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LONGMONT UNITED HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LONGMONT UNITED HOSPITAL (EIN 84-0460697)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-04
IRS object ID
201302779349300720
Schema version
2012v2.1
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)
Timestamp2013-10-04T11:13:35-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN461497033EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EKS&H LLLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17979 E TUFTS AVENUE SUITE 400AddressLine1
CityDENVERCity
StateCOState
ZIP Code802372521ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840460697EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LONGMONT UNITED HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLONGNameControl
Phone3036515023Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11950 W MOUNTAIN VIEW AVEAddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80501ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMITCHELL C CARSONName
TitleCEOTitle
Phone3036515023Phone
Date Signed2013-10-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCRAIG R CHOUNName
PTINP00173718PTIN
Phone3037409400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMITCHELL C CARSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11950 W MOUNTAIN VIEW AVEAddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80501ZIPCode
FieldValueIRS element (for citing)
Gross Receipts211346640GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LUHCARES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1955YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionDEDICATED TO IMPROVING THE HEALTH OF OUR PATIENTS AND THE COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees1426TotalNbrEmployees
Total Nbr Volunteers756TotalNbrVolunteers
Total Gross UBI21669TotalGrossUBI
Net Unrelated Business Txbl Income19666NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year101194ContributionsGrantsPriorYear
Contributions Grants Current Year99230ContributionsGrantsCurrentYear
Program Service Revenue Prior Year174213665ProgramServiceRevenuePriorYear
Program Service Revenue CY179918166ProgramServiceRevenueCY
Investment Income Prior Year1829526InvestmentIncomePriorYear
Investment Income Current Year2242839InvestmentIncomeCurrentYear
Other Revenue Prior Year2213619OtherRevenuePriorYear
Other Revenue Current Year2240763OtherRevenueCurrentYear
Total Revenue Prior Year178358004TotalRevenuePriorYear
Total Revenue Current Year184500998TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year252111GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY263040GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year75173569SalariesEtcPriorYear
Salaries Etc Current Year78664860SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year98727184OtherExpensePriorYear
Other Expenses Current Year102405517OtherExpensesCurrentYear
Total Expenses Prior Year174152864TotalExpensesPriorYear
Total Expenses Current Year181333417TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4205140RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3167581RevenuesLessExpensesCY
Total Assets BOY234241463TotalAssetsBOY
Total Assets EOY249416403TotalAssetsEOY
Total Liabilities BOY116156861TotalLiabilitiesBOY
Total Liabilities EOY127576523TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY118084602NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY121839880NetAssetsOrFundBalancesEOY
Mission DescriptionDEDICATED TO IMPROVING THE HEALTH OF OUR PATIENTS AND COMMUNITIES WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense159571711Expense
Grants263040Grants
Revenue179918166Revenue
DescriptionTHE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE, ANDSKILLED NURSING. FOR A COMPLETE ANNUAL REPORT OF LONGMONT UNITEDHOSPITAL SERVICES, MISSION AND COMMUNITY BENEFIT, PLEASE VISIT USAT: HTTP://WWW.LUHCARES.ORG/ABOUTUS.ASPXDescription
Total Program Service Expense159571711TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096197NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1426NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1NEIL BERTRANDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3036515023TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11950 WEST MOUNTAIN VIEW AVEAddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80501ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DAN GUST
CHAIRPERSON5.00XX000
RICHARD LYONS
VICE-CHAIRPERSON5.00XX000
TOM CHAPMAN
SECRETARY5.00XX000
CLAIR VOLK
TREASURER5.00XX000
MIKE KIRKLAND
ASST. SEC-TREASURER5.00XX000
E PATRICIA GILL
BOARD MEMBER5.00X2538000
MARK HINMAN
BOARD MEMBER5.00X375000
MARK PILLMORE
BOARD MEMBER5.00X000
EDWINA SALAZAR
BOARD MEMBER5.00X000
CHARLOTTE TYSON
BOARD MEMBER5.00X000
MITCHELL C CARSON
PRESIDENT/CEO40.00XX5767360144784
NEIL BERTRAND
CFO40.00X329809086520
CAROL SMITH
VP LEGAL/REGULATORY AFFAIRS40.00226200059050X
NANCY DRISCOLL
VP PATIENT CARE SERVICES40.00205648048299X
REBECCA HERMAN
VP CLINICAL SUPPORT SERVICES40.00203214048311X
WARREN LAUGHLIN
VP HUMAN RESOURCES40.00188824047676X
JOHN PETERSON
VP INFORMATION SERVICES40.00160207044702X
JOHN IVES
DIRECTOR PHARMACY40.00154448013399X
MAUREEN BEAVIN
SPVR PHARMACY OPERATIONS38.00150934015397X
DANIEL FRANK
CONTROLLER40.00150047037210X
AMY JOHNSON
MILESTONE PHYSICIAN40.00354707023291X
HEATHER KEENE
MILESTONE PHYSICIAN40.00345546016577X
MURRY DRESCHER
MILESTONE PHYSICIAN40.0024371309480X
FABIO PIVETTA
MILESTONE PHYSICIAN40.00205397021331X
SUE MEYER
MILESTONE PHYSICIAN40.00192859011305X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3717419TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation627332TotalOtherCompensation
Number Individuals GT100 K70NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
COMPHEALTH
PO BOX 972651DALLASTX753972651MEDICAL868424
LONGMONT ANESTHESIA ASSOCIATES
1181 WYNDEMERE CIRCLELONGMONTCO80501MEDICAL827951
THE CHILDREN'S HOSPITAL
13123 EAST 16TH AVENUEAURORACO80045MEDICAL786192
MAYO MEDICAL LABORATORIES
PO BOX 9146MINNEAPOLISMN554809146MEDICAL722817
