STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

THE WELD TRUST: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE WELD TRUST (EIN 74-2358522)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-06-09
IRS object ID
201111609349300111
Schema version
2010v3.2
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)
Timestamp2011-06-09T13:35:31-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14310 17TH AVE S PO BOX 2545AddressLine1
CityFARGOCity
StateNDState
ZIP Code581082545ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742358522EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NCMC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNCMCNameControl
Phone9703506052Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11801 16TH STREETAddressLine1
CityGREELEYCity
StateCOState
ZIP Code80631ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT E MURPHYName
TitleTREASURERTitle
Phone9703506052Phone
Date Signed2011-06-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLISA CHAFFEE CPAName
Phone7012398500Phone
Date Prepared2011-06-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKEN SCHULTZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11801 16TH STREETAddressLine1
CityGREELEYCity
StateCOState
ZIP Code80631ZIPCode
FieldValueIRS element (for citing)
Gross Receipts93925518GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionLEASING OF HOSPITAL FACILITIES TO ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE IRS CODE FOR THE PROVISION OF HEALTH CARE SERVICES TO THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1519669ContributionsGrantsPriorYear
Contributions Grants Current Year326900ContributionsGrantsCurrentYear
Program Service Revenue Prior Year34245379ProgramServiceRevenuePriorYear
Program Service Revenue CY33884660ProgramServiceRevenueCY
Investment Income Prior Year3904663InvestmentIncomePriorYear
Investment Income Current Year14944522InvestmentIncomeCurrentYear
Other Revenue Prior Year618294OtherRevenuePriorYear
Other Revenue Current Year-50426OtherRevenueCurrentYear
Total Revenue Prior Year40288005TotalRevenuePriorYear
Total Revenue Current Year49105656TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3420000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3650000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1497626SalariesEtcPriorYear
Salaries Etc Current Year724050SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year29088931OtherExpensePriorYear
Other Expenses Current Year30375381OtherExpensesCurrentYear
Total Expenses Prior Year34006557TotalExpensesPriorYear
Total Expenses Current Year34749431TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6281448RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14356225RevenuesLessExpensesCY
Total Assets BOY410806346TotalAssetsBOY
Total Assets EOY427798444TotalAssetsEOY
Total Liabilities BOY201041568TotalLiabilitiesBOY
Total Liabilities EOY202837065TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY209764778NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY224961379NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE QUALITY HEALTHCARE AT A REASONABLE COST TO THE NCMC SERVICE COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense33015317Expense
Grants3630000Grants
Revenue33884660Revenue
DescriptionNCMC, INC OWNS A HOSPITAL BUILDING WHICH IT LEASES TO BANNER HEALTH SYSTEM (AN ARIZONA 501(C)(3) ORGANIZATION), WHO OPERATES THE HOSPITAL IN A CHARITABLE FASHION. NCMC, INC IS RESPONSIBLE FOR MAINTAINING THE PROPERTY AND EQUIPMENT FOR ITS USE BY BANNER HEALTH (NORTH COLORADO MEDICAL CENTER) TO PROVIDE ACUTE MEDICAL SERVICES.Description
Total Program Service Expense33015317TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
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 Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WILLIAM HUGHESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9703506052TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11801 16TH STREETAddressLine1
CityGREELEYCity
StateCOState
ZIP Code80631ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KEN SCHULTZ
PRESIDENT & CHAIR1.00XX000
ROBERT NOFFSINGER
VICE CHAIR1.00XX000
AL DOMINGUEZ
SECRETARY1.00XX000
ROBERT E MURPHY
TREASURER1.00XX000
RICHERT QUINN MD
DIRECTOR1.00X000
RICHARD BOETTCHER
DIRECTOR1.00X000
LINDA WINTER
DIRECTOR1.00X000
KAY KOSMICKI
DIRECTOR1.00X000
JEFFREY CARLSON
DIRECTOR1.00X000
VICKI WILSON PHD RN
DIRECTOR1.00X000
WILLIAM HUGHES
ASST TREASURER/SECRETARY25.00X11000000
FieldValueIRS element (for citing)
Total Reportable Comp From Org110000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CATOR RUMA & ASSOC
896 TABOR STLAKEWOODCO80401ARCHITECT SERVICES157861
WOODS CARPENTRY
3803 POWDERHORN DRIVELOVELANDCO80538CONSTRUCTION SERVICE136644
WILLIAM J HUGHES CONSULTING LLC
2624 51ST AVENUEGREELEYCO80634CONSULTING110000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions326900AllOtherContributions
Total Contributions326900TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOSPITAL FACILITY RENTDescription
Business Code532000BusinessCode
Total Revenue Column33884660TotalRevenueColumn
Related Or Exempt Function Income33884660RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue33884660TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8182374TotalRevenueColumn
Exclusion$8,182,374ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1321560Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1371986Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-50426Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-50426TotalRevenueColumn
Exclusion-$50,426ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities50001446Securities
Other208578Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities43147906Securities
Other299970Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities6853540Securities
Other-91392Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6762148TotalRevenueColumn
Exclusion$6,762,148ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column49105656TotalRevenueColumn
Related Or Exempt Function Income33884660RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$14,894,096ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3650000Total
Program Services3650000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total110000Total
Management And General110000ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total614050Total
Program Services614050ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13457Total
Management And General13457ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total37350Total
Management And General37350ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1540707Total
Management And General1540707ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total32600Total
Management And General32600ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9743Total
Program Services9743ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total6100Total
Program Services6100ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total348Total
Program Services348ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total6414879Total
Program Services6414879ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21141480Total
Program Services21141480ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BOND FEES11796601179660
K-1 LOSS - MOUNTAIN VIS41544154

