STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

LONGMONT UNITED HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LONGMONT UNITED HOSPITAL (EIN 84-0460697)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-25
IRS object ID
201202999349300430
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-10-25T13:40:06-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN840869721EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EHRHARDT KEEFE STEINER & HOTTMAN PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17979 E TUFTS AVENUE SUITE 400AddressLine1
CityDENVERCity
StateCOState
ZIP Code802372843ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840460697EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMITCHELL C CARSONName
TitleCEOTitle
Phone3036515023Phone
Date Signed2012-10-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCRAIG R CHOUNName
PTINP00173718PTIN
Phone3037409400Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11950 W MOUNTAIN VIEW AVEAddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80501ZIPCode
FieldValueIRS element (for citing)
Gross Receipts184543058GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LUHCARES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1955YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionDEDICATED TO IMPROVING THE HEALTH OF OUR PATIENTS AND THE COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees1416TotalNbrEmployees
Total Nbr Volunteers670TotalNbrVolunteers
Total Gross UBI20713TotalGrossUBI
Net Unrelated Business Txbl Income11288NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year172168ContributionsGrantsPriorYear
Contributions Grants Current Year101194ContributionsGrantsCurrentYear
Program Service Revenue Prior Year172488710ProgramServiceRevenuePriorYear
Program Service Revenue CY174213665ProgramServiceRevenueCY
Investment Income Prior Year1574134InvestmentIncomePriorYear
Investment Income Current Year1829526InvestmentIncomeCurrentYear
Other Revenue Prior Year2481850OtherRevenuePriorYear
Other Revenue Current Year2213619OtherRevenueCurrentYear
Total Revenue Prior Year176716862TotalRevenuePriorYear
Total Revenue Current Year178358004TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year275172GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY252111GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year74225146SalariesEtcPriorYear
Salaries Etc Current Year75173569SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year95001029OtherExpensePriorYear
Other Expenses Current Year98727184OtherExpensesCurrentYear
Total Expenses Prior Year169501347TotalExpensesPriorYear
Total Expenses Current Year174152864TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7215515RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4205140RevenuesLessExpensesCY
Total Assets BOY235688378TotalAssetsBOY
Total Assets EOY234241463TotalAssetsEOY
Total Liabilities BOY121853307TotalLiabilitiesBOY
Total Liabilities EOY116156861TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY113835071NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY118084602NetAssetsOrFundBalancesEOY
Mission DescriptionDEDICATED TO IMPROVING THE HEALTH OF OUR PATIENTS AND COMMUNITIES WE SERVE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense157151633Expense
Grants252111Grants
Revenue174213665Revenue
DescriptionTHE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE, ANDSKILLED NURSING. FOR A COMPLETE ANNUAL REPORT OF LONGMONT UNITEDHOSPITAL SERVICES, MISSION AND COMMUNITY BENEFIT, PLEASE VISIT USAT: HTTP://WWW.LUHCARES.ORG/ABOUT/ANNUALREPORT.ASPXDescription
Total Program Service Expense157151633TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096177NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1416NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DAN GUST
CHAIRPERSON5.00XX000
PATRICIA GILL MD
BOARD MEMBER5.00X2529000
TOM CHAPMAN
ASST. SEC-TREASURER5.00XX000
MARK HINMAN MD
BOARD MEMBER5.00X1500000
RICHARD LYONS
VICE-CHAIRPERSON5.00XX000
MARTIN PLASTER
BOARD MEMBER5.00X000
LEONA STOECKER
SECRETARY5.00XX000
CLAIR VOLK
TREASURER5.00XX000
EDWINA SALAZAR
BOARD MEMBER5.00X000
MIKE KIRKLAND
BOARD MEMBER5.00X000
MITCHELL C CARSON
PRESIDENT / CEO40.00XX5100230112542
NEIL BERTRAND
CFO40.00X299449079390
CAROL SMITH
VP LEGAL/REGULATORY AFFAIRS40.00214746055753X
FABIO PIVETTA
MILESTONE PHYSICIAN40.00205485019100X
REBECCA HERMAN
VP CLINICAL SUPPORT SERVICES40.00178439040334X
MATTHEW BRETT
MILESTONE PHYSICIAN40.00172380018272X
NANCY DRISCOLL
VP PATIENT CARE SERVICES40.00172227045679X
WARREN LAUGHLIN
VP HUMAN RESOURCES40.00170232045120X
HOLLY SPITZER
CLINICAL PHARMACIST39.0015885208388X
SHARON ROMINGER
CHIEF NURSING OFFICER30.00154176018127X
KATHERINE WALKER
MILESTONE PHYSICIAN40.0015275108541X
JOHN PETERSON
VP INFORMATION SERVICES40.00150400042421X
JOHN IVES
DIRECTOR PHARMACY40.00149941012474X
DANIEL FRANK
CONTROLLER40.00145835033526X
CORIN SCHROCK
MANAGER NURSING SHIFT57.00142906018121X
MAUREEN BEAVIN
SPVR PHARMACY OPERATIONS39.40142474013990X
LAURA STAISIUNAS
MEDICATION SAFETY PHARMACIST41.6013809408592X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3298700TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation580370TotalOtherCompensation
Number Individuals GT100 K47NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
COMPHEALTH
PO BOX 972651DALLASTX753972651MEDICAL771070
THE CHILDREN'S HOSPITAL
13123 EAST 16TH AVENUEAURORACO80045MEDICAL759768
MAYO MEDICAL LABORATORIES
PO BOX 9146MINNEAPOLISMN554809146MEDICAL726164
LONGMONT HOSPITALIST'S GROUP
PO BOX 17004DENVERCO802170004MEDICAL591846
LONGMONT CLINIC
1925 MOUNTAIN VIEW AVENUELONGMONTCO80501MEDICAL581561
FieldValueIRS element (for citing)
Number Of Contractors GT100 K25NumberOfContractorsGT100K
Fundraising Events72564FundraisingEvents
Related Organizations28630RelatedOrganizations
Total Contributions101194TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUE621990173592674173592674
HEALTH CTR THERAPY621990424538424538
HEALTH & WELLNESS CTR621990196453196453
FieldValueIRS element (for citing)
Total Program Service Revenue174213665TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1715132TotalRevenueColumn
Exclusion$1,715,132ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1653790Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1133589Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real520201Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column520201TotalRevenueColumn
Related Or Exempt Function Income520201RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4574890Securities
Other559524Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4505643Securities
Other514377Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities69247Securities
Other45147Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column114394TotalRevenueColumn
Exclusion$114,394ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events9540GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events72564CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses31445FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-21905TotalRevenueColumn
Exclusion-$21,905ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA722210682755$682,755
INC FROM RELATED ORGS621990445211$445,211
UBIT FROM K-15415192071320713

