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        <Compensation>4299063</Compensation>
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      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>ANESTHESIA SERVICES INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>15797 FORTUNE CT</AddressLine1>
            <City>BRIGHTON</City>
            <State>CO</State>
            <ZIPCode>80601</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ANESTHESIA SERVICES</DescriptionOfServices>
        <Compensation>886660</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SOUNDS PHYSICIANS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1123 PACIFIC AVENUE</AddressLine1>
            <City>TACOMA</City>
            <State>WA</State>
            <ZIPCode>98402</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN SERVICES</DescriptionOfServices>
        <Compensation>1757033</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CHILDREN'S HOSPITAL</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>13123 E 16TH AVE BOX 010</AddressLine1>
            <City>AURORA</City>
            <State>CO</State>
            <ZIPCode>80045</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SPECIAL CARE NURSERY</DescriptionOfServices>
        <Compensation>783745</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>PHILIPS HEALTHCARE</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
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            <AddressLine1>3000 MINUTEMAN ROAD</AddressLine1>
            <City>ANDOVER</City>
            <State>MA</State>
            <ZIPCode>01810</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SOFTWARE SUPPORT</DescriptionOfServices>
        <Compensation>779867</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>34</NumberOfContractorsGT100K>
      <RelatedOrganizations>90190</RelatedOrganizations>
      <TotalContributions>90190</TotalContributions>
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        <Description>PATIENT SERVICES REV, NET OF ALLOWANCE</Description>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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        <RelatedOrExemptFunctionIncome>54000</RelatedOrExemptFunctionIncome>
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        <ExclusionAmount>931804</ExclusionAmount>
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      <NetIncomeOrLoss>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>163087</ProgramServices>
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      <GrantsToDomesticIndividuals>
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        <ProgramServices>6045</ProgramServices>
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      <ForeignGrants>
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      <BenefitsToMembers>
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      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>224535</ManagementAndGeneral>
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      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>26048018</Total>
        <ProgramServices>22937811</ProgramServices>
        <ManagementAndGeneral>3110207</ManagementAndGeneral>
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      <PensionPlanContributions>
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        <ProgramServices>497580</ProgramServices>
        <ManagementAndGeneral>84805</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
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        <ProgramServices>4967537</ProgramServices>
        <ManagementAndGeneral>725513</ManagementAndGeneral>
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      </OtherEmployeeBenefits>
      <PayrollTaxes>
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        <ProgramServices>1839007</ProgramServices>
        <ManagementAndGeneral>308491</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>261051</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>261051</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>112737</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>4838</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>166949</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
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        <ProgramServices>8743436</ProgramServices>
        <ManagementAndGeneral>1617266</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
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        <ProgramServices>34069</ProgramServices>
        <ManagementAndGeneral>121006</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>10979522</Total>
        <ProgramServices>10650496</ProgramServices>
        <ManagementAndGeneral>329026</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
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        <ProgramServices>759243</ProgramServices>
        <ManagementAndGeneral>1178151</ManagementAndGeneral>
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      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>853986</Total>
        <ProgramServices>750483</ProgramServices>
        <ManagementAndGeneral>103503</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>59263</Total>
        <ProgramServices>29942</ProgramServices>
        <ManagementAndGeneral>29321</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>77898</Total>
        <ProgramServices>55887</ProgramServices>
        <ManagementAndGeneral>22011</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>5532645</Total>
        <ProgramServices>4862088</ProgramServices>
        <ManagementAndGeneral>670557</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>10502287</Total>
        <ProgramServices>9622516</ProgramServices>
        <ManagementAndGeneral>879771</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>533145</Total>
        <ProgramServices>468528</ProgramServices>
        <ManagementAndGeneral>64617</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>OTHER DIRECT EXPENSE</Description>
        <Total>942605</Total>
        <ProgramServices>909083</ProgramServices>
