2014-11-12T10:01:15-06:00 2013-12-31 880150455 BRADSHAW SMITH AND CO LLP 5851 W CHARLESTON BLVD LAS VEGAS NV 89146 990 2013-01-01 880065829 BOULDER CITY HOSPITAL INC BOUL 7022934111 901 ADAMS BLVD BOULDER CITY NV 89005 THOMAS MAHER CEO 7022934111 2014-11-05 1 HEATHER R GRECH P00165182 7028789788 2013 2015-11-30 17:44:51Z THOMAS MAHER 901 ADAMS BLVD BOULDER CITY NV 89005 15982557 0 X WWW.BCHCARES.ORG X 1954 NV BOULDER CITY HOSPITAL, INC. IS A NONPROFIT, NONSTOCK CORPORATION WHICH OPERATES A 24-BED ACUTE CARE FACILITY, A 39-BED SKILLED NURSING FACILITY AND A HOME HEALTH AGENCY. THE HOSPITAL PROVIDES COMPREHENSIVE MEDICAL, EMERGENCY, OUTPATIENT, SKILLED NURSING AND HOME HEALTH SERVICES TO THE RESIDENTS OF CLARK COUNTY. 11 11 268 53 0 0 33351 323234 17257311 15625956 5776 6254 21339 9732 17317777 15965176 0 0 0 0 10059212 10159686 0 0 0 8856715 6221615 18915927 16381301 -1598150 -416125 10290839 17947616 8668582 16540261 1622257 1407355 X BOULDER CITY HOSPITAL SEEKS TO CONTINUALLY IMPROVE THE QUALITY OF THE CARE AND SERVICE TO OUR PATIENTS, GUESTS, AND PHYSICIANS. WE PROMOTE EFFECTIVE AND EFFICIENT UTILIZATION OF AVAILABLE RESOURCES TO ENSURE LONG-TERM FINANCIAL VIABILITY. BOULDER CITY HOSPITAL SEEKS TO EARN THE TRUST OF THE RESIDENTS OF BOULDER CITY, NEIGHBORING COMMUNITIES AND AREA VISITORS BY MEETING THEIR HEALTH CARE NEEDS WITH COMPASSION, INTEGRITY AND SINCERITY WITHOUT REGARD TO ONE'S ABILITY TO PAY. 0 0 14018219 15580650 BOULDER CITY HOSPITAL OPERATES AN ACUTE CARE HOSPITAL WITH EMERGENCY SERVICES AND A SKILLED NURSING UNIT. TOTAL PATIENT DAYS FOR 2013 TOTALED 14,323, INCLUDING SWING, EMERGENCY ROOM VISITS WERE 5,605 AND HOME HEALTH VISITS TOTALED 4,316. 14018219 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 1 268 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X FREY BELETE CONTROLLER 7022934111 901 ADAMS BLVD BOULDER CITY NV 89005 WENDELL WHITMAN PRESIDENT 0.50 X X 0 0 0 LINDA FAISS VICE PRESIDENT 0.50 X X 0 0 0 PEGGY CASPAR SECRETARY 0.50 X X 0 0 0 BOB KENNEY TREASURER 0.50 X X 0 0 0 MICHAEL RAVITHC MD DIRECTOR 0.50 X 0 0 0 CHRISTINE A MILBURN DIRECTOR 0.50 X 0 0 0 VERNON BURK DIRECTOR 0.50 X 0 0 0 DEREK MEEKS DO DIRECTOR 0.50 X 0 0 0 BRUCE WOODBURY DIRECTOR 0.50 X 0 0 0 CRESENT HARDY DIRECTOR 0.50 X 0 0 0 ALAN BOWMAN DIRECTOR 0.50 X 0 0 0 ROSS JOHNSON DIRECTOR 0.50 X 0 0 0 THOMAS MAHER CEO 40.00 X 189688 0 6780 LANCE SPINDLER CFO 40.00 X 127922 0 5780 ANDRE PASTIAN CNO 40.00 X 101912 0 2580 NANCY TARDY PHARMACY MANAGER 40.00 X 127502 0 0 RAE CUMMINGS FINANCIAL SERVICES DIRECTOR 40.00 X 102287 0 2580 LINDA BURDNO HOME HEALTH DIRECTOR 40.00 X 100325 0 0 749636 0 17720 6 0 1 0 EMCARE 1373 NOEL ROAD SUITE 1600 DALLAS TX 75240 ER PHYSICIANS 574003 MEDSMART INC 1701 N GREEN VALLEY PARKWAY 