LONGMONT CLINIC PC
1925 MOUNTAIN VIEW AVENUELONGMONTCO80501MEDICAL691273
FieldValueIRS element (for citing)
Number Of Contractors GT100 K27NumberOfContractorsGT100K
Fundraising Events48883FundraisingEvents
Related Organizations50347RelatedOrganizations
Total Contributions99230TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE621990179314535179314535
HEALTH CTR THERAPY621990401662401662
HEALTH & WELLNESS CTR621990201969201969
FieldValueIRS element (for citing)
Total Program Service Revenue179918166TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1632659TotalRevenueColumn
Exclusion$1,632,659ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1610054Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1074138Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real535916Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column535916TotalRevenueColumn
Related Or Exempt Function Income535916RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities26296850Securities
Other43491Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities25700419Securities
Other29742Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities596431Securities
Other13749Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column610180TotalRevenueColumn
Exclusion$610,180ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events45257GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events48883CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses41343FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column3914TotalRevenueColumn
Exclusion$3,914ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA722210689991$689,991
INC FROM RELATED ORGS621990476877$476,877
UBIT FROM K-15415192166921669

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column512396TotalRevenueColumn
Exclusion$512,396ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1700933TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column184500998TotalRevenueColumn
Related Or Exempt Function Income180454082RelatedOrExemptFunctionIncome
Unrelated Business Revenue21669UnrelatedBusinessRevenue
Exclusion$3,926,017ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total263040Total
Program Services263040ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2754214Total
Program Services702450ProgramServices
Management And General2051764ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total62622620Total
Program Services55313480ProgramServices
Management And General7309140ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total583283Total
Program Services503912ProgramServices
Management And General79371ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8201061Total
Program Services7177383ProgramServices
Management And General1023678ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4503682Total
Program Services3890836ProgramServices
Management And General612846ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total240187Total
Management And General240187ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total103485Total
Management And General103485ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total391203Total
Program Services372716ProgramServices
Management And General18487ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total780035Total
Program Services52114ProgramServices
Management And General727921ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5544858Total
Program Services4790464ProgramServices
Management And General754394ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4447477Total
Program Services3548849ProgramServices
Management And General898628ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2388596Total
Management And General2388596ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total304837Total
Program Services263356ProgramServices
Management And General41481ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4468975Total
Program Services3720635ProgramServices
Management And General748340ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10305082Total
Program Services8758232ProgramServices
Management And General1546850ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1071205Total
Management And General1071205ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES26278050250114431266607
BAD DEBT1485094114850941
PURCHASED SERVICES69536716090070863601
PHYSICIAN FEES63736726373672

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total17903243Total
Program Services17888118ProgramServices
Management And General15125ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total181333417Total
Program Services159571711ProgramServices
Management And General21761706ManagementAndGeneral
Fundraising0Fundraising
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11554437BOY
EOY13672720EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8830211BOY
EOY25125265EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY424259BOY
EOY496793EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY20361515BOY
EOY21489412EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY261379BOY
EOY244425EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5249684BOY
EOY4453576EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3239488BOY
EOY3666837EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis230424207LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec124416491LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY108037551BOY
EOY106007716EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY66915361BOY
EOY63924958EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9367578BOY
EOY10334701EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY234241463BOY
EOY249416403EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY17394803BOY
EOY17590447EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY90590997BOY
EOY87280509EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4466652BOY
EOY19250949EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3704409BOY
EOY3454618EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY116156861BOY