        <ManagementAndGeneral>33522</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROVIDER FEE</Description>
        <Total>3816548</Total>
        <ProgramServices>3816548</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EXP ON WORK COMP THRU CHA TRUS</Description>
        <Total>3104</Total>
        <ProgramServices>1799</ProgramServices>
        <ManagementAndGeneral>1305</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>82792430</Total>
        <ProgramServices>72743248</ProgramServices>
        <ManagementAndGeneral>10049182</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
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        <EOY>6944110</EOY>
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      <SavingsAndTempCashInvestments>
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        <EOY>18433955</EOY>
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      <PledgesAndGrantsReceivable>
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      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
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        <EOY>10524098</EOY>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
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        <EOY>403314</EOY>
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      <InvestmentsProgramRelated>
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      <IntangibleAssets>
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        <EOY>0</EOY>
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      <OtherAssetsTotal>
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      <TotalAssets>
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      <AccountsPayableAccruedExpenses>
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      <GrantsPayable>
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      <DeferredRevenue>
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      <MortNotesPyblSecuredInvestProp>
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      <UnsecuredNotesLoansPayable>
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        <EOY>0</EOY>
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      <TotalLiabilities>
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        <EOY>110847183</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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      <PermanentlyRestrictedNetAssets>
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      <TotalNetAssetsFundBalances>
        <BOY>101020457</BOY>
        <EOY>102214390</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>213551307</BOY>
        <EOY>213061573</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>849900</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>344033</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
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      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
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      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
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      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
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        <ReturnReference>PART II-B LINE 1G</ReturnReference>
        <Explanation>BRIGHTON COMMUNITY HOSPITAL ASSOCIATION D/B/A PLATTE VALLEY MEDICAL CENTER RECEIVED CORRESPONDANCE FROM THE AMERICAN HOSPITAL ASSOCIATION AND COLORADO HEALTH AND HOSPITAL ASSOCIATION REGARDING THEIR MEMBERSHIP DUES. A PORTION OF THEIR DUES WAS ATTRIBUTABLE TO LOBBYING.</Explanation>
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      <BoardDesignatedEOYBalance>0.00000</BoardDesignatedEOYBalance>
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      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>true</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>true</AreRelatedOrgsListedScheduleR>
      <Land>
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        <BookValue>10648458</BookValue>
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        <Depreciation>25306503</Depreciation>
        <BookValue>63501019</BookValue>
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        <BookValue>124487</BookValue>
      </LeaseholdImprovements>
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        <BookValue>17751098</BookValue>
      </Equipment>
      <OtherLandBuildings>
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        <BookValue>5125042</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>97150104</TotalOfBookValueLandBuildings>
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      <ExcessOrDeficitForYear>849900</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>349636</NetUnrealizedGLOnInvestments>
      <OtherAmount>-5603</OtherAmount>
      <TotalAdjustments>344033</TotalAdjustments>
      <ExcessOrDeficitPerFS>1193933</ExcessOrDeficitPerFS>
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      <RevenueNotRptdF990>446352</RevenueNotRptdF990>
      <RevenueSubtotal>83309261</RevenueSubtotal>
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      <InvestmentExpensesNotIncluded2>154535</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>76215</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>230750</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>82792430</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>PART V, QUESTION 4</Identifier>
        <ReturnReference>INTENDED USES OF ENDOWMENT FUNDS</ReturnReference>
        <Explanation>THE TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE MEDICAL CENTER HAS BEEN LIMITED BY DONORS TO A SPECIFIC TIME PERIOD OR PURPOSE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART X, LINE 2</Identifier>
        <ReturnReference>UNCERTAIIN TAX POSITIONS</ReturnReference>
        <Explanation>Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8</Identifier>
        <ReturnReference>OTHER CHANGES TO NET ASSETS</ReturnReference>