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column566644TotalRevenueColumn
Exclusion$566,644ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1715323TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column178358004TotalRevenueColumn
Related Or Exempt Function Income174733866RelatedOrExemptFunctionIncome
Unrelated Business Revenue20713UnrelatedBusinessRevenue
Exclusion$3,502,231ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total252111Total
Program Services252111ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3073116Total
Program Services1393042ProgramServices
Management And General1680074ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total59063360Total
Program Services54053684ProgramServices
Management And General5009676ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total428329Total
Program Services380454ProgramServices
Management And General47875ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8304887Total
Program Services7467573ProgramServices
Management And General837314ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4303877Total
Program Services3822800ProgramServices
Management And General481077ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total113013Total
Management And General113013ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total88111Total
Management And General88111ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total383026Total
Program Services359390ProgramServices
Management And General23636ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total659298Total
Program Services430ProgramServices
Management And General658868ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6093098Total
Program Services5426191ProgramServices
Management And General666907ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2509022Total
Program Services1831154ProgramServices
Management And General677868ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1839703Total
Management And General1839703ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total224001Total
Program Services201339ProgramServices
Management And General22662ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4676766Total
Program Services4006196ProgramServices
Management And General670570ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10401238Total
Program Services9198558ProgramServices
Management And General1202680ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1339365Total
Management And General1339365ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES2898420128157439826762
BAD DEBT1586973915869739
PURCHASED SERVICES65228175930648592169
PHYSICIAN FEES62959486295948

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12727838Total
Program Services12504937ProgramServices
Management And General222901ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total174152864Total
Program Services157151633ProgramServices
Management And General17001231ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16031707BOY
EOY11554437EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY11072834BOY
EOY8830211EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY336340BOY
EOY424259EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY22594330BOY
EOY20361515EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY279163BOY
EOY261379EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5982881BOY
EOY5249684EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2492425BOY
EOY3239488EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis222322510LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec114284959LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY111485752BOY
EOY108037551EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY56333455BOY
EOY66915361EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9079491BOY
EOY9367578EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY235688378BOY
EOY234241463EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20298091BOY
EOY17394803EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY93751483BOY
EOY90590997EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4611733BOY
EOY4466652EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3192000BOY
EOY3704409EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY121853307BOY
EOY116156861EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY110667952BOY
EOY114806009EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3167119BOY
EOY3278593EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY113835071BOY
EOY118084602EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY235688378BOY
EOY234241463EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4205140ReconcilationRevenueExpenses
Reconcilation Other Changes44391ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$11,377GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB11377TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART IV, SUPPLEMENTAL INFORMATION:Identifier
ExplanationGRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES - PART II-B, LINE 1F PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION FOR LOBBYING EXPENSES: $6,552. PORTION OF DUES PAID TO THE COLORADO HOSPITAL ASSOCIATION FOR LOBBYING EXPENSES: $4,825.Explanation

Schedule D IRS990ScheduleD

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis142554386OtherCostOrOtherBasis
Depreciation60696992Depreciation
Book Value81857394BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis70716597OtherCostOrOtherBasis
Depreciation53587967Depreciation
Book Value17128630BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3325211OtherCostOrOtherBasis
Book Value3325211BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings108037551TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionMEDICARE SETTLEMENTDescription
Amount$3,704,409Amount
FieldValueIRS element (for citing)
Total Of Amounts3704409TotalOfAmounts
Total Revenue178358004TotalRevenue
Total Expenses174152864TotalExpenses
Excess Or Deficit For Year4205140ExcessOrDeficitForYear
Net Unrealized GL On Investments-32870NetUnrealizedGLOnInvestments
Other$51,498OtherAmount
Total Adjustments18628TotalAdjustments
Excess Or Deficit Per FS4223768ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt179933147TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-32870NetUnrealizedGainsInvestments
Other Revenues1608013OtherRevenues
Revenue Not Rptd F9901575143RevenueNotRptdF990
Revenue Subtotal178358004RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990178358004TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt175709379TotExpensesEtcAuditedFinclStmt
Other Expenses Included1556515OtherExpensesIncluded
Expenses Not Rptd F9901556515ExpensesNotRptdF990
Expenses Subtotal174152864ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990174152864TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:FIN 48 FOOTNOTE THE HOSPITAL APPLIES A MORE-LIKELY-THAN-NOT MEASUREMENT METHODOLOGY TO REFLECT THE FINANCIAL STATEMENT IMPACT OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AFTER EVALUATING THE TAX POSITIONS TAKEN, NONE ARE CONSIDERED TO BE UNCERTAIN; THEREFORE, NO AMOUNTS HAVE BEEN RECOGNIZED AS OF DECEMBER 31, 2011 AND 2010. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS ARE RECORDED IN THE PERIOD ASSESSED IN SUPPLIES AND OTHER EXPENSES. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF DECEMBER 31, 2011 AND 2010. TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION INCLUDE 2008 THROUGH THE CURRENT PERIOD FOR THE FEDERAL RETURN AND 2007 THROUGH THE CURRENT PERIOD FOR THE COLORADO RETURN.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN INTEREST IN NET ASSETS HELD BY LUHF 97,974. UMB CHANGE IN NET ASSETS -25,763. UNRELATED BUSINESS INCOME FROM K-1 -20,713. TOTAL TO SCHEDULE D, PART XI, LINE 8: 51,498.
PART XII, LINE 2D - OTHER ADJUSTMENTS:UMB REVENUE 410,865. RENTAL EXPENSES 1,133,589. FUNDRAISING EVENT EXPENSES 31,445. CHANGE IN INTEREST IN NET ASSETS HELD BY LUHF 97,974. GAIN ON SALE OF ASSETS -45,147. UNRELATED BUSINESS INCOME FROM K-1 -20,713.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:UMB TOTAL EXPENSES 436,628. RENTAL EXPENSES 1,133,589. FUNDRAISING EVENT EXPENSES 31,445. GAIN FROM SALE OF ASSETS -45,147.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DINNER DANCENameOfEvent1
Gross Receipts Event182104GrossReceiptsEvent1
Charitable Contributions Event172564CharitableContributionsEvent1
Gross Revenue Event19540GrossRevenueEvent1
Rent Facility Costs Event114383RentFacilityCostsEvent1
Entertainment Event13000EntertainmentEvent1
Other Direct Expenses Event114062OtherDirectExpensesEvent1
Gross Receipts Total82104GrossReceiptsTotal
Charitable Contributions Total72564CharitableContributionsTotal
Gross Revenue Total Events9540GrossRevenueTotalEvents
Rent Facility Costs Total Events14383RentFacilityCostsTotalEvents
Entertainment Total Events3000EntertainmentTotalEvents
Other Direct Expenses Total Events14062OtherDirectExpensesTotalEvents
Direct Expense Summary Events31445DirectExpenseSummaryEvents
Net Income Summary-21905NetIncomeSummary