EOY127576523EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY114806009BOY
EOY118280728EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3278593BOY
EOY3559152EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY118084602BOY
EOY121839880EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY234241463BOY
EOY249416403EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3167581ReconcilationRevenueExpenses
Reconciliation Unrealized Invest345805ReconciliationUnrealizedInvest
Reconcilation Other Changes241892ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$12,672GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB12672TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART IV, SUPPLEMENTAL INFORMATION:Identifier
ExplanationGRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES - PART II-B, LINE 1F PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION FOR LOBBYING EXPENSES: $6,386. PORTION OF DUES PAID TO THE COLORADO HOSPITAL ASSOCIATION FOR LOBBYING EXPENSES: $6,286.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5726316OtherCostOrOtherBasis
Book Value5726316BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis142984034OtherCostOrOtherBasis
Depreciation65792650Depreciation
Book Value77191384BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis71793652OtherCostOrOtherBasis
Depreciation58623841Depreciation
Book Value13169811BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9920205OtherCostOrOtherBasis
Book Value9920205BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings106007716TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionMEDICARE SETTLEMENTDescription
Amount$3,454,618Amount
FieldValueIRS element (for citing)
Total Of Amounts3454618TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt171784749TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments345805NetUnrealizedGainsInvestments
Other Revenues-13062054OtherRevenues
Revenue Not Rptd F990-12716249RevenueNotRptdF990
Revenue Subtotal184500998RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990184500998TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt168059312TotExpensesEtcAuditedFinclStmt
Other Expenses Included-13274105OtherExpensesIncluded
Expenses Not Rptd F990-13274105ExpensesNotRptdF990
Expenses Subtotal181333417ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990181333417TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:FIN 48 FOOTNOTE THE HOSPITAL APPLIES A MORE-LIKELY-THAN-NOT MEASUREMENT METHODOLOGY TO REFLECT THE FINANCIAL STATEMENT IMPACT OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AFTER EVALUATING THE TAX POSITIONS TAKEN, NONE ARE CONSIDERED TO BE UNCERTAIN; THEREFORE, NO AMOUNTS HAVE BEEN RECOGNIZED AS OF DECEMBER 31, 2012 AND 2011. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS ARE RECORDED IN THE PERIOD ASSESSED IN SUPPLIES AND OTHER EXPENSES. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF DECEMBER 31, 2012 AND 2011. TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION INCLUDE 2009 THROUGH THE CURRENT PERIOD FOR THE FEDERAL RETURNS AND 2008 THROUGH THE CURRENT PERIOD FOR THE COLORADO RETURNS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:UMB REVENUE 445,263. RENTAL EXPENSES 1,074,138. FUNDRAISING EVENT EXPENSES 41,343. CHANGE IN INTEREST IN NET ASSETS HELD BY LUHF 263,561. GAIN ON SALE OF ASSETS -13,749. UNRELATED BUSINESS INCOME FROM K-1 -21,669. BAD DEBT EXPENSE -14,850,941.
PART XII, LINE 2D - OTHER ADJUSTMENTS:UMB TOTAL EXPENSES 475,104. RENTAL EXPENSES 1,074,138. FUNDRAISING EVENT EXPENSES 41,343. GAIN FROM SALE OF ASSETS -13,749. BAD DEBT EXPENSE -14,850,941.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DINNER DANCENameOfEvent1
Gross Receipts Event164310GrossReceiptsEvent1
Charitable Contributions Event129973CharitableContributionsEvent1
Gross Revenue Event134337GrossRevenueEvent1
Cash Prizes Event1100CashPrizesEvent1
Food And Beverage Event111607FoodAndBeverageEvent1
Other Direct Expenses Event118366OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event229830GrossReceiptsEvent2
Charitable Contributions Event218910CharitableContributionsEvent2
Gross Revenue Event210920GrossRevenueEvent2
Non Cash Prizes Event21040NonCashPrizesEvent2
Rent Facility Costs Event26240RentFacilityCostsEvent2
Food And Beverage Event22870FoodAndBeverageEvent2
Other Direct Expenses Event21120OtherDirectExpensesEvent2
Gross Receipts Total94140GrossReceiptsTotal
Charitable Contributions Total48883CharitableContributionsTotal
Gross Revenue Total Events45257GrossRevenueTotalEvents
Cash Prizes Total Events100CashPrizesTotalEvents
Non Cash Prizes Total Events1040NonCashPrizesTotalEvents
Rent Facility Costs Total Events6240RentFacilityCostsTotalEvents
Food And Beverage Total Events14477FoodAndBeverageTotalEvents
Other Direct Expenses Total Events19486OtherDirectExpensesTotalEvents
Direct Expense Summary Events41343DirectExpenseSummaryEvents
Net Income Summary3914NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense12365000TotalCommunityBenefitExpense
Direct Offsetting Revenue6711000DirectOffsettingRevenue
Net Community Benefit Expense5654000NetCommunityBenefitExpense
Percent Of Total Expense0.03400PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense30195000TotalCommunityBenefitExpense
Direct Offsetting Revenue22731000DirectOffsettingRevenue
Net Community Benefit Expense7464000NetCommunityBenefitExpense
Percent Of Total Expense0.04480PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense42560000TotalCommunityBenefitExpense
Direct Offsetting Revenue29442000DirectOffsettingRevenue
Net Community Benefit Expense13118000NetCommunityBenefitExpense
Percent Of Total Expense0.07880PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense524000TotalCommunityBenefitExpense
Net Community Benefit Expense524000NetCommunityBenefitExpense
Percent Of Total Expense0.00310PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense2253000TotalCommunityBenefitExpense
Net Community Benefit Expense2253000NetCommunityBenefitExpense
Percent Of Total Expense0.01350PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6568000TotalCommunityBenefitExpense