        <Explanation>CHANGE IN INTEREST IN NET ASSETS OF PLATTE VALLEY MEDICAL CENTER FOUNDATION 96,716 NET REVENUE OVER EXPENSE PASSED THRU THE COLORADO HOSPITAL ASSN TRUST FOR WORKER'S COMPENSATION (102,319) TOTAL (5,603)</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D</Identifier>
        <ReturnReference>OTHER REVENUE ON BOOKS NOT ON RETURN</ReturnReference>
        <Explanation>CHANGE IN INTEREST IN NET ASSETS OF PLATTE VALLEY MEDICAL CENTER FOUNDATION 96,716</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII LINE 4B</Identifier>
        <ReturnReference>REVENUE ON RETURN NOT ON BOOKS</ReturnReference>
        <Explanation>REVENUE PASSED THRU THE COLORADO HOSPITAL ASSN TRUST FOR WORKER'S COMPENSATION 178,534</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII LINE 4B</Identifier>
        <ReturnReference>EXPENSES ON RETURN NOT ON BOOKS</ReturnReference>
        <Explanation>REVENUE PASSED THRU THE COLORADO HOSPITAL ASSN TRUST FOR WORKER'S COMPENSATION THAT WAS NETTED AGAINST EXPENSE ON FINANCIAL STATEMENTS 76,215</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
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      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
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        <Other>X</Other>
        <FreeOtherPercentage>125.</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
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      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
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        <TotalCommunityBenefitExpense>5790803</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>5790803</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06990</PercentOfTotalExpense>
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        <NetCommunityBenefitExpense>12038390</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.14530</PercentOfTotalExpense>
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        <PersonsServed>172054</PersonsServed>
        <TotalCommunityBenefitExpense>59301</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>210</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>59091</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00070</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
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        <PersonsServed>209</PersonsServed>
        <TotalCommunityBenefitExpense>381936</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>381936</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00460</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
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        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
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        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>0</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>1396</PersonsServed>
        <TotalCommunityBenefitExpense>162741</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>162741</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00200</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>20</NumberOfActivitiesOrPrograms>
        <PersonsServed>173659</PersonsServed>
        <TotalCommunityBenefitExpense>603978</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>210</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>603768</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00730</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>20</NumberOfActivitiesOrPrograms>
        <PersonsServed>186923</PersonsServed>
        <TotalCommunityBenefitExpense>23702687</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>11060529</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12642158</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.15260</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CoalitionBuilding>
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        <PersonsServed>75</PersonsServed>
        <TotalCommunityBuildingExpense>1110</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>1110</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CoalitionBuilding>
      <Total>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>75</PersonsServed>
        <TotalCommunityBuildingExpense>1110</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>1110</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2346444</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>10715483</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>16250076</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-5534593</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostAccountingSystem>X</CostAccountingSystem>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
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        <Name>
          <BusinessNameLine1>PLATTE VALLEY MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1600 PRAIRIE CENTER PARKWAY</AddressLine1>
          <City>BRIGHTON</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <ChildrensHospital>X</ChildrensHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>PLATTE VALLEY MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>125.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>250.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <PermitLienOnResidence>X</PermitLienOnResidence>
        <CollectionActivities>true</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <LienOnResidence>X</LienOnResidence>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <LowestNegotiatedRates>X</LowestNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINES 3A &amp;3B</Identifier>
        <ReturnReference>FREE AND DISCOUNTED CARE ELIGIBILITY PERCENTAGES</ReturnReference>
        <Explanation>PLATTE VALLEY MEDICAL CENTER LOOKS AT OTHER FACTORS IN ADDITION TO FAMILY INCOME LIMITS AS A PERCENTAGE OF FEDERAL POVERTY GUIDELINES, SUCH AS MONTHLY EXPENSES AND INDIVIDUAL FINANCIAL SITUATIONS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7, COLUMN F</Identifier>
        <ReturnReference>BAD DEBT EXPENSE</ReturnReference>