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-5097Total
Program Services-5097ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total34749431Total
Program Services33015317ProgramServices
Management And General1734114ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY15214549BOY
EOY6894781EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15615BOY
EOY82134EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY22571BOY
EOY27625EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis385290861LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec207179013LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY185838722BOY
EOY178111848EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY203698386BOY
EOY236966973EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY211988BOY
EOY211988EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5804515BOY
EOY5503095EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY410806346BOY
EOY427798444EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6960340BOY
EOY12023510EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY188686704BOY
EOY182927112EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5394524BOY
EOY7886443EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY201041568BOY
EOY202837065EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY209764778BOY
EOY224961379EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY209764778BOY
EOY224961379EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY410806346BOY
EOY427798444EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14356225ReconcilationRevenueExpenses
Reconcilation Other Changes840376ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1NCMC BOARD OF TRUSTEESBusinessNameLine1
FieldValueIRS element (for citing)
EIN846000813EIN
Type Of Organization6TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$32,366,019Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts32366019SumOfAmounts

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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3741605OtherCostOrOtherBasis
Book Value3741605BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis15132983InvestmentCostOrOtherBasis
Other Cost Or Other Basis219959917OtherCostOrOtherBasis
Depreciation99669208Depreciation
Book Value135423692BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3679186OtherCostOrOtherBasis
Book Value3679186BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis133294856OtherCostOrOtherBasis
Depreciation107509805Depreciation
Book Value25785051BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9482314OtherCostOrOtherBasis
Book Value9482314BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings178111848TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionINTEREST RATE SWAPDescription
Amount$7,886,443Amount
FieldValueIRS element (for citing)
Total Of Amounts7886443TotalOfAmounts
Total Revenue49105656TotalRevenue
Total Expenses34749431TotalExpenses
Excess Or Deficit For Year14356225ExcessOrDeficitForYear
Net Unrealized GL On Investments6774265NetUnrealizedGLOnInvestments
Other-$5,933,889OtherAmount
Total Adjustments840376TotalAdjustments
Excess Or Deficit Per FS15196601ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt49333197TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments6774265NetUnrealizedGainsInvestments
Other Revenues-7938014OtherRevenues
Revenue Not Rptd F990-1163749RevenueNotRptdF990
Revenue Subtotal50496946RevenueSubtotal
Other Revenues Not Included-1391290OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-1391290RevenueNotRptdOnFinStmt