Net Community Benefit Expense6568000NetCommunityBenefitExpense
Percent Of Total Expense0.03940PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense287000TotalCommunityBenefitExpense
Net Community Benefit Expense287000NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense9632000TotalCommunityBenefitExpense
Net Community Benefit Expense9632000NetCommunityBenefitExpense
Percent Of Total Expense0.05770PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense52192000TotalCommunityBenefitExpense
Direct Offsetting Revenue29442000DirectOffsettingRevenue
Net Community Benefit Expense22750000NetCommunityBenefitExpense
Percent Of Total Expense0.13650PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense19000TotalCommunityBuildingExpense
Net Community Building Expense19000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense17000TotalCommunityBuildingExpense
Net Community Building Expense17000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense7000TotalCommunityBuildingExpense
Net Community Building Expense7000NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense43000TotalCommunityBuildingExpense
Net Community Building Expense43000NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$4,711,000BadDebtExpenseAmount
Amount Attributable To500000AmountAttributableTo
Amount Reimbursed By Medicare53522000AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare71018000CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-17496000MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (6 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 UMB CONDO ASSOC
MAINTENANCE OF COMMON AREAS0.920000.08000
2 LMB-MOB LLC
CONSTRUCTION OF OFFICE BLDG0.171800.82820
3 LMC COMM LLC
OPERATION OF COMM EQUIPMENT0.500000.50000
4 TRI-TOWN MED CAMPUS
CONSTRUCTION OF CARE CLINIC0.500000.50000
5 TWIN PEAKS MED IMAG
PROVISION OF DIAG. IMAGING0.500000.50000
6 LUH ORTHOPEDIC & SPINE CO-MGT
MANAGEMENT SERVICES0.277800.72220
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1LONGMONT UNITED HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11950 MOUNTAIN VIEW AVEAddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80501ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1LONGMONT UNITED HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent250.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MILESTONE MEDICAL GROUP OBGYN
2030 MOUNTAIN VIEW AVE SUITE 400LONGMONTCO80501PHYSICIAN PRACTICE
MILESTONE MEDICAL GROUP - LYONS
303 MAIN ST UNIT CLYONSCO80540PHYSICIAN PRACTICE
MILESTONE MEDICAL GROUP OBGYN
2030 MOUNTAIN VIEW AVE SUITE 360LONGMONTCO80501PHYSICIAN PRACTICE
MILESTONE MEDICAL GROUP - NIWOT
6800 79TH ST SUITE 102NIWOTCO80503PHYSICIAN PRACTICE
MILESTONE MEDICAL GROUP - BERTHOUD
649 MOUNTAIN AVEBERTHOUDCO80513PHYSICIAN PRACTICE
MILESTONE MEDICAL GROUP INTERNAL MED
2030 MOUNTAIN VIEW AVE SUITE 310LONGMONTCO80501PHYSICIAN PRACTICE
MILESTONE MEDICAL GROUP CARDIOLOGY
2030 MOUNTAIN VIEW AVE SUITE 310LONGMONTCO80501PHYSICIAN PRACTICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
PART I, LINE 7: CHARITY CARE AT COST IS CALCULATED BY TAKING GROSS CHARITY CARE CHARGES, OFFSETTING THEM BY REVENUES RECEIVED FROM UNCOMPENSATED CARE POOLS, AND THEN MULTIPLYING THAT RESULT BY OUR FACILITY COST/CHARGE RATIO. THE UNREIMBURSED COST OF MEDICAID COMES FROM AN INTERNAL COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS.
THE BAD DEBT EXPENSE PER FORM 990 REMOVED FROM THE DENOMINATOR = $14,850,941.PART I, LINE 7, COLUMN F:
PART III, LINE 4: BAD DEBT FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS: UNCOLLECTIBLE AMOUNTS FROM PATIENTS WHO DO NOT MEET THE CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY ARE INCLUDED IN THE PROVISION FOR BAD DEBTS.
BAD DEBT EXPENSE AT COST IS CALCULATED BY TAKING TOTAL BAD DEBT EXPENSE AND MULTIPLYING IT BY THE FACILITY COST TO CHARGE RATIO. THAT COST TO CHARGE RATIO IS CALCULATED BY TAKING TOTAL EXPENSES (LESS BAD DEBT) AND DIVIDING BY TOTAL GROSS CHARGES. NO BAD DEBT IS INCLUDED IN OUR COMMUNITY BENEFIT NUMBERS.PART III, LINE 2:COSTING METHODOLOGY USED
HOSPITAL COLLECTION STAFF WERE ASKED FOR THEIR OPINION OF HOW MUCH BAD DEBT WOULD QUALIFY FOR CHARITY HAD THE PATIENTS COMPLETED THE ELIGIBILITY VERIFICATION PROCESS. THIS IS A BEST ESTIMATE - LONGMONT IS NOT ABLE TO FORMALLY CALCULATE THIS AMOUNT.PART III, LINE 3:
LONGMONT USES A COST ACCOUNTING SYSTEM TO CALCULATE UNREIMBURSED COSTS OF MEDICAID.PART III, LINE 6:COSTING METHODOLOGY USED
LONGMONT DOES NOT INCLUDE MEDICARE REIMBURSEMENT SHORTFALLS AS PART OF COMMUNITY BENEFIT.PART III, LINE 8:SHORTFALL REPORTED IN PART III, LINE 7
IF A PATIENT IS KNOWN TO QUALIFY FOR CHARITY CARE, THEIR PATIENT LIABILITY IS EITHER WRITTEN OFF OR WRITTEN DOWN TO THE COLORADO INDIGENT CARE PROGRAM (CICP) COPAYMENT SCHEDULE AMOUNT. THIS PRACTICE APPLIES ONLY TO PATIENTS THAT HAVE BEEN VERIFIED AS ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE.PART III, LINE 9B:
PART VI, LINE 2: LONGMONT UNITED HOSPITAL ASSESSES HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES WITH THE FOLLOWING:*GEOGRAPHIC AREA COMMUNITY BENEFIT IS PROVIDED TO COMMUNITIES IN OUR PRIMARY AND SECONDARY SERVICE AREAS. THESE SERVICE AREAS REPRESENT ROUGHLY A 20 MILE RADIUS AROUND THE HOSPITAL AND ENCOMPASS MOUNTAIN TOWNS, SUBURBAN CITIES, AND RURAL PLAINS COMMUNITIES. *FREQUENCY OF ASSESSMENTLONGMONT UNITED HOSPITAL'S MISSION: DEDICATED TO IMPROVING THE HEALTH OF OUR PATIENTS AND COMMUNITIES WE SERVE. THIS ENCOMPASSES ALL ASPECTS OF IMPROVING COMMUNITY AND INDIVIDUAL HEALTHCARE. IT REQUIRES THE BOARD OF DIRECTORS AND LEADERSHIP TO BE ACTIVE IN THE COMMUNITY TO UNDERSTAND AND ASSESS THE CRITICAL NEEDS OF THE COMMUNITY. LEADERSHIP ALSO PRESENTS ANNUALLY TO THE BOARD OF DIRECTORS THE ORGANIZATIONS SUPPORTED FINANCIALLY AND THROUGH INVOLVEMENT OF EMPLOYEES. FUTURE SUPPORT PRIORITIES ARE DISCUSSED AND DETERMINED AT THAT TIME.LEADERSHIP ALSO ASSESSES AS NEEDED FINANCIAL SUPPORT REQUESTS BY COMMUNITY ORGANIZATIONS. PRIORITY CRITERIA FOR APPROVAL ARE SERVICES SUPPORTING ELDERLY OR LOW-INCOME FAMILIES, AS WELL AS, EDUCATION AND WELLNESS. *ASSESSMENT UPDATES ASSESSMENT UPDATES ARE PERFORMED AND PRESENTED ANNUALLY TO THE BOARD OF DIRECTORS FOR REVIEW. *COMMUNITY LEADER INPUTTHE BOARD OF DIRECTORS INCLUDES KEY COMMUNITY LEADERS WHO POSSESS SPECIAL KNOWLEDGE OF THE COMMUNITIES AND POPULATIONS WE SERVE. HOSPITAL LEADERSHIP AND STAFF MEMBERS ALSO SERVE ON SEVERAL KEY BOARDS SUCH AS HOSPICE CARE, UNITED WAY, A WOMEN'S WORK, YMCA, CHAMBERS OF COMMERCE, COMMUNITY FOOD SHARE, ECONOMIC COUNCILS, SALUD FAMILY HEALTH CLINIC, VIA AND THE EDUCATION FOUNDATION. *COMMUNICATION OF COMMUNITY BENEFITINFORMATION ON ORGANIZATIONS SERVED AND FINANCIAL SUPPORT IS REPORTED IN THE HOSPITAL ANNUAL REPORT WHICH IS AVAILABLE ON LINE TO THE COMMUNITY.
