POUDRE VALLEY HEALTH CARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: POUDRE VALLEY HEALTH CARE INC (EIN 84-1262971)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-14
IRS object ID: 201143189349306129
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 L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-14T15:43:47-05:00	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	841262971	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Poudre Valley Health Care Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	POUD	NameControl
Phone	9702377000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2315 E Harmony Road	AddressLine1
City	Fort Collins	City
State	CO	State
ZIP Code	80528	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	STEPHANIE DOUGHTY	Name
Title	CFO	Title
Date Signed	2011-09-06	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	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Rulon Stacey	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY RD SUITE 200	AddressLine1
City	Fort Collins	City
State	CO	State
ZIP Code	80528	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	606197592	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.pvhs.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1994	YearFormation
State Legal Domicile	CO	StateLegalDomicile
Activity Or Mission Description	POUDRE VALLEY HEALTH SYSTEM IS AN INTEGRATED, INDEPENDENT, NON-PROFIT ORGANIZATION, PROVIDING INNOVATIVE, COMPREHENSIVE CARE OF HIGHEST QUALITY & EXCEEDING EXPECTATIONS OF THE COMMUNITIES WE SERVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	5733	TotalNbrEmployees
Total Nbr Volunteers	689	TotalNbrVolunteers
Total Gross UBI	11131800	TotalGrossUBI
Net Unrelated Business Txbl Income	2237147	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	722152	ContributionsGrantsPriorYear
Contributions Grants Current Year	8098366	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	362056421	ProgramServiceRevenuePriorYear
Program Service Revenue CY	423726041	ProgramServiceRevenueCY
Investment Income Prior Year	9078274	InvestmentIncomePriorYear
Investment Income Current Year	8470934	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7897938	OtherRevenuePriorYear
Other Revenue Current Year	8904167	OtherRevenueCurrentYear
Total Revenue Prior Year	379754785	TotalRevenuePriorYear
Total Revenue Current Year	449199508	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1230471	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1482109	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	184305989	SalariesEtcPriorYear
Salaries Etc Current Year	218684389	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	152607756	OtherExpensePriorYear
Other Expenses Current Year	190771747	OtherExpensesCurrentYear
Total Expenses Prior Year	338144216	TotalExpensesPriorYear
Total Expenses Current Year	410938245	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	41610569	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	38261263	RevenuesLessExpensesCY
Total Assets BOY	668057923	TotalAssetsBOY
Total Assets EOY	727783197	TotalAssetsEOY
Total Liabilities BOY	215471203	TotalLiabilitiesBOY
Total Liabilities EOY	235600988	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	452586720	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	492182209	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF POUDRE VALLEY HEALTH SYSTEM IS TO BE AN INTEGRATED, INDEPENDENT, NON-PROFIT ORGANIZATION PROVIDING INNOVATIVE, COMPREHENSIVE CARE OF THE HIGHEST QUALITY AND EXCEEDING EXPECTATIONS OF THE COMMUNITIES WE SERVE.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	321024454	Expense
Grants	1482109	Grants
Revenue	381426876	Revenue
Description	Poudre Valley Health Care Inc (PVHC) provides tertiary, acute, inpatent, outpatient as well as emergency care. PVHC services communities in Northern Colorado, Southwestern Nebraska and Southeastern Wyoming. During 2010 PVHC recorded 58,924 patient days; 15,519 discharges; 471,496 outpatient visits; 43,984 emergency visits; 3,136 births; 5,988 inpatient surgeries; and 3,477 outpatient surgeries.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	46716755	Expense
Revenue	37107962	Revenue
Description	Poudre Valley Medical Group, LLC was created to integrate Poudre Valley Health System with physician practices, at year end 2010 PVMG, LLC was comprised of 105 employed physicians representing 21 specialties at 17 medical clinics in 22 communities in Colorado, Nebraska and Wyoming.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	367741209	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	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	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	false	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	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	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	522	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	5733	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
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	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	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	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	THE ORGANIZATION	NamePerson
Telephone Number	9702377000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2315 E HARMONY RD SUITE 200	AddressLine1
City	Fort Collins	City
State	CO	State
ZIP Code	80528	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 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
STU VANMEVEREN
BOARD CHAIR	2.0	X	X	0	0	0
CHRIS OSBORN
VICE BOARD CHAIR	2.0	X	X	307	0	0
CHRISTINE CHIN
BOARD MEMBER	2.0	X		0	0	0
MIKE DELLENBACH
BOARD MEMBER	2.0	X		0	0	0
GARY LUDWIN
BOARD MEMBER	2.0	X		0	0	0
THAINE MICHIE
BOARD MEMBER	2.0	X		0	0	0
TODD SORENSEN MD
BOARD MEMBER	2.0	X		313	0	0
LAURIE STEELE
BOARD MEMBER	2.0	X		557	0	0
DAN STROH
BOARD MEMBER	2.0	X		813	0	0
JOE HENDRICKSON
BOARD MEMBER	2.0	X		0	0	0
RULON STACEY
CHIEF EXECUTIVE OFFICER	40.0	X	X	1649479	0	834648
TODD WHITSITT MD
PHYSICIAN, BD MEMBER THRU 3/10	40.0	X		263103	0	8650
CHRIS KNEELAND
BOARD MEMBER THRU 3/10	2.0	X		0	0	0
LEE THIELEN
BOARD MEMBER THRU 3/10	2.0	X		0	0	0
STEPHANIE DOUGHTY
CHIEF FINANCIAL OFFICER	40.0		X	465217	0	229676
RUSS BRANZELL
CHIEF INFORMATION OFFICER	40.0			344623	0	145984	X
PAMELA BROCK
FORMER VP MKTG & STRATEGIC PLN	40.0			538577	0	113969	X
DIANE GROSS
FORMER VP - GENERAL COUNCIL	40.0			451018	0	70369	X
CRAIG LUZINSKI
PVH CHIEF NURSING OFFICER	40.0			265478	0	105106	X
WILLIAM NEFF MD
CHIEF MEDICAL OFFICER	40.0			390885	0	156656	X
PATTI OAKES
VP HUMAN RESOURCES	40.0			220086	0	96934	X
DAN ROBINSON
PVH VP OF OPERATIONS	40.0			231992	0	144738	X
KEVIN UNGER
PVH PRESIDENT	40.0			386813	0	200493	X
BARB YOSSES
VP AMBULATORY SERVICES	10.0			294857	0	157182	X
AUSTIN BAILEY MD
PHYSICIAN	40.0			241360	0	44282		X
MARY BLATTNER MD
PHYSICIAN	40.0			295414	0	7081		X
JOSEPH GOTTFRIED MD
PHYSICIAN	40.0			240391	0	40148		X
GERALD MCINTOSH MD
PHYSICIAN	40.0			325623	0	21820		X
JOHN NAGEL MD
PHYSICIAN	40.0			250280	0	31586		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6857186	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2409322	TotalOtherCompensation
Number Individuals GT100 K	213	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
NORTHERN COLORADO PULMONARY CONSULT
2121 E HARMONY RD SUITE 300	FT COLLINS	CO	80528	MEDICAL	1875645
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146	MINNEAPOLIS	MN	554809146	MEDICAL	1628044
FAEGRE BENSON LLP
1700 LINCOLN STREET	DENVER	CO	80203	LEGAL	1340299
HARMONY ADDICTION HEALTH
2121 East Harmony Rd Ste 310	FORT COLLINS	CO	80528	MEDICAL	1279558
NORTHERN COLORADO HOSPITALISTS
2121 East Harmony Rd Ste 300	FORT COLLINS	CO	80528	MEDICAL	990759