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense12238000TotalCommunityBenefitExpense
Direct Offsetting Revenue7786000DirectOffsettingRevenue
Net Community Benefit Expense4452000NetCommunityBenefitExpense
Percent Of Total Expense0.02560PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense17292000TotalCommunityBenefitExpense
Direct Offsetting Revenue10182000DirectOffsettingRevenue
Net Community Benefit Expense7110000NetCommunityBenefitExpense
Percent Of Total Expense0.04080PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense29530000TotalCommunityBenefitExpense
Direct Offsetting Revenue17968000DirectOffsettingRevenue
Net Community Benefit Expense11562000NetCommunityBenefitExpense
Percent Of Total Expense0.06640PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense572000TotalCommunityBenefitExpense
Net Community Benefit Expense572000NetCommunityBenefitExpense
Percent Of Total Expense0.00330PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense3213000TotalCommunityBenefitExpense
Net Community Benefit Expense3213000NetCommunityBenefitExpense
Percent Of Total Expense0.01840PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense6289000TotalCommunityBenefitExpense
Net Community Benefit Expense6289000NetCommunityBenefitExpense
Percent Of Total Expense0.03610PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense2000TotalCommunityBenefitExpense
Net Community Benefit Expense2000NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense252000TotalCommunityBenefitExpense
Net Community Benefit Expense252000NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10328000TotalCommunityBenefitExpense
Net Community Benefit Expense10328000NetCommunityBenefitExpense
Percent Of Total Expense0.05920PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense39858000TotalCommunityBenefitExpense
Direct Offsetting Revenue17968000DirectOffsettingRevenue
Net Community Benefit Expense21890000NetCommunityBenefitExpense
Percent Of Total Expense0.12560PercentOfTotalExpense

Economic Development EconomicDevelopment

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

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1000TotalCommunityBuildingExpense
Net Community Building Expense1000NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

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

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense5000TotalCommunityBuildingExpense
Net Community Building Expense5000NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense44000TotalCommunityBuildingExpense
Net Community Building Expense44000NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$4,847,000BadDebtExpenseAmount
Amount Attributable To1500000AmountAttributableTo
Amount Reimbursed By Medicare49742000AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare68779000CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-19037000MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1LONGMONT UNITED HOSPITALBusinessNameLine1