2A HENDERSON NV 89074 TECHNICIANS AND ON-CALL MEDICAL 529122 WIPFLI LLP PO BOX 3160 MILWAUKEE WI 532013160 AUDIT, TAX & ACCOUNTING 169042 3 250000 73234 323234 NET PATIENT SERVICE FEES 900099 15491591 15491591 CAFETERIA SALES 722210 45306 45306 89059 89059 15625956 617 617 25150 15418 9732 9732 9732 7600 1963 5637 5637 5637 15965176 15580650 0 61292 X 419522 101912 317610 8028374 7074000 954374 1088929 906162 182767 622861 534009 88852 36935 36935 81434 81434 2221730 1958566 263164 15557 15557 149805 52217 97588 160293 136249 24044 296587 252099 44488 450320 382772 67548 588995 500646 88349 132598 112708 19890 SUPPLIES 1492809 1462795 30014 EQUIPMENT RENTAL & MTN 529125 463100 66025 REGISTRY 65427 65427 16381301 14018219 2363082 0 570882 1879703 887642 309955 2387646 3128651 350759 305073 258105 56251 57006 18307195 12894856 5557420 5412339 7028 175166 6894829 10290839 17947616 3517174 6059522 4405246 746162 10205152 0 275587 8668582 16540261 X 1601192 1371290 21065 36065 1622257 1407355 10290839 17947616 X -416125 201223 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 652289 652289 9148386 5977175 3171211 351099 304371 46728 7949688 6439154 1510534 205733 174156 31577 5412339 CONSTRUCTION IN PROGRESS 6761978 INTEREST IN ASSETS OF FOUNDATION 69420 INTEREST IN ASSETS OF AUXILLIARY 53416 RENTAL DEPOSIT 10015 6894829 CAPITAL LEASES 275587 275587 X 16151399 201223 201223 15950176 15000 15000 15965176 16381301 0 16381301 0 16381301 PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN INCOME TAX POSITIONS, THE HOSPITAL DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE HOSPITAL RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION AND AUXILLIARY 201,223. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION FOR PROPERTY AND EQUIPMENT 15,000. 1 1 1 X 1 X 1 0 0 61316 61316 0.00370 885908 2015809 -1129901 0.00000 947224 2015809 -1068585 0.00370 947224 2015809 -1068585 0.00370 1 2273084 7118020 7140852 -22832 X 1 1 1 1 BOULDER CITY HOSPITAL INC 901 ADAMS BLVD BOULDER CITY NV 89005 X X X X BOULDER CITY HOSPITAL INC 1 1 X X X X X X X X X 12 1 0 1 X X X X X X X X 1 0 1 1 100.000000000000 1 200.000000000000 1 X X X X X X X 1 1 X X X 1 X 1 X X X X X 1 X 0 0 BOULDER CITY HOSPITAL, INC PART V, SECTION B, LINE 3: THE HOSPITAL INVOLVED A COMMUNITY FOCUS GROUP AND ENGAGED THE ASSISTANCE OF THE NEVADA OFFICE OF RURAL HEALTH, NEVADA RURAL HOSPITAL PARTNERS AND THE UNIVERSITY CENTER FOR ECONOMIC DEVELOPMENT. THE PRIMARY FACILITATOR WAS JOHN PACKHAM, PHD, NEVADA RURAL HOSPITAL FLEXIBILITY PROGRAM, NEVADA OFFICE OF RURAL HEALTH, DIRECTOR OF THE OFFICE OF HEALTH WORKFORCE RESEARCH AND ANLAYSIS AND THE UNIVERSITY OF NEVADA SCHOOL OF MEDICINE. BOULDER CITY HOSPITAL, INC PART V, SECTION B, LINE 20D: BOULDER CITY HOSPITAL FOLLOWS ITS FINANCIAL ASSISTANCE POLICY TO DETERMINE WHAT THEY EXPECT TO RECEIVE FROM FAP ELIGIBLE PATIENTS. FAP ELIGIBLE INDIVIDUALS WITH INCOME UP TO 100% FPG ARE NOT CHARGED ANYTHING AND INDIVIDUALS UP TO 200% OF FPG ARE CHARGED ON A SLIDING DISCOUNT SCALE. 