        <Explanation>The organization's bad debt expense is presented as a component of net patient service revenue on the financial statements, therefore it is not reduced from the denominator in arriving at the percentage calculation. Total bad debt expense netted against patient service revenue was $5,809,517.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART I, LINE 7</Identifier>
        <ReturnReference>CALCULATION OF COMMUNITY BENEFIT EXPENSES</ReturnReference>
        <Explanation>The organization used a cost-to charge ratio for lines 7a and 7b. The cost-to-charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. The information for lines 7e through 7i was derived from information in the general ledger and other financial data related specifically to the various types of community benefits.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 4</Identifier>
        <ReturnReference>BAD DEBT EXPENSE</ReturnReference>
        <Explanation>The Medical Center reports patient accounts receivable for services rendered at net realizable amounts from third-party payers, patients, and others. The Medical Center provides an allowance for doubtful accounts based upon a review of the outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the Medical Center bills third-party payers directly and bills the patient when the patient's liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. Platte Valley Medical Center's costing methodology used to determine the cost of services for accounts written off to bad debt expense is based on the ratio of patient care costs to charges.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 8</Identifier>
        <ReturnReference>MEDICARE</ReturnReference>
        <Explanation>The Medicare allowable costs were determined from the Medicare cost report. IRS Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with government health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. This implies that treating Medicare patients is a community benefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART III, LINE 9b</Identifier>
        <ReturnReference>CHARITY CARE</ReturnReference>
        <Explanation>Our charity care policy outlines steps for financial counselors to follow to identify and qualify patients eligible for charity care and steps to collect information. The policy also describes the application form to be completed by the patient, the review process by a financial counselor, patient follow up, and the write off of patient charges to charity care.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART VI</Identifier>
        <ReturnReference>NEEDS ASSESSMENT</ReturnReference>
        <Explanation>Programs and services provided by the hospital to the community are based upon strategic assessment of community need conducted by hospital administration and the hospital board of directors. Information considered in the assessment include Platte Valley Medical Center historic and projected inpatient admissions, historic and projected outpatient and emergency room visit data, County and State demographics, Colorado Department of Public Health and Environment health statistics, and community requests.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART VI</Identifier>
        <ReturnReference>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</ReturnReference>
        <Explanation>Platte Valley Medical Center makes available to patients a Frequently Asked Questions (FAQ's) hand-out, which includes information about financial assistance, and whom to call. The same FAQ is located on Platte Valley Medical Center's website. Financial counselors are located in the emergency department during peak days and hours to screen for, identify, and advise patients who need financial assistance. In addition, financials counselors are staffed monday through friday to work with patients who need financial assistance to settle their accounts or schedule hospital services.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART VI</Identifier>
        <ReturnReference>COMMUNITY INFORMATION</ReturnReference>
        <Explanation>Our primary service area includes the communities of Brighton (zip codes 80601,80602, and 80603), Ft. Lupton (80621), and Commerce City (80022). Specifically the following : Carrier Routes: RR1, RR3, RR4, 445, RR6, RR7 &amp; Census Tracts: 008512 and 00870. Our secondary service area includes: Thornton (80241), Henderson (80640), Hudson (80642), &amp; Keenesberg (80643).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART VI</Identifier>
        <ReturnReference>PROMOTION OF COMMUNITY HEALTH</ReturnReference>
        <Explanation>Platte Valley Medical Center further promotes the health of the community through the use of CHIP (Community Health Improvement Program) funds for community programs. The hospital also sponsors and staffs health related events and education for the community including health fair sponsorships, flu shot clinics, free education seminars, student education programs, first aide stations at community events, injury prevention and athletic trainer programs for schools, car seat check point programs, and cancer support groups.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Pennock Center for Counseling</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>211 S 21st Ave</AddressLine1>
          <City>Brighton</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
        </AddressUS>
        <EINOfRecipient>200986823</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>Subsidize cost</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>CASA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1100 JUDICIAL CENTER DR</AddressLine1>
          <City>BRIGHTON</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
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        <EINOfRecipient>311657019</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
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        <PurposeOfGrant>VOL COORD SALARY</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>SPECIAL TRANSIT</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4880 Pearl St</AddressLine1>
          <City>BOULDER</City>
          <State>CO</State>
          <ZIPCode>80301</ZIPCode>