Address Address

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
PART I, LINE 7: CHARITY CARE AT COST IS CALCULATED BY TAKING GROSS CHARITY CARE CHARGES, OFFSETTING THEM BY REVENUES RECEIVED FROM UNCOMPENSATED CARE POOLS, AND THEN MULTIPLYING THAT RESULT BY OUR FACILITY COST/CHARGE RATIO. THE UNREIMBURSED COST OF MEDICAID COMES FROM AN INTERNAL COST ACCOUNTING SYSTEM THAT ADDRESSES ALL PATIENT SEGMENTS.
THE BAD DEBT EXPENSE PER FORM 990 REMOVED FROM THE DENOMINATOR = $15,869,739.PART I, LINE 7, COLUMN F:
PART III, LINE 4: BAD DEBT FOOTNOTE FROM THE AUDITED FINANCIAL STATEMENTS: UNCOLLECTIBLE AMOUNTS FROM PATIENTS WHO DO NOT MEET THE CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY ARE INCLUDED AS OPERATING EXPENSES IN THE PROVISION FOR UNCOLLECTIBLE PATIENT ACCOUNTS.
BAD DEBT EXPENSE AT COST IS CALCULATED BY TAKING TOTAL BAD DEBT EXPENSE AND MULTIPLYING IT BY THE FACILITY COST TO CHARGE RATIO. THAT COST TO CHARGE RATIO IS CALCULATED BY TAKING TOTAL EXPENSES (LESS BAD DEBT) AND DIVIDING BY TOTAL GROSS CHARGES. NO BAD DEBT IS INCLUDED IN OUR COMMUNITY BENEFIT NUMBERS.PART III, LINE 2:COSTING METHODOLOGY USED
HOSPITAL COLLECTION STAFF WERE ASKED FOR THEIR OPINION OF HOW MUCH BAD DEBT WOULD QUALIFY FOR CHARITY HAD THE PATIENTS COMPLETED THE ELIGIBILITY VERIFICATION PROCESS. THIS IS A BEST ESTIMATE - LONGMONT IS NOT ABLE TO FORMALLY CALCULATE THIS AMOUNT.PART III, LINE 3:COSTING METHODOLOGY USED
LONGMONT USES A COST ACCOUNTING SYSTEM TO CALCULATE UNREIMBURSED COSTS OF MEDICAID.PART III, LINE 6:COSTING METHODOLOGY USED
LONGMONT DOES NOT INCLUDE MEDICARE REIMBURSEMENT SHORTFALLS AS PART OF COMMUNITY BENEFIT.PART III, LINE 8:SHORTFALL REPORTED IN PART III, LINE 7
IF A PATIENT IS KNOWN TO QUALIFY FOR CHARITY CARE, THEIR PATIENT LIABILITY IS EITHER WRITTEN OFF OR WRITTEN DOWN TO THE COLORADO INDIGENT CARE PROGRAM (CICP) COPAYMENT SCHEDULE AMOUNT. THIS PRACTICE APPLIES ONLY TO PATIENTS THAT HAVE BEEN VERIFIED AS ELIGIBLE FOR THE HOSPITAL'S CHARITY CARE.PART III, LINE 9B:
PART VI, LINE 2: LONGMONT UNITED HOSPITAL ASSESSES HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES WITH THE FOLLOWING:*GEOGRAPHIC AREA COMMUNITY BENEFIT IS PROVIDED TO COMMUNITIES IN OUR PRIMARY AND SECONDARY SERVICE AREAS. THESE SERVICE AREAS REPRESENT ROUGHLY A 20 MILE RADIUS AROUND THE HOSPITAL AND ENCOMPASS MOUNTAIN TOWNS, SUBURBAN CITIES, AND RURAL PLAINS COMMUNITIES. *FREQUENCY OF ASSESSMENTLONGMONT UNITED HOSPITAL'S MISSION: DEDICATED TO IMPROVING THE HEALTH OF OUR PATIENTS AND COMMUNITIES WE SERVE. THIS ENCOMPASSES ALL ASPECTS OF IMPROVING COMMUNITY AND INDIVIDUAL HEALTHCARE. IT REQUIRES THE BOARD OF DIRECTORS AND LEADERSHIP TO BE ACTIVE IN THE COMMUNITY TO UNDERSTAND AND ASSESS THE CRITICAL NEEDS OF THE COMMUNITY. LEADERSHIP ALSO PRESENTS ANNUALLY TO THE BOARD OF DIRECTORS THE ORGANIZATIONS SUPPORTED FINANCIALLY AND THROUGH INVOLVEMENT OF EMPLOYEES. FUTURE SUPPORT PRIORITIES ARE DISCUSSED AND DETERMINED AT THAT TIME.LEADERSHIP ALSO ASSESSES AS NEEDED FINANCIAL SUPPORT REQUESTS BY COMMUNITY ORGANIZATIONS. PRIORITY CRITERIA FOR APPROVAL ARE SERVICES SUPPORTING ELDERLY OR LOW-INCOME FAMILIES, AS WELL AS, EDUCATION AND WELLNESS. *ASSESSMENT UPDATES ASSESSMENT UPDATES ARE PERFORMED AND PRESENTED ANNUALLY TO THE BOARD OF DIRECTORS FOR REVIEW. *COMMUNITY LEADER INPUTTHE BOARD OF DIRECTORS INCLUDES KEY COMMUNITY LEADERS WHO POSSESS SPECIAL KNOWLEDGE OF THE COMMUNITIES AND POPULATIONS WE SERVE. HOSPITAL LEADERSHIP AND STAFF MEMBERS ALSO SERVE ON SEVERAL KEY BOARDS SUCH AS HOSPICE CARE, UNITED WAY, A WOMEN'S WORK, YMCA, CHAMBERS OF COMMERCE, COMMUNITY FOOD SHARE, ECONOMIC COUNCILS, SALUD FAMILY HEALTH CLINIC, VIA AND THE EDUCATION FOUNDATION. *COMMUNICATION OF COMMUNITY BENEFITINFORMATION ON ORGANIZATIONS SERVED AND FINANCIAL SUPPORT IS REPORTED IN THE HOSPITAL ANNUAL REPORT WHICH IS AVAILABLE ON LINE TO THE COMMUNITY.