PART VI, LINE 3: COMMUNICATION OF COMMUNITY BENEFITLONGMONT HAS FULL-TIME FINANCIAL COUNSELORS THAT ARE AVAILABLE TO PROVIDE GUIDANCE TO ANY PATIENT. THE CONTACT INFORMATION OF SUCH COUNSELORS, INCLUDING PHONE NUMBERS, IS COMMUNICATED VERBALLY TO PATIENTS AND THEIR FAMILIES WHEN THEY ACCESS HOSPITAL SERVICES. THE COUNSELORS DISCUSS GOVERNMENT BENEFITS AND RESOURCES THAT MIGHT BE AVAILABLE WITH PATIENTS WHO HAVE QUESTIONS OR WHO HAVE ASKED FOR MORE INFORMATION, AS WELL AS ASSIST WITH DETERMINING PATIENT ELIGIBILITY OF VARIOUS PROGRAMS. LONGMONT IS WORKING TOWARDS PROVIDING WRITTEN INFORMATION AND BROCHURES IN THE FUTURE. UPON DISCHARGE, LONGMONT PERSONNEL PROVIDE VERBAL COMMUNICATION OF CONTACT INFORMATION AND PHONE NUMBERS OF FINANCIAL COUNSELORS. INVOICES TO PATIENTS INCLUDE A PHONE NUMBER IF THEY HAVE QUESTIONS OR WOULD LIKE ASSISTANCE REGARDING FINANCIAL RESOURCES.
PART VI, LINE 4: THE COMMUNITIES THAT LONGMONT UNITED HOSPITAL SERVES ARE DESCRIBED AS FOLLOWS:*GEOGRAPHIC AREA COMMUNITY BENEFIT IS PROVIDED TO COMMUNITIES IN OUR PRIMARY AND SECONDARY SERVICE AREAS. THESE SERVICE AREAS REPRESENT ROUGHLY A 20 MILE RADIUS AROUND THE HOSPITAL AND ENCOMPASS MOUNTAIN TOWNS, SUBURBAN CITIES, AND RURAL PLAINS COMMUNITIES. LONGMONT UNITED HOSPITAL, A COMMUNITY NON-FOR-PROFIT HOSPITAL, IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA. ZIP CODES80501 LONGMONT PSA80503 LONGMONT PSA80504 LONGMONT PSA80513 BERTHOUD PSA80530 FREDERICK PSA80540 LYONS PSA80520 FIRESTONE (80504) PSA80502 LONGMONT (80501) PSA80533 HYGIENE (80503) PSA80544 NIWOT (80503) PSA80514 DACONO PSA80542 MEAD PSA80516 ERIE PSA80534 JOHNSTOWN SSA80026 LAFAYETTE SSA80651 PLATTEVILLE SSA80621 FORT LUPTON SSA80538 LOVELAND SSA80301 BOULDER SSA80623 PLATTEVILLE (80651) SSA80541 LOVELAND (80537) SSA80537 LOVELAND SSA*DEMOGRAPHIC PROFILE INFORMATION CITY OF LONGMONT/ BOULDER COUNTY = 2010 US CENSUS BOULDER COUNTY: HTTP://QUICKFACTS.CENSUS.GOV/QFD/STATES/08/08013.HTMLLONGMONT: HTTP://WWW.CI.LONGMONT.CO.US/PLANNING/CENSUS/STATISTICS FROM BOULDER COMMUNITY FOUNDATION:BOULDER COUNTY TRENDS REPORT 2011 & 2012HTTP://ISSUU.COM/COMMFOUND/DOCS/TRENDS_2011_9.16/1?E=0*RACIAL/ETHNIC - BOULDER COUNTY 2012 *87% WHITE *14% LATINO (ANY RACE) *4% ASIAN *1% AFRICAN AMERICAN *.4% NATIVE AMERICAN *3% TWO OR MORE RACES *5% SOME OTHER RACE*HEALTH COVERAGE IN BOULDER COUNTY: *RACE: 52% OF LATINOS AND 91% NON-HISPANIC WHITE HAVE HEALTHCARE COVERAGE *GENDER: WOMEN 91%, MEN 81% HAVE HEALTHCARE ANNUAL INCOME: 95% $50K+, 81% $25K-50K, 61% <25K HAVE HEALTHCARE *88% OF THE CHILDREN HAVE HEALTH COVERAGE IN 2012. *2012 EDUCATION IN BOULDER COUNTY *A SIGNIFICANT GAP IN HIGH SCHOOL GRADUATION RATES BETWEEN NON-HISPANIC WHITE AND LATINO STUDENTS EXISTS: 90% VS. 61% IN BOULDER VALLEY SCHOOL DISTRICT (BVSD) AND 84% VS. 56% IN ST. VRAIN VALLEY SCHOOL DISTRICT (SVVSD) *LESS THAN HALF OF LATINO MALES IN THE ST. VRAIN VALLEY SCHOOL DISTRICT GRADUATED IN 2010 (48%) *38% OF SVVSD STUDENTS ARE ON THE FREE OR REDUCED LUNCH PROGRAM, 37% OF BVSD QUALIFY IN 2012.*ECONOMY IN BOULDER COUNTY *INDIVIDUALS BELOW POVERTY 14% *FAMILIES BELOW POVERTY 8% *CHILDREN BELOW POVERTY 13% *AN INCREASE AT THE YOUNG OR OLDER END WILL CAUSE MEDIAN HOUSEHOLD INCOME TO FALL. *GROWING POVERTY AND INCOME INEQUALITY. *YOUTH UNEMPLOYMENT LONG TERM PERMANENT IMPACT ON EARNINGS.*HEALTH RELATED INFORMATIONSTATISTICS FROM BOULDER COMMUNITY FOUNDATION:BOULDER COUNTY TRENDS REPORT 2011 & 2012PREGNANCY *23% OF WOMEN RECEIVE INITIAL PRENATAL CARE LATER THAN THE FIRST TRIMESTER OR NOT AT ALL *90% OF WOMEN ABSTAIN FROM CIGARETTE SMOKING DURING THE LAST THREE MONTHS OF PREGNANCY *9% OF BABIES ARE BORN WITH A LOW BIRTH WEIGHT (LESS THAN 5 POUNDS, 9 OUNCES) *INFANT MORTALITY RATE (5.8 INFANT DEATHS PER 1,000 LIVE BIRTHS) *65% OF PRESCHOOL-AGE CHILDREN RECEIVED ALL RECOMMENDED DOSES OF SIX KEY VACCINESCHILDREN *12% OF CHILDREN ARE NOT COVERED BY PRIVATE OR PUBLIC HEALTH INSURANCE *16% OF CHILDREN LIVE IN FAMILIES WITH INCOMES BELOW THE FEDERAL POVERTY LEVEL *59% OF CHILDREN HAVE A MEDICAL HOME *77% OF CHILDREN RECEIVED ALL THE ROUTINE DENTAL PREVENTIVE CARE NEEDED IN THE PAST 12 MONTHS *64% OF SCHOOL-AGE CHILDREN PARTICIPATED IN VIGOROUS PHYSICAL ACTIVITY FOR FOUR OR MORE DAYS PER WEEK *14% OF CHILDREN ARE OBESEADOLESCENTS *11% OF ADOLESCENTS ARE NOT COVERED BY PRIVATE OR PUBLIC HEALTH INSURANCE *12% OF ADOLESCENTS LIVE IN FAMILIES WITH INCOMES BELOW THE FEDERAL POVERTY LEVEL *24% OF ADOLESCENTS ATE FIVE OR MORE SERVINGS PER DAY OF FRUITS AND/OR VEGETABLES DURING THE PAST SEVEN DAYS *47% OF ADOLESCENTS PARTICIPATED IN VIGOROUS PHYSICAL ACTIVITY ON FIVE OR MORE OF THE PAST SEVEN DAYS *25% OF ADOLESCENTS HAD FIVE OR MORE DRINKS OF ALCOHOL IN A ROW ON ONE OR MORE OF THE PAST 30 DAYS *18% OF ADOLESCENTS SMOKED CIGARETTES OF ONE OR MORE OF THE PAST 30 DAYS *25% OF ADOLESCENTS FELT SO SAD OR HOPELESS ALMOST EVERY DAY FOR TWO CONSECUTIVE WEEKS DURING THE PAST 12 MONTHS THAT THEY STOPPED DOING SOME USUAL ACTIVITIES *8% OF ADOLESCENTS ATTEMPTED SUICIDE ONE OR MORE TIMES DURING THE PAST 12 MONTHS *27% OF ADOLESCENTS WERE SEXUALLY ACTIVE IN THE PAST THREE MONTHS *AMONG STUDENTS WHO HAD SEXUAL INTERCOURSE DURING THE PAST THREE MONTHS, 63% PERCENT REPORTED USING A CONDOM DURING LAST SEXUAL INTERCOURSE *TEEN FERTILITY RATE (43.4 BIRTHS TO