2023-10-26T10:20:00-05:00 2022-12-31 FORVIS LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2022-01-01 840772664 BOULDER COMMUNITY HEALTH FOUNDATION % GRANT BESSER BOUL 3034155205 PO BOX 19320 BOULDER CO 80308 Grant Besser PRESIDENT 3034402167 2023-11-15 true Grant Besser 999009999 Adam R Smith CPA P00958966 7194714290 2 2022 2023-04-26 12:10:37Z GRANT BESSER PO BOX 19320 BOULDER CO 80308 13517489 false X WWW.BCH.ORG/DONATE X 1978 CO BCH FOUNDATION SUPPORTS THE VISION OF BCH BY PARTNERING TO CREATE AND CARE FOR THE HEALTHIEST COMMUNITY IN THE NATION. 19 19 0 20 0 4791301 7604351 0 0 1447281 733123 0 0 6238582 8337474 2699168 3209639 0 0 114994 116564 0 0 245503 635498 469600 3449660 3795803 2788922 4541671 58938032 53537943 1256845 966701 57681187 52571242 THE BCH FOUNDATION INSPIRES GIVING IN SUPPORT OF BCH TO ENHANCE THE QUALITY AND AVAILABILITY OF HEALTH CARE IN OUR COMMUNITY. false false 3333943 3109005 FOR OVER FOUR DECADES THE GENEROSITY OF OUR COMMUNITY HAS LED TO MORE THAN $75 MILLION RAISED IN SUPPORT OF BCH. OVER THE PAST FIVE YEARS, THE BCH FOUNDATION HAS GRANTED $15 MILLION TO BCH IN SUPPORT OF VARIOUS CAPITAL AND PROGRAMMATIC PRIORITIES. THE FOUNDATION HAS ASSETS OF OVER $55 MILLION IN PLACE TO ENSURE FOR THE CONTINUED INVESTMENT IN ENHANCING THE QUALITY AND AVAILABILITY OF HEALTH CARE IN OUR COMMUNITY. 3333943 true true false false false false false false false true false false false true true false true true false false false false false false false false false true true true false false false false false false false false false true false false false true false false false true 0 0 0 false false false false false false false false false false false false X 19 19 false false false false true false true true true false false true true true true true true false false false X GRANT BESSER 3034155205 PO BOX 19320 BOULDER CO 80308 GRANT BESSER - FND PRESIDENT & VP OF PUBLIC AFFAIRS 40.0 0.0 X 0 375776 90032 ONA WIGGINTON DIRECTOR, BCH FOUNDATION 40.0 0.0 X 0 126176 23851 MICHAEL REPUCCI CHAIR 2.0 0.0 X X 0 0 0 JANET MARTIN VICE CHAIR 2.0 0.0 X X 0 0 0 CARLOS SALA TREASURER & CHAIR OF FIN COMM. 2.0 0.0 X X 0 0 0 LESLIE BURNS SECRETARY 2.0 0.0 X X 0 0 0 ANDREW MORLEY TRUSTEE 2.0 0.0 X 0 0 0 BRAD BERNTHAL TRUSTEE 2.0 0.0 X 0 0 0 JANE BUTCHER TRUSTEE 2.0 0.0 X 0 0 0 VIRGINIA CARDUCCI TRUSTEE 2.0 0.0 X 0 0 0 BRUCE DIERKING TRUSTEE 2.0 0.0 X 0 0 0 ANDY FRANKLIN TRUSTEE 2.0 0.0 X 0 0 0 LISA GRANAT TRUSTEE 2.0 0.0 X 0 0 0 SUZANNE HOOVER TRUSTEE 2.0 0.0 X 0 0 0 SAM INMAN TRUSTEE 2.0 0.0 X 0 0 0 CLARISSA KING TRUSTEE 2.0 0.0 X 0 0 0 GRACE KOO WICKERSHAM TRUSTEE 2.0 0.0 X 0 0 0 CATHERINE MOLL TRUSTEE 2.0 0.0 X 0 0 0 DEE PERRY TRUSTEE 2.0 0.0 X X 0 0 0 ANIE K ROCHE TRUSTEE 2.0 0.0 X 0 0 0 CALEB SEVIAN TRUSTEE 2.0 0.0 X 0 0 0 0 501952 113883 0 false true false 0 7604351 18817 7604351 0 1167746 1167746 0 0 0 0 0 4745392 5180015 -434623 -434623 -434623 0 0 0 0 0 0 0 0 0 0 8337474 733123 3109005 3109005 100634 100634 0 0 0 0 91108 36443 18222 36443 25456 10182 5092 10182 0 0 0 0 42435 42435 0 0 48827 48827 53536 14561 10769 28206 64160 12832 12832 38496 89308 14873 40937 33498 0 0 76728 33545 14395 28788 0 0 2855 274 885 1696 0 0 3692 1477 738 1477 0 Change in Value Gift Annuity 18104 18104 Catering 11241 117 828 10296 Fundraising Expense 56421 56421 