Total Revenue Per Form99049105656TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt34136596TotExpensesEtcAuditedFinclStmt
Other Expenses Included1391319OtherExpensesIncluded
Expenses Not Rptd F9901391319ExpensesNotRptdF990
Expenses Subtotal32745277ExpensesSubtotal
Other Expenses Not Included2004154OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2004154ExpensesNotRptdOnFinStmt
Total Expenses Per Form99034749431TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:NCMC IS A COLORADO NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 509(A)(3) OF THE CODE. NCMC UNDERGOES AN ANNUAL ANALYSIS OF ITS VARIOUS TAX POSITIONS, ASSESSING THE LIKELIHOOD OF THOSE POSITIONS BEING UPHELD UPON EXAMINATION WITH RELEVANT TAX AUTHORITIES. AS OF DECEMBER 31, 2010 AND 2009, NO AMOUNTS WERE RECORDED AS A RESULT OF THIS ANALYSIS. IF NCMC IS SUBJECT TO INTEREST OR PENALTIES ON UNDERPAID INCOME TAXES, THEY WILL BE RECORDED AS INCOME TAX EXPENSE. UNDER NORMAL CIRCUMSTANCES, NCMC IS NO LONGER SUBJECT TO FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES FOR PERIODS BEFORE 2007.
PART XI, LINE 8 - OTHER ADJUSTMENTS:REDUCTION IN FAIR VALUE OF INTEREST RATE SWAPS -2,545,468. PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -3,392,546. TAX GAIN/LOSS PER K-1 - MOUNTAIN VISTA ORTHOPEDIC SURGERY CENTER 4,125.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHARITY CARE GRANT TO BANNER HEALTH SYSTEM -2,000,000. DECREASE IN FAIR VALUE OF INTEREST RATE SWAP -2,545,468. PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -3,392,546.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES INCLUDED IN REVENUES -1,391,319. K-1 TAX INCOME - MOUNTAIN VISTA ORTHOPEDIC SURGERY CENTER LLC 29.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES INCLUDED IN REVENUES 1,391,319.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:CHARITY CARE GRANT TO BANNER HEALTH SYSTEM 2,000,000. PASS THRU TAX LOSS FROM MOUNTAIN VISTA ORTHOPEDIC SURGERY CENTER 4,154.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BANNER HEALTH SYSTEM
1801 16TH STREETGREELEYCO80631450233470501(C)(3)2000000CHARITY CARE
NCMC FOUNDATION
1801 16TH STREETGREELEYCO80631840718355501(C)(3)1650000OPERATIONAL ASSISTANCE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

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: THERE IS CURRENTLY NO PROCESS IN PLACE THAT MONITORS THE USE OF GRANT FUNDS BY THE RECIPIENTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
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

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
840752932196474K252003-11-1398000000PARTIAL REFUND SERIES 2003,RENOVATE HOSPITAL & PAY 2003B ISSUANCE COSTS.000
COLORADO HEALTH FACILITIES AUTHORITY
84075293219648AMY82008-10-2755515000REFUND SERIES 1993 BONDS, FD IMPROVEMENT TO HOSPITAL FACILITY000
COLORADO HEALTH FACILITIES AUTHORITY
84075293219648ARR82009-11-1744800000REFUND ALL OUTSTANDING SERIES 2005 BONDS.000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount UnspentAmountUnspent
156150009800000016391865464395637594567696417920061011
30515000555150003051500025000000201110118405301
44800000448000004433601011

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000011
000011
000011

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line2NameOfGICProvider/BusinessNameLine2Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
FSA CAPITAL
0001MANAGEMENT SERVICES2.000000000000100
CITIBANK NA
01000021.500000000000
CITIBANK NA
11100014.50000000000001

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonWILLIAM HUGHESNamePerson
FieldValueIRS element (for citing)
RelationshipWILLIAM HUGHES IS THE BOARD EXECUTIVE FOR NCMCRelationship
Amount Of Transaction110000AmountOfTransaction
Description Of TransactionWILLIAM HUGHES PROVIDES CONSULTING SERVICES AS AN INDEPENDENT CONTRACTOR FOR NCMC. FOR 2010 PAYMENTS MADE TO WILLIAM HUGHES ARE AS FOLLOWS: $110,000 FOR SERVICES, AND $1,118 FOR REIMBURSED EXPENSES.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3WILLIAM J. HUGHES CONSULTING LLC IS THE MANAGEMENT COMPANY. WILLIAMS J. HUGHES IS THE 100% OWNER OF THE MANAGEMENT COMPANY AND SUPERVISES OVER ALL OF THE OPERATIONS OF NCMC, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE NCMC BOARD OF TRUSTEES IS ELIGIBLE TO APPOINT 3 OF THE BOARD MEMBERS OF NCMC, INC. NCMC, INC. IS A SUPPORTING ORGANIZATION OF NCMC BOARD OF TRUSTEES. NCMC BOARD OF TRUSTEES IS A GOVERNMENT BODY APPOINTED BY THE COUNTY COMMISSIONERS. WELD COUNTY OWNS THE LAND THAT THE HOSPITAL SITS ON.
FORM 990, PART VI, SECTION B, LINE 11WILLIAM HUGHES WILL REVIEW THE DRAFT THEN PRESENT THE FINAL COPY TO THE FINANCE COMMITTEE. THE FINANCE COMMITTEE (3 BOARD MEMBERS) WILL ALSO REVIEW THE 990 AND PRESENT IT TO THE FULL BOARD FOR APPROVAL.
THE CONFLICT OF INTEREST POLICY COVERS THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS RECEIVES THE CONFLICT OF INTEREST POLICY AT THE ANNUAL MEETING. WILLIAM HUGHES RECEIVES THE RESPONSES AND FORWARDS THEM TO THE GENERAL COUNSEL OF THE BOARD. IF THERE ARE ANY ITEMS THAT COME FOR DISCUSSION THE BOARD MEMBER EXCUSES HIM OR HERSELF AND ABSTAINS FROM VOTING. THE BOARD HAS THE OPTION TO ALLOW THE MEMBER TO BE PART OF THE DISCUSSION.FORM 990, PART VI, SECTION B, LINE 12C
THE GENERAL PUBLIC IS ALLOWED TO VIEW THE DOCUMENTS BUT NOT ALLOWED TO MAKE COPIES AND TAKE THEM OFF OF THE PREMISES.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 6,774,265. REDUCTION IN FAIR VALUE OF INTEREST RATE SWAPS -2,545,468. PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -3,392,546. TAX GAIN/LOSS PER K-1 - MOUNTAIN VISTA ORTHOPEDIC SURGERY CENTER 4,125. TOTAL TO FORM 990, PART XI, LINE 5: 840,376.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsDirect Controlling Entity NADirectControllingEntityNA
SHEEP DRAW FARMS LLC
1801 16TH STREETGREELEYCO80631680540676HOLDS TITLE TO FARM RENT INCOMECO05613N/A
SOUTHSIDE INVESTMENTS
1801 16TH STREETGREELEYCO80631680611503OWNS HOUSES ADJACENT TO THE HOSPITALCO00N/A

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1NCMC BOARD OF TRUSTEESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11801 16TH STREETAddressLine1
CityGREELEYCity
StateCOState
ZIP Code80631ZIPCode
FieldValueIRS element (for citing)
EIN846000813EIN
Primary ActivitiesGOVERNMENTAL ACTIVITY - HOSPITALPrimaryActivities
Legal Domicile StateCOLegalDomicileState
Exempt Code SectionGOVERNMENTAL UNITExemptCodeSection
Public Charity Status6PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1WELD COUNTY BOARD OF COUNTY COMMISSIONERSBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1NMSI DBA NORTHCAREBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11801 16TH STREETAddressLine1
CityGREELEYCity
StateCOState
ZIP Code80634ZIPCode
FieldValueIRS element (for citing)
EIN742354291EIN
Primary ActivityMEDICAL CLAIMS PROCESSINGPrimaryActivity
Legal Domicile StateCOLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income14537ShareOfTotalIncome
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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 Org0ReimbursementPaidByOtherOrg
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 Line1SHEEP DRAW FARMSBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeATransactionType
Amount Involved4000AmountInvolved
Method Of Amt DeterminationCASH RECEIVEDMethodOfAmtDetermination