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        <EINOfRecipient>840777296</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
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        <PurposeOfGrant>TRANSPORTATION</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>SCHOOL DISTRICT 27J</BusinessNameLine1>
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          <AddressLine1>18851 E 160TH AVE</AddressLine1>
          <City>BRIGHTON</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
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        <EINOfRecipient>846012304</EINOfRecipient>
        <IRCSection>GOVERNMENT</IRCSection>
        <AmountOfCashGrant>32460</AmountOfCashGrant>
        <PurposeOfGrant>DEFIB &amp; EVAC CHAIR</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>KEENE CLINIC</BusinessNameLine1>
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          <AddressLine1>190 S MAIN STREET</AddressLine1>
          <City>KEENSBURG</City>
          <State>CO</State>
          <ZIPCode>80643</ZIPCode>
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        <PurposeOfGrant>OFFICE EQUIPMENT</PurposeOfGrant>
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      <TotalNbrOf501C3AndGovtGrants>5</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
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        <NumberOfRecipients>1396</NumberOfRecipients>
        <AmountOfNonCashAssistance>6045</AmountOfNonCashAssistance>
        <MethodOfValuation>COST</MethodOfValuation>
        <DescriptionOfNonCashAssistance>MEALS</DescriptionOfNonCashAssistance>
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        <ReturnReference>Grant Monitoring Procedures</ReturnReference>
        <Explanation>All grant recipients are first required to submit applications which detail the intended uses of grant funds. After grants have been awarded, recipients are required to complete a final report indicating how grant funds were actually spent.</Explanation>
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        <BaseCompensationFilingOrg>191159</BaseCompensationFilingOrg>
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        <BonusFilingOrg>53280</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>14743</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>15925</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>27357</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>302464</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ERIC STIRM</NamePerson>
        <BaseCompensationFilingOrg>151651</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>17860</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>18100</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5124</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>27943</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>220679</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KAREN WELZ</NamePerson>
        <BaseCompensationFilingOrg>125919</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>14858</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2339</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>925</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>26329</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>170370</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DUANE LIVADNEY</NamePerson>
        <BaseCompensationFilingOrg>83899</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>2208</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>43252</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>3504</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>30476</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>163338</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DARRELL MESSERSMITH</NamePerson>
        <BaseCompensationFilingOrg>99331</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>11460</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>26138</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4254</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24029</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>165212</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Information Regarding Beneftis Provided</Identifier>
        <ReturnReference>Part I, Question 1a</ReturnReference>
        <Explanation>The benefits marked on line 1 of Schedule J are provided to executives and board of directors for attendance at educational and similar events and are taxed accordingly including gross-up payments. During the return year 2011, no such payments were made.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Explanation of non-fixed payments</Identifier>
        <ReturnReference>Part 1 Question 7</ReturnReference>
        <Explanation>The organization has an incentive bonus policy that is determined and adopted by the board and administration of the organization. The policy has multi-tiered financial, operational/strategic, quality performance, and community integration objectives.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Information Regarding Compensation Reporting</Identifier>
        <ReturnReference>Part II</ReturnReference>
        <Explanation>The intent of the compensation information is to provide information on the total compensation package provided to officers, key employees, and highly compensated employees. Including the annual accumulation of long-term deferred compensation provides useful information on the annual compensation package. However, including as deferred compensation the bonus accrual at year-end, which is paid out a few months after year-end, results in an unfair duplication of the annual bonus for calendar year taxpayers. Following the instructions for reporting deferred compensation provides a result on Part VII and Schedule J that includes two years of bonus information and no opportunity on Part VII to shown the amount relating to the prior year. The prior year bonus is in the cash-basis W-2 and the accrued bonus is reportable as deferred compensation. The amount of the bonus each year is relatively similar for each employee. To provide information that is consistent with information