MISCELLANEOUS EXPENSE 2293 2293 3795803 3333943 216357 245503 861917 1620746 0 0 3672780 7320488 0 0 0 0 0 0 0 0 0 0 35823 24907 0 0 50025955 41158065 0 0 0 0 0 0 4341557 3413737 58938032 53537943 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1256845 966701 1256845 966701 X 41289204 31531371 16391983 21039871 57681187 52571242 58938032 53537943 X 4541671 -8976724 -674892 X false true X true false X 2621127 3169594 3601790 4821033 7592837 21806381 0 0 2621127 3169594 3601790 4821033 7592837 21806381 5290290 16516091 1059844 1166143 1124330 1220572 1167746 5738635 66036 70364 0 0 0 136400 0 27681416 0 0.59665 0.68201 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10029843 4325750 -1403840 409710 12542043 8715127 1030374 645181 360839 10029843 7701232 250590 1095165 331860 8715127 6676584 172748 1103169 251269 7701232 6872827 337227 -314358 219112 6676584 0.06770 0.93230 false false Beneficial Interest in 820933 Beneficial Interest in 2558216 Due from trust Account 34588 3413737 0 Related Party Payable 254877 LIABILITY UNDER CHARITABLE 508236 DUE TO RELATED ORGANIZATION 203588 966701 -781923 -8976724 581046 -674892 -9070570 8288647 48827 48827 8337474 4328022 581046 581046 3746976 48827 48827 3795803 SCHEDULE D, PART V, LINE 4 THE FOUNDATION'S POOLED ENDOWMENT FUND CONSISTS OF NEARLY 40 INDIVIDUAL ENDOWMENTS ESTABLISHED FOR A VARIETY OF PURPOSES WHICH INCLUDE,BUT ARE NOT LIMITED TO: CANCER CARE TREATMENT SUPPORT, CANCER CARE PATIENT SUPPORT, SCHOLARSHIPS & CONTINUING EDUCATION FOR BCH EMPLOYEES, CANINE CORP SUPPORT, AND GREATEST NEED. EDUCATION FOR BCH EMPLOYEES, CANINE CORP SUPPORT, AND GREATEST NEED. Schedule D, 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. SCHEDULE D, PART XI, LINE 2D REVENUE ON BOOKS, NOT ON RETURN: 16,685 CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST (691,577) NET CHANGE IN INVESTMENTS HELD IN PERPETUAL TRUSTS (674,892) TOTAL true BOULDER COMMUNITY HEALTH PO BOX 9019 BOULDER CO 80301 840175870 501(C)(3) 2957609 To support operations BOULDER SHELTER FOR THE HOMELESS 4869 North Broadway Boulder CO 80304 841041149 501(c)(3) 30000 The Boulder Shelter for the Homeless (BSH) launched a pilot program to work with Boulder Community Health (BCH) with a focus on placing the highest utilizers of hospital services into stable housing as a means of addressing both their homelessness and their medical conditions. The BCH Foundation provided funding to implement the program which would work towards stabilizing medical conditions and addressing homeless through housing. Blue Sky Ridge 2617 Iris Hollow Pl Boulder CO 80304 841305384 501(c)(3) 30000 Partnership to support and promote the Pediatric Victim Services Medical Program. This program makes it possible for those children to receive an on-site medical examination. By offering clients a continuum of care that includes medical treatment, during and after the investigative process, Blue Sky Bridge and BCHF are working together to ensure that children are receiving the best possible care in allegations of child abuse. PROJECT ANGEL HEART 4950 WASHINGTON ST DENVER CO 80216 841199481 501(C)(3) 75000 In partnership with Project Angel Heart, BCH facilitates the delivery of a week's worth of nutritionally tailored meals to recently discharged BCH patients experiencing food insecurity. This