BOULDER COMMUNITY HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: BOULDER COMMUNITY HEALTH (EIN 84-0175870)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-27
IRS object ID: 201303319349300405
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-27T12:36:13-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	840175870	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE COMMUNITY HOSPITAL ASSOCIATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COMM	NameControl
Phone	3034402358	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 9019	AddressLine1
Address Line2	1100 Balsam Ave	AddressLine2
City	Boulder	City
State	CO	State
ZIP Code	803019019	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	William A Munson Jr	Name
Title	CFO & Vice President	Title
Phone	3034402214	Phone
Date Signed	2013-11-27	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	Boulder Community Hospital	BusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

Field	Value	IRS element (for citing)
Business Name Line1	William A Munson Jr	BusinessNameLine1
Business Name Line2	The Community Hospital Associatin dba Boulder Community Hospital	BusinessNameLine2

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1100 Balsam Ave	AddressLine1
Address Line2	P O Box 9019	AddressLine2
City	Boulder	City
State	CO	State
ZIP Code	803019019	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	490287979	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.bch.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1922	YearFormation
State Legal Domicile	CO	StateLegalDomicile
Activity Or Mission Description	To provide our community with the safest and highest quality healthcare in an innovative, patient-centered environment.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	2737	TotalNbrEmployees
Total Nbr Volunteers	725	TotalNbrVolunteers
Total Gross UBI	2978512	TotalGrossUBI
Net Unrelated Business Txbl Income	-919292	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2061134	ContributionsGrantsPriorYear
Contributions Grants Current Year	1170727	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	285658576	ProgramServiceRevenuePriorYear
Program Service Revenue CY	292245681	ProgramServiceRevenueCY
Investment Income Prior Year	10288445	InvestmentIncomePriorYear
Investment Income Current Year	11821051	InvestmentIncomeCurrentYear
Other Revenue Prior Year	11726464	OtherRevenuePriorYear
Other Revenue Current Year	18580776	OtherRevenueCurrentYear
Total Revenue Prior Year	309734619	TotalRevenuePriorYear
Total Revenue Current Year	323818235	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	359389	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	397939	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	136024969	SalariesEtcPriorYear
Salaries Etc Current Year	147908726	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	333233	TotalFundrsngExpCurrentYear
Other Expense Prior Year	150357124	OtherExpensePriorYear
Other Expenses Current Year	151796746	OtherExpensesCurrentYear
Total Expenses Prior Year	286741482	TotalExpensesPriorYear
Total Expenses Current Year	300103411	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	22993137	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	23714824	RevenuesLessExpensesCY
Total Assets BOY	493392565	TotalAssetsBOY
Total Assets EOY	584504013	TotalAssetsEOY
Total Liabilities BOY	223315809	TotalLiabilitiesBOY
Total Liabilities EOY	279157334	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	270076756	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	305346679	NetAssetsOrFundBalancesEOY
Mission Description	To provide our community with the safest and highest quality healthcare in an innovative, patient-centered environment.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	220383210	Expense
Grants	397940	Grants
Revenue	310136680	Revenue
Description	Health Care Delivery of IP and OP medical care. In 2012, the hospital discharged 8,710 adult & pediatric patients with an average length of stay of 4.4 days. 48,740 patients were seen in our ER/Urgent Care facilities. 7,301 surgeries were performed. The hospital had adjusted patient days of 89,788.	Description
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	220383210	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	1	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	243	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2737	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Lisa Rogowski Controller	NamePerson
Telephone Number	3034402358	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO Box 9019	AddressLine1
Address Line2	1100 Balsam Ave	AddressLine2
City	Boulder	City
State	CO	State
ZIP Code	803019019	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Lou DellaCava
Chairman	4	0	X	X	0	0	0
Richard Porreca
Vice Chairman	4	0	X	X	0	0	0
R David Hoover
Treasurer	4	0	X	X	0	0	0
Karen McMurry
Secretary	4	0	X	X	0	0	0
Randy Bjerke MD
Board Member	2	0	X		14350	0	0
Jean Dubofsky
Board Member	2	0	X		1182	0	0
Harold Flowers
Board Member	2		X		0	0	0
Steve Fries MD
Board Member	2	0	X		6900	0	0
David Gehant
Exec Director/CEO	40		X	X	893860	0	36169
Susan Graf
Board Member	2	0	X		0	0	0
Richard V Lopez
Board Member	2	0	X		0	0	0
Janet Martin
Board Member	2	0	X		0	0	0
Tom Metz
Treasurer	2	0	X		1567	0	0
Dee Perry
Board Member	2	0	X		0	0	0
Mako Shimoda MD
Board Member	2	0	X		6150	0	0
Paul Kenneth Lewis Jr
VP & Chief Medical Officer	40	0		X	393453	0	102793
William A Munson Jr
VP & CFO	40	0		X	320189	0	82899
Jacqueline M Attlesey-Pries
VP & Chief Nursing Officer	40	0		X	236920	0	70353
Sarah E Meshak
VP & General Counsel	40	0		X	234999	0	56985
James Peters
VP	40	0		X	226366	0	61394
Linda S Minghella
VP & Chief Information Officer	40	0		X	231393	0	49526
Ronald Secrist
BCH Foundation President	40	0			201427	0	44230	X
Jamie D Jensen
Physician Clinic COO	40				159424	0	37267	X
Daniel S White
Physician	40	0			647116	0	59429		X
Sameer A Oza
Physician	40	0			673397	0	53888		X
Nelson P Trujillo Jr
Physician	40	0			660087	0	53388		X
John A Schutz
Physician	40	0			644722	0	51581		X
John R McNeil III
Physician	40	0			638275	0	55705		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6191777	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	815607	TotalOtherCompensation
Number Individuals GT100 K	155	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2	Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation	Address Line2AddressOfContractor/AddressUS/AddressLine2
Rightsourcing
Comforce Technical Services Inc	PO BOX 9695	Uniondale	NY	115559695	Agency staffing	1892387
Dr Laurie Coryell
	Community Medical Center	Lafayette	CO	80026	Urgent Care Phys. Group	1159441	1000 W So Boulder Rd Suite 100
Colorado Cardiovascular Surgical Associates PC
	950 E Harvard Ave Suite 550	Denver	CO	80210	Cardiovascular surgery coverage and employee lease	964309	Suite 203
Emergency Courier Services
	in care of Aaron Ramsey	Niwot	CO	80503	medical courier service	821656	7713 N 41st St
Boulder Valley Anesthesiology LLC
c/o Wendll Walker & Assoc	1420 28th St Ste 100	Boulder	CO	80303	Anesthesiology coverage	744852