1 BOULDER CITY HOSPITAL INC 901 ADAMS BLVD BOULDER CITY NV NV 89005 SKILLED NURSING PART I, LINE 3C: BOULDER CITY HOSPITAL ("THE HOSPITAL') USES 150% OF THE FEDERAL POVERTY GUIDELINES ("FPG") TO QUALIFY PATIENTS FOR CHARITY CARE. ONCE QUALIFIED, THE HOSPITAL USES A SLIDING SCALE BASED ON INCOME AND NUMBER OF DEPENDENTS TO DETERMINE THE AMOUNT A PATIENT IS REQUIRED TO PAY IN FULL SATISFACTION OF THEIR HOSPITAL LIABILITY. PATIENTS NOT FALLING WITHIN THE FPG MAY QUALIFY FOR CHARITY CARE AFTER BEING CONSIDERED BY THE CHARITY CARE COMMITTEE. PART I, LINE 7: BOULDER CITY HOSPITAL, INC. USES A COST TO CHARGE RATIO FOR DETERMINING THE AMOUNT REPORTED IN PART I, LINE 7A. THE COST TO CHARGE RATIO USED TO REPORT LINE 7A WAS CALCULATED USING THE TOTAL COST FOR THE ENTIRE HOSPITAL ORGANIZATION TO THE TOTAL PATIENT CHARGES FOR THE ENTIRE HOSPITAL. A SEPERATE COST TO CHARGE RATIO WAS USED TO CALCULATE THE UNREIMBURSED MEDICAID TO SHOW A MORE ACCURATE REPRESENTATION OF THE COMMUNITY BENEFIT EXPENSE.LINE 7B USES A COST TO CHARGE RATIO DETERMINED FROM THE MEDICARE COST REPORT TO MORE ACCURATELY REPRESENT THE COMMUNITY BENEFIT EXPENSE FROM MEDICAID. PART I, LN 7 COL(F): BAD DEBT EXPENSE FOR THE YEAR WAS $2,273,084. THIS AMOUNT WAS OMITTED FROM TOTAL EXPENSES WHEN CALCULATING COMMUNITY BENEFIT EXPENSE FOR SCHEDULE H. PART III, LINE 4: TO DETERMINE THE COST OF BAD DEBT EXPENSE, THE HOSPITAL USES A COST-TO-CHARGE RATIO.FINANCIAL STATEMENT FOOTNOTE REGARDING BAD DEBTS - ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING BALANCE SHEETS NET OF CONTRACTUAL ADJUSTMENTS AND ALLOWANCES FOR DOUBTFUL ACCOUNTS WHICH REFLECT MANAGEMENT'S BEST ESTIMATE OF THE AMOUNTS THAT WILL NOT BE COLLECTED. MANAGEMENT PROVIDES FOR CONTRACTUAL ADJUSTMENTS UNDER TERMS OF THIRD-PARTY REIMBURSEMENT AGREEMENTS THROUGH A DEBIT AGAINST GROSS REVENUE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. IN ADDITION, MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY FROM UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A DEBIT AGAINST GROSS REVENUE AND A CREDIT TO A VALUATION ALLOWANCE.IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS 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) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. BECAUSE OF THE INHERENT NATURE OF THE ALLOWANCE, IF IS AT LEAST REASONABLE POSSIBLE THAT THE ESTIMATES WILL CHANGE WITHIN THE NEAR TERM.THE HOSPITAL IS IN COMPLIANCE WITH HEALTHCARE MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND THEREFORE WOULD NOT REPORT ANY BAD DEBT ATTRIBUTABLE TO CHARITY CARE. PART III, LINE 8: THE TOTAL MEDICARE REVENUE SHOWN IN SCHEDULE H OF THE FORM 990 IS BASED ON THE IRS 990 INSTRUCTIONS AND INCLUDES ONLY A PORTION OF THE GROSS MEDICARE REVENUE OF THE ORGANIZATION AND ALSO DOES NOT CONSIDER CONTRACTUAL ADJUSTMENTS FOR THE REIMBURSEMENT THAT IS ACTUALLY RECEIVED FROM THE MEDICARE PROGRAM. AMOUNTS LISTED FOR MEDICARE REVENUES DO NOT INCLUDE SIGNIFICANT PORTIONS OF LABORATORY, RADIOLOGY, AND REHABILITATION SERVICES PROVIDED TO MEDICARE BENEFICIARIES AS WELL AS PHYSICIAN SERVICES FOR THE COVERAGE OF THE EMERGENCY DEPARTMENT, ANESTHESIA PROFESSIONAL SERVICES, SURGICAL PHYSICIAN PROFESSIONAL SERVICES AND REVENUES FOR ANY PATIENTS COVERED UNDER MEDICARE ADVANTAGE PLAN PROGRAMS. PHYSICIAN SERVICES ARE REIMBURSED PRIMARILY ON THE FEE SCHEDULE REIMBURSEMENT AT RATES THAT ARE OFTEN BELOW THE COST OF CARING FOR PATIENTS. EMERGENCY AND SURGICAL SERVICES PROVIDED TO MEDICARE PATIENTS ARE VITAL TO THE WELL-BEING OF THE COMMUNITY AND AS SUCH THESE COSTS AND SHORTFALLS SHOULD BE CONSIDERED AS A BENEFIT THAT BOULDER CITY HOSPITAL PROVIDES TO THE COMMUNITY AND SURROUNDING AREAS. THE COSTING METHOD USED ABOVE FOR THE IRS 990 COMPLIANCE REPORTING IS ALSO BASED ON THE FILED MEDICARE COST REPORT FOR THE YEAR ENDED DECEMBER 31, 2013 AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICES REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSEMENT ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE).WHETHER THERE IS A SHORTFALL OR SURPLUS ON SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHICH ARE TYPICALLY ELDERLY OR DISABLED MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING THE SERVICES TO ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY. PART III, LINE 9B: WITHIN BOULDER CITY HOSPITAL'S COLLECTION POLICY, PROVISIONS ARE MADE FOR COLLECTION PRACTICES FOR THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. THE PATIENT MUST REQUEST OR THE COLLECTION COORDINATOR MAY RECOMMEND A PATIENT FOR CHARITY CARE ASSISTANCE. PATIENTS MUST ALSO EXHAUST OTHER ASSISTANCE PROGRAMS AVAILABLE, SUCH AS ASSISTANCE FROM CLARK COUNTY OR THE STATE OF NEVADA. PATIENTS WHO QUALIFY FOR COUNTY AND STATE ASSISTANCE ARE SUBJECT TO TRADITIONAL COLLECTION PRACTICES TO THE EXTENT OF THE PATIENTS LIABILITY FOR CARE PROVIDED. PATIENTS ON FINANCIAL ASSISTANCE CAN ALSO BE PLACED ON PAYMENT PLANS TO HELP THEM PAY DOWN AMOUNTS OWED TO THE HOSPITAL. PART VI, LINE 2: THE HOSPITAL IDENTIFIES NEEDS OF THE COMMUNITY THROUGH INTERACTION AND FEEDBACK FROM BOARD MEMBERS, PHYSICIANS, STAFF AND PATIENTS. PART VI, LINE 3: ADMITTING STAFF HAND OUT PAMPHLETS EXPLAINING THE CHARITY POLICY TO PATIENTS. THE PATIENT IS INSTRUCTED TO