseCompensationFilingOrgAmt>89309</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>49645</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5926</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29073</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>173953</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jackie Dunkin</PersonNm>
        <TitleTxt>HR Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>115033</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>14015</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>2773</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5194</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22628</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>159643</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>14098</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Question 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Question 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>Adams County Colorado</BusinessNameLine1>
        </IssuerName>
        <BondIssuerEIN>846000732</BondIssuerEIN>
        <CUSIPNum>005622be4</CUSIPNum>
        <BondIssuedDt>2005-06-15</BondIssuedDt>
        <IssuePriceAmt>123605753</IssuePriceAmt>
        <PurposeDesc>CONSTRUCT AND EQUIP FACILITY</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>14870000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>123671567</TotalProceedsAmt>
        <InReserveFundAmt>7804000</InReserveFundAmt>
        <CapitalizedInterestAmt>7855216</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>1335822</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>1056070</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>5708505</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>85981654</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>13055000</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2007</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1>GOLDMAN SACHS CAP</BusinessNameLine1>
        </HedgeProviderName>
        <TermOfHedgePct>0.5</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>true</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1>JP MORGAN CHASE</BusinessNameLine1>
        </GICProviderName>
        <TermOfGICPct>2.1</TermOfGICPct>
        <RegulatorySafeHarborStsfdInd>true</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>0</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REBATE COMPUTATION WAS PERFORMED ON AUGUST 25, 2010 FOR THE PERIOD JUNE 15, 2005 TO JUNE 15, 2010.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Question 2</FormAndLineReferenceDesc>
        <ExplanationTxt>John Hicks and Harold Dupper have a business relationship because they are directors of the wholly owned subsidiaries disclosed on Schedule R, Part IV.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Question 6 and 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Question 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Question 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Question 15a and 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Platte 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Question 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy, and financial statements are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE 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)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:3911554</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:LAB SERVICES TOTAL FEES:1416023</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:COLLECTION SERVICES TOTAL FEES:962526</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACTED STAFF LABOR TOTAL FEES:883080</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:NURSERY SPECIALIST TOTAL FEES:789821</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:MAINTENANCE TOTAL FEES:651993</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER CONTRACT SERVICES TOTAL FEES:1455794</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>PVMC Clinic Support Services LLC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>1600 Prairie Center Parkway</AddressLine1>
          <City>Brighton</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
        </USAddress>
        <EIN>453962647</EIN>
        <PrimaryActivitiesTxt>Clinical Svcs</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <TotalIncomeAmt>1847618</TotalIncomeAmt>
        <EndOfYearAssetsAmt>506219</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1>pvmc</BusinessNameLine1>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>Platte Valley Medical Center Foundation</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>1600 Prairie Center Parkway</AddressLine1>
          <City>Brighton</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
        </USAddress>
        <EIN>742255936</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LN11 TYPE I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>PVMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>PVMC Physician Services Inc</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>1606 PRAIRIE CENTER PARKWAY SUITE</AddressLine1>
          <City>BRIGHTON</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
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        <EIN>943458548</EIN>
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</Return>