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	52	NumberOfContractorsGT100K
Related Organizations	7463218	RelatedOrganizations
Government Grants	515038	GovernmentGrants
All Other Contributions	120110	AllOtherContributions
Noncash Contributions	360880	NoncashContributions
Total Contributions	8098366	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	900099	386748641	386748641
PROVIDER FEE INCOME	621400	28137276	28137276
DIETARY SERVICES INCOME	900099	1893810		$1,893,810
LAB UBI	621500	2408112			2408112
JOINT VENTURE	621400	2843179	2481630		361549

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1695023	TotalRevenueColumn
Related Or Exempt Function Income	1167291	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	527732	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	423726041	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7557806	TotalRevenueColumn
Exclusion	$7,557,806	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	554478	TotalRevenueColumn
Exclusion	$554,478	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	6055003	Real
Personal	457025	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2791993	Real
Personal	457025	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	3263010	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	3263010	TotalRevenueColumn
Unrelated Business Revenue	2869112	UnrelatedBusinessRevenue
Exclusion	$393,898	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	153580616	Securities
Other	13446	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	153139669	Securities
Other	95743	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	440947	Securities
Other	-82297	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	358650	TotalRevenueColumn
Exclusion	$358,650	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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	730955	GrossSalesOfInventory
Cost Of Goods Sold	513654	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	217301	TotalRevenueColumn
Unrelated Business Revenue	31459	UnrelatedBusinessRevenue
Exclusion	$185,842	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
REIMBURSEMENT - NON OPERATING DEPTS	621400	4731940	4731940
SERVICES PROVIDED TO OUTSIDE ENTITIES	621400	147013	147013
INCOME TAX REFUND	621400	490020		$490,020

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	54883	TotalRevenueColumn
Unrelated Business Revenue	54883	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	5423856	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	449199508	TotalRevenueColumn
Related Or Exempt Function Income	418534838	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	11131800	UnrelatedBusinessRevenue
Exclusion	$11,434,504	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1482109	Total
Program Services	1482109	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

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	6328848	Total
Program Services	755314	ProgramServices
Management And General	5573534	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	83352	Total
Program Services	83352	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	165317723	Total
Program Services	156598435	ProgramServices
Management And General	8719288	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7847956	Total
Program Services	6470586	ProgramServices
Management And General	1377370	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	26493878	Total
Program Services	22362009	ProgramServices
Management And General	4131869	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12612632	Total
Program Services	10645621	ProgramServices
Management And General	1967011	ManagementAndGeneral

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	2167006	Total
Program Services	62264	ProgramServices
Management And General	2104742	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	139903	Total
Management And General	139903	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	17607	Total
Management And General	17607	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	388774	Total
Management And General	388774	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	26345927	Total
Program Services	23556859	ProgramServices
Management And General	2789068	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1891410	Total
Program Services	233332	ProgramServices
Management And General	1658078	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	59670624	Total
Program Services	58286893	ProgramServices
Management And General	1383731	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7457504	Total
Program Services	6102329	ProgramServices
Management And General	1355175	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	11636390	Total
Program Services	8827422	ProgramServices
Management And General	2808968	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	942761	Total
Program Services	558560	ProgramServices
Management And General	384201	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	797364	Total
Program Services	594186	ProgramServices
Management And General	203178	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	8820433	Total
Program Services	8820433	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	21347607	Total
Program Services	19081663	ProgramServices
Management And General	2265944	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3057193	Total
Program Services	2772533	ProgramServices
Management And General	284660	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	8196637	8196637
REPAIRS AND MAINTENANCE	7664822	6851239	813583
DIETARY, HOUSEKEEPING, LINEN	3719157	3509416	209741
UBI ESTIMATES PAID	883000		883000
PROVIDER FEE EXPENSE	21324626	21324626

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4303002	Total
Program Services	565391	ProgramServices
Management And General	3737611	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	410938245	Total
Program Services	367741209	ProgramServices
Management And General	43197036	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3817574	BOY
EOY	3595327	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	29828083	BOY
EOY	48816414	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	47497316	BOY
EOY	78566431	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	1497673	BOY
EOY	2302454	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1345181	BOY
EOY	1743834	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5119132	BOY
EOY	6175678	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2891963	BOY
EOY	2931636	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	474303676	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	240094234	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	196524722	BOY
EOY	234209442	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	313941694	BOY
EOY	272009524	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	3010917	BOY
EOY	3011040	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	43704756	BOY
EOY	46464951	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	18878912	BOY
EOY	27956466	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	668057923	BOY
EOY	727783197	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	43767656	BOY
EOY	59860633	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	131359990	BOY
EOY	131351513	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	7940561	BOY
EOY	25144046	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	4094743	BOY
EOY	5244455	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	28308253	BOY
EOY	14000341	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	215471203	BOY
EOY	235600988	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	452586720	BOY
EOY	492182209	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	452586720	BOY
EOY	492182209	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	668057923	BOY
EOY	727783197	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	38261263	ReconcilationRevenueExpenses
Reconcilation Other Changes	1334226	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

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	$17,607	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	17607	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Direct Contact with Legislators, staff, Gov't officials	Identifier
Return Reference	Form 990, Sch. C, Part II-B, Line 1g	ReturnReference
Explanation	Poudre Valley Hospital pays annual membership dues to CHA and AHA. A percentage of the annual dues are attributable to lobbying. The amount shown on this line is that percentage.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	37794004	OtherCostOrOtherBasis
Book Value	37794004	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	176328273	OtherCostOrOtherBasis
Depreciation	83665639	Depreciation
Book Value	92662634	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	93081265	OtherCostOrOtherBasis
Depreciation	45017776	Depreciation
Book Value	48063489	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	166820260	OtherCostOrOtherBasis
Depreciation	111410819	Depreciation
Book Value	55409441	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	279874	OtherCostOrOtherBasis
Book Value	279874	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	234209442	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	JOINT VENTURES	Description
Book Value	46464951	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	46464951	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
OTHER ACCRUED LIABILITIES	$8,951,660
CASH OVERDRAFTS	$5,048,681

Field	Value	IRS element (for citing)
Total Of Amounts	14000341	TotalOfAmounts
Total Revenue	449199508	TotalRevenue
Total Expenses	410938245	TotalExpenses
Excess Or Deficit For Year	38261263	ExcessOrDeficitForYear
Net Unrealized GL On Investments	2125305	NetUnrealizedGLOnInvestments
Other	-$791,079	OtherAmount
Total Adjustments	1334226	TotalAdjustments
Excess Or Deficit Per FS	39595489	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	444252776	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	2125305	NetUnrealizedGainsInvestments
Other Revenues	1408216	OtherRevenues
Revenue Not Rptd F990	3533521	RevenueNotRptdF990
Revenue Subtotal	440719255	RevenueSubtotal
Other Revenues Not Included	8480253	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	8480253	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	449199508	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	404657283	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	5239062	OtherExpensesIncluded
Expenses Not Rptd F990	5239062	ExpensesNotRptdF990
Expenses Subtotal	399418221	ExpensesSubtotal
Other Expenses Not Included	11520024	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	11520024	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	410938245	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIN 48 DISCLOSURE	SCH D PART X FIN 48	At December 31, 2010, all entities included in PVHC's consolidation are exempt from taxation under Section 501(c)(3) of the Internal Revenue Code except for Lakota Lake, LLC, PVHS/Timberline, LLC, Heron Lake, LLC, Poudre Valley Medical Group, LLC and Innovations Enterprises, Inc, including wholly-owned subsidary. Lakota Lake, LLC, PVHS/Timberline, LLC, Heron Lake, LLC, and Poudre Valley Medical Group, LLC act as tax flow-through entities to PVHC, which, as noted, is tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Innovation Enterprises, Inc. is taxed on its net profit under Subsection C of the Internal Revenue Code and includes their wholly-owned LLC as a tax flow-through entity. 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.
OTHER RECONCILING DIFFERENCE	SCH D PART XI LINE 8 SUPPORT	INTEREST RATE SWAP ADJUSTMENT ON AFS: (1,497,933) EXTRAORDINARY ITEM ADJUSTMENT ON AFS: (285,233) CONTRIBUTION FROM PV FOUNDATION NOT ON AFS: (273,750) EXCESS AUXILLARY INCOME NOT ON AFS: (181,478) AUXILLARY COGS ON AFS: (133,730) EXCESS AUXILLARY GRANTS PAID NOT ON AFS: 175,000 OTHER CHANGES ON AFS: 10,309 BOOK/TAX TIMING DIFFERENCES ON JOINT VENTURES 1,395,736 TOTAL PART XI LINE 8 AMOUNT: (791,079)
OTHER RECONCILING DIFFERENCE	SCH D PART XII LINE 2D SUPPORT	OTHER CHANGES IN NET ASSETS: 12,480 BOOK/TAX TIMING DIFFERENCES ON JOINT VENTURES 1,395,736 TOTAL PART XII LINE 2D AMOUNT: 1,408,216
OTHER RECONCILING DIFFERENCE	SCH D PART XII LINE 4B SUPPORT	NET RENTAL LOSS IN EXPENSE ON AFS: (2,857,777) NON OPER RENTAL INCOME IN EXPENSE ON AFS: (1,080,940) TTT, ONCOLOGY SHOP COGS IN AFS EXPENSE: (379,924) LOSS ON SALE OF ASSETS IN EXPENSE ON AFS: (82,297) MCR PHYSICIAN NETWORK CONTRIBUTION IN AFS EXPENSE: 7,002,108 NON-OPER REIMBURSEMENTS IN EXPENSE ON AFS: 4,731,940 INCOME TAX REFUND IN EXPENSE ON AFS: 490,020 CONTRIBUTION FROM PV FDN. NOT IN AFS REV: 273,750 AUXILLARY INCOME NOT INCLUDED IN AFS INCOME: 181,478 SVCS PROVIDED TO O/S ENTITIES IN EXP ON AFS: 147,013 VARIOUS UBI INCOME NOT IN AFS INCOME: 54,882 TOTAL PART XII LINE 4B AMOUNT: 8,480,253
OTHER RECONCILING DIFFERENCE	SCH D PART XIII LINE 2D SUPPORT	NET RENTAL INCOME IN EXPENSE ON AFS: 2,857,777 IMPACT OF INTERST RATE SWAP ON AFS: 1,497,933 COST OF GOODS SOLD IN EXPENSE ON AFS: 513,654 IMPACT OF EXTRAORDINARY ITEM ON AFS: 285,233 LOSS ON SALE OF ASSETS IN EXPENSE ON AFS: 82,297 TIMING DIFFERENCE ON FDN/PVH CONTRIBUTIONS: 2,168 TOTAL PART XIII LINE 2D AMOUNT: 5,239,062
OTHER RECONCILING DIFFERENCE	SCH D PART XIII LINE 4B SUPPORT	MCR PHYSICIAN NETWORK ALLOCATION ON AFS: 7,002,108 NON-OPERATING REIMBURSEMENTS ON AFS: 4,731,940 INCOME TAX REFUND REDUCING EXPENSE ON AFS: 490,020 SERVICES PROVIDED TO O/S ENTITIES ON AFS: 147,013 VARIOUS UBI INCOME IN EXPENSE ON AFS: 54,883 NON OPER RENTAL INCOME IN EXPENSE ON 990: (1,080,940) AUXILIARY GRANTS NOT ON AFS: 175,000 TOTAL PART XIII LINE 4B AMOUNT: 11,520,024

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2475983	TotalCommunityBenefitExpense
Net Community Benefit Expense	2475983	NetCommunityBenefitExpense
Percent Of Total Expense	0.00710	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	35713542	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18808933	DirectOffsettingRevenue
Net Community Benefit Expense	16904609	NetCommunityBenefitExpense
Percent Of Total Expense	0.04820	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	44449142	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38306130	DirectOffsettingRevenue
Net Community Benefit Expense	6143012	NetCommunityBenefitExpense
Percent Of Total Expense	0.01750	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	82638667	TotalCommunityBenefitExpense
Direct Offsetting Revenue	57115063	DirectOffsettingRevenue
Net Community Benefit Expense	25523604	NetCommunityBenefitExpense
Percent Of Total Expense	0.07280	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4456938	TotalCommunityBenefitExpense
Direct Offsetting Revenue	552715	DirectOffsettingRevenue
Net Community Benefit Expense	3904223	NetCommunityBenefitExpense
Percent Of Total Expense	0.01110	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4314327	TotalCommunityBenefitExpense
Direct Offsetting Revenue	881103	DirectOffsettingRevenue
Net Community Benefit Expense	3433224	NetCommunityBenefitExpense
Percent Of Total Expense	0.00980	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	37159809	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11091475	DirectOffsettingRevenue
Net Community Benefit Expense	26068334	NetCommunityBenefitExpense
Percent Of Total Expense	0.07430	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	849258	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20752	DirectOffsettingRevenue
Net Community Benefit Expense	828506	NetCommunityBenefitExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	921759	TotalCommunityBenefitExpense
Net Community Benefit Expense	921759	NetCommunityBenefitExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	47702091	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12546045	DirectOffsettingRevenue
Net Community Benefit Expense	35156046	NetCommunityBenefitExpense
Percent Of Total Expense	0.10020	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	130340758	TotalCommunityBenefitExpense
Direct Offsetting Revenue	69661108	DirectOffsettingRevenue
Net Community Benefit Expense	60679650	NetCommunityBenefitExpense
Percent Of Total Expense	0.17300	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	2010	TotalCommunityBuildingExpense
Net Community Building Expense	2010	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	79548	TotalCommunityBuildingExpense
Net Community Building Expense	79548	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	341349	TotalCommunityBuildingExpense
Net Community Building Expense	341349	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	11556	TotalCommunityBuildingExpense
Net Community Building Expense	11556	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	83840	TotalCommunityBuildingExpense
Direct Offsetting Revenue	20732	DirectOffsettingRevenue
Net Community Building Expense	63108	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	25341	TotalCommunityBuildingExpense
Net Community Building Expense	25341	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	700	TotalCommunityBuildingExpense
Net Community Building Expense	700	NetCommunityBuildingExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	270052	TotalCommunityBuildingExpense
Net Community Building Expense	270052	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	814396	TotalCommunityBuildingExpense
Direct Offsetting Revenue	20732	DirectOffsettingRevenue
Net Community Building Expense	793664	NetCommunityBuildingExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$3,387,258	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	97373997	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	114717510	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-17343513	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

Form990 Schedule H Part IV Form990ScheduleHPartIV (7 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Harmony Surgery Ctr
Ambulatory Surgery	0.50000	0.00000	0.50000
Peak Surgery Mngt
Management Services	0.10000	0.00000	0.10000
Harmony Image Ctr
Medical Imaging	0.46000	0.00000	0.46000
Srg Ctr Fort Collins
Ambulatory Surgery	0.26000	0.00000	0.45000
Gateway Medical Svcs
Real Estate/Med Equip	0.50000	0.00000	0.50000
Eye Laser Ctr NO CO
Laser Surgery	0.50000	0.00000	0.50000
VEIN & LASER CTR NC
LASER SURGERY	0.33000	0.00000	0.65000

Field	Value	IRS element (for citing)
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	Poudre Valley Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1024 S Lemay	AddressLine1
City	Ft Collins	City
State	CO	State
ZIP Code	80524	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours
Other	Pharmacy Lab Cardiovascular	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Poudre Valley Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	42	NumberOfOtherFacilities

Other Facilities OtherFacilities (42 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
HARMONY CAMPUS AMBULATORY CARE CENTER
2127 E Harmony Rd	FORT COLLINS	CO	80528	SURGERY CENTER, DIAGNOSTIC CTR IMAGING, URGENT CARE
Harmony Campus MOB
2121 E Harmony Rd	Fort Collins	CO	80528	Physician Offices, Oncology,
Greeley Medical Clinic
1900 16th Street	Greeley	CO	80631	Physician Offices
Mountain Crest Behavioral Health
4601 Corbett Dr	Fort Collins	CO	80528	Behavorial Health
Greeley OncologyRheumatology
1800 15th Street	Greeley	CO	80631	Physician Office
Redstone
2315 E Harmony Rd	Fort Collins	CO	80528	Outpaitent Lab, Physician Offi
MCR North MOB
2500 Rocky Mtn Ave	Loveland	CO	80538	Physician offices
Peakview Medical Center
5881 W 16th Street	Greeley	CO	80634	Physician offices
Centre Ave Health and Rehab-JV
915 Centre Ave	Fort Collins	CO	80526	Rehab
Surgery Center of Ft Collins-JV
1100 E Prospect Rd	Fort Collins	CO	80524	Surgery Center
Westbridge
1107 S Lemay	Fort Collins	CO	80524	Physician offices, medical spa
MCR South MOB
2500 Rocky Mtn Ave	Loveland	CO	80538	Physician offices BLOOD DRAW
Pennock Place
1025 Pennock Place	Fort Collins	CO	80524	Physician offices, blood bank
Prospect Medical Plaza
1106 E Prospect Suite 100	Fort Collins	CO	80524	Physician offices, outpaitent
Loveland OncologyHematology
2975 Ginnala Drive Suite 120	Loveland	CO	80538	Oncology
Express Lab
1020 Doctors Lane	Fort Collins	CO	80524	Lab
Snow Mesa
4674 Snow Mesa Drive	Fort Collins	CO	80528	Physician Offices
Windsor Medical Center
1455 Main Street	Windsor	CO	80550	Physician Offices
Timerline Medical
131 Stanley Dr	Estes Park	CO	80517	Physician Offices
Columbine Poudre Homecare-JV
915 Centre Ave	Fort Collins	CO	80526	Home healthcare
Children's Therapy
1500 S Lemay	Fort Collins	CO	80526	Therapy
West Loveland
3850 N Grant Ave	Loveland	CO	80538	Urgent Care, Physician Offices
Poudre Infusion Therapy-JV
915 Centre Ave	Fort Collins	CO	80526	Infusion
Foxtrail Family Medicine
1625 Foxtrail Dr	Loveland	CO	80538	Physician Offices
Family Healthcare of the Rockies
3000 S College Ave St 210	Fort Collins	CO	80525	Physician Offices
HCORScottsbluff
2 W 42nd St 2200	Scottsbluff	NE	69361	Physician Offices
PVMG OBGYN
1136 E Stuart St 2100	Fort Collins	CO	80525	Physician Offices
HCORSteamboat
940 Central Park Dr 290	Steamboat Springs	CO	80487	Physician Offices
HCOREstes Park
555 Prospect Ave	Estes Park	CO	80517	Physician Offices
HCORFort Morgan
1000 Lincoln Street 207	Fort Morgan	CO	80701	Physician Offices
Primary Care-Sterling
620 Iris Drive	Sterling	CO	80751	Physician Offices
HCORYuma
910 S Main Street	Yuma	CO	80759	Physician Offices
HCORCraig
595 Russell Street	Craig	CO	81625	Physician Offices
HCORKremmling
214 S 4th Street	Kremmling	CO	80459	Physician Offices
HCORLaramie
3116 Willet Drive	Laramie	WY	82070	Physician Offices
HCORAlliance
2101 Box Butte Ave	Alliance	NE	69301	Physician Offices
HCORWalden
350 McKingley St	Walden	CO	80480	Physician Offices
HCORSidney
1625 Dorwart Drive	Sidney	NE	69162	Physician Offices
Phlebotomy Station
1113 Oakridge Drive	Fort Collins	CO	80525	PHLEBOTOMY
Phlebotomy Station
2001 S Shields	Fort Collins	CO	80526	PHLEBOTOMY
Phlebotomy Station
2025 Big Horn Drive	Fort Collins	CO	80525	PHLEBOTOMY
Phlebotomy Station
3519 Richmond Drive	Fort Collins	CO	80526	PHLEBOTOMY

Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE H, PART III	SECTION A, LINE 4, LINE 5 & LINE 6	LINE 4: 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. Bad debt expense at cost was calculated using the cost to charge ratio calculted in worksheet #2 multiplied by bad debt expense reported on the audited financial statements. The Patient Business Service team assists all potentially eligible patients with the application process for financial assistance programs (government and internally sponsored). If the application is completed and the patient is eligible the account balance is not written off to bad debt, instead it is recorded as a charity care adjustment. If the application is not completed we have no way to determine patient eligibility for charity care classification, and the account is written off as bad debt. At this time community benefit does not include any bad debt amounts. LINE 5: MEDICARE REVENUE WAS COMPUTED AS FOLLOWS: Poudre Valley Health Care Cost Report 58,016,626 Poudre Valley Health Care GME Payment (596,440) Centre Ave Health & Rehab Cost Report 3,422,604 Columbine Poudre Homecare Cost Report 1,256,679 PVHC Inc. Medicare disallowed programs 1,547,067 Disregarded Entities 30,249,235 Joint Ventures 3,478,226 Total to Line 5 97,373,997 LINE 6: MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS WERE COMPUTED AS FOLLOWS: Poudre Valley Health Care Cost Report 82,935,258 Centre Ave Health & Rehab Cost Report 5,318,357 Columbine Poudre Homecare Cost Report 1,163,573 PVHC Inc. Medicare disallowed programs 1,954,092 Disregarded Entities 19,867,309 Joint Ventures 3,478,921 Total to Line 6 114,717,510
SCHEDULE H, PART III	SECTION B, LINE 8	Approximately 27% of net patient service revenue is from participation in the Medicare program, thus providing Medicare services promotes access to healthcare services to a significant portion of the community population. Line 6: allowable costs as reported on the Poudre Valley Hospital 2010 Cost Report aggregated with disregarded entities and ownership portions of joint ventures.
SCHEDULE H, PART III	SECTION C, LINE 9B	Patient provides documentation based on Colorado Indigent Care guidelines, reviewed by Financial Assistance Committee (FAC), cross functional team chaired by Director Patient Financial Services. Upon approval or denial of the request for charitable aid from the FAC, the patient will be advised of the decision. The bill is partially or totally adjusted as approved by the FAC, no further collection process with the patient. For any portion not adjusted off, the proper sequence of attempts to collect are followed. Final assignment of the bill is to a collection agency.
SCHEDULE H, PART VI	SUPPLEMENTAL INFORMATION	NEEDS ASSESSMENT: We assess the health care needs of the communities we serve in several ways. First, we complete our own Community Health Survey once every three years. This is a blinded survey sent out to 5,000 residents of the communities we serve. This survey is meant to assess the needs of our community and priorities for health prevention, intervention and treatment for the people we serve. Along side of this is an extensive review and assessment of other health data to examine the trends and impact and burden of disease. We partner with the Health District of Northern Larimer County and the Larimer Department of Health and Environment to examine the data and develop action plans to address the needs with high morbidity and mortality rates. We utilize hospital data, state and local health dept. data, the health district survey, and BRFSS data to examine the health issues that affect the people we serve. We utilize the assistance of Epidemiologist to insure correct assumptions based upon the data we review. Our marketing department will also administer specific surveys related to services we offer in the community to see if needs are being addressed. We also administer focus groups for specific areas of focus to ensure we are meeting health needs. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: There is documentation in a billing brochure given to patient/families, self-pay inpatients are screened by the Financial Assistance teams, the monthly statements mention a contact if assistance is needed, and if a patient/family call Patient Billing and inform us they need assistance they are put through the screening process. COMMUNITY INFORMATION: Poudre Valley Health System (PVHS) is a locally owned, private, non-profit organization with a strong Vision: to provide world class healthcare. Based in Northern Colorado, PVHS provides evidence-based healthcare and wellness services and products in Colorado, Nebraska and Wyoming, across a service area covering more than 50,000 square miles. PVHS is a regional medical hub that includes Poudre Valley Hospital, Medical Center of the Rockies, Mountain Crest Behavioral Health Center, Poudre Valley Medical Group, and dozens of associated clinics and outpatient services. The organization's Mission is to be an integrated, independent, non-profit organization providing innovative, comprehensive care of the highest quality while exceeding expectations of the communities we serve. PROMOTION OF COMMUNITY HEALTH: We have implemented a multitude of programs that address the health of our community involving all age groups and focus on what an individual can do to improve his/her health. Also we give dollars to other entities that also work to improve the health of our community. Examples are: primary care for children, activity programs for developmentally disabled adults, obesity prevention, feeding programs for low income, and mental health services for the underserved. AFFILIATED HEALTH CARE SYSTEM: All the services we offer are available to anyone that uses any of our facilities in the health system. Our geography is not that large so we are able to accommodate the different communities that utilize our services with the same level of community health programming. STATE FILING OF COMMUNITY BENEFIT REPORT: We only submit community benefit data in the state of Colorado
SCHEDULE H, PART I		Part I, Line 7, Column F Total bad debt expense removed from the denominator prior to the percentage calculation = 8,544,809. (8,196,637 reported on Part IX and 348,172 from joint ventures) Part I, Line 7 The organization used a cost-to charge ratio for lines 7a, 7b, and 7c. 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. The information for line 7g includes some computations based upon the cost-to-charge ratio mentioned above.
Community Building Activities	Schedule H Part II	As mentioned under promotion of community health we have a multitude programs designed to address the health of our community involving all age groups and focus on what an individual can do to improve his/her health. Many of the programs reflected in Part II are designed to promote healthy options and choices for our comunity which is an important part of overall community health and therefore a benefit to the community.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (24 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Poudre Valley Health System Foundation
2315 E Harmony Rd Ste 200	Ft Collins	CO	80528	741894581	501(C)(3)	344166	See Sch. I, Part IV
American Cancer Society
8221 W 20th A	Greeley	CO	80634	841316555	501(C)(3)	6000	See Sch. I, Part IV
Boys and Girls Club of Larimer Cty
103 Smokey St	Ft Collins	CO	80525	742425914	501(C)(3)	7160	See Sch. I, Part IV
City of Ft Collins
PO Box 580	Ft Collins	CO	80522	846000587	GOV'T	55000	See Sch. I, Part IV
City of Loveland
5th and Lincoln	Loveland	CO	80537	846000609	GOV'T	55400	See Sch. I, Part IV
Colo Ctr for Nursing Excellence
5290 E Yale Cr Ste 102	Denver	CO	80222	320022295	501(C)(3)	20000	See Sch. I, Part IV
Colorado State University
601 South Howes St	Ft Collins	CO	80523	846000545	GOVERNMENT	121467	See Sch. I, Part IV
Food Bank for Larmier Cty
1301 Blue Spruce	Ft Collins	CO	80524	742336171	501(C)(3)	19100	See Sch. I, Part IV
Front Range Community College
3645 West 112th Ave	Westminster	CO	80031	841311148	501(C)(3)	200000	See Sch. I, Part IV
Ft Collins Museum of Cont Art
200 Mathews Street	Ft Collins	CO	80524	742541265	501(C)(3)	5638	See Sch. I, Part IV
Greeley Centennial Rotary Club
PO Box 1472	Greeley	CO	80632	840714073	501(C)(4)	7500	See Sch. I, Part IV
Loveland Chamber of Commerce
5400 Stone Creek Cr 200	Loveland	CO	80538	840254565	501(C)(6)	5275	See Sch. I, Part IV
March of Dimes
1325 S Colo Blvd B508	Denver	CO	80222	131846366	501(C)(3)	5500	See Sch. I, Part IV
Metro Denver Sports Comission
444 ShermanSt 300	Denver	CO	80203	202052624	501(C)(3)	25000	See Sch. I, Part IV
Nat'l MS Society
900 S Broadway St 250	Denver	CO	80209	135661935	501(C)(3)	5300	See Sch. I, Part IV
Nine Health Fair
1139 Delaware Street	Denver	CO	80204	742452969	501(C)(3)	19500	See Sch. I, Part IV
Northern Colorado EDC
3553 Clydesdale Parkway 230	Loveland	CO	80538	841012341	501(C)(6)	20000	See Sch. I, Part IV
Poudre School District
1630 S Stover St	Ft Collins	CO	80525	846013733	GOVERNMENT	7767	See Sch. I, Part IV
Project Self Sufficiency
375 W 37th St 150	Loveland	CO	80538	841206341	501(C)(3)	12000	See Sch. I, Part IV
Suicide Resource Center of Larmier Cty
315 E 7th St 201	Loveland	CO	80537	841194619	501(C)(3)	10000	See Sch. I, Part IV
TEAM Ft Collins
PO Box 1808	Ft Collins	CO	80522	841501128	501(C)(3)	7000	See Sch. I, Part IV
University of N Colorado Fdn
UNC Campus/Carter Hall	Greeley	CO	80639	846044833	501(C)(3)	40000	See Sch. I, Part IV
Weld Food Bank
1108 H Street	Greeley	CO	80631	742244826	501(C)(3)	30000	See Sch. I, Part IV
PREVENT CANCER FOUNDATION
PO BOX 34885	ALEXANDRIA	VA	22334	521429544	501(C)(3)	10000	See Sch. I, Part IV

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	21	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	3	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Purpose of Grant or Assistance	Question 1, Part II, Col. H	FOR RELATED ENTITIES, THE GRANTS ARE RELATED TO SPECIFIC REQUESTS. THE FUNDS TO BE USED TO BENEFIT THE HEALTHCARE COMMUNITY OF NORTHERN COLORADO. EACH REQUEST IS EVALUATED ON AN INDIVIDUAL BASIS. FOR NON-RELATED COMMUNITY AND GOVERNMENTAL ORGANIZATIONS, THE GRANTS ARE MADE AT THE DISCRETION OF THE ORGANIZATION. THESE DISCRETIONARY GRANTS ARE TO BE USED TO BENEFIT THE HEALTHCARE COMMUNITY OF NORTHERN COLORADO.
Procedures for monitoring grants	Part I Question 2	The organization awards grants based on benefit to the community. The organization requests information from the grantees to ensure that the funds will be used for the specified purpose.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	false	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	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	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 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
RULON STACEY
1103055	0	1355	0	545069	0	809231	0	25417	0	2484127	0	463840
STEPHANIE DOUGHTY
457031	0	1290	0	6896	0	221550	0	8126	0	694893	0
AUSTIN BAILEY MD
239195	0	1355	0	810	0	24453	0	19829	0	285642	0
MARY BLATTNER MD
294237	0	0	0	1177	0	0	0	7081	0	302495	0
RUSS BRANZELL
328186	0	1061	0	15376	0	121322	0	24662	0	490607	0
PAMELA BROCK
199040	0	1280	0	338257	0	94975	0	18994	0	652546	0	16299
JOSEPH GOTTFRIED MD
230101	0	1280	0	9010	0	14700	0	25448	0	280539	0
DIANE GROSS
69021	0	51	0	381946	0	56528	0	13841	0	521387	0	12277
CRAIG LUZINSKI
242550	0	1903	0	21025	0	84281	0	20825	0	370584	0
GERALD MCINTOSH MD
324456	0	0	0	1167	0	7350	0	14470	0	347443	0
JOHN NAGEL MD
237930	0	1280	0	11070	0	14700	0	16886	0	281866	0
WILLIAM NEFF MD
384367	0	2065	0	4453	0	131669	0	24987	0	547541	0
PATTI OAKES
218112	0	1290	0	684	0	88943	0	7991	0	317020	0
DAN ROBINSON
227744	0	1390	0	2858	0	119844	0	24894	0	376730	0
KEVIN UNGER
351090	0	1290	0	34433	0	180203	0	20290	0	587306	0
BARB YOSSES
292693	0	1024	0	1140	0	143763	0	13419	0	452039	0
TODD WHITSITT MD
261936	0	0	0	1167	0	0	0	8650	0	271753	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Sch. J, Part 1, Question 1B	Reimbursement or provison of expenses	Travel for companions: Per system policy travel for companions is not reimbursable. For convenience of travel arrangements for the annual board member retreat, and select conferences, PVHC pays for one companion per board member or invited employee. Each board member receives a 1099 for the related reimbursement. Each employee receives additional compensation on their annual W-2. Gross-Up: Gross Up Payroll is calculated at year end for special checks created to add specific items to employee's W-s wages including country club dues, personal use of cell phones, personal use of laptop computers, spouse travel for annual board retreat and select conferences and imputed income on life insurance policies. Club Dues: The health system expects the hospital management to participate in community life and therefore the system pay social club dues for specific members of the senior management group. The club dues are added to the senior managements W-2 on an annual basis.
Sch. J, Part 1, Question 4a	PERSONS WHO RECEIVED A SEVERANCE PAYMENT OR CHANGE OF CONTROL	PAMELA BROCK: $237,037 DIANE GROSS: $300,698 THESE AMOUNTS REPRESENT SEVERANCE PAY AS PART OF THE EMPLOYMENT TERMINATION AGREEMENT.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
COLORADO HEALTH FACILITIES AUTHORITY SERIES A
840752932	196474W48	2005-03-31	50000000	REFUNDING 1999A BONDS	false	false	false
COLORADO HEALTH FACILITIES AUTHORITY SERIES B
840752932	196474W48	2005-03-31	26294807	PAYMENT OF COMMERCIAL PAPER DEBT	false	false	false
COLORADO HEALTH FACILITIES AUTHORITY SERIES F
840752932	196474W48	2005-03-31	55343750	REFUNDING 1999A BONDS	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
50000000	3222119	46468713	433893	3097393	false	true	true	true
26294807	1691575	25000000	397052	897754	true	false	true	true
55000000	3571769	54542446	795916	0	false	true	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	true	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	true	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Bond Counsel Routinely Engaged	true	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00380	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00380	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
JP MORGAN CHASE
true	false	true	25.67	true	false	false	false	false
JP MORGAN CHASE
true	false	true	30.83	true	false	false	false
(no name)
true	false	false				false	false	false

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	BOND ISSUE PRICE	Identifier
Return Reference	SCHEDULE K, PART I, COLUMN (E)	ReturnReference
Explanation	THE BOND ISSUE PRICE FOR THE SERIES B BOND DOES NOT EQUAL THE ISSUE PRICE LISTED ON THE FILED FORM 8038 AS THIS BOND WAS SPLIT WITH RELATED ENTITY. ISSUE PRICE AS REPORTED ON FORM 8038: $83,000,000.	Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (10 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
KEVIN UNGER
Split-$ Life Ins Prm	X	$262,845	247584	false	true	true
CRAIG LUZINSKI
Split-$ Life Ins Prm	X	$291,404	255320	false	true	true
RUSS BRANZELL
Split-$ Life Ins Prm	X	$361,945	314962	false	true	true
PAM BROCK
Split-$ Life Ins Prm	X	$309,493	248239	false	true	true
BILL NEFF
Split-$ Life Ins Prm	X	$203,182	191138	false	true	true
DIANE GROSS
Split-$ Life Ins Prm	X	$129,166	123730	false	true	true
DAN ROBINSON
Split-$ Life Ins Prm	X	$224,926	194345	false	true	true
BARB YOSSES
Split-$ Life Ins Prm	X	$95,743	87520	false	true	true
PATTI OAKES
Split-$ Life Ins Prm	X	$52,373	49461	false	true	true
STEPHANIE DOUGHTY
Split-$ Life Ins Prm	X	$663,050	590155	false	true	true

Field	Value	IRS element (for citing)
Total Balance Due	2302454	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
FIRST NATIONAL BANK
SCHEDULE O	171094	FEES PAID TO AN ENTITY	false
NORTHERN COLORADO ANESTHESIA
SCHEDULE O	487372	1099 INCOME PAID TO ENTITY	false
Cyndy Luzinski
family member of key emp.	41943	EMPLOYMENT WAGES	false
JENNA LUZINSKI
family member of key emp.	13123	EMPLOYMENT WAGES	false
KATHLEEN MICHIE
FAMILY MEMBER OF DIRECTOR	62951	EMPLOYMENT WAGES	false
SCOTT OVERLY
FAMILY MEMBER OF KEY EMP.	49394	EMPLOYMENT WAGES	false
TRAVIS WHITSITT
FAMILY MEMBER OF DIRECTOR	20401	EMPLOYMENT WAGES	false
STAMPEDE PROPERTIES
SCHEDULE O	228773	1099 INCOME PAID TO ENTITY	false
INNOVATION ENTERPRISES
Officer is key employee	1339757	Interest rent and wage reimb	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L, PART IV	ReturnReference
Explanation	NAME OF INTERESTED PERSON: CHRIS OSBORN RELATIONSHIP: DIRECTOR WHO ALSO SERVED AS A DIRECTOR OF FIRST NATIONAL BANK, AN ENTITY TO WHICH FEES WERE PAID. RELATIONSHIP ENDED 6/30/2010 NAME OF INTERESTED PERSON: BILL NEFF RELATIONSHIP: KEY EMPLOYEE WHO ALSO SERVED AS A DIRECTOR FOR NORTHERN COLORADO ANESTHESIA, AN ENTITY TO WHICH 1099 INCOME WAS PAID NAME OF INTERESTED PERSON: DAN STROH RELATIONSHIP: DIRECTOR WHO HAS OWNERSHIP IN STAMPEDE PROPERTIES, AN ENTITY TO WHICH 1099 INCOME WAS PAID	Explanation

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	VEHICLES	1	138533	COST
X	FURNITURE	3	18398	COST
X	EQUIPMENT	11	203949	COST

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	true	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	SCHEDULE M, PART I, LINE 32A	Identifier
Return Reference	USE OF RELATED ORGANIZATIONS TO SOLICIT NON-CASH CONTRIBUTIONS	ReturnReference
Explanation	Poudre Valley Health System Foundation, a related organization, receives, administers and distributes cash and non-cash contributions to Poudre Valley Healthcare Inc, other related organizations and the surrounding communities.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (33 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Process to review 990	Form 990, Part VI, Question 11	The Form 990 is prepared by independent CPAs. A preliminary draft is presented by the organization's CFO to the finance committee of the board of directors for the detailed review. The final copy of the 990 is provided in an electronic format to all board of directors prior to filing with the IRS.
How conflict of interest policy is monitored & enforced	Form 990, Part VI, Question 12c	The organization's conflict of interest policy requires completion of the form on an annual basis by the board members, officers and key employees of the organization. Completed forms are submitted and reviewed by the internal compliance department to ensure compliance with the written policy. Any questions or ultimate enforcement would be handled by the compliance department.
Process for determining compensation	Form 990, Part VI, Question 15a & 15b	Poudre Valley Healthcare, Inc. determines CEO, Executive Director, Top management officials and other officers and key employees compensation annually. This determination is accomplished through the use of Integrated Health Care Strategies services. These services annually collect like data on like jobs from like organizations. The data is submitted to the VP of HR who takes the information to the compensation committee of the governing board of directors where any new compensation is then adopted.
How documents are made available to the public	Form 990, Part VI, Question 19	Governing documents, conflict of interest policies, and financial statements are provided to the public based on the business purpose for the request. These requests are addressed by the senior management team on a case by case basis.
Volunteers	Form 990, Part I, Line 6	PVH had 689 active volunteers in 2010. At Poudre Valley Hospital, Medical Center of the Rockies, and off-site locations, volunteers play an integral role in providing much needed support for patients, visitors, physicians, and staff. From assisting in Surgery and Cardiac waiting rooms, Information Desk, Volunteer Patient Liaisons, baby knitters, Volunteens, and pet therapy to name just a few of the many programs. Every volunteer contributes to the success of Poudre Valley Health System to enhance the comfort and care of the patients and their families.
POLICIES	FORM 990, PART VI, Section B	All answers marked "yes" on under policies section B part VI apply to Poudre Valley Health Care Inc. and Lakota Lake LLC. Questions 15a and 15b apply to Timberline Medical LLC as well as Poudre Valley Health Care Inc., Lakota Lake LLC., and Poudre Valley Medical Group, LLC.
FORM 990 PART XI	OTHER CHANGES IN NET ASSETS OR FUND BALANCES	SEE SCHEDULE D PART XI FOR RECONCILIATION OF NET ASSETS
Additional Information	Form 990, Part VII	Todd Whitsitt served as a board member until he became a physician employee of Poudre Valley Medical Group, LLC. His compensation is for physician services.
Significant Program Services During Year Which Were Not Listed on 2009 990	Form 990, Part III, Line 2	Poudre Valley Medical Group, LLC was created to integrate Poudre Valley Health System with physician practices, at year end 2010 PVMG, LLC was comprised of 105 employed physicians representing 21 specialities at 17 medical clinics in 22 communities in Colorado, Nebraska and Wyoming
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STU VANMEVEREN TITLE:BOARD CHAIR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHRIS OSBORN TITLE:VICE BOARD CHAIR HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHRISTINE CHIN TITLE:BOARD MEMBER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MIKE DELLENBACH TITLE:BOARD MEMBER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:GARY LUDWIN TITLE:BOARD MEMBER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:THAINE MICHIE TITLE:BOARD MEMBER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:TODD SORENSEN, MD TITLE:BOARD MEMBER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LAURIE STEELE TITLE:BOARD MEMBER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAN STROH TITLE:BOARD MEMBER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOE HENDRICKSON TITLE:BOARD MEMBER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RULON STACEY TITLE:CHIEF EXECUTIVE OFFICER HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:TODD WHITSITT, MD TITLE:PHYSICIAN, BD MEMBER THRU 3/10 HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHRIS KNEELAND TITLE:BOARD MEMBER THRU 3/10 HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LEE THIELEN TITLE:BOARD MEMBER THRU 3/10 HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STEPHANIE DOUGHTY TITLE:CHIEF FINANCIAL OFFICER HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RUSS BRANZELL TITLE:CHIEF INFORMATION OFFICER HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:PAMELA BROCK TITLE:FORMER VP MKTG & STRATEGIC PLN HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DIANE GROSS TITLE:FORMER VP - GENERAL COUNCIL HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CRAIG LUZINSKI TITLE:PVH CHIEF NURSING OFFICER HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:WILLIAM NEFF, MD TITLE:CHIEF MEDICAL OFFICER HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:PATTI OAKES TITLE:VP HUMAN RESOURCES HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAN ROBINSON TITLE:PVH VP OF OPERATIONS HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KEVIN UNGER TITLE:PVH PRESIDENT HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:BARB YOSSES TITLE:VP AMBULATORY SERVICES HOURS:30

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Timberline Medical Clinic
131 Stanley Ave	Estes Park	CO	80517	043772090	Outpatient	CO	1195825	332118	NA
Lakota Lake LLC
2315 E Harmony Rd Ste 200	Fort Collins	CO	80528	841447761	Outpatient	CO	3578469	6721747	NA
Heron Lake LLC
2315 E Harmony Rd Ste 200	Fort Collins	CO	80528	264189163	Outpatient	CO	405247	683420	NA
Poudre Valley Medical Group LLC
2315 E Harmony Rd Ste 200	Fort Collins	CO	80528	800348943	Outpatient	CO	35506890	30052246	NA

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Medical Center of the Rockies
2315 E Harmony Rd Ste 200	Ft Collins	CO	80528	043730045	Tertiary Care	CO	501(c)(3)	line 3	NA
PVHS Foundation
2315 E Harmony Rd Ste 200	Ft Collins	CO	80528	741894581	Bene. health	CO	501(c)(3)	line 7	NA
Healthy Start
2315 E Harmony Rd Ste 200	Fort Collins	CO	80528	742523091	Inactive Corp	CO	501(c)(3)	LINE 7	NA
CARBON VALLEY HEALTHCARE HOLDINGS
1950 MOUNTAIN VIEW AVE	LONGMONT	CO	80501	273769602	MEDICAL	CO	501(c)(3)	Line 3	NA

Form990 Schedule R Part III Form990ScheduleRPartIII (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Harmony Surgery Center
2127 E Harmony Rd 200	Ft Collins	CO	80528	841479751	Ambulatory Surg	CO	NA	RELATED	1930793	2147829	false	false	0.51100
United Medical Alliance
2021 Battlecreek Drive Ste A	Ft Collins	CO	80528	820572743	Health Claims	CO	NA	RELATED	138660	425590	false	false	0.50000
PV Radiation Oncology
PO BOX 211367	Denver	CO	80221	841537239	Radiation Onc.	CO	NA	RELATED	296019	2182959	false	false	0.50000
Center Ave Health & Rehab
947 Worthington Circle	Ft Collins	CO	80526	841560494	Nursing Facility	CO	NA	RELATED	315329	828839	false	false	0.50000
Columbine Poudre Homecare
947 Worthington Circle	Ft Collins	CO	80526	841529817	Nursing Care	CO	na	RELATED	258687	411418	false	false	0.50000
Eye Laser Center of Northern Colo
1725 E Prospect Rd	Ft Collins	CO	80525	841518334	Laser Surgery	CO	NA	RELATED	14775	-146	false	false	0.50000
Gateway Medical Services
2500 E Prospect Rd	Ft Collins	CO	80525	841427970	Real Est/Med Eq	CO	NA	RELATED	3044818	5905694	false	false	0.50000
Poudre Infusion Therapy
947 Worthington Circle	Ft Collins	CO	80526	841530973	Medical Services	CO	NA	RELATED	-64413	152350	false	false	0.50000
PVHS Home Medical Supply
6820 N County Rd 13	Loveland	CO	80538	202034599	Medical Supply	CO	NA	RELATED	-92468	394329	false	false	0.50000
MCR SURGERY CENTER
2500 Rocky Mountain Ave Ste 200	LOVELAND	CO	80538	250359717	AMBULATORY SVCS	CO	NA	RELATED	-905379	0	false	false	0.50000
Vein & Laser Center of No Colorado
2008 Caribou Drive	Fort Collins	CO	80525	204943970	Medical Services	CO	na	Related		16525	false	false	0.33330
Harmony Imaging Center
1951 Wilmington Drive	Fort Collins	CO	80528	582479187	Medical Imaging	CO	NA	Related	897360	1144577	false	false	0.46000
Peak Surgical Management LLC
2127 e Harmony RD Ste 200	Fort Collins	CO	80528	260899618	Surgical Mgmt	CO	NA	Related	65106	9982	false	false	0.10000
Surgery Center of Fort Collins
1100 E Prospect Road	Fort Collins	CO	80525	841541559	Surgical Proc	CO	NA	Related	706039	1095149	false	false	0.26000
MCR SURGERY CENTER
2500 ROCKY MTN AVE STE 2	LOVELAND	CO	80538	250359717	AMBULATORY SURG	CO	NA	RELATED	-905736	0	false	false	0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2315 E Harmony Rd Ste 200	AddressLine1
City	Fort Collins	City
State	CO	State
ZIP Code	80528	ZIPCode

Field	Value	IRS element (for citing)
EIN	202036774	EIN
Primary Activity	IT Consulting	PrimaryActivity
Legal Domicile State	CO	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Type Of Entity	C Corp	TypeOfEntity
Share Of Total Income	1173152	ShareOfTotalIncome
Share Of EOY Assets	4021745	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	true	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	true	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	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	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (27 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Harmony Surgery Center
A	707122
Harmony Surgery Center
N	2908387
Harmony Surgery Center
P	253214
Harmony Surgery Center
R	1915323
MCR Surgery Center
N	881579
MCR Surgery Center
P	1151204
Poudre Valley Radiation Oncology
I	159722
Poudre Valley Radiation Oncology
P	58524
Poudre Valley Radiation Oncology
r	200000
United Medical Alliance
L	1015687
United Medical Alliance
R	141147
Centre Ave Health and Rehb
R	275000
Columbine Poudre Homecare
R	200000
Gateway Medical Services
R	3115000
PVHS Home Medical Supply
R	3115000
Medical Center of the Rockies
K	7859052
Medical Center of the Rockies
M	1700444
Medical Center of the Rockies
N	67538941
Medical Center of the Rockies
Q	79567836
PVHS Foundation
B	344166
PVHS Foundation
C	461110
PVHS Foundation
K	141256
PVHS Foundation
N	1353035
Innovation Enterprises
A	251548
Innovation Enterprises
D	3611352
Innovation Enterprises
a	437256
Innovation Enterprises
N	650953