PART VI, LINE 3: COMMUNICATION OF COMMUNITY BENEFITLONGMONT HAS FULL-TIME FINANCIAL COUNSELORS THAT ARE AVAILABLE TO PROVIDE GUIDANCE TO ANY PATIENT. THE CONTACT INFORMATION OF SUCH COUNSELORS, INCLUDING PHONE NUMBERS, IS COMMUNICATED VERBALLY TO PATIENTS AND THEIR FAMILIES WHEN THEY ACCESS HOSPITAL SERVICES. THE COUNSELORS DISCUSS GOVERNMENT BENEFITS AND RESOURCES THAT MIGHT BE AVAILABLE WITH PATIENTS WHO HAVE QUESTIONS OR WHO HAVE ASKED FOR MORE INFORMATION, AS WELL AS ASSIST WITH DETERMINING PATIENT ELIGIBILITY OF VARIOUS PROGRAMS. LONGMONT IS WORKING TOWARDS PROVIDING WRITTEN INFORMATION AND BROCHURES IN THE FUTURE. UPON DISCHARGE, LONGMONT PERSONNEL PROVIDE VERBAL COMMUNICATION OF CONTACT INFORMATION AND PHONE NUMBERS OF FINANCIAL COUNSELORS. INVOICES TO PATIENTS INCLUDE A PHONE NUMBER IF THEY HAVE QUESTIONS OR WOULD LIKE ASSISTANCE REGARDING FINANCIAL RESOURCES.
PART VI, LINE 4: THE COMMUNITIES THAT LONGMONT UNITED HOSPITAL SERVES ARE DESCRIBED AS FOLLOWS:*GEOGRAPHIC AREA COMMUNITY BENEFIT IS PROVIDED TO COMMUNITIES IN OUR PRIMARY AND SECONDARY SERVICE AREAS. THESE SERVICE AREAS REPRESENT ROUGHLY A 20 MILE RADIUS AROUND THE HOSPITAL AND ENCOMPASS MOUNTAIN TOWNS, SUBURBAN CITIES, AND RURAL PLAINS COMMUNITIES. LONGMONT UNITED HOSPITAL, A COMMUNITY NON-FOR-PROFIT HOSPITAL, IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA. ZIP CODES80501 LONGMONT PSA80503 LONGMONT PSA80504 LONGMONT PSA80513 BERTHOUD PSA80530 FREDERICK PSA80540 LYONS PSA80520 FIRESTONE (80504) PSA80502 LONGMONT (80501) PSA80533 HYGIENE (80503) PSA80544 NIWOT (80503) PSA80514 DACONO PSA80542 MEAD PSA80516 ERIE PSA80534 JOHNSTOWN SSA80026 LAFAYETTE SSA80651 PLATTEVILLE SSA80621 FORT LUPTON SSA80538 LOVELAND SSA80301 BOULDER SSA80623 PLATTEVILLE (80651) SSA80541 LOVELAND (80537) SSA80537 LOVELAND SSA*DEMOGRAPHIC PROFILE INFORMATION CITY OF LONGMONT/ BOULDER COUNTY = 2010 US CENSUS BOULDER COUNTY: HTTP://QUICKFACTS.CENSUS.GOV/QFD/STATES/08/08013.HTMLLONGMONT: HTTP://WWW.CI.LONGMONT.CO.US/PLANNING/CENSUS/STATISTICS FROM BOULDER COMMUNITY FOUNDATION:BOULDER COUNTY TRENDS REPORT 2011*HEALTH COVERAGE IN BOULDER COUNTY: *RACE: 52% OF LATINOS AND 91% NON-HISPANIC WHITE HAVE HEALTHCARE COVERAGE *AGE: UNDER 18 - 24% (NON- HISPANIC WHITE 3% LATINO 21%), 54% 18-64 54% (1% NON-HISPANIC WHITE 43% LATINO), OVER 64 14% (NON-HISPANIC WHITE 1%, LATINO 14 %) ARE LACKING HEALTH COVERAGE *GENDER: WOMEN 91%, MEN 81% HAVE HEALTHCARE ANNUAL INCOME: 95% $50K+, 81% $25K-50K, 61% <25K HAVE HEALTHCARE *96% OF THE CHILDREN HAVE HEALTH COVERAGE. *2011 EDUCATION IN BOULDER COUNTY *A SIGNIFICANT GAP IN HIGH SCHOOL GRADUATION RATES BETWEEN NON-HISPANIC WHITE AND LATINO STUDENTS EXISTS: 90% VS. 61% IN BOULDER VALLEY SCHOOL DISTRICT (BVSD) AND 84% VS. 56% IN ST. VRAIN VALLEY SCHOOL DISTRICT (SVVSD) *LESS THAN HALF OF LATINO MALES IN THE ST. VRAIN VALLEY SCHOOL DISTRICT GRADUATED IN 2010 (48%) *33% OF SVVSD STUDENTS ARE ON THE FREE OR REDUCED LUNCH PROGRAM, 20% OF BVSD QUALIFY.*ECONOMY IN BOULDER COUNTY *MEDIAN HOUSEHOLD INCOME: $32K LATINO, $67K NON-HISPANIC WHITE *LIVING BELOW BOULDER COUNTY 2009 POVERTY RATES: 23% YOUNG CHILDREN (UNDER 5 YEARS) 32% LATINO CHILDREN (UNDER 5 YEARS) *22% OF THE LATINOS LIVING IN BOULDER COUNTY LIVE BELOW FEDERAL POVERTY LEVEL.*2011 ADULT HEALTH IN BOULDER COUNTY: *DIAGNOSED WITH DIABETES 3% *SMOKER 14% *ASTHMA 11% *OVERWEIGHT, BMI 25 - 29.9 35% *OBESE, BMI>30 14% *ATE FIVE OR MORE SERVINGS OF FRUITS AND VEGETABLES PER DAY 30% *EVER HAD A COLONOSCOPY (AGES 50 AND OVER) 61% *CLINICAL BREAST EXAM AND MAMMOGRAM IN THE PAST 2 YEARS (WOMEN AGES 50 AND OVER) 70% *EVER HAD A PAP SMEAR (WOMEN 18 AND OLDER) 95%*2011 MENTAL HEALTH IN BOULDER COUNTY: FOR HOW MANY DAYS DURING THE PAST 30 DAYS WAS YOUR MENTAL HEALTH NOT GOOD? *1-7 DAYS: GENERAL POPULATION 25%, NON-HISPANIC WHITE 26% LATINO 26% *8+ DAYS: GENERAL POPULATION 10%, NON-HISPANIC WHITE 9%, LATINO 11% *1-7DAYS: <$25K