on the total annual compensation, Part VII Column F and Schedule J Column C include the retirement contributions and deferred compensation except that only the increase in the bonus accrued at year-end over the amount included in the current year W-2 is included. During 2011, the amount included in the W-2 was greater than what was accrued for the year-end bonus, therefore no increase was added to the deferred compensation. No amount is shown as reported on prior 990 since the duplication has been removed. If the entire bonus accrued were included as deferred compensation the reporting would be as follows: RETIRMENT TOTAL REPORTED IN NET TOTAL NAME: &amp; DEFERRED: COMPENSATION: PRIOR 990: COMPENSATION John Hicks 124,178 822,396 (132,016) 690,380 Cheryl Bentley 63,915 403,157 (67,488) 335,669 Harold Dupper 72,479 428,526 (68,968) 359,558 Kurt Gensert 62,579 349,118 (53,280) 295,838 Eric Stirm 19,687 235,241 (17,860) 217,381 Karen Welz 13,003 182,448 (14,858) 167,590 Duane Livadney 3,504 163,339 (2,208) 161,131 Darrell Messersmith 13,756 174,714 (11,460) 163,254</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Adams County Colorado</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>846000732</IssuerEIN>
        <CUSIPNumber>005622BE4</CUSIPNumber>
        <DateIssued>2005-06-15</DateIssued>
        <IssuePrice>123605753</IssuePrice>
        <DescriptionOfPurpose>CONSTRUCT AND EQUIP FACILITY</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>18469130</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>123671567</TotalProceeds>
        <AmountInReserveFund>8876447</AmountInReserveFund>
        <CapitalizedInterest>7855216</CapitalizedInterest>
        <RefundingEscrow>13055000</RefundingEscrow>
        <IssuanceCostsFromProceeds>1335822</IssuanceCostsFromProceeds>
        <CreditEnhancement>1056070</CreditEnhancement>
        <WorkingCapitalExpenditures>5708505</WorkingCapitalExpenditures>
        <CapitalExpenditures>85981954</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>GOLDMAN SACHS CAP</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>0.5</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>true</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>JP MORGAN CHASE BANK</BusinessNameLine1>
        </NameOfGICProvider>
        <TermOfGIC>2.1</TermOfGIC>
        <RegulatorySafeHarborSatisfied>true</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <FedTaxRequirementsCompliance>X</FedTaxRequirementsCompliance>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Changes to Organizational Documents since Prior 990</Identifier>
        <ReturnReference>Form 990, Part VI, Question 4</ReturnReference>
        <Explanation>Bylaws were revised in 2011. In 2011, Article IV Section 4.01 of the bylaws was modified to address the Board approval of the medical staff representation. Article IV, Section 4.03, paragraph b was modified to address cumulative voting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Classes of Members or Stockholders and Voting Rights</Identifier>
        <ReturnReference>Form 990, Part VI, Question 6 and 7a</ReturnReference>
        <Explanation>The membership of the Brighton Community Hospital Association shall consist of Founders (Founders are defined as contributors to the original 1960 capital campaign and are Association members for life.); all duly elected and appointed members of the Hospital Board of Directors then in office; and all individuals, families, entities or organizations who have made a donation to the Association or the Platte Valley Medical Center Foundation in a qualifying amount. Qualifying membership levels per calendar year are: Individual (one vote) $50, Family (two votes) $75, Corporation (one vote) $150. Gifts from other foundations in any amount would not qualify to receive a ballot. If a donor is in compliance with a multi-year pledge, they will receive the appropriate number for their level of contribution for that voting cycle. In the event that a donor has made a multi-year pledge and completes the gift prior to the pledge due date, the donor will continue to receive the appropriate number of ballots and mailings through the initial terms of the pledge. If the pledge is in default and has been written off by the Foundation Finance Committee, the donor will receive the appropriate number of ballots for the amount of the pledge that was received during the voting cycle. There may be variations from the above or extenuating circumstances regarding particular donors that may require a judgment call to be made. For this reason, prior to each ballot mailing, the mailing list will be reviewed by the CEO or an appointed representative. MEMBERSHIP CALENDAR Association Board Member Elections: A rolling two-year list of qualifying donors who have contributed from the last election to the present election will be created for the ballot mailing. This provides all Association Members a vote whether they gave in an election year or not. Membership Mailings (i.e. Annual Report and event invitations): The last full calendar year of qualifying donors and all donors in the current calendar year up to the time of the mailing will be used.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process to Review the Form 990</Identifier>
        <ReturnReference>Form 990, Part VI, Question 11b</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED BY A THIRD PARTY. THE 990 GOES THROUGH A DETAILED REVIEW BY THE ACCOUNTING MANAGER AND CHIEF FINANCIAL OFFICER. ONCE THIS REVIEW IS COMPLETE, THE 990 IS PRESENTED TO THE AUDIT/FINANCE COMMITTIEE WHERE THEY APPROVE AND RECOMMEND THE 990 TO THE BOARD OF DIRECTORS. ONCE APPROVED, A COPY OF THE 990 IS PROVIDED TO EACH BOARD MEMBER BEFORE FILING WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process for Monitoring Compliance with Conflict of Interest Policy</Identifier>
        <ReturnReference>Form 990, Part VI, Question 12c</ReturnReference>