ensures that patients can focus on their recovery, reduces anxiety among 4 Red Lipstick Fund 180 100634 SCHEDULE I, PART I, LINE 2 THE BOULDER COMMUNITY HEALTH FOUNDATION'S PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS: FOR GRANTS TO BOULDER COMMUNITY HEALTH AND COMMUNITY PARTNERS, THE BCH FOUNDATION RECEIVES GRANT APPLICATIONS FROM BCH AND/OR COMMUNITY PARTNER. THE GRANT APPLICATION IS SIGNED BY THE VICE PRESIDENT OF THE BCH DEPARTMENT REQUESTING FUNDS OR THE HEAD OF THE COMMUNITY PARTNER AGENCY TO ENSURE THAT IT HAS BEEN REVIEWED BY A SUPERIOR AND THE PROGRAM HAS BEEN APPROVED INTERNALLY AT BCH. EACH APPLICATION IS THEN REVIEWED BY THE BCH FOUNDATION GRANTS COMMITTEE. ONCE GRANT APPLICATIONS ARE APPROVED BY COMMITTEE, THE FINAL APPLICATION IS SENT VIA EMAIL ATTACHMENT TO BOTH THE APPLICANT AND BCH ACCOUNTING TO NOTIFY BOTH PARTIES OF THE GRANT AWARD. BCH ACCOUNTING THEN CONNECTS DIRECTLY WITH THE APPLICANT TO DISCUSS THE PROCESS OF ACCESSING THEIR FUNDS. THE MAJORITY OF GRANT ACTIVITY IS PAID DIRECTLY THROUGH BCH. BCHF STAFF AND BCH ACCOUNTING MEET ON A QUARTERLY BASIS TO RECONCILE ALL GRANT FUNDS USED AND BCH FOUNDATION THEN REIMBURSES BCH FOR ALL GRANT AWARDS USED. THE BCH FOUNDATION MEETS WITH ALL APPLICANTS EVERY SIX MONTHS TO CHECK IN REGARDING HOW THEIR PROGRAM IS PROGRESSING. ALL AWARDEES ARE REQUIRED TO FILLING OUT A GRANT REPORT AFTER THEIR GRANT AWARD HAS BEEN EXPENDED OR THEIR FUNDING PERIOD HAS COME TO AN END. IF AN AWARDEE WANTS TO CONTINUE TO REQUEST FUNDING FOR A SPECIFIC ON-GOING PROGRAM, THEY ARE ALSO REQUIRED TO FILL OUT A GRANT REPORT BEFORE SUBMITTING A NEW APPLICATION. FOR GRANTS TO RED LIPSTICK FUND RECIPIENTS, BCH ONCOLOGY STAFF SUBMITS AN APPLICATION TO THE BCH FOUNDATION ON BEHALF OF CANCER PATIENTS IN NEED OF FINANCIAL ASSISTANCE. THE BCH FOUNDATION COORDINATOR PREPARES A GRANT CHECK AND SUBMITS THIS WITH THE APPROPRIATE GRANT REQUEST MATERIALS TO THE BCH FOUNDATION PRESIDENT FOR APPROVAL. ONCE APPROVED, A CHECK OR A GIFT CARD IS SENT TO THE PATIENT IN NEED. THE BCH FOUNDATION PROGRAM MANAGER SUBMITS TWO REPORTS A YEAR OF RED LIPSTICK FUND DISBURSEMENTS TO THE RED LIPSTICK FUND COMMITTEE. false false false false true false true false GRANT BESSER - FND PRESIDENT & VP OF PUBLIC AFFAIRS 307654 50681 17441 55478 34554 465808 ONA WIGGINTON DIRECTOR, BCH FOUNDATION 109041 10976 6159 5776 18075 150027 SCHEDULE J, PART I, LINE 5B AS PART OF ACHIEVING HOSPITAL PERFORMANCE METRICS, BOTH THE PRESIDENT OF FOUNDATION AND DIRECTOR OF FOUNDATION ARE ELIGIBLE FOR INCENTIVE PAY SCHEDULE J, PART I, LINE 6B AS PART OF ACHIEVING HOSPITAL PERFORMANCE METRICS, BOTH THE PRESIDENT OF FOUNDATION AND DIRECTOR OF FOUNDATION ARE ELIGIBLE FOR INCENTIVE PAY X 1 450 FAIR MARKET VALUE X 2 13308 FAIR MARKET VALUE X 2 1834 FAIR MARKET VALUE X GIFT CARDS 215 3225 FAIR MARKET VALUE false true false SCHEDULE M, PART I, COLUMN B THE NUMBER IN COLUMN B REPRESENTS THE TOTAL ITEMS CONTRIBUTED. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS: BOULDER COMMUNITY HEALTH IS A MEMBER OF THE BOULDER COMMUNITY HEALTH FOUNDATION (BCH FOUNDATION). FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS: ANY CHANGE TO THE PURPOSE OF THE BCH FOUNDATION REQUIRES THE APPROVAL OF THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: A DRAFT COPY OF FORM 990