ANNUAL INCOME 22%, $25-50K ANNUAL INCOME 29%, $50+ ANNUAL INCOME 24% *8+ DAYS: <$25K ANNUAL INCOME 19%, $25-50K ANNUAL INCOME 8%, $50+ ANNUAL INCOME 8%*2011 CHILD HEALTH IN BOULDER COUNTY *OVERWEIGHT OR OBESE 18% *3RD GRADERS WITH DENTAL CAVITIES 52% *TEEN SUICIDE (PER 1,000 TEEN) 13 *CHILD ABUSE REPORTS (PER 1,000 CHILDREN) 9.1 *DOMESTIC VIOLENCE IN BOULDER COUNTY: 577 CHILDREN WERE PRESENT AT A FORMALLY REPORTED DOMESTIC VIOLENCE INCIDENT IN 2009, A 15 % INCREASE SINCE 2007. *42% OF ALL 7TH AND 8TH GRADERS REPORT BEING BULLIED IN BOULDER COUNTY. *EMOTIONAL WELLNESS: 25% OF HIGH SCHOOL STUDENTS REPORTED FEELING SAD OR HOPELESS EVERY DAY FOR TWO WEEKS OR MORE TO THE POINT WHERE THEY STOPPED DOING SOME USUAL ACTIVITY. *EARLY INITIATION: FROM 2003 - 2009 THERE IS A DECREASING TREND IN EARLY INITIATION IN ALL AREAS (CIGARETTES, ALCOHOL, MARIJUANA, SEXUAL INTERCOURSE) IN BOULDER COUNTY HIGH SCHOOL YOUTH. *HARASSMENT: OVERALL HARASSMENT REPORTED BY BOULDER COUNTY HIGH SCHOOL YOUTH IS ON A DOWNWARD TREND SINCE 2003. *TEEN PREGNANCY: FROM 2010 TO 2011, 15 % INCREASE IN TEEN PREGNANCY FOR THE LATINA POPULATION IN BOULDER COUNTY. FOR THE GENERAL POPULATION, THERE HAS BEEN A DOWNWARD TREND SINCE 2005.STATISTICS CENTER OF DISEASE CONTROL AND PREVENTION *HEART DISEASE 2009 AGE OVER 35 DEATH RATES PER 100,000: BOULDER COUNTY 263, 3% DECREASE SINCE 2007LARIMER 258, 4% DECREASE SINCE 2007WELD 308, 13% DECREASE SINCE 2007 *CANCER 2008 TOP THREE INCIDENT RATES PER 100,000 IN COPROSTATE 145, 10% DECREASE SINCE 2006FEMALE BREAST 124, 2% INCREASE SINCE 2006LUNG AND BRONCHUS 50, 3% INCREASE SINCE 2006 *DIABETES 2009 ADULTS DIAGNOSED DIABETES: BOULDER COUNTY 4%, 22% INCREASE SINCE 2007LARIMER 5%, 11% INCREASE SINCE 2007WELD 6 %, 9% CHANGE SINCE 2007HTTP://APPS.NCCD.CDC.GOV/DDT_STRS2/COUNTYPREVALENCEDATA.ASPX?STATEID=8&MODE=DBT *ARTHRITIS: 24% OF ADULTS IN CO REPORTED BEING DIAGNOSED WITH ARTHRITIS. NO INCREASE SINCE 2007. *IN CO, 16% OF THE ADULT POPULATION (AGED 18+ YEARS ARE CURRENT CIGARETTE SMOKERS CONTINUING A DOWNWARD TREND SINCE 1996. *21% OF ADULTS IN CO WERE OVERWEIGHT OR OBESE.PROVISIONS FOR UNINSURED *LONGMONT UNITED HOSPITAL PROVIDES A SAFETY NET FOR UNINSURED PERSONS THROUGH THE FOLLOWING: *LONGMONT UNITED HOSPITAL PROVIDES THE HIGHEST PERCENTAGE OF CHARITY CARE IN BOULDER COUNTY. *SUBSIDIZING AND SUPPORTING THE SALUD FAMILY HEALTH CENTERS, A LOW-INCOME PRIMARY HEALTHCARE SERVICE *SUPPORTING BOULDER VALLEY WOMEN'S HEALTH CENTER WHO PROVIDES QUALITY HEALTHCARE AND SERVICES REGARDLESS OF A CLIENT'S INSURED STATUS, ECONOMIC CIRCUMSTANCES OR IMMIGRATION STATUS
PART VI, LINE 5: LONGMONT UNITED HOSPITAL IMPROVES THE HEALTH OF THE COMMUNITY THROUGH SUPPORT OR PARTNERSHIPS IN ACTIVITIES OR ORGANIZATIONS FOCUSED ON BETTER HEALTH FOR EVERYONE IN THE COMMUNITY. LISTED BELOW ARE THE KEY INITIATIVES WITH EXPLANATIONS IN WHICH THE HOSPITAL IS INVOLVED. *HEALTH PROFESSIONALS EDUCATIONDEMANDS FOR NURSES, PHYSICAL THERAPISTS, IMAGING TECHNOLOGISTS, ETC. IN THE FRONT RANGE OF COLORADO CONTINUE TO BE HIGH. COLLEGES AND UNIVERSITIES WORK WITH THE HOSPITAL TO FACILITATE PROGRAMS TO ASSIST INDIVIDUALS IN COMPLETING THE HEALTH CARE CERTIFICATIONS. LONGMONT UNITED HOSPITAL OFFERS ONE-ON-ONE TRAINING THAT IS NEEDED TO BEGIN WORK IN THE HEALTHCARE FIELD. *SENIOR HEALTH EDUCATION AND SERVICESSINCE 1991, LONGMONT UNITED HOSPITAL HAS OFFERED A SENIOR WELLNESS PROGRAM TO EMPOWER THE SENIOR COMMUNITY TO ASSUME RESPONSIBILITY FOR THEIR HEALTH AND WELLNESS BY PROVIDING THE REQUISITE KNOWLEDGE, RESOURCES AND TOOLS TO ACCOMPLISH THAT GOAL. AT THE END OF 2011, THERE WERE 942 MEMBERS (AN INCREASE OF 13%) PARTICIPATING EDUCATION PROGRAMS, HEALTH CLINICS AND LOW-COST LABORATORY SERVICES. *LOW-INCOME PRIMARY HEALTH CARE SERVICESPRIMARY HEALTH CARE SERVICES ARE OFFERED TO IMPROVE ACCESS AND REDUCE BARRIERS TO CARE INCLUDING ABILITY TO PAY, TRANSPORTATION, AND LANGUAGE. ALL SERVICES ARE DESIGNED TO REDUCE HEALTH DISPARITIES AND DELIVERED TO ALL COMMUNITY MEMBERS, WITHOUT REGARD TO AGE, SEX OR DISEASE PROCESS. THE POPULATION SERVED INCLUDES ALL COMMUNITY MEMBERS WITH THE LOW-INCOME AND THE MEDICALLY UNDERSERVED POPULATION AS THE PRIORITY CLIENTELE. THIS INCLUDES THE MIGRANT AND SEASONAL FARM WORKERS POPULATION. PATIENTS ARE NOT TURNED AWAY BASED ON A PATIENT'S FINANCES, INSURANCE COVERAGE, OR ABILITY TO PAY.