        <Explanation>The organization has a compliance officer who monitors the organization's conflict of interest policy. The board of directors, officers and key employees are required annually to complete and review the conflict of interest policy and disclose any potential conflicts. Directors are not permitted to vote on issues where they have a conflict of interest.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of CEO and other Officers Compensation</Identifier>
        <ReturnReference>Form 990, Part VI, Question 15a and 15b</ReturnReference>
        <Explanation>Platte Valley Medical Center uses the services of an independent compensation consultant, Integrated Healthcare Strategies (Chicago, IL), to establish compensation for the CEO, other officers and Key Employees. Upon completion of the compensation analysis, the compensation package is recommended to the compensation committee of the board for approval. Officers have written employment contracts which are signed and maintained by the human resource department.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Public Disclosure of Documents</Identifier>
        <ReturnReference>Form 990, Part VI, Question 19</ReturnReference>
        <Explanation>The governing documents, conflict of interest policy, and financial statements are made available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Board Voting Rights</Identifier>
        <ReturnReference>Part VI, Line 1a</ReturnReference>
        <Explanation>The CEO serves on the Board and is paid by Platte Valley Medical Center as an employee. Therefore, he does not vote on his own compensation but is permitted to vote on all other matters.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Changes in Net Assets</Identifier>
        <ReturnReference>Part XI, Line 5</ReturnReference>
        <Explanation>349,636 - Unrealized Gains 96,716 - Change in Interest in Net Assets of Platte Valley Medical Ctr Fdn (102,319) - Net revenue over expense passed thru co hospital assn trust for worker's compensation 344,033 - Total</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Business Relationships</Identifier>
        <ReturnReference>Form 990, Part VI, Question 2</ReturnReference>
        <Explanation>John Hicks and Harold Dupper have a business relationship because they are directors of the wholly owned subsidiaries disclosed on Schedule R, Part IV.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JOHN HICKS TITLE:CEO/PRESIDENT HOURS:2</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:MICHAEL DOLAN TITLE:DIRECTOR/VICE CHAIR HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ROBERT R. FEIS TITLE:DIRECTOR/FOUNDATION CHAIR HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:JOHN RHOADES TITLE:DIRECTOR HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:KIRK QUACKENBUSH, MD TITLE:DIRECTOR/CHIEF OF STAFF HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:KURT GENSERT TITLE:VICE PRESIDENT OF NURSING HOURS:1</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Platte Valley Medical Center Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1600 Prairie Center Parkway</AddressLine1>
          <City>Brighton</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
        </AddressUS>
        <EIN>742255936</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LN11 TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PVMC Physician Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1606 PRAIRIE CENTER PARKWAY SUITE</AddressLine1>
          <City>BRIGHTON</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
        </AddressUS>
        <EIN>943458548</EIN>
        <PrimaryActivity>MEDICAL</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>282482</ShareOfTotalIncome>
        <ShareOfEOYAssets>90790</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>High Plains Heart &amp; Vascular Center Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1606 Prairie Center Parkway Suite</AddressLine1>
          <City>Brighton</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
        </AddressUS>
        <EIN>272038197</EIN>
        <PrimaryActivity>Medical</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>885595</ShareOfTotalIncome>
        <ShareOfEOYAssets>47549</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Integrated Internal Medical &amp; Acupunctur</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1606 Prairie Center Parkway Suite</AddressLine1>
          <City>Brighton</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
        </AddressUS>
        <EIN>274433325</EIN>
        <PrimaryActivity>Medical</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>376241</ShareOfTotalIncome>
        <ShareOfEOYAssets>65558</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Mountain View Orthopedics Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1606 Prairie Center Parkway Suite</AddressLine1>
          <City>Brighton</City>
          <State>CO</State>
          <ZIPCode>80601</ZIPCode>
        </AddressUS>
        <EIN>275382523</EIN>
        <PrimaryActivity>Medical</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>92902</ShareOfTotalIncome>
        <ShareOfEOYAssets>56800</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Platte Valley Medical Center Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>90190</AmountInvolved>
        <MethodOfAmtDetermination>CASH TRANSFER</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>High Plains Heart &amp; Vascular Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>190813</AmountInvolved>
        <MethodOfAmtDetermination>cash transfer</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PVMC Physician Services Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>84105</AmountInvolved>
        <MethodOfAmtDetermination>cash transfer</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Integrated Internal Medicine &amp; Acupuncture</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>143500</AmountInvolved>
        <MethodOfAmtDetermination>cash transfer</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Mountain View Orthopedics Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>b</TransactionType>
        <AmountInvolved>180000</AmountInvolved>
        <MethodOfAmtDetermination>cash transfer</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>