TEEN MOTHERS PER 1,000 TEENAGE WOMEN)ADULTS *20% OF WORKING-AGE ADULTS ARE NOT COVERED BY PRIVATE OR PUBLIC HEALTH INSURANCE *77% OF ADULTS HAVE ONE (OR MORE) PERSON(S) THEY THINK OF AS THEIR PERSONAL DOCTOR OR HEALTH CARE PROVIDER *22% OF ADULTS CONSUMED FIVE OR MORE FRUITS AND/OR VEGETABLES PER DAY WITHIN THE PAST WEEK *84% OF ADULTS PARTICIPATED IN ANY PHYSICAL ACTIVITY WITHIN THE PAST MONTH *19% OF ADULTS ARE OBESE *19% OF ADULTS CURRENTLY SMOKE CIGARETTES *19% OF ADULTS BINGE DRANK (MALES HAVING FIVE OR MORE DRINKS ON ONE OCCASION, FEMALES HAVING FOUR OR MORE DRINKS ON ONE OCCASION) IN THE PAST MONTH *13% OF ADULTS REPORT THAT THEIR MENTAL HEALTH WAS NOT GOOD EIGHT OR MORE DAYS IN THE PAST MONTH *4% OF ADULTS REPORTED THAT THEY WERE DIAGNOSED WITH DIABETES *17% OF ADULTS REPORTED THAT THEY WERE DIAGNOSED WITH HIGH BLOOD PRESSUREHEALTHY AGING *95% OF OLDER ADULTS HAVE ONE (OR MORE) PERSON(S) THEY THINK OF AS THEIR PERSONAL DOCTOR OR HEALTH CARE PROVIDER *60% OF OLDER ADULTS HAVE HAD A FLU SHOT DURING THE PAST 12 MONTHS AND HAVE HAD A PNEUMONIA VACCINATION *75% OF OLDER ADULTS PARTICIPATED IN ANY PHYSICAL ACTIVITY IN THE PAST 30 DAYS *18% OF OLDER ADULTS REPORT THAT THEIR PHYSICAL HEALTH WAS NOT GOOD EIGHT OR MORE DAYS IN THE PAST MONTH *6% OF OLDER ADULTS REPORT THAT THEIR MENTAL HEALTH WAS NOT GOOD EIGHT OR MORE DAYS IN THE PAST MONTH *20% OF OLDER ADULTS REPORTED EIGHT OR MORE DAYS OF LIMITED ACTIVITY IN THE PAST MONTH DUE TO POOR PHYSICAL OR MENTAL HEALTHSTATISTICS CENTER OF DISEASE CONTROL AND PREVENTION *HEART DISEASE 2009 AGE OVER 35 DEATH RATES PER 100,000: BOULDER COUNTY 263, 3% DECREASE SINCE 2007LARIMER 258, 4% DECREASE SINCE 2007WELD 308, 13% DECREASE SINCE 2007 *CANCER 2008 TOP THREE INCIDENT RATES PER 100,000 IN COPROSTATE 145, 10% DECREASE SINCE 2006FEMALE BREAST 124, 2% INCREASE SINCE 2006LUNG AND BRONCHUS 50, 3% INCREASE SINCE 2006 *DIABETES 2009 ADULTS DIAGNOSED DIABETES: BOULDER COUNTY 4%, 22% INCREASE SINCE 2007LARIMER 5%, 11% INCREASE SINCE 2007WELD 6%, 9% CHANGE SINCE 2007HTTP://APPS.NCCD.CDC.GOV/DDT_STRS2/COUNTYPREVALENCEDATA.ASPX?STATEID=8&MODE=DBT *ARTHRITIS: 24% OF ADULTS IN CO REPORTED BEING DIAGNOSED WITH ARTHRITIS. NO INCREASE SINCE 2007. *IN CO, 16% OF THE ADULT POPULATION (AGED 18+ YEARS) ARE CURRENT CIGARETTE SMOKERS CONTINUING A DOWNWARD TREND SINCE 1996. *21% OF ADULTS IN CO WERE OVERWEIGHT OR OBESE.PROVISIONS FOR UNINSURED *LONGMONT UNITED HOSPITAL PROVIDES A SAFETY NET FOR UNINSURED PERSONS THROUGH THE FOLLOWING: *LONGMONT UNITED HOSPITAL PROVIDES THE HIGHEST PERCENTAGE OF CHARITY CARE IN BOULDER COUNTY. *SUBSIDIZING AND SUPPORTING THE SALUD FAMILY HEALTH CENTERS, A LOW-INCOME PRIMARY HEALTHCARE SERVICE *SUPPORTING BOULDER VALLEY WOMEN'S HEALTH CENTER WHO PROVIDES QUALITY HEALTHCARE AND SERVICES REGARDLESS OF A CLIENT'S INSURED STATUS, ECONOMIC CIRCUMSTANCES OR IMMIGRATION STATUS
PART VI, LINE 5: LONGMONT UNITED HOSPITAL IMPROVES THE HEALTH OF THE COMMUNITY THROUGH SUPPORT OR PARTNERSHIPS IN ACTIVITIES OR ORGANIZATIONS FOCUSED ON BETTER HEALTH FOR EVERYONE IN THE COMMUNITY. LISTED BELOW ARE THE KEY INITIATIVES WITH EXPLANATIONS IN WHICH THE HOSPITAL IS INVOLVED. *HEALTH PROFESSIONALS EDUCATIONCOLLEGES AND UNIVERSITIES WORK WITH THE HOSPITAL TO FACILITATE PROGRAMS TO ASSIST INDIVIDUALS IN COMPLETING THE HEALTH CARE CERTIFICATIONS. LONGMONT UNITED HOSPITAL OFFERS ONE-ON-ONE TRAINING THAT IS NEEDED TO BEGIN WORK IN THE HEALTHCARE FIELD. *SENIOR HEALTH EDUCATION AND SERVICESSINCE 1991, LONGMONT UNITED HOSPITAL HAS OFFERED A SENIOR WELLNESS PROGRAM TO EMPOWER THE SENIOR COMMUNITY TO ASSUME RESPONSIBILITY FOR THEIR HEALTH AND WELLNESS BY PROVIDING THE REQUISITE KNOWLEDGE, RESOURCES AND TOOLS TO ACCOMPLISH THAT GOAL. AT THE END OF 2012, THERE WERE 856 MEMBERS PARTICIPATING EDUCATION PROGRAMS, HEALTH CLINICS AND LOW-COST LABORATORY SERVICES.*LOW-INCOME PRIMARY HEALTH CARE SERVICESPRIMARY HEALTH CARE SERVICES ARE OFFERED TO IMPROVE ACCESS AND REDUCE BARRIERS TO CARE INCLUDING ABILITY TO PAY, TRANSPORTATION, AND LANGUAGE. ALL SERVICES ARE DESIGNED TO REDUCE HEALTH DISPARITIES AND DELIVERED TO ALL COMMUNITY MEMBERS, WITHOUT REGARD TO AGE, SEX OR DISEASE PROCESS. THE POPULATION SERVED INCLUDES ALL COMMUNITY MEMBERS WITH THE LOW-INCOME AND THE MEDICALLY UNDERSERVED POPULATION AS THE PRIORITY CLIENTELE. THIS INCLUDES THE MIGRANT AND SEASONAL FARM WORKERS POPULATION. PATIENTS ARE NOT TURNED AWAY BASED ON A PATIENT'S FINANCES, INSURANCE COVERAGE, OR ABILITY TO PAY.*LACTATION CONSULTINGQUALIFIED LACTATION SPECIALISTS EDUCATE ON THE BENEFITS OF BREASTFEEDING, HOW THE PROCESS WORKS, PROPER POSITIONING, PREVENTION OF COMMON DIFFICULTIES, AND MANAGING BREASTFEEDING WHEN WORKING OUTSIDE THE HOME. CULTURES EXIST IN OUR COMMUNITIES THAT DO NOT UNDERSTAND THESE BENEFITS OR HAVE TO GO AGAINST PRACTICED BELIEFS IN THEIR COMMUNITY. STUDIES REPEATEDLY PROVE THE INFANT WILL RECEIVE HEALTH BENEFITS BY BREASTFEEDING. *COMMUNITY SUPPORT SERVICES MOBILITY OPTIONS ARE PROVIDED TO ALL PEOPLE, REGARDLESS OF AGE, HEALTH, DISABILITY, INCOME OR ETHNICITY OR SEXUAL ORIENTATION TO ENHANCE THEIR INDEPENDENCE AND QUALITY OF LIFE. IN 2012, THIS INCLUDED 873,610 TRIPS ON THE HOP (PUBLIC TRANSPORTATION), 99,758 TRIPS ON ACCESS-A-RIDE AND 134,885 TRIPS ON CALL-N-RIDE. ONE-WAY DEMAND-RESPONSE TRIPS WERE 111,383 WITH 19% OF THESE TRIPS FOR MEDICAL AND THERAPY PURPOSES. *PROMOTION OF LIFESTYLE CHANGES AND PREVENTION ORGANIZATIONS THROUGH OUT COLORADO ARE JOINING TOGETHER TO PROMOTE ACTIVE LIVING AND HEALTHY EATING. THEIR PRIMARY FOCUSES ARE ON ESTABLISHING OBESITY PREVENTION INITIATIVES, AS WELL AS, HAVING HEALTHY FOODS AND PHYSICAL ACTIVITY ACCESSIBLE IN PLACES WHERE COLORADANS LIVE, WORK, LEARN AND PLAY. EFFORTS ARE DIRECTED TO WORKING STRATEGICALLY WITH STAKEHOLDERS TO ACHIEVE OVERALL HEALTHY LIVING IN ALL COLORADO COMMUNITIES. *COMMUNITY BUILDING ACTIVITIESMAINTAIN HEALTHY COMMUNITIES THROUGH SUPPORTING THE CREATION AND RETENTION OF JOBS AND INDUSTRIES IN SURROUNDING COMMUNITIES. BUILD A BUSINESS ENVIRONMENT THAT ENCOURAGES NEW INDUSTRY TO THESE COMMUNITIES.