*LACTATION CONSULTINGQUALIFIED LACTATION SPECIALISTS EDUCATE ON THE BENEFITS OF BREASTFEEDING, HOW THE PROCESS WORKS, PROPER POSITIONING, PREVENTION OF COMMON DIFFICULTIES, AND MANAGING BREASTFEEDING WHEN WORKING OUTSIDE THE HOME. CULTURES EXIST IN OUR COMMUNITIES THAT DO NOT UNDERSTAND THESE BENEFITS OR HAVE TO GO AGAINST PRACTICED BELIEFS IN THEIR COMMUNITY. STUDIES REPEATEDLY PROVE THE INFANT WILL RECEIVE HEALTH BENEFITS BY BREASTFEEDING. *COMMUNITY SUPPORT SERVICES MOBILITY OPTIONS ARE PROVIDED TO ALL PEOPLE, REGARDLESS OF AGE, HEALTH, DISABILITY, INCOME OR ETHNICITY OR SEXUAL ORIENTATION TO ENHANCE THEIR INDEPENDENCE AND QUALITY OF LIFE. IN 2011, THIS INCLUDED 879,433 TRIPS ON THE HOP (PUBLIC TRANSPORTATION), 103,140 TRIPS ON ACCESS-A-RIDE AND 138,492 TRIPS ON CALL-N-RIDE. ONE-WAY DEMAND-RESPONSE TRIPS WERE 126,142, THE MOST IN THE HISTORY OF THE ORGANIZATION WITH 23% OF THESE TRIPS FOR MEDICAL AND THERAPY PURPOSES. *PROMOTION OF LIFESTYLE CHANGES AND PREVENTION ORGANIZATIONS THROUGH OUT COLORADO ARE JOINING TOGETHER TO PROMOTE ACTIVE LIVING AND HEALTHY EATING. THEIR PRIMARY FOCUSES ARE ON ESTABLISHING OBESITY PREVENTION INIATIVES, AS WELL AS, HAVING HEALTHY FOODS AND PHYSICAL ACTIVITY ACCESSIBLE IN PLACES WHERE COLORADANS LIVE, WORK, LEARN AND PLAY. EFFORTS ARE DIRECTED TO WORKING STRATEGICALLY WITH STAKEHOLDERS TO ACHIEVE OVERALL HEALTHY LIVING IN ALL COLORADO COMMUNITIES. *COMMUNITY BUILDING ACTIVITIESMAINTAIN HEALTHY COMMUNITIES THROUGH SUPPORTING THE CREATION AND RETENTION OF JOBS AND INDUSTRIES IN SURROUNDING COMMUNITIES. BUILD A BUSINESS ENVIRONMENT THAT ENCOURAGES NEW INDUSTRY TO THESE COMMUNITIES.
PART VI, LINE 6: NOT APPLICABLE
COLORADOPART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
COLORADO CANCER RESEARCH PROGRAM
2253 SOUTH ONEIDA STDENVERCO80224841090476501(C)(3)18591PROGRAM SUPPORT
FRONT RANGE COMMUNITY COLLEGE
3645 WEST 112TH AVEWESTMINSTERCO80031841311148501(C)(3)25000PROGRAM SUPPORT
SALUD FAMILY HEALTH
203 SOUTH ROLLIE AVEFORT LUPTONCO80621840613590501(C)(3)148720PROGRAM SUPPORT
A WOMAN'S WORK
2204 18TH AVELONGMONTCO80503208078513501(C)(3)7957PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MITCHELL C CARSON
488421000216020001125420622565000
NEIL BERTRAND
2935220005927000793900378839000
CAROL SMITH
2121460002600000557530270499000
FABIO PIVETTA
204546000939000191000224585000
REBECCA HERMAN
1714490006990000403340218773000
MATTHEW BRETT
171531000849000182720190652000
NANCY DRISCOLL
1707160001511000456790217906000
WARREN LAUGHLIN
1687260001506000451200215352000
HOLLY SPITZER
15825300059900083880167240000
SHARON ROMINGER
153700000476016500016270172303000
KATHERINE WALKER
15203800071300085410161292000
JOHN PETERSON
1489260001474000424210192821000
JOHN IVES
149228000713000124740162415000
DANIEL FRANK
1451380006970150000185260179361000
CORIN SCHROCK
142525000381000181210161027000
MAUREEN BEAVIN
141811000663000139900156464000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COLORADO HEALTH FACILITIES AUTHORITY
840752932196474M492003-12-0114915000REFUND SERIES 1993 BONDS000
COLORADO HEALTH FACILITIES AUTHORITY
8407529320000000002006-06-1240000000HOSPITAL CONSTRUCTION & EQUIPMENT000
COLORADO HEALTH FACILITIES AUTHORITY
8407529321964744D92006-06-1248965000REFUND SERIES 1997 & 2000 BONDS000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletion
161323651284251141495107135440111
400000001744000011398256002008
5347060838340864785214118044670111