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	22	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	5430	MembershipDues
Fundraising Events	0	FundraisingEvents
Related Organizations	467833	RelatedOrganizations
Government Grants	624934	GovernmentGrants
All Other Contributions	72530	AllOtherContributions
Noncash Contributions	0	NoncashContributions
Total Contributions	1170727	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Acute care hospital	Description
Business Code	622000	BusinessCode
Total Revenue Column	292245681	TotalRevenueColumn
Related Or Exempt Function Income	289979085	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2204047	UnrelatedBusinessRevenue
Exclusion	$62,549	ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	292245681	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6869813	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$6,869,813	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	163088	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$163,088	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	163527156	Securities
Other	7651109	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	159488438	Securities
Other	6901677	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	4038718	Securities
Other	749432	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	4788150	TotalRevenueColumn
Related Or Exempt Function Income	749432	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$4,038,718	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	0	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	0	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	13210	GrossIncomeGaming
Gaming Direct Expenses	169	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	13041	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$13,041	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	108741	GrossSalesOfInventory
Cost Of Goods Sold	79460	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	29281	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$29,281	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Health Care Joint Ventures	621400	6121129	6121129	0	$0
Misc Hospital Revenue	622000	12417325	10308522	774465	$1,334,338

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	18538454	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	323818235	TotalRevenueColumn
Related Or Exempt Function Income	307158168	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2978512	UnrelatedBusinessRevenue
Exclusion	$12,510,828	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	173749	Total
Program Services	173749	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	83009	Total
Program Services	83009	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	141181	Total
Program Services	141181	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3501368	Total
Program Services	0	ProgramServices
Management And General	3263013	ManagementAndGeneral
Fundraising	238355	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	117872913	Total
Program Services	92411511	ProgramServices
Management And General	25429239	ManagementAndGeneral
Fundraising	32163	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8685546	Total
Program Services	6719541	ProgramServices
Management And General	1949312	ManagementAndGeneral
Fundraising	16693	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	9497199	Total
Program Services	7440933	ProgramServices
Management And General	2046695	ManagementAndGeneral
Fundraising	9571	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8351700	Total
Program Services	6291304	ProgramServices
Management And General	2048386	ManagementAndGeneral
Fundraising	12010	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1912607	Total
Program Services	136445	ProgramServices
Management And General	1776162	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	192971	Total
Program Services	0	ProgramServices
Management And General	192971	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	93942	Total
Program Services	3942	ProgramServices
Management And General	90000	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	578560	Total
Program Services	0	ProgramServices
Management And General	578560	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	19325102	Total
Program Services	15237109	ProgramServices
Management And General	4064105	ManagementAndGeneral
Fundraising	23888	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1089467	Total
Program Services	0	ProgramServices
Management And General	1089467	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6450164	Total
Program Services	2301919	ProgramServices
Management And General	4121988	ManagementAndGeneral
Fundraising	26257	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6056990	Total
Program Services	539269	ProgramServices
Management And General	5517721	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5384442	Total
Program Services	2326065	ProgramServices
Management And General	3056471	ManagementAndGeneral
Fundraising	1906	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	346842	Total
Program Services	214488	ProgramServices
Management And General	131802	ManagementAndGeneral
Fundraising	552	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	593714	Total
Program Services	225205	ProgramServices
Management And General	368509	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2452922	Total
Program Services	0	ProgramServices
Management And General	2452922	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	18083120	Total
Program Services	5835965	ProgramServices
Management And General	12229951	ManagementAndGeneral
Fundraising	17204	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1914280	Total
Program Services	579290	ProgramServices
Management And General	1334990	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Repairs & Maintenance	6294380	645739	5648641
Provision for Bad Debts	18326057	18326057	0
Medical Supplies	44297867	44105946	191921
Medicaid Provider Fee	15750703	15750703	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2652616	Total
Program Services	893840	ProgramServices
Management And General	1804142	ManagementAndGeneral
Fundraising	-45366	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	300103411	Total
Program Services	220383210	ProgramServices
Management And General	79386968	ManagementAndGeneral
Fundraising	333233	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1140091	BOY
EOY	976885	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1557558	BOY
EOY	5771613	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	37424133	BOY
EOY	35303088	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2426771	BOY
EOY	2241430	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3111110	BOY
EOY	2871946	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3342813	BOY
EOY	3638310	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	367719178	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	196383698	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	147720367	BOY
EOY	171335480	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	223005143	BOY
EOY	254533177	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	43170874	BOY
EOY	66215850	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	2583946	BOY
EOY	3325638	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	307310	BOY
EOY	320020	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	27602449	BOY
EOY	37970576	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	493392565	BOY
EOY	584504013	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	38322850	BOY
EOY	46848302	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	151405644	BOY
EOY	176359214	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	128475	BOY
EOY	98599	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	33458840	BOY
EOY	55851219	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	223315809	BOY
EOY	279157334	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	246554608	BOY
EOY	274028058	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	18646896	BOY
EOY	26307590	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4875252	BOY
EOY	5011031	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	270076756	BOY
EOY	305346679	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	493392565	BOY
EOY	584504013	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	23714824	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	22744925	ReconciliationUnrealizedInvest
Reconcilation Donated Services	0	ReconcilationDonatedServices
Reconcilation Invest Expenses	0	ReconcilationInvestExpenses
Reconcilation Prior Adjustment	0	ReconcilationPriorAdjustment
Reconcilation Other Changes	-11189826	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$21,691	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	21691	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SchC_P2B_S00_L01	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	11.45% of dues paid to the Colorado Hospital Association are spent on lobbying activities, amounting to $4,021. 23.98% of dues paid to the American Hospital Association are spent on lobbying activities, amounting to $17,670.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	23522148	BeginningOfYearBalance
Contributions	7987150	Contributions
Investment Earnings Or Losses	2442969	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	2633646	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	31318621	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	22231845	BeginningOfYearBalance
Contributions	4805197	Contributions
Investment Earnings Or Losses	-332547	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	3182347	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	23522148	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	20637790	BeginningOfYearBalance
Contributions	3702912	Contributions
Investment Earnings Or Losses	2390484	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	4499341	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	22231845	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	17569973	BeginningOfYearBalance
Contributions	3021313	Contributions
Investment Earnings Or Losses	3252269	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	3205765	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	20637790	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	22397933	BeginningOfYearBalance
Contributions	3484109	Contributions
Investment Earnings Or Losses	-4795385	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	3516684	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	17569973	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.16	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.84	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	23081774	OtherCostOrOtherBasis
Book Value	23081774	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	190335931	OtherCostOrOtherBasis
Depreciation	119723021	Depreciation
Book Value	70612910	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	737661	OtherCostOrOtherBasis
Depreciation	471871	Depreciation
Book Value	265790	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	111116360	OtherCostOrOtherBasis
Depreciation	76188806	Depreciation
Book Value	34927554	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	42447452	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	42447452	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	171335480	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