PART VI, LINE 6: NOT APPLICABLE
COLORADOPART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
FRONT RANGE COMMUNITY COLLEGE
3645 WEST 112TH AVEWESTMINSTERCO80031841311148501(C)(3)25000PROGRAM SUPPORT
SALUD FAMILY HEALTH
203 SOUTH ROLLIE AVEFORT LUPTONCO80621840613590501(C)(3)148220PROGRAM SUPPORT
VIA MOBILITY SERVICES
2855 N 63RD STBOULDERCO80301840777296501(C)(3)32000PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: ALL DONATIONS ARE BASED ON COMMUNITY NEED. IN ORDER TO ASSESS THE COMMUNITY NEEDS, MEMBERS OF THE LEADERSHIP COUNCIL HAVE FORMED LONG-TERM PROFESSIONAL RELATIONSHIPS WITH THE RECIPIENT ORGANIZATIONS. NO DONATIONS ARE MADE WITHOUT THIS LONG-TERM RELATIONSHIP BEING IN PLACE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MITCHELL C CARSON
PRESIDENT/CEO546457000302790001447840721520000
NEIL BERTRAND
CFO3251010004708000865200416329000
CAROL SMITH
VP LEGAL/REGULATORY AFFAIRS2238660002334000590500285250000
NANCY DRISCOLL
VP PATIENT CARE SERVICES2043340001314000482990253947000
REBECCA HERMAN
VP CLINICAL SUPPORT SERVICES2017280001486000483110251525000
WARREN LAUGHLIN
VP HUMAN RESOURCES1874780001346000476760236500000
JOHN PETERSON
VP INFORMATION SERVICES1587090001498000447020204909000
JOHN IVES
DIRECTOR PHARMACY153807000641000133990167847000
MAUREEN BEAVIN
SPVR PHARMACY OPERATIONS150344000590000153970166331000
DANIEL FRANK
CONTROLLER1494270006200170000202100187257000
AMY JOHNSON
MILESTONE PHYSICIAN3489850005722000232910377998000
HEATHER KEENE
MILESTONE PHYSICIAN3439840001562000165770362123000
MURRY DRESCHER
MILESTONE PHYSICIAN14021301000000350000094800253193000
FABIO PIVETTA
MILESTONE PHYSICIAN2025080002889000213310226728000
SUE MEYER
MILESTONE PHYSICIAN18111701031501427000113050204164000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COLORADO HEALTH FACILITIES AUTHORITY
A840752932196474M492003-12-0114915000REFUND SERIES 1993 BONDS000
COLORADO HEALTH FACILITIES AUTHORITY
B8407529320000000002006-06-1240000000HOSPITAL CONSTRUCTION & EQUIPMENT000
COLORADO HEALTH FACILITIES AUTHORITY
C8407529321964744D92006-06-1248965000REFUND SERIES 1997 & 2000 BONDS000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletion
A161323651281287141495107135440111
B400000001744000011398256002008
C5347060838378094785214118044670111

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000000.000000.00000001
B00000.000000.000000.00000001
C00000.000000.000000.00000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A100001
B100001
C100001

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierPART IIIIdentifier
Return ReferencePRIVATE BUSINESS USEReturnReference
ExplanationTHE 2003 HOSPITAL REVENUE BONDS (REFUNDING THE SERIES 1993 BONDS) AND THE 2006B HOSPITAL REVENUE BONDS (REFUNDING THE SERIES 1997 & 2000 BONDS) QUALIFY FOR THE SPECIAL RULES FOR REFUNDING OF PRE-2003 ISSUES. SUCH REFUNDING BONDS ARE SUBJECT TO THE GENERALLY APPLICABLE REPORTING REQUIREMENTS OF PART I, II & IV OF SCH K. HOWEVER, THE ORGANIZATION NEED NOT COMPLETE PART III TO REPORT PRIVATE BUSINESS USE INFORMATION.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON OF THE BOARD, AS CHAIRPERSON, THE VICE-CHAIRPERSON, THE TREASURER, THE SECRETARY, THE ASSISTANT SECRETARY-TREASURER, AND THE PRESIDENT AND CEO. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS AND OTHER CONFIDENTIAL MATTERS OF THE HOSPITAL DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT ANY ACTION TAKEN SHALL NOT CONFLICT WITH POLICIES AND EXPRESSED WISHES OF THE BOARD OF DIRECTORS, THAT THERE ARE AT LEAST THREE (3) AFFIRMATIVE VOTES TO INITIATE ANY ACTION, AND ALL MATTERS OF MAJOR IMPORTANCE SHOULD BE REFERRED TO THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL REVIEW PROPOSALS AND ADVISE, AS NECESSARY, REGARDING PLANNING AND DEVELOPMENT OF THE HOSPITAL PHYSICAL PLANT, PROGRAMS, AND SERVICES. IT SHALL ALSO BE THE RESPONSIBILITY OF THE EXECUTIVE COMMITTEE TO NOMINATE CANDIDATES FOR OFFICERS AND MEMBERS OF THE BOARD WHEN VACANCIES ARE TO BE FILLED. SUCH NOMINATIONS FOR CANDIDATES SHALL BE SUBMITTED IN WRITING TO THE SECRETARY OF THE BOARD AT LEAST THIRTY (30) DAYS PRIOR TO THE DATE OF THE MEETING AT WHICH CANDIDATES SHALL BE ELECTED. SPECIFICALLY, THIS COMMITTEE SHALL BE RESPONSIBLE FOR THE ANNUAL PERFORMANCE EVALUATION OF THE PRESIDENT AND CEO. THIS COMMITTEE, MINUS THE PRESIDENT AND CEO, WILL ALSO SERVE AS THE EXECUTIVE COMPENSATION COMMITTEE. THIS COMMITTEE SHALL MEET AT LEAST QUARTERLY.
FORM 990, PART VI, SECTION A, LINE 1DR. PATRICIA GILL AND DR. MARK HINMAN ARE COMPENSATED FOR MEDICAL SERVICES PROVIDED TO LONGMONT UNITED HOSPITAL RATHER THAN BOARD MEMBERSHIP.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION ENGAGES A PAID PREPARER EXPERIENCED IN THE PREPARATION OF FORM 990 TO PREPARE THE FORM. ACCOUNTING DEPARTMENT STAFF AND THE CONTROLLER WORK CLOSELY WITH THE PAID PREPARER IN THE PREPARATION OF THE RETURN AND THE CONTROLLER AND CFO REVIEW THE RETURN AS PREPARED BY THE PREPARER. IT IS REVIEWED BY THE AUDIT COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF DIRECTORS BEFORE IT IS FILED. COPIES OF THE FORM 990 ARE PROVIDED TO THE BOARD. THE ORGANIZATION THEN DISCUSSES ANY CHANGES OR ISSUES THAT THE AUDIT COMMITTEE/BOARD MAY HAVE. ONCE QUESTIONS/ISSUES HAVE BEEN ADDRESSED AND THE FORM APPROVED, THE RETURN IS THEN BE FILED.