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000.000000.000000.000001
00000.000000.000000.000001
00000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
100000
100000
100000

Form990 Schedule K Part VI Form990ScheduleKPartVI

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON OF THE BOARD, AS CHAIRPERSON, THE VICE-CHAIRPERSON, THE TREASURER, THE SECRETARY, THE ASSISTANT SECRETARY-TREASURER, AND THE PRESIDENT AND CEO. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS AND OTHER CONFIDENTIAL MATTERS OF THE HOSPITAL DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT ANY ACTION TAKEN SHALL NOT CONFLICT WITH POLICIES AND EXPRESSED WISHES OF THE BOARD OF DIRECTORS, THAT THERE ARE AT LEAST THREE (3) AFFIRMATIVE VOTES TO INITIATE ANY ACTION, AND ALL MATTERS OF MAJOR IMPORTANCE SHOULD BE REFERRED TO THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL REVIEW PROPOSALS AND ADVISE, AS NECESSARY, REGARDING PLANNING AND DEVELOPMENT OF THE HOSPITAL PHYSICAL PLANT, PROGRAMS, AND SERVICES. IT SHALL ALSO BE THE RESPONSIBILITY OF THE EXECUTIVE COMMITTEE TO NOMINATE CANDIDATES FOR OFFICERS AND MEMBERS OF THE BOARD WHEN VACANCIES ARE TO BE FILLED. SUCH NOMINATIONS FOR CANDIDATES SHALL BE SUBMITTED IN WRITING TO THE SECRETARY OF THE BOARD AT LEAST THIRTY (30) DAYS PRIOR TO THE DATE OF THE MEETING AT WHICH CANDIDATES SHALL BE ELECTED. SPECIFICALLY, THIS COMMITTEE SHALL BE RESPONSIBLE FOR THE ANNUAL PERFORMANCE EVALUATION OF THE PRESIDENT AND CEO. THIS COMMITTEE, MINUS THE PRESIDENT AND CEO, WILL ALSO SERVE AS THE EXECUTIVE COMPENSATION COMMITTEE. THIS COMMITTEE SHALL MEET AT LEAST QUARTERLY.
FORM 990, PART VI, SECTION A, LINE 1DR. PATRICIA GILL AND DR. MARK HINMAN ARE COMPENSATED FOR MEDICAL SERVICES PROVIDED TO LONGMONT UNITED HOSPITAL RATHER THAN BOARD MEMBERSHIP.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION ENGAGES A PAID PREPARER EXPERIENCED IN THE PREPARATION OF FORM 990 TO PREPARE THE FORM. ACCOUNTING DEPARTMENT STAFF AND THE CONTROLLER WORK CLOSELY WITH THE PAID PREPARER IN THE PREPARATION OF THE RETURN AND THE CONTROLLER AND CFO REVIEW THE RETURN AS PREPARED BY THE PREPARER. IT IS REVIEWED BY THE AUDIT COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF DIRECTORS BEFORE IT IS FILED. COPIES OF THE FORM 990 ARE PROVIDED TO THE BOARD. THE ORGANIZATION THEN DISCUSSES ANY CHANGES OR ISSUES THAT THE AUDIT COMMITTEE/BOARD MAY HAVE. ONCE QUESTIONS/ISSUES HAVE BEEN ADDRESSED AND THE FORM APPROVED, THE RETURN IS THEN BE FILED.
FORM 990, PART VI, SECTION B, LINE 12CAN ANNUAL CONFLICT OF INTEREST STATEMENT IS DISTRIBUTED AND SIGNED BY ALL MEMBERS OF EXECUTIVE MANAGEMENT AND DEPARTMENT DIRECTORS, AS WELL AS EVERY MEMBER OF THE BOARD OF DIRECTORS. WHEN A CONFLICT IS IDENTIFIED, THAT PERSON MUST RECUSE THEMSELVES FROM ANY DISCUSSION CONCERNING THE CONFLICTING PERSON OR ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15IN 2011, INTEGRATED HEALTHCARE STRATEGIES (IHSTRATEGIES), AN INDEPENDENT COMPENSATION CONSULTANT, PERFORMED A THOROUGH COMPENSATION STUDY. IHSTRATEGIES ANALYZED LONGMONT UNITED HOSPITAL'S (LUH) EXECUTIVE CASH COMPENSATION AND BENEFITS PROGRAM TO ASSESS COMPETITIVENESS, COST-EFFECTIVENESS, TAX-EFFECTIVENESS, AND REASONABLENESS. IHSTRATEGIES BASED ITS COMPARISONS ON COMPETITIVE PRACTICES IN LUH'S PEER GROUP, USING THEIR PROPRIETARY DATABASE AND PUBLISHED SURVEYS. IN 2014, LUH IS PLANNING TO ENGAGE IN ANOTHER THOROUGH COMPENSATION STUDY. IN THE INTERMITTENT YEARS, THE CONSULTANT PROVIDES LIMITED RECOMMENDATIONS ON COMPENSATION RANGES THAT LUH FOLLOWS. IHSTRATEGIES: - COLLECTED AND REVIEWED BACKGROUND INFORMATION FROM LUH, INCLUDING ORGANIZATIONAL DEMOGRAPHICS, JOB DESCRIPTIONS, ORGANIZATION CHARTS, AND CURRENT COMPENSATION DATA - CONDUCTED TELEPHONE CALLS WITH LUH'S CEO AND VICE PRESIDENT, HUMAN RESOURCES TO DISCUSS JOB CONTENT AND SCOPE OF RESPONSIBILITY FOR THE POSITIONS INCLUDED IN THIS REVIEW - MATCHED LUH'S EXECUTIVE POSITIONS WITH SIMILAR BENCHMARK JOBS BASED ON JOB CONTENT, SCOPE OF RESPONSIBILITY, AND REPORTING RELATIONSHIPS - COMPARED EXECUTIVE SALARIES AT LUH TO PEER GROUP SALARY LEVELS - COMPARED EXECUTIVE BENEFIT EXPENDITURES AT LUH TO COMPETITIVE INDUSTRY PRACTICES - COMPARED EXECUTIVE TOTAL COMPENSATION (SALARIES PLUS BENEFITS) AT LUH TO PEER GROUP LEVELS - IHSTRATEGIES PRESENTED THIS INFORMATION TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IN A WRITTEN REPORT. - THE COMPENSATION COMMITTEE REVIEWED AND DISCUSSED THE FINDINGS OF THE COMPENSATION STUDY AND APPROVED THE EXECUTIVE COMPENSATION OF THE KEY EXECUTIVES. THIS DISCUSSION AND DELIBERATION PROCESS WAS DOCUMENTED IN THE COMMITTEE'S MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART X, LINE 28LONGMONT UNITED HOSPITAL FOUNDATION (THE FOUNDATION) WAS FORMED TO PLAN, ORGANIZE, INSTITUTE, AND ADMINISTER PROJECTS THAT PROVIDE PUBLIC SUPPORT FOR THE HOSPITAL. IN THE ABSENCE OF DONOR RESTRICTIONS, THE FOUNDATION'S BOARD OF DIRECTORS HAS DISCRETIONARY CONTROL OVER THE AMOUNTS TO BE DISTRIBUTED TO THE HOSPITAL, THE TIMING OF SUCH DISTRIBUTIONS, AND THE PURPOSES FOR WHICH SUCH FUNDS ARE TO BE USED. TWO MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS SERVE ON THE 14-MEMBER BOARD OF DIRECTORS OF THE FOUNDATION. UNDER U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE HOSPITAL IS DEEMED TO BE A FINANCIALLY INTERRELATED BENEFICIARY OF THE FOUNDATION. THEREFORE, THE NET ASSETS OF THE FOUNDATION HAVE BEEN SHOWN ON THE HOSPITAL'S CONSOLIDATED BALANCE SHEETS AS TOTAL NET ASSETS HELD BY LONGMONT UNITED HOSPITAL FOUNDATION. THE NET ASSETS OWNED BY THE FOUNDATION ARE REFLECTED IN TEMPORARILY RESTRICTED NET ASSETS.TEMPORARILY RESTRICTED NET ASSETS
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -32,870. CHANGE IN INTEREST IN NET ASSETS HELD BY LUHF 97,974. UNRELATED BUSINESS INCOME FROM K-1 -20,713. TOTAL TO FORM 990, PART XI, LINE 5: 44,391.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
LONGMONT UNITED LAND HOLDING LLC
1950 W MOUNTAIN VIEW AVELONGMONTCO80501841554099REAL ESTATECO37974199921LUH
LE DEAUVILLE LLC
1950 W MOUNTAIN VIEW AVELONGMONTCO80501204781464RENTALCO7428655353791LUH
MILESTONE MEDICAL GROUP
1950 W MOUNTAIN VIEW AVELONGMONTCO80501383842918MEDICAL SERVICESCO19713-185646LUH

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
LMC COMM LLC
1950 WEST MOUNTAIN VIEW AVELONGMONTCO80501753081353VOICE & DATACOLULH LLCUNRELATED20713129850$20,71310.50000
TRI-TOWN LLC
1950 WEST MOUNTAIN VIEW AVELONGMONTCO80501331035669OFFICE LEASINGCOLULH LLCRELATED51297150526010.50000
TWIN PEAKS LLC
1950 WEST MOUNTAIN VIEW AVELONGMONTCO80501731656489IMAGINGCOLUHRELATED17841554350010.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11950 WEST MOUNTAIN VIEW AVEAddressLine1
CityLONGMONTCity
StateCOState
ZIP Code80501ZIPCode
FieldValueIRS element (for citing)
EIN841526130EIN
Primary ActivityCONDO ASSOCIATIONPrimaryActivity
Legal Domicile StateCOLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income377092ShareOfTotalIncome
Share Of EOY Assets103393ShareOfEOYAssets
Percentage Ownership0.91780PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

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