READ THE PAMPHLET AND COMPLETE IF NECESSARY. BUSINESS OFFICE STAFF CONTACT PATIENTS AFTER FIRST BILL IS SENT. PATIENT IS INSTRUCTED TO APPLY FOR CHARITY CARE AT THAT TIME IF NEEDED. PART VI, LINE 4: BOULDER CITY HOSPITAL SERVES BOULDER CITY, NV AND THE WESTERN PORTION OF HENDERSON, NV. NEARLY HALF OF THE AREA'S RESIDENTS RELY ON MEDICARE SUBSIDIES TO PAY FOR HEALTH CARE. FOR 2013, 60% OF GROSS PATIENT REVENUE WAS ATTRIBUTABLE TO MEDICARE PATIENT SERVICES. PART VI, LINE 5: BOULDER CITY HOSPITAL MAINTAINS A 24 HOUR EMERGENCY ROOM THAT IS AVAILABLE TO RESIDENTS IN ITS COMMUNITY WITHOUT REGARD TO ABILITY TO PAY. THE HOSPITAL IS DESIGNATED A CRITICAL ACCESS HOSPITAL AND, THEREFORE, THE HOSPITAL PROVIDES HEALTH CARE TO RESIDENTS WHO WOULD NOT OTHERWISE HAVE ACCESS TO READILY AVAILABLE HEALTH CARE. X X X 0 0 0 0 0 0 0 0 0 THOMAS MAHER CEO 189688 0 0 0 0 0 0 0 6780 0 196468 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FORM 990 BEING SIGNED BY THE CEO, THOMAS MAHER, A COPY IS FORWARDED TO ALL BOARD MEMBERS. ADDITIONALLY, THE BOARD REVIEWS THE 990 AT A BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES COMPLETE THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THESE INDIVIDUALS IS DETERMINED BY THE HUMAN RESOURCES DEPARTMENT ("HR"). HR USES A SALARY SURVEY FROM THE NEVADA HOSPITAL ASSOCIATION TO DETERMINE THE APPROPRIATE COMPENSATION AMOUNTS. PERSONS INVOLVED IN THIS PROCESS ARE INDEPENDENT AND THE CONCLUSIONS ARE DOCUMENTED. THE CEO'S COMPENSATION IS DETERMINED AND APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 BOULDER CITY HOSPITAL MAKES ITS DOCUMENTS AVAILABLE TO THE PUBLIC THROUGH THE HOSPITAL'S ADMINISTRATION DEPARTMENT. FORM 990, PART IX, LINE 11G ER AND SPECIALITY MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,958,566. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,958,566. CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 263,164. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 263,164. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST OF NET ASSETS OF AUXILLIARY 12,685. CHANGE IN INTEREST OF NET ASSETS OF FOUNDATION 188,538. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. BOULDER CITY HOSPITAL FOUNDATION 901 ADAMS BOULEVARD BOULDER CITY NV 89005 943141555 FINANCIAL SUPPORT OF BOULDER CITY HOSPITAL, INC. NV 501(C)(3) LINE 11C, III-FI 0 BOULDER CITY HOSPITAL AUXILIARY 901 ADAMS BOULEVARD BOULDER CITY NV 89005 886001696 SUPPORT THE WELFARE OF BOULDER CITY HOSPITAL, INC. NV 501(C)(3) LINE 7 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 BOULDER CITY HOSPITAL FOUNDATION C 185000 CASH RECEIVED BOULDER CITY HOSPITAL FOUNDATION N 0 BCH ABSORBED BOULDER CITY HOSPITAL FOUNDATION O 0 BCH ABSORBED BOULDER CITY HOSPITAL FOUNDATION Q 18186 COST BASIS