Field	Value	IRS element (for citing)
Book Value	-12224411	BookValue
Method Of Valuation	F	MethodOfValuation

Closely Held Equity Interests CloselyHeldEquityInterests

Field	Value	IRS element (for citing)
Book Value	25676714	BookValue
Method Of Valuation	F	MethodOfValuation

Other Securities OtherSecurities (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Municipal bonds, infrequently traded	1608462	F
Asset Backed Securities, infrequently traded	11424605	F
Long/Short Fixed Income Funds	27031225	F
Fund of Hedge Funds	2074003	F
Corp Bonds and Notes, infrequently traded	10625252	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	66215850	TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
Interest in Net Assets Held by Foundation	30958764
Unamortized Bond Issue Costs	1513570
Deferred Comp Investments	4097924
Misc Other AR	1250733
Unamortized Swap Fees	149585

Field	Value	IRS element (for citing)
Total Book Value Other Assets	37970576	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Accrued Pension Liability	$51,753,295
Deferred Compensation Liability	$4,097,924

Field	Value	IRS element (for citing)
Total Of Amounts	55851219	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	316326222	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	22744925	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	0	DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants	0	RecoveriesOfPriorYearGrants
Other Revenues	-29567362	OtherRevenues
Revenue Not Rptd F990	-6822437	RevenueNotRptdF990
Revenue Subtotal	323148659	RevenueSubtotal
Investment Expenses Not Included	578560	InvestmentExpensesNotIncluded
Other Revenues Not Included	91016	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	669576	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	323818235	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	281072950	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	0	DonatedServicesUseOfFacilities
Prior Year Adjustments	0	PriorYearAdjustments
Losses Reported	0	LossesReported
Other Expenses Included	0	OtherExpensesIncluded
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	281072950	ExpensesSubtotal
Investment Expenses Not Included2	578560	InvestmentExpensesNotIncluded2
Other Expenses Not Included	18451901	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	19030461	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	300103411	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchD_P05_S00_L04	Schedule D, Part V, Line 4	Boulder Community Hospital Foundation, a related organization, holds permanent endowment funds. The income earned on these endowment funds is used to support hospital programs for diabetes, cancer, neonatology, heart and surgery center, healthcare scholarships, or for the foundation to direct if the endowment fund does not restrict how the income is to be spent. Temporarily restricted funds held by the Foundation include funds for the new Foothills medical office facilities, cancer center, as well as other hospital programs. Any Unrestricted funds held at the Foundation are for the hospital, but designation is decided by the Foundation board when granting to the hospital.
SchD_P11_S00_L02d	Schedule D, Part XI, Line 2d	Other of -29,327,727 included in audited revenue but not on TR includes Bad Debt Provision of -18,326,057 + Change in Foundation Net Assets of 7,818,322 - Changed in minimum pension liability of 18,768,513 + Tas vs. Book JV income recognition of -16,652 - Other Expenses shown net in FS rev and gross in Tax return of 106,282+ Auxiliary component of Temp Rest Net assets on Audit of 71,455.
SchD_P11_S00_L04b	Schedule D, Part XI, Line 4b	Other 91,016 = Auxiliary revenue reflected in Rev on TR but as restricted donation on Audit.
SchD_P12_S00_L04b	Schedule D, Part XII, Line 4b	Other expenses of 18,451,901 included on TR but not on Audit = Bad Debt provision of 18,326,057 + 106,282 if expenses shown in net revenue on audit + 19,562 of Auxiliary expenses reflected as Restricted Contribution in Audit.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	1	GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Number Of OfficesNumberOfOffices	Number Of EmployeesNumberOfEmployees	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
Sub-Saharan Africa	0	0	Program Services	The hospital is the recipient of a grant from the Department of Health and Human Services via the American International Health Alliance Training Center to help with the development of zonal laboratories in Tanzania, Africa in response to the HIV/AIDS crisis.	141181
Central America and the Caribbean	0	0	Investments	Pasive investments in Cayman Islands have a YE market values of $51,808,855 and incurred management fees of $485,578.	52294433

Field	Value	IRS element (for citing)
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Total Amount Spent	52435614	TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

Field	Value	IRS element (for citing)
Region	Sub-Saharan Africa	Region
Purpose Of Grant	The hospital is the recipient of a grant from the Department of Health and Human Services via the American International Health Alliance Training Center to help with the development of zonal laboratories in Tanzania, Africa in response to the HIV/AIDS crisis.	PurposeOfGrant
Amount Of Cash Grant	0	AmountOfCashGrant
Amount Of Non Cash Assistance	141181	AmountOfNonCashAssistance
Description Of Non Cash Assistance	Airfare, in-country expenses for mission, and other expenses such as books, computer supplies which totalled 88,954 and in-kind labor totalling $52,227	DescriptionOfNonCashAssistance
Method Of Valuation	cost	MethodOfValuation

Field	Value	IRS element (for citing)
Total Number Of501c3 Orgs	1	TotalNumberOf501c3Orgs
Total Number Of Other Orgs	0	TotalNumberOfOtherOrgs
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	1	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	SchF_P01_S00_L02	Identifier
Return Reference	Schedule F, Part I, Line 2	ReturnReference
Explanation	The Tanzania, Africa project is subject to American International Health Alliance monthly grant reporting requirements. The project requires work plans to be approved by AIHA, quarterly project reporting, and monthly financial reporting.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	2.5	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	4	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13961889	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3635828	DirectOffsettingRevenue
Net Community Benefit Expense	10326061	NetCommunityBenefitExpense
Percent Of Total Expense	0.036	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23059753	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14546746	DirectOffsettingRevenue
Net Community Benefit Expense	8513007	NetCommunityBenefitExpense
Percent Of Total Expense	0.03	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	37021642	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18182574	DirectOffsettingRevenue
Net Community Benefit Expense	18839068	NetCommunityBenefitExpense
Percent Of Total Expense	0.066	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	391683	TotalCommunityBenefitExpense
Direct Offsetting Revenue	62994	DirectOffsettingRevenue
Net Community Benefit Expense	328689	NetCommunityBenefitExpense
Percent Of Total Expense	0.001	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	292715	TotalCommunityBenefitExpense
Direct Offsetting Revenue	262	DirectOffsettingRevenue
Net Community Benefit Expense	292453	NetCommunityBenefitExpense
Percent Of Total Expense	0.001	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	863665	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	863665	NetCommunityBenefitExpense
Percent Of Total Expense	0.003	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	1548063	TotalCommunityBenefitExpense
Direct Offsetting Revenue	63256	DirectOffsettingRevenue
Net Community Benefit Expense	1484807	NetCommunityBenefitExpense
Percent Of Total Expense	0.005	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	38569705	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18245830	DirectOffsettingRevenue
Net Community Benefit Expense	20323875	NetCommunityBenefitExpense
Percent Of Total Expense	0.071	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	26869	TotalCommunityBuildingExpense
Net Community Building Expense	26869	NetCommunityBuildingExpense
Percent Of Total Expense	0.0	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	2881	TotalCommunityBuildingExpense
Net Community Building Expense	2881	NetCommunityBuildingExpense
Percent Of Total Expense	0	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	121031	TotalCommunityBuildingExpense
Net Community Building Expense	121031	NetCommunityBuildingExpense
Percent Of Total Expense	0.001	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	150781	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	150781	NetCommunityBuildingExpense
Percent Of Total Expense	0.001	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$18,326,057	BadDebtExpenseAmount
Amount Attributable To	1	AmountAttributableTo
Amount Reimbursed By Medicare	44115941	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	59073720	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-14957779	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Boulder Community Musculoskeletal Surgery Center LLC
Outpatient Orthopedic Surgery Center	0.5	0	0.5
Endoscopy Center of the Rockies LLC
Outpatient Endoscopy Center	0.5	0	0.5
Boulder Community Sleep Services LLC
Sleep Lab Services	0.45	0	0.55
Boulder MRI LLC
outpatient MRI center	0.51	0	0.49
Foothills Surgery Center LLC
Ambulatory Surgical Center	0.51	0	0.49

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
Boulder Community Hospital
1	1100 Balsam Avenue	Boulder	CO	80304	X	X	X	Rehab DPU, Psych DPU
Boulder Community Foothills Hospital
2	4747 Arapahoe Avenue	Boulder	CO	80303	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Other MethodOtherMethod	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	Other Needs AddressedOtherNeedsAddressed	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
Boulder Community Hospital
1	1	X	X	X	X	X	X	X	X	11	1	1	1	X	X	X	X	X	X	X	X	X	X	X	X	1	0	1	1	250	1	400	1	X	X	X	X	X	1	1	X	X	X	X	X	1	0	X	X	X	X	1	X	0	0
Boulder Community Foothills Hospital
2	1	X	X	X	X	X	X	X	X	11	1	1	1	X	X	X	X	X	X	X	X	X	X	X	X	1	0	1	1	250	1	400	1	X	X	X	X	X	1	1	X	X	X	X	X	1	0	X	X	X	X	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	35	NumberOfOtherFacilities

Other Facilities OtherFacilities (35 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
Community Medical Center
1000 W South Boulder Road	Lafayette	CO	80026	Urgent-care center
Mapleton Center
311 Mapleton Ave	Boulder	CO	80304	Outpatient clinic for rehabilitation, sports medicine, outpatient mental health and homecare.
BCH at Bouolder Medical Center
2750 Broadway	Boulder	CO	80304	laboratory and imaging services
Boulder Community Musculoskeletal Surgery LLC
1136 Alpine Avenue	Boulder	CO	80304	Ambulatory Surgical Center
BCH Cyberknife Services
905 Alpine	Boulder	CO	80304	outpatient cyberknife services
Endoscopy Center of the Rockies in Lafayette
1000 W South Boulder Road	Lafayette	CO	80026	Endoscopic Ambulatory Surgery Center	Suite 202
Endoscopy Center of the Rockies in Boulder
1755 48th Street	Boulder	CO	80303	Endoscopic Ambulatory Surgical Center	Suite 110
Endoscopy Cener of the Rockies in Longmont
1551 Professional Lane	Longmont	CO	80501	Endoscopic Ambulatory Surgical Center	Suite 295
Family Medical Associates
1000 W South Boulder Rd	Lafayette	CO	80026	Physician clinic	Suite 110
Table Mesa Family Medicine
1755 48th St	Boulder	CO	80303	Physician clinic	Suite 200
Boulder Community Hospital Occupational Medicine
4745 Arapahoe Ave	Boulder	CO	80303	Occupational medicine clinic	Suite G40
Gunbarrel Medical Center
6685 Gunpark Drive	Boulder	CO	80301	Physician clinic	Suite 110
Internal Medicine Associates
1155 Alpine	Boulder	CO	80304	Physician clinic	Unite 360
Internal Medical Associates Foothills
4745 Arapahoe Ave	Boulder	CO	80303	Physician clinic	Unit G50
Beacon Clinic
1136 Alpine Ave	Boulder	CO	80304	Infectious Disease Clinic	Suite 205
Boulder Community Sleep Services LLC
1000 Alpine Ave	Boulder	CO	80304	Sleep study center	Suite 201
Boulder Community Sleep Services LLC
13654 Xavier Lane	Broomfield	CO	80020	Sleep study center	Suite 210A
Internal Medical Associates of Lafayette
100 W South Boulder Rd	Lafayette	CO	80026	Physician clinic	Suite 214
Sports Medicine East
400 S McCaslin Blvd	Louisville	CO	80027	Sports medicine clinic
Foothills Gynecology
4745 Arapahoe	Boulder	CO	80303	Physician clinic	Suite G50
Buffalo Ridge Medical Center
16677 Lowell Blvd	Broomfield	CO	80023	Physician clinic
Center for Integrative Care
4715 Arapahoe	Boulder	CO	80303	Outpatient integrative care for cancer patients	Unit 100
Broomfield Imaging
36 Garden Center	Broomfield	CO	80020	Laboratory and imaging services
Boulder Gynecology and Minimally Invasive Surgery
4800 Riverbend Road	Boulder	CO	80301	Physician clinic	Suite 200
IMA at Balfour Clinic
1336 Hecla Drive	Louisville	CO	80027	physician clinic
Community Medical Associates of Lafayette
401 E Cleveland Street	Lafayette	CO	80026	Physician clinic
Frontier Internal Medicine
2101 Ken Pratt Blvd	Longmont	CO	80501	Physician clinic	Ste 104
Holistic Family Practice
1155 Alpine Avenue	Boulder	CO	80304	Physician clinic	Suite 360
Northwest Family Medicine
500 Discovery Parkway	Superior	CO	80027	Physician clinic	Suite 150
Rocky Mountain Cardiology Boulder
2505 4th Street	Boulder	CO	80304	Physician clinic
Rocky Mountain Cardiology Broomfield
16677 Lowell Blvd	Broomfield	CO	800238053	Physician clinic
Rocky Mountain Cardiology Lafayette
1000 W South boulder Road	Lafayette	CO	800262089	Physician clinic	Suite 216
Rocky Mountain Cardilogy Longmont
2101 Ken Pratt Blvd	Longmont	CO	805016568	Physician clinic	Suite 104
Colorado Cardiovascular Center
3000 Center Green Drive	Boulder	CO	80301	Physician clinic	Suite 120
Spruce Street Internal Medicine
2575 Spruce Street	Boulder	CO	80302	Physician clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchH_P01_S00_L07	Schedule H, Part I, Line 7	Ratio of Patient Care Costs to Patient Care Charges
SchH_P01_S00_L072f	Schedule H, Part I, Line 7, Column f	$18,326,057
SchH_P02_S00_L00	Schedule H, Part II	Community Support Activities include diaster readiness training in conjunction with numerous local agencies (fire, police, sheriff, other counties, other hospitals) to ensure coordinated and effective response to a disaster. Coalition building includes the hospitals participation in the development of the Colorado Regional Health Information Organization (CORHIO) and Boulder County Health Information Exchange (BCHIE)-both are electronic health exchanges aimed at promoting effective and efficient health care delivery as well as information for community health assessments. Workforce development includes physician recruitment for physicians not employed by the hospital-Boulder is a Medically Underserved Area for low income and Medicare.
SchH_P03_S0A_L04	Schedule H, Part III, Section A, Line 4	1. The amount reported on Line 2 as bad debt is the actual balance on account written off to bad debt. It is not reduced to cost, since our system does not track what is a gross charge write-off versus what is a patient responsibility write -off after insurance and insurance discounts have been recognized, 2. The hospital does not have a mechanism to reasonably estimate the amount bad debt cost that would reasonably relate to patients who would qualify for financial assistance under the hospital's financial assistance policy, but for whom sufficient information was not obtained to make a determination of their eligibility. However, surely there are significant bad debts that would qualify for charity if the information were known. 3. See 2. 4. F/N 2 Summary of Significant Accounting Policies (f) Patient Accounts Receivable Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital 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 Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which third-party payer has not yet paid, or for payers 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 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 Hospital's allowance for doubtful accounts for self-pay patients increased from 105% of self-pay accounts receivable at December 31, 2011, to 112% of self-pay accounts receivable at December 31, 2012. The allowance includes a reserve for deductible and copayments classified within insured accounts receivable at year end. In addition, the Hospital's write-offs decreased approximately $799,000 from approximately $21,002,000 for the year ended December 31, 2011, to approximately $20,223,000 for the year ended December 31, 2012. The decrease in bad debt write-offs results from a focused effort to identify patients eligible for charity care and an expansion of the Hospital's prompt pay discount program.
SchH_P03_S0B_L08	Schedule H, Part III, Section B, Line 8	100% and more of Line 7 Medicare shortfall should be treated as community benefit. Boulder County has a demonstrated community need for physicians who accept Medicare. (Many physician providers do not.) The hospital not only serves the Medicare population for hospital services, it also employs numerous primary care, internal medicine and cardiology providers who accept Medicare in order to provide our community with adequate coverage. The Cost Report shortfall reported on Line 7 excludes Medicare HMO enrollee shortfalls, excludes shortfalls from ancillary procedures which are paid by fee schedule and are therefore not included in the Cost Report, and excludes the shortfall related to employed physicians serving the Medicare population. The hospitals total Medicare shortfall, including these programs, is actually $24,648,128.
SchH_P03_S0C_L09b	Schedule H, Part III, Section C, Line 9b	The hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the hospital's charity program (WeCare). Financial arrangements with Emergency Room patients are not discussed until the patient has been assessed and treated in accordance with EMTALA. The hospital's debt collection policy contains a Communications section addressing courtesy, confidentiality, cultural sensitivity, and primary language of a patient. It contains a section on Billing and Collection Practices which addresses when an account will be referred to a licensed collection agency and that those agencies will treat all patients with dignity, compassion and respect, as well as adhering to Colorado State Laws and the Fair Debt Collection Act. Patients may apply/reapply for financial assistance before, during or after care, or after collection agency assignment.
SchH_P05_S0B_L04	Schedule H, Part V, Section B, Line 4	The Community Health Needs Assessment includes both the Boulder Community Hospital and the Boulder Community Foothills Hospital.
SchH_P05_S0B_L05	Schedule H, Part V, Section B, Line 5	The Community Health Needs Assessment was reviewed and endorsed by the BCH Board of Directors at its meeting on February 22, 2011.
SchH_P05_S0B_L06	Schedule H, Part V, Section B, Line 6	BCH STRATEGIES FOR ADDRESSING COMMUNITY HEALTH NEEDS 2011-2013 As a result of the research and recommendations that appear in this assessment report and further dialog with the BCH Board of Directors and medical staff, the following four strategies will guide BCH leadership in addressing our community's health needs over the next three years: 1. STRENGTHEN PARTNERSHIPS WITH KEY COMMUNITY HEALTH PROVIDERS BCH will focus on strengthening institutional relationships with the following local organizations, developing collaborative efforts to improve health care within the Boulder Valley. Partnerships may include joint funding of initiatives, direct support funding, providing leadership to governing boards, information sharing and other possible cooperative ventures. While this listing includes many major community health providers in the Boulder Valley, it is not meant to be exhaustive and other organizations that address community health needs identified in this assessment may be added. According to our assessment, these agencies directly address identified community health needs and serve the populations in most need within the BCH service area: Boulder County Public Health Department Boulder Shelter for the Homeless Boulder Valley Women's Health Center Clinica Campensina Family Health Services/People's Clinic Dental Aid Intercambio de Communidades Mental Health Partners (The Mental Health Center Serving Boulder & Broomfield Counties) St. Benedict Health & Healing Ministry 2. EXPAND PRIMARY CARE ACCESS BCH intends to continue to increase the number of primary care providers within the hospital's service area. All BCH-owned clinics are accessible to patients with Medicare and many accept Medicaid. Through our collaborative relationship with Clinica/Peoples Clinic, we are committed to improving patient access to primary care providers regardless of a patient's medical insurance status. 10 Recognizing the Boulder area population is both aging and expanding to the east and south of Boulder proper, BCH has embarked upon an aggressive $125 million, 10-year transitional facilities plan that will expand and improve access to hospital facilities and clinics throughout the decade ahead. 3. PREVENTATIVE CARE FOCUS In 2011, BCH initiated a Certified Diabetes Educator program in the hospital's nine primary care clinics located throughout the Boulder Valley. Each clinic will identify patients with diabetes and afford them enhanced opportunities for one-on- one counseling, chronic disease management education and peer coaching. In addition, this clinic-wide initiative will identify and interview patients with pre- diabetic symptoms and offer patient education and, support and counseling to mitigate future impacts. Using the Diabetes Educator initiative as a model, BCH will consider similar strategies in future years that address other chronic diseases (asthma, hypertension, heart disease and depression) impacting Boulder Valley residents. BCH is an active partner in the Boulder Valley Care Network, a unique and innovative joint community effort of area hospitals and clinics assisting employees and families of the Boulder Valley School District (one of the area's larger employers) in improving preventative care and managing chronic diseases. A significant aspect of the Hospital Transition Plan described above is the development of a state-of-the art Heart Center on the Foothills campus, slated to open in 2014. The Hospital is aggressively striving for preeminence in cardiac care by directly addressing the chronic heart disease and hypertension. In 2011, BCH began providing Electroconvulsive Therapy (ECT), a treatment for certain mental disorders, most notably severe depression. In bringing this medical service to the community, allowances were made to treat selective Medicare, Medicaid and uninsured patients. 4. HEALTH INFORMATON EXCHANGE & INTEGRATED CARE BCH is an active leader and collaborator in the Colorado Regional Health Information Organization and will be the first hospital in the state to submit data to this health information exchange. This information exchange will help integrate care throughout the county by enabling all health care providers to have access to the medical information placed on the electronic system. At least 300 physicians and the four hospitals in the county will be involved in this record sharing project. Having ready access to extensive patient medical records will improve the quality and efficiency of care, enhance patient safety and assist health care providers and public health officials in identifying health needs and developing future initiatives to address those needs. 11 BCH has recently initiated a program in the Emergency Department (ED) designed to improve discharge planning and transitional care. A Registered Nurse will act as a Case Manager in the ED and will work directly with indigent and homeless patients, performing needs assessments and arranging for a primary care provider to continue the patient's treatment plan following release from the Emergency Department. BCH Social Workers will also be involved in this effort. Similarily, BCH is an active partner in the recently created Boulder County Respite Program designed to improve discharge planning and transitional care for homeless patients. Beginning in 2011, BCH has assumed full responsibility for its Hospitalists Program. The group's new Director comes to BCH from Denver Health and has extensive leadership experience in discharge planning for needy and underserved patients. BCH will be a collaborative leader in promoting increased cooperation and coordination among area health care providers to improve discharge planning and coordinated care. Endorsed by BCH Board of Directors February 22, 2011
SchH_P05_S0B_L20	Schedule H, Part V, Section B, Line 20	All patients without insurance are eligible for a 60% prompt pay discount if payment made at time or service (or within 72 hours following discharge for emergencies) or a 50% discount if paid within 30 days for medically urgent, emergency, prenatal, and obstetric services. Those patients who qualify for financial assistance receive a discount rate that exceeds the lowest negotiated commercial discount rate.
SchH_P06_S00_L02	Schedule H, Part VI, Line 2	The hospital collaborated with the Boulder County Public Health Department, the Community Foundation Serving Boulder County and over 50 other community organizations who participated in community health focus groups to prepare a Community Health Needs Assessment. The report was issued February 22, 2011. In 2010 a comprehensive facilities study was performed to evaluate each of the existing hospital campuses and determine the most efficient and effective methods of delivering the safest, highest quality and efficient health care. The Hospital's Board Planning Committee uses the Community Health Needs Assessment, the Comprehensive Facilities study, as well as market and demographic studies to ensure the Hospital meets the future health care needs of our community. The Hospital is embarking on a 10 year transitional strategy to consolidate health care delivery in order to meet the needs of the community in a safe and sustainable manner.
SchH_P06_S00_L03	Schedule H, Part VI, Line 3	The Hospital employs financial counselors to assist patients in determining eligibility for Medicaid, Colorado Indigent Care Program (CICP), or the Hospital's charity program (WeCare). The hospital employs Spanish speaking financial counselors and would utilize interpreter services for other languages. Financial Assistance programs are referenced in patient discharge information, billing statements, and on the hospital's web site.
SchH_P06_S00_L04	Schedule H, Part VI, Line 4	The Corporation provides comprehensive health services to a diverse population of more than 300,000 people who reside in Boulder County and an adjacent portion of the City and County of Broomfield. The Corporation has refined delineation of its primary and secondary service areas based on its market share by zip code. The primary service area includes the Cities of Boulder, Lafayette (approximately 15 miles east of the Broadway Campus and 11 miles southeast of the Foothills Campus), and Louisville (approximately 11 miles southeast of the Broadway Campus) as well as the western portion of the City and County of Broomfield. The secondary service area encompasses the rest of Boulder County, including the City of Longmont, which is approximately 15 miles northeast of the Broadway Campus. According to the Community Foundation's Boulder County Trends report published in 2009, the Boulder community enjoys good health which appears to be related directly to the community's higher-than-average education and economic levels. However, the Foundation Trends Report estimates that 15% to 20% of adults in Boulder County are without health insurance and a disproportionate number of the uninsured are Latino. The community's teen fertility rate is low compared to state and national benchmarks, but 70% of teen mothers are Latina and Latinas also lag in receiving prenatal care. The Trends study states that Boulder County children are generally rather fortunate, since 91% of the estimated 69,000 children under age 18 have access to health insurance. However, just 45% of Boulder County residents report having dental insurance coverage
SchH_P06_S00_L05	Schedule H, Part VI, Line 5	The Hospital is governed by a volunteer community board. The Hospital has an open medical staff. All surplus funds are reinvested in the hospital to fund charity, subsidize under performing health programs, develop new health programs, or as an investment in plant, equipment and technology.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (4 entries)

Business Name Line2RecipientNameBusiness/BusinessNameLine2	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Purpose Of GrantPurposeOfGrant	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Boulder County Fire Fighters Assoc
Sunshine Fire Protection District	311 County Road 83	Boulder	CO	80302	846000600	501 (c) 3	24000	0	FMV	support for local fire association
Boulder Valley Women's Health Center
	2855 Valmont Rd	Boulder	CO	803011374	840645786	501 (c) 3	22500		FMV	to wupport women's health
Mental Health Partners Foundation
	1333 Iris Avenue	Boulder	CO	80304	840520493	501(c)3	15000		FMV	Support for non-profit mental health center serving Boulder and Broomfield counties.
Boulder Valley School District
	6500 E Arapahoe	Boulder	CO	80303	846014683	501(c)3		66967	Cost	Support high school athletics and help to reduce injuries to student athletes.	Provide athletic trainer to school district

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Healthcare educational scholarships	24	38550	cost
Assistance fund for IP rehab patients used to support patient and family with living and medical expenses.	12	10527	cost
Assistance with chemotherapy treatment expenses, mammography expenses and other cancer related expenses.	15	14053	cost
Charity drugs given after discharge	53			12703	Pharmaceutical prescriptions filled at cost for patients dicharged with inability to pay.
Transportation and housing for indigent patients	363	7177	cost

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SchI_P01_S00_L02	Identifier
Return Reference	Schedule I, Part I, Line 2	ReturnReference
Explanation	Grants are only made to non profit agencies supporting our local community with health and welfare services. Grants in excess of $10,000 are specifically approved by the hospital board of directors during the budget process. The CEO has a discretionary budget allocation for which he may approve disbursements less than $10,000. Monitoring of grants over $10,000 is done by having representation on their non profit board. Scholarship applications for healthcare education are reviewed by a committee, and payments are sent directly to the schools on the student's behalf with a letter indicating the money should be returned to the hospital if the student does not register.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Written Policy Re T And E Expenses	0	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
David Gehant
Exec Director/CEO	854360	0	0	0	39500	0	17836	0	22993	0	934689	0	0
Paul Kenneth Lewis Jr
VP & Chief Medical Officer	289559	0	64394	0	39500	0	81216	0	22297	0	496966	0	0
William A Munson Jr
VP & CFO	253139	0	33050	0	34000	0	56579	0	27040	0	403808	0	0
Jacqueline M Attlesey-Pries
VP & Chief Nursing Officer	206759	0	13093	0	17068	0	47905	0	23168	0	307993	0	0
Sarah E Meshak
VP & General Counsel	179407	0	39092	0	16500	0	52985	0	4718	0	292702	0	0
James Peters
VP	159576	0	26890	0	39500	0	39985	0	23229	0	289180	0	0
Linda S Minghella
VP & Chief Information Officer	164925	0	42968	0	23500	0	49526	0	677	0	281596	0	0	0
Ronald Secrist
BCH Foundation President	161114	0	17813	0	22500	0	26198	0	18687	0	246312	0	0	0
Jamie D Jensen
Physician Clinic COO	128698	0	13726	0	17000	0	11248	0	26586	0	197258	0	0	0
Daniel S White
Physician	495183	0	113011	0	20923	0	32411	0	23238	0	684766	0	27651	0
Sameer A Oza
Physician	476714	0	144683	0	34000	0	32710	0	21399	0	709506	0	29017	0
Nelson P Trujillo Jr
Physician	478899	0	123688	0	39500	0	32710	0	21399	0	696196	0	29989	0
John A Schutz
Physician	491255	0	116506	0	18962	0	29858	0	22443	0	679024	0	27651	0
John R McNeil III
Physician	475328	0	110947	0	34000	0	32710	0	23715	0	676700	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchJ_P01_S00_L01a	Schedule J, Part I, Line 1a	The hospital pays for board member companion travel at its annual educational conference. Companion travel is reported as Misc Income on the 1099 of the board member.
SchJ_P01_S00_L01b	Schedule J, Part I, Line 1b	Travel for companions is only reimbursed for board members attending the annual educational conference. Companion travel is reimbursed based upon substantiated receipts and is reported as Miscellaneous Income on 1099 of the board member. In all other circumstances, companion travel is not reimbursable by the hospital.
SchJ_P01_S00_L03	Schedule J, Part I, Line 3	The hospital has a Compensation Committee as specified by the bylaws of the hospital (Article V, D). The Compensation Committee is comprised of the Chairman, Vice Chairman, Secretary and a member of the Finance Committee. The committee meets approximately three times per year to review the CEO compensation and approve annual contract changes. Compensation and contract changes are reported to the Board. The Committee engages a consulting firm to provide comparative compensation studies for similarly qualified persons in functionally comparable positions at similarly situated organizations. Compensation study and performance review are considered in developing the compensation decision. Compensation ranges and Benefit changes for Vice President level employees are reviewed and approved by the Compensation Committee if they are outside of hospital wide treatment. Compensation studies are also used for VP level assessment. All Compensation Committee meetings are formally documented through minutes.
SchJ_P01_S00_L04	Schedule J, Part I, Line 4	Ln 4b--The hospital has a nonqualified 457(b) plan in which employee's may defer salary. Participants include: David Gehant ($17,000), Paul Lewis Jr ($17,000), William Munson Jr ($17,000), Jacqueline Attlesey-Pries ($250), Linda Minghella ($1,000), John McNeil ($17,000) , Sameer Oza ($17,000), James Peters ($17,000), John Schutz ($17,000), Nelson Trujillo Jr ($17,000) and Daniel White ($4,577). The hospital contributes to a nonqualified 457(f) plan for the benefit of its executive leadership. Participants include: Paul Lewis Jr, VP & Chief Medical Officer ($63,662 contributed), William Munson Jr, VP & CFO ($39,025 contributed), Sarah Meshak, VP & General Counsel ($38,752 contributed), James Peters, VP ($25,298 contributed), Linda Minghella, VP & CIO ($36,133 contributed), Ron Secrist, Foundation President ($13,226 contributed), and Jacqueline Attlesey-Pries, VP & CNO ($46,822) contributed.
SchJ_P01_S00_L07	Schedule J, Part I, Line 7	The hospital has an Incentive Compensation Plan for Vice Presidents and Directors whereby a percentage of base salary is paid out if goals are met and if authorized by the Board of Directors. For Vice-Presidents, one-third of their incentive is based upon the Hospital meeting at least 85% of its budgeted net operating income before interest expense. One-third VP incentive is based on Safety goals and one-third is based on Performance Goals. The one-third financial goal for Directors is based on meeting their departmental financial targets, as well as a one-third safety goal and a one-third performance goal.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Colorado Health Facilities Authority
A	840752932	19648AVF9	2010-12-01	93535431	Foothills expansion; balance for debt refunding	0	0	0
Colorado Health Facilities Authority
B	840752932	19648AZL2	2012-08-28	31748673	Foothills hospital expansion	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	5645000	0	93752796	0	0	0	1080618	0	0	17618204	67458941	7599154	2014	1	0	0	1
B	0	0	31747587	0	0	0	368228	0	0	0	0	31379359	2014	0	0	0	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	1	1	0	0	0	0	0	0	1
B	0	0	1	1	0	0	0	0	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	1	1	0	1	0	0	0	1
B	0	1	1	0	0	0	0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchK_P01_S00_L00e	Schedule K, Part I, Column e	Part I, Ln A(e) of $93,535,431 is less than Part II Line 3(A) of 93,752,796 by the cumulative trust fund interest income of $217,365. Part I, Ln B(e) of $31,748,673 is greater than Part II Line 3(B) of 31,747,587 by the cumulative trust fund interest income loss of $1,086.
SchK_P02_S00_L03	Schedule K, Part II, Line 3	(A), Line 3 minus Part II (A) Lines 4 through 12 exceeds Part II (A) Line 3 by 4,121 which is the amount transferred into the 2010 Cost of Issuance Bond Trust Account from the close-out of the 2003 Bond Interest Trust Fund.
SchK_P02_S00_L11	Schedule K, Part II, Line 11	Line 11 (A) Other Spent Proceeds includes $14,546,298 to refund Series 1994B, $26,456,321 to refund Series 2003A and $26,456,321 to refund Series 2003B.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Boulder Valley Pulmonology PC
Dr. Randal Bjerke is a member of Boulder Valley Pulmonology PC	238527	Boulder Valley Pulmonology PC was paid $238,527 in 2012 for the provision of intensivist coverage for the ICU.	0
Boulder Medical Center PC (BMC)
Dr. Fries is a board member of the hospital, a board member of BMC, and a pediatrician with BMC.	323521	The hospital paid Dr. Fries $2,400 as a Pediatric Rehab Medical DirecThe hospital paid BMC $303,521 under a lab and imaging space lease agreement. The hospital has an agreement with BMC to provide on-site lab and imaging services to BMC patients. All lab and imaging charges are billed directly to patients and third party insurances by the hospital. The hospital loaned BMC $20,000 for the recruitment of a urologoist; this loan will be forgiven as long as the urologist serves the community for 14 months.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0B_L11b	Form 990, Part VI, Section B, Line 11b	Form 990 is prepared by the Controller based upon audited financial statements. The 990 is reviewed by the nonprofit tax manager of our external audit firm, by the CEO, CFO, VP & General Counsel, Compliance Officer, and the Audit Committee of the Board of Directors. Final copies are provided to each voting Board member electronically before filing with the IRS.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	The hospital has a Conflict of Interest policy for staff, a Conflict of Interest policy for Board Members, and a Conflict of Interest disclosure form for physicians serving on committees. Board members complete an annual Statement of Interest form which discloses employment, family member employment, business relationships, service on other Boards or governance positions and identifies other conflicts of interest. The Statement of Interest also identifies transactions requiring disclosure.
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	The hospital has a Compensation Committee as specified by the bylaws of the hospital (Article V, D). The Compensation Committee is comprised of the Chairman, Vice Chairman, Secretary and a member of the Finance Committee. The committee meets approximately three times per year to review the CEO compensation and approve annual contract changes. Compensation and contract changes are reported to the Board. The Committee engages a consulting firm to provide comparative compensation studies for similarly qualified persons in functionally comparable positions at similarly situated organizations. Compensation study and performance review are considered in developing the compensation decision. Compensation ranges and Benefit changes for Vice President level employees are reviewed and approved by the Compensation Committee if they are outside of hospital wide treatment. Compensation studies are also used for VP level assessment. All Compensation Committee meetings are formally documented through minutes.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	The hospital's web site is www.bch.org. The web site includes the hospital's Mission, Vision and Beliefs Statement. It also includes the Annual Report which contains the hospital Board members, key financial data, and information on new programs, patient safety and quality, and community benefits. The web site also has a section for Compliance policies including the Code of Conduct and Conflict of Interest. Annual audited financial statements are made available to the public at the Annual Meeting of The Community Hospital Association. The tax return is made available to anyone who requests the return through our Public Information Office.
F990_P11_S00_L09	Form 990, Part XI, Line 9	Other Change in Net Assets of -11,189,826 = Change in Foundation Assets of 7,818,322 plus Charge for Minimum Pension Liability of -18,768,513 plus charge for amortization of ineffective loss on swap of -239,635.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Boulder Community Hospital Foundation	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1155 Alpine Avenue	AddressLine1
Address Line2	Suite G40	AddressLine2
City	Boulder	City
State	CO	State
ZIP Code	80304	ZIPCode

Field	Value	IRS element (for citing)
EIN	840772664	EIN
Primary Activities	Fundraising for hosp	PrimaryActivities
Legal Domicile State	CO	LegalDomicileState
Exempt Code Section	509(c)3	ExemptCodeSection
Public Charity Status	509(a)3	PublicCharityStatus
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Controlled Org	0	ControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Address Line2AddressUS/AddressLine2	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Boulder Community Musculoskeletal Surgery Center LLC
1136 Alpine Avenue	Boulder	CO	80304	201391702	Outpatient surgery center	CO	N/A	Related	1707668	1187801	0	$0	0	0.5
Endoscopy Center of the Rockies LLC
382 S Arthur Ave	Louisville	CO	80027	841562782	Outpatient Endoscopy	CO	N/A	Related	4252842	1040565	0	$0	0	0.5	Ste 140
Boulder Community Sleep Services LLC
1100 Balsam Ave	Boulder	CO	80304	262429064	Sleep Lab Services	CO	N/A	Related	161686	25568	0	$0	1	0.45
Boulder MRI LLC
1000 W South Boulder Road	Lafayette	CO	80026	452676500	outpaient MRI center	CO		Related	-286222	830101	0	$0	0	0.51	Suite 105	The Community Hospital Association dba Boulder Community Hospital
Foothills Surgery Center LLC
4743 Arapahoe Avenue	Boulder	CO	80303	455328252	Ambulatory Surgical Center	CO	N/A	Related	-10957	544438	0	$0	0	0.51	Suite 101

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Boulder Community Musculoskeletal Surgery Center LLC
j	693585	Lease Agreement
Boulder Community Musculoskeletal Surgery Center LLC
q	64295	Recap of Expenditures reimburesed per contract
Boulder Community Sleep Services LLC
q	487982	Contract for services
Boulder Community Sleep Services LLC
m	995200	Contract for Services
Boulder MRI LLC
b	163508	K-1
Foothills Surgery Center LLC
b	555395	K-1
Boulder Community Musculoskeletal Surgery Center LLC
c	1750000	Capital Distribution checks
Endoscopy Center of the Rockies LLC
c	4350000	Capital distribution checks received.
Boulder Community Sleep Services LLC
c	165167	Capital distribution checks received.
Boulder MRI LLC
c	255000	Capital distribution checks received.
Boulder MRI LLC
d	1338750	Loan Guaranty document

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	Notice CP211A approved our extension request to November 15, 2013. The September 2013 flood in Boulder county resulted in declaration as a federal disaster area. Automatic tax filing extensions for return deadlines between September 11 through December 2, 2013 have been postponed to December 2, 2013.	Explanation