FORM 990, PART VI, SECTION B, LINE 12CAN ANNUAL CONFLICT OF INTEREST STATEMENT IS DISTRIBUTED AND SIGNED BY ALL MEMBERS OF EXECUTIVE MANAGEMENT AND DEPARTMENT DIRECTORS, AS WELL AS EVERY MEMBER OF THE BOARD OF DIRECTORS. WHEN A CONFLICT IS IDENTIFIED, THAT PERSON MUST RECUSE THEMSELVES FROM ANY DISCUSSION CONCERNING THE CONFLICTING PERSON OR ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15IN 2011, INTEGRATED HEALTHCARE STRATEGIES (IHSTRATEGIES), AN INDEPENDENT COMPENSATION CONSULTANT, PERFORMED A THOROUGH COMPENSATION STUDY. IHSTRATEGIES ANALYZED LONGMONT UNITED HOSPITAL'S (LUH) EXECUTIVE CASH COMPENSATION AND BENEFITS PROGRAM TO ASSESS COMPETITIVENESS, COST-EFFECTIVENESS, TAX-EFFECTIVENESS, AND REASONABLENESS. IHSTRATEGIES BASED ITS COMPARISONS ON COMPETITIVE PRACTICES IN LUH'S PEER GROUP, USING THEIR PROPRIETARY DATABASE AND PUBLISHED SURVEYS. IN 2014, LUH IS PLANNING TO ENGAGE IN ANOTHER THOROUGH COMPENSATION STUDY. IN THE INTERMITTENT YEARS, THE CONSULTANT PROVIDES LIMITED RECOMMENDATIONS ON COMPENSATION RANGES THAT LUH FOLLOWS. IHSTRATEGIES: - COLLECTED AND REVIEWED BACKGROUND INFORMATION FROM LUH, INCLUDING ORGANIZATIONAL DEMOGRAPHICS, JOB DESCRIPTIONS, ORGANIZATION CHARTS, AND CURRENT COMPENSATION DATA - CONDUCTED TELEPHONE CALLS WITH LUH'S CEO AND VICE PRESIDENT, HUMAN RESOURCES TO DISCUSS JOB CONTENT AND SCOPE OF RESPONSIBILITY FOR THE POSITIONS INCLUDED IN THIS REVIEW - MATCHED LUH'S EXECUTIVE POSITIONS WITH SIMILAR BENCHMARK JOBS BASED ON JOB CONTENT, SCOPE OF RESPONSIBILITY, AND REPORTING RELATIONSHIPS - COMPARED EXECUTIVE SALARIES AT LUH TO PEER GROUP SALARY LEVELS - COMPARED EXECUTIVE BENEFIT EXPENDITURES AT LUH TO COMPETITIVE INDUSTRY PRACTICES - COMPARED EXECUTIVE TOTAL COMPENSATION (SALARIES PLUS BENEFITS) AT LUH TO PEER GROUP LEVELS - IHSTRATEGIES PRESENTED THIS INFORMATION TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IN A WRITTEN REPORT. - THE COMPENSATION COMMITTEE REVIEWED AND DISCUSSED THE FINDINGS OF THE COMPENSATION STUDY AND APPROVED THE EXECUTIVE COMPENSATION OF THE KEY EXECUTIVES. THIS DISCUSSION AND DELIBERATION PROCESS WAS DOCUMENTED IN THE COMMITTEE'S MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART X, LINE 28LONGMONT UNITED HOSPITAL FOUNDATION (THE FOUNDATION) WAS FORMED TO PLAN, ORGANIZE, INSTITUTE, AND ADMINISTER PROJECTS THAT PROVIDE PUBLIC SUPPORT FOR THE HOSPITAL. IN THE ABSENCE OF DONOR RESTRICTIONS, THE FOUNDATION'S BOARD OF DIRECTORS HAS DISCRETIONARY CONTROL OVER THE AMOUNTS TO BE DISTRIBUTED TO THE HOSPITAL, THE TIMING OF SUCH DISTRIBUTIONS, AND THE PURPOSES FOR WHICH SUCH FUNDS ARE TO BE USED. TWO MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS SERVE ON THE 14-MEMBER BOARD OF DIRECTORS OF THE FOUNDATION. UNDER U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE HOSPITAL IS DEEMED TO BE A FINANCIALLY INTERRELATED BENEFICIARY OF THE FOUNDATION. THEREFORE, THE NET ASSETS OF THE FOUNDATION HAVE BEEN SHOWN ON THE HOSPITAL'S CONSOLIDATED BALANCE SHEETS AS TOTAL NET ASSETS HELD BY LONGMONT UNITED HOSPITAL FOUNDATION. THE NET ASSETS OWNED BY THE FOUNDATION ARE REFLECTED IN TEMPORARILY RESTRICTED NET ASSETS.TEMPORARILY RESTRICTED NET ASSETS
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN NET ASSETS HELD BY LUHF 263,561. UNRELATED BUSINESS INCOME FROM K-1 -21,669.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LONGMONT UNITED LAND HOLDING LLC
1950 W MOUNTAIN VIEW AVELONGMONTCO80501841554099REAL ESTATECO56948256879LUH
LE DEAUVILLE LLC
1950 W MOUNTAIN VIEW AVELONGMONTCO80501204781464RENTALCO7476125166348LUH
MILESTONE MEDICAL GROUP
1950 W MOUNTAIN VIEW AVELONGMONTCO80501383842918MEDICAL SERVICESCO3453509-3643677LUH

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
LMC COMM LLC
1950 WEST MOUNTAIN VIEW AVELONGMONTCO80501753081353VOICE & DATACOLULH LLCUNRELATED21669346540$21,66910.50000
TRI-TOWN LLC
1950 WEST MOUNTAIN VIEW AVELONGMONTCO80501331035669OFFICE LEASINGCOLULH LLCRELATED640582078800010.50000
TWIN PEAKS LLC
1950 WEST MOUNTAIN VIEW AVELONGMONTCO80501731656489IMAGINGCOLUHRELATED-5922549640010.50000
LUH ORTHOPEDIC AND SPINE CO-MANAGEMENT COMPANY LLC
1950 W MTN VIEW AVELONGMONTCO80501454432224MANAGEMENT SERVICESCOLUHRELATED132475178481000.27780

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1UNITED MEDICAL BLDG CONDOMINIUM ASSOCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11950 WEST MOUNTAIN VIEW AVEAddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80501ZIPCode
FieldValueIRS element (for citing)
EIN841526130EIN
Primary ActivityCONDO ASSOCIATIONPrimaryActivity
Legal Domicile StateCOLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1LUHBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of Total Income408662ShareOfTotalIncome
Share Of EOY Assets68553ShareOfEOYAssets
Percentage Ownership0.91780PercentageOwnership
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1UNITED MEDICAL BLDG CONDOMINIUM ASSOCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeATransactionType
Amount Involved68705AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination