BRIGHTON COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- BRIGHTON COMMUNITY HOSPITAL ASSOCIATION (EIN 84-0482695)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-10
- IRS object ID
- 201113149349304006
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-10T19:14:38-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Tejon Suite 800 | AddressLine1 |
| City | Colorado Springs | City |
| State | CO | State |
| ZIP Code | 809039848 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840482695 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brighton Community Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BRIG | NameControl |
| Phone | 3034981600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Prairie Center Parkway | AddressLine1 |
| City | Brighton | City |
| State | CO | State |
| ZIP Code | 80601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Harold Dupper | Name |
| Title | CFO | Title |
| Date Signed | 2011-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rita F Worster CPA | Name |
| Phone | 7194714290 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Platte Valley Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | John Hicks | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Prairie Center Parkway | AddressLine1 |
| City | Brighton | City |
| State | CO | State |
| ZIP Code | 80601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 172161707 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.pvmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1958 | YearFormation |
| State Legal Domicile | CO | StateLegalDomicile |
| Activity Or Mission Description | The mission of Platte Valley Medical Center is to provide excellent quality comprehensive health services, which are affordable, convenient, and responsive to community needs. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 687 | TotalNbrEmployees |
| Total Nbr Volunteers | 192 | TotalNbrVolunteers |
| Total Gross UBI | 56 | TotalGrossUBI |
| Contributions Grants Prior Year | 2673887 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 325665 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 85380246 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 87583287 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2580039 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3195585 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -25107 | OtherRevenuePriorYear |
| Other Revenue Current Year | 500664 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 90609065 | TotalRevenuePriorYear |
| Total Revenue Current Year | 91605201 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 59579 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 102928 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 36232992 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 37160621 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 215121 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 47118064 | OtherExpensePriorYear |
| Other Expenses Current Year | 49099968 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 83410635 | TotalExpensesPriorYear |
| Total Expenses Current Year | 86363517 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7198430 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5241684 | RevenuesLessExpensesCY |
| Total Assets BOY | 209303321 | TotalAssetsBOY |
| Total Assets EOY | 213551307 | TotalAssetsEOY |
| Total Liabilities BOY | 114414362 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 112530850 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 94888959 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 101020457 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES IN A SETTING WHICH CONSIDERS NOT ONLY THE PHYSICAL, BUT ALSO THE MENTAL AND SPIRITUAL NEEDS OF THE COMMUNITY IT SERVES. THE MEDICAL CENTER ACCEPTS ALL PATIENTS RESIDING OUTSIDE THE SERVICE AREA IN EMERGENCY SITUATIONS WITHOUT REGARD TO RACE, RELIGION, NATIONAL ORIGIN, OR ABILITY TO PAY. INDIVIDUALS ARE CLASSIFIED AS CHARITY PATIENTS BY THE MEDICAL CENTER IF THEIR INCOME FALLS WITHIN PRE-ESTABLISHED PARAMETERS AND THEY ARE NOT ELIGIBLE FOR ASSISTANCE UNDER FEDERALLY ASSISTED PROGRAMS. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET REVENUE. CHARITY CARE PROVIDED AT ESTABLISHED RATES FOR THE YEARS ENDED DECEMBER 31, 2010 AND 2009 WERE $15,330,000 AND $13,890,000 RESPECTIVELY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 16245723 | Expense |
| Revenue | 14412823 | Revenue |
| Description | Inpatient Routine Care, Total Patient Days: 9,404. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 48930402 | Expense |
| Grants | 102928 | Grants |
| Revenue | 57472670 | Revenue |
| Description | Inpatient/Outpatient Ancillary Services, Weighted Patient Days: 21,566. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 11739875 | Expense |
| Revenue | 15252964 | Revenue |
| Description | Total Emergency room visits and Ambulance Calls: 25,262. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 76916000 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 82 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 687 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THE ORGANIZATION | NamePerson |
| Telephone Number | 3034981600 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 PRAIRIE CENTER PARKWAY | AddressLine1 |
| City | Brighton | City |
| State | CO | State |
| ZIP Code | 80601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JOHN HICKS | ||||||||
| CEO/PRESIDENT | 50.0 | X | X | 673766 | 0 | 24123 | ||
| GERRY LEWIS-JENKINS | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| MICHAEL DOLAN | ||||||||
| DIRECTOR/VICE CHAIR | 3.0 | X | X | 0 | 0 | 0 | ||
| WILLIAM LEE MD | ||||||||
| DIRECTOR | 3.0 | X | 50000 | 0 | 0 | |||
| SUE CORBETT | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| TILLMAN FARLEY MD | ||||||||
| DIRECTOR/CHIEF OF STAFF | 3.0 | X | 18500 | 0 | 0 | |||
| BOB FEIS | ||||||||
| DIRECTOR/FOUNDATION CHAIR | 3.0 | X | 0 | 0 | 0 | |||
| MATT FLAHERTY MD | ||||||||
| DIRECTOR | 3.0 | X | 30625 | 0 | 0 | |||
| FAYE HUMMEL PHD | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| ELAINE PADILLA | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| LOWELL PALMQUIST | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| JOHN RHOADES | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| TED SHIPMAN | ||||||||
| DIRECTOR | 3.0 | X | 0 | 0 | 0 | |||
| KIRK QUACKENBUSH MD | ||||||||
| DIRECTOR | 3.0 | X | 15566 | 0 | 0 | |||
| SHAWN WIANT | ||||||||
| DIRECTOR/CHAIR | 3.0 | X | X | 0 | 0 | 0 | ||
| CHERYL BENTLEY | ||||||||
| COO/VICE PRESIDENT | 50.0 | X | 321257 | 0 | 22302 | |||
| HAROLD DUPPER | ||||||||
| CFO/CORPORATE SECRETARY | 50.0 | X | 332776 | 0 | 32306 | |||
| KURT GENSERT | ||||||||
| VICE PRESIDENT OF NURSING | 50.0 | 246463 | 0 | 38516 | X | |||
| ERIC STIRM | ||||||||
| PHARMACY DIRECTOR | 40.0 | 166844 | 0 | 31835 | X | |||
| ROBERT NEBEL | ||||||||
| PHARMACIST | 40.0 | 140600 | 0 | 6214 | X | |||
| KAREN WELZ | ||||||||
| OR DIRECTOR | 40.0 | 129344 | 0 | 34559 | X | |||
| DUANE LIVADNEY | ||||||||
| RADIOLOGY SUPERVISOR | 48.0 | 124100 | 0 | 31680 | X | |||
| JACKIE DUNKIN | ||||||||
| HR DIRECTOR | 40.0 | 120401 | 0 | 31254 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2370242 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 252789 | TotalOtherCompensation |
| Number Individuals GT100 K | 39 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SIEMENS MEDICAL SOLUTIONS | |||||
| PO BOX 120001 | DALLAS | TX | 75312 | SOFTWARE SUPPORT | 1428591 |
| ANESTHESIA SERVICES INC | |||||
| 15797 FORTUNE CT | BRIGHTON | CO | 80601 | ANESTHESIA SERVICES | 871957 |
| QUAMMEN HEALTHCARE CONSULTANTS | |||||
| PO BOX 550070 | MONTVERDE | FL | 34756 | CONSULTANTS | 847674 |
| CHILDREN'S HOSPITAL | |||||
| 13123 E 16TH AVE BOX 010 | AURORA | CO | 80045 | SPECIAL CARE NURSERY | 762204 |
| NORTHERN HEMATOLOGYONCOLOGY | |||||
| PO BOX 151029 | LAKEWOOD | CO | 80215 | ONCOLOGY SERVICE | 475000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 37 | NumberOfContractorsGT100K |
| Related Organizations | 325665 | RelatedOrganizations |
| Total Contributions | 325665 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| PATIENT SERVICES REV, NET OF ALLOWANCE | 900099 | 83870640 | 83870640 | |
| CAFETERIA SALES | 900099 | 345893 | $345,893 | |
| ALTERNATE CARE SERVICES | 900099 | 52050 | 52050 | |
| EDUCATION | 900099 | 83674 | 83674 | |
| 2009 MEDICAID PROVIDER PAYMENT | 621500 | 3132093 | 3132093 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 98937 | TotalRevenueColumn |
| Exclusion | $98,937 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 87583287 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2054041 | TotalRevenueColumn |
| Unrelated Business Revenue | 56 | UnrelatedBusinessRevenue |
| Exclusion | $2,053,985 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1239809 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 739145 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 500664 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 500664 | TotalRevenueColumn |
| Exclusion | $500,664 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 80958355 | Securities |
| Other | 550 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 79817361 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1140994 | Securities |
| Other | 550 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1141544 | TotalRevenueColumn |
| Exclusion | $1,141,544 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 91605201 | TotalRevenueColumn |
| Related Or Exempt Function Income | 87138457 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 56 | UnrelatedBusinessRevenue |
| Exclusion | $4,141,023 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90272 | Total |
| Program Services | 90272 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12656 | Total |
| Program Services | 12656 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1738308 | Total |
| Program Services | 1551092 | ProgramServices |
| Management And General | 187216 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25422150 | Total |
| Program Services | 22433821 | ProgramServices |
| Management And General | 2867952 | ManagementAndGeneral |
| Fundraising | 120377 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 605630 | Total |
| Program Services | 490843 | ProgramServices |
| Management And General | 109678 | ManagementAndGeneral |
| Fundraising | 5109 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7373155 | Total |
| Program Services | 6501099 | ProgramServices |
| Management And General | 849949 | ManagementAndGeneral |
| Fundraising | 22107 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2021378 | Total |
| Program Services | 1747696 | ProgramServices |
| Management And General | 263201 | ManagementAndGeneral |
| Fundraising | 10481 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 260104 | Total |
| Program Services | 31 | ProgramServices |
| Management And General | 260073 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113241 | Total |
| Program Services | 7533 | ProgramServices |
| Management And General | 105708 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3863 | Total |
| Management And General | 3863 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169672 | Total |
| Management And General | 169672 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7772389 | Total |
| Program Services | 6299635 | ProgramServices |
| Management And General | 1452854 | ManagementAndGeneral |
| Fundraising | 19900 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176124 | Total |
| Program Services | 29513 | ProgramServices |
| Management And General | 146611 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11429441 | Total |
| Program Services | 11100641 | ProgramServices |
| Management And General | 297207 | ManagementAndGeneral |
| Fundraising | 31593 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1728354 | Total |
| Program Services | 657739 | ProgramServices |
| Management And General | 1067744 | ManagementAndGeneral |
| Fundraising | 2871 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 751842 | Total |
| Program Services | 670869 | ProgramServices |
| Management And General | 80973 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68633 | Total |
| Program Services | 41359 | ProgramServices |
| Management And General | 26511 | ManagementAndGeneral |
| Fundraising | 763 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71337 | Total |
| Program Services | 59560 | ProgramServices |
| Management And General | 11747 | ManagementAndGeneral |
| Fundraising | 30 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5701312 | Total |
| Program Services | 5087281 | ProgramServices |
| Management And General | 614031 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10011175 | Total |
| Program Services | 9573095 | ProgramServices |
| Management And General | 437385 | ManagementAndGeneral |
| Fundraising | 695 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 535672 | Total |
| Program Services | 478360 | ProgramServices |
| Management And General | 57312 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| OTHER DIRECT EXPENSE | 1157448 | 933544 | 222709 | 1195 |
| BAD DEBT | 4746644 | 4746644 | ||
| PROVIDER FEE | 4396082 | 4396082 | ||
| TAXES ON WORK COMP THRU CHA TR | 5449 | 5449 | ||
| EXP ON WORK COMP THRU CHA TRUS | 1186 | 1186 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86363517 | Total |
| Program Services | 76916000 | ProgramServices |
| Management And General | 9232396 | ManagementAndGeneral |
| Fundraising | 215121 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4255894 | BOY |
| EOY | 9084273 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14228549 | BOY |
| EOY | 9326498 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10799389 | BOY |
| EOY | 10169347 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1158375 | BOY |
| EOY | 818260 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 465096 | BOY |
| EOY | 560469 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1763314 | BOY |
| EOY | 1735784 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 142260616 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 41552078 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106158977 | BOY |
| EOY | 100708538 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58633925 | BOY |
| EOY | 69264106 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5147366 | BOY |
| EOY | 5289439 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6692436 | BOY |
| EOY | 6594593 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 209303321 | BOY |
| EOY | 213551307 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9013030 | BOY |
| EOY | 8897921 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105401332 | BOY |
| EOY | 102732556 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 900373 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 114414362 | BOY |
| EOY | 112530850 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93592965 | BOY |
| EOY | 99633178 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1295994 | BOY |
| EOY | 1387279 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94888959 | BOY |
| EOY | 101020457 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 209303321 | BOY |
| EOY | 213551307 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5241684 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 889814 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $3,863 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 3863 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING EXPENSE | Identifier |
| Return Reference | 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 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1295994 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 416950 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 102928 | GrantsOrScholarships |
| Other Expenditures | 222737 | OtherExpenditures |
| End Of Year Balance | 1387279 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2277935 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -508054 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 473887 | GrantsOrScholarships |
| End Of Year Balance | 1295994 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3245878 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 92168 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1060111 | GrantsOrScholarships |
| End Of Year Balance | 2277935 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10648458 | OtherCostOrOtherBasis |
| Book Value | 10648458 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 88786452 | OtherCostOrOtherBasis |
| Depreciation | 19617727 | Depreciation |
| Book Value | 69168725 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 248974 | OtherCostOrOtherBasis |
| Depreciation | 74692 | Depreciation |
| Book Value | 174282 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 33475670 | OtherCostOrOtherBasis |
| Depreciation | 20181470 | Depreciation |
| Book Value | 13294200 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9101062 | OtherCostOrOtherBasis |
| Depreciation | 1678189 | Depreciation |
| Book Value | 7422873 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 100708538 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ACCRUED SELF INSURANCE | Description |
| Amount | $900,373 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 900373 | TotalOfAmounts |
| Total Revenue | 91605201 | TotalRevenue |
| Total Expenses | 86363517 | TotalExpenses |
| Excess Or Deficit For Year | 5241684 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 843660 | NetUnrealizedGLOnInvestments |
| Other | $46,154 | OtherAmount |
| Total Adjustments | 889814 | TotalAdjustments |
| Excess Or Deficit Per FS | 6131498 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 92257160 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 843660 | NetUnrealizedGainsInvestments |
| Other Revenues | 91285 | OtherRevenues |
| Revenue Not Rptd F990 | 934945 | RevenueNotRptdF990 |
| Revenue Subtotal | 91322215 | RevenueSubtotal |
| Investment Expenses Not Included | 157723 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 125263 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 282986 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 91605201 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 86125662 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 86125662 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 157723 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 80132 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 237855 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 86363517 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART V, QUESTION 4 | INTENDED USES OF ENDOWMENT FUNDS | 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. |
| PART XII, LINE 2D | OTHER REVENUE ON BOOKS NOT ON RETURN | CHANGE IN INTEREST IN NET ASSETS OF PLATTE VALLEY MEDICAL CENTER FOUNDATION 91,285 |
| PART XI, LINE 8 | OTHER CHANGES TO NET ASSETS | CHANGE IN INTEREST IN NET ASSETS OF PLATTE VALLEY MEDICAL CENTER FOUNDATION 91,285 NET REVENUE OVER EXPENSE PASSED THRU THE COLORADO HOSPITAL ASSN TRUST FOR WORKER'S COMPENSATION (45,131) TOTAL 46,154 |
| PART X, LINE 2 | UNCERTAIN TAX POSITIONS | 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. |
| PART XII LINE 4B | REVENUE ON RETURN NOT ON BOOKS | REVENUE PASSED THRU THE COLORADO HOSPITAL ASSN TRUST FOR WORKER'S COMPENSATION 125,263 |
| PART XIII LINE 4B | EXPENSES ON RETURN NOT ON BOOKS | EXPENSES PASSED THRU THE COLORADO HOSPITAL ASSN TRUST FOR WORKER'S COMPENSATION 80,132 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 40. | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 575 | PersonsServed |
| Total Community Benefit Expense | 6356736 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6356736 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07790 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16357 | PersonsServed |
| Total Community Benefit Expense | 16260441 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11298746 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4961695 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06080 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16932 | PersonsServed |
| Total Community Benefit Expense | 22617177 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11298746 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11318431 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13870 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 87585 | PersonsServed |
| Total Community Benefit Expense | 30682 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 444 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 30238 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 148 | PersonsServed |
| Total Community Benefit Expense | 1037313 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1037313 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01270 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 169360 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 169360 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 21 | NumberOfActivitiesOrPrograms |
| Persons Served | 87733 | PersonsServed |
| Total Community Benefit Expense | 1237355 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 444 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1236911 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01520 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 21 | NumberOfActivitiesOrPrograms |
| Persons Served | 104665 | PersonsServed |
| Total Community Benefit Expense | 23854532 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11299190 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12555342 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.15390 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 71 | PersonsServed |
| Total Community Building Expense | 1224 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1224 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 71 | PersonsServed |
| Total Community Building Expense | 1224 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1224 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,967,886 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 9540089 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 15216567 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5676478 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLATTE VALLEY MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 PRAIRIE CENTER PARKWAY | AddressLine1 |
| City | BRIGHTON | City |
| State | CO | State |
| ZIP Code | 80601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Childrens Hospital | X | ChildrensHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLATTE VALLEY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE H, PART I, LINES 3A &3B | FREE AND DISCOUNTED CARE ELIGIBILITY PERCENTAGES | 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. |
| SCHEDULE H, PART I, LINE 7, COLUMN F | BAD DEBT EXPENSE | Total bad debt expense removed from the denominator prior to the percentage calculation = 4,746,644. |
| SCHEDULE H, PART I, LINE 7 | CALCULATION OF COMMUNITY BENEFIT EXPENSES | 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. |
| SCHEDULE H, PART III, LINE 4 | BAD DEBT EXPENSE | 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. Our costing methodology used to determine bad debt expense uses a ratio of patient care costs to charges. A number of patients are truly unable to pay their out-of-pocket liability, but do not complete the process required to apply for financial assistance under the hospital's charity care policy. These patients would qualify for charity care if they completed the paperwork, so the bad debt expense associated with treating them should be treated as community benefit. |
| SCHEDULE H, PART III, LINE 8 | MEDICARE | 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. |
| SCHEDULE H, PART III, LINE 9b | CHARITY CARE | Our charity care policy outlines steps for financial counselors to follow to identify 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 if possible. |
| SCHEDULE H, PART VI | NEEDS ASSESSMENT | Programs and services provided by the hospital for the community are based upon Platte Valley Medical Center inpatient admission, outpatient and emergency room visit data, County and State demographics, Colorado Department of Public Health and Environment health statistics, and community requests. |
| SCHEDULE H, PART VI | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | We provide a hand-out with FAQ's, which includes information about financial assistance, and whom to call. The same FAQ is located on our website. "HIS" financial counselors are located in the emergency department during peak days and time. We have 2.5 full time employees dedicated to financial assistance. |
| SCHEDULE H, PART VI | COMMUNITY INFORMATION | 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 & Census Tracts: 008512 and 00870. Our secondary service area includes: Thornton (80241), Henderson (80640), Hudson (80642), & Keenesberg (80643). |
| SCHEDULE H, PART VI | PROMOTION OF COMMUNITY HEALTH | We further promote the health of the community through the use of Chip funds for community programs, health fair sponsorships, flu shots below market, 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. |
| SCHEDULE H, PART V, SECTION B | FACILITY INFORMATION | The IRS released Announcement 2011-37 on July 5, 2011. The announcement advises that Part V Section B of Schedule H is optional for the 2010 tax year. The taxpayer has exercised its option to leave Part V Section B blank for the 2010 year. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| CASA | |||||||
| 1100 JUDICIAL CENTER DR | BRIGHTON | CO | 80601 | 311657019 | 501(C)(3) | 10000 | HELP PAY VOL COORD |
| FORT LUPTON FOOD BANK | |||||||
| 421 DENVER AVE | FORT LUPTON | CO | 80621 | 981707800 | 501(C)(3) | 7500 | FOOD & HOUSE ITEMS |
| SCHOOL DISTRICT 27J | |||||||
| 18851 E 160TH AVE | BRIGHTON | CO | 80601 | 846012304 | GOVERNMENT | 38879 | SCIENCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | FREE MEALS | TypeOfGrant |
| Number Of Recipients | 1808 | NumberOfRecipients |
| Amount Of Non Cash Assistance | 12656 | AmountOfNonCashAssistance |
| Method Of Valuation | COST | MethodOfValuation |
| Description Of Non Cash Assistance | MEALS | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part I, Question 2 | Identifier |
| Return Reference | 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN HICKS | |||||||||||||
| 443746 | 0 | 128448 | 0 | 101572 | 0 | 9800 | 0 | 14323 | 0 | 697889 | 0 | 0 | 0 |
| CHERYL BENTLEY | |||||||||||||
| 223739 | 0 | 65664 | 0 | 31854 | 0 | 9800 | 0 | 12502 | 0 | 343559 | 0 | 0 | 0 |
| HAROLD DUPPER | |||||||||||||
| 224446 | 0 | 67104 | 0 | 41226 | 0 | 9800 | 0 | 22506 | 0 | 365082 | 0 | 0 | 0 |
| KURT GENSERT | |||||||||||||
| 174599 | 0 | 48504 | 0 | 23360 | 0 | 13136 | 0 | 25380 | 0 | 284979 | 0 | 0 | 0 |
| ERIC STIRM | |||||||||||||
| 148530 | 0 | 17946 | 0 | 368 | 0 | 5351 | 0 | 26484 | 0 | 198679 | 0 | 0 | 0 |
| KAREN WELZ | |||||||||||||
| 124403 | 0 | 4620 | 0 | 321 | 0 | 10394 | 0 | 24165 | 0 | 163903 | 0 | 0 | 0 |
| DUANE LIVADNEY | |||||||||||||
| 82498 | 0 | 2230 | 0 | 39372 | 0 | 3211 | 0 | 28469 | 0 | 155780 | 0 | 0 | 0 |
| JACKIE DUNKIN | |||||||||||||
| 102791 | 0 | 12966 | 0 | 4644 | 0 | 2690 | 0 | 28564 | 0 | 151655 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Information Regarding Beneftis Provided | Part I, Question 1a | 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. |
| Explanation of non-fixed payments | Part 1 Question 7 | 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. The CEO's performance criteria also has objectives related to the Platte Valley Medical Center Foundation in addition to the objectives listed above. |
| Information Regarding Compensation Reporting | Part II | 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. 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: & DEFERRED: COMPENSATION: PRIOR 990: COMPENSATION John Hicks 138,248 826,337 (128,448) 697,889 Cheryl Bentley 75,464 409,223 (65,664) 343,559 Harold Dupper 76,904 432,186 (67,104) 365,082 Kurt Gensert 61,640 333,483 (48,504) 284,979 Eric Stirm 23,297 216,625 (17,946) 198,679 Robert Nebel 5,570 146,814 (2,850) 143,964 Karen Welz 15,014 168,523 (4,620) 163,903 Duane Livadney 3,211 155,780 (2,230) 153,550 Jackie Dunkin 15,656 164,621 (12,966) 151,655 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Adams County Colorado | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 846000732 | IssuerEIN |
| CUSIP Number | 005622BE4 | CUSIPNumber |
| Date Issued | 2005-05-01 | DateIssued |
| Issue Price | 123605753 | IssuePrice |
| Description Of Purpose | CONSTRUCT AND EQUIP FACILITY | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 15667444 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 123671567 | TotalProceeds |
| Amount In Reserve Fund | 8877544 | AmountInReserveFund |
| Capitalized Interest | 7855216 | CapitalizedInterest |
| Refunding Escrow | 13055000 | RefundingEscrow |
| Issuance Costs From Proceeds | 1335822 | IssuanceCostsFromProceeds |
| Credit Enhancement | 1056070 | CreditEnhancement |
| Working Capital Expenditures | 5708505 | WorkingCapitalExpenditures |
| Capital Expenditures | 85981954 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | false | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | true | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOLDMAN SACHS CAP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 0.5 | TermOfHedge |
| Superintegrated Hedge | false | SuperintegratedHedge |
| Hedge Terminated | false | HedgeTerminated |
| Gross Proceeds Invested In GIC | true | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JP MORGAN CHASE BANK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 2.1 | TermOfGIC |
| Regulatory Safe Harbor Satisfied | true | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Changes to Organizational Documents since Prior 990 | Form 990, Part VI, Question 4 | Articles and Bylaws were revised in 2010. In 2010, Article V Section 5.09 of the bylaws was modified to address the compensation of Directors. |
| Classes of Members or Stockholders and Voting Rights | Form 990, Part VI, Question 6 and 7a | 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. |
| Process to Review the Form 990 | Form 990, Part VI, Question 11b | 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 SENT TO EACH BOARD MEMBER BEFORE FILING WITH THE IRS. |
| Process for Monitoring Compliance with Conflict of Interest Policy | Form 990, Part VI, Question 12c | 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. |
| Review of CEO and other Officers Compensation | Form 990, Part VI, Question 15a and 15b | 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. |
| Public Disclosure of Documents | Form 990, Part VI, Question 19 | The governing documents, conflict of interest policy, and financial statements are made available to the public upon request. |
| Board Voting Rights | Part VI, Line 1a | 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 issues. |
| Other Changes in Net Assets | Part XI, Line 5 | 843,660 - Unrealized Gains 91,285 - Change in Interest in Net Assets of Platte Valley Medical Ctr Fdn 45,131 - Net Revenue over Expense passed thru CO Hospital Assn Trust for Worker's Compensation 934,945 - Total |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN HICKS TITLE:CEO/PRESIDENT HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL DOLAN TITLE:DIRECTOR/VICE CHAIR HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BOB FEIS TITLE:DIRECTOR/FOUNDATION CHAIR HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOHN RHOADES TITLE:DIRECTOR HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KIRK QUACKENBUSH, MD TITLE:DIRECTOR HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KURT GENSERT TITLE:VICE PRESIDENT OF NURSING HOURS:1 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Platte Valley Medical Center Foundation | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Prairie Center Parkway | AddressLine1 |
| City | Brighton | City |
| State | CO | State |
| ZIP Code | 80601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742255936 | EIN |
| Primary Activities | Fundraising | PrimaryActivities |
| Legal Domicile State | CO | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | LN11 TYPE I | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PVMC Physician Services Inc | |||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE | BRIGHTON | CO | 80601 | 943458548 | MEDICAL | CO | NA | C | 271550 | 32192 | 1.00000 |
| High Plains Heart & Vascular Center Inc | |||||||||||
| 1606 Prairie Center Parkway Suite | Brighton | CO | 80601 | 272038197 | Medical | CO | NA | C | 299968 | 167778 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Platte Valley Medical Center Foundation | |
| c | 325665 |
| PVMC Physician Services Inc | |
| q | 75000 |
| High Plains Heart & Vascular Center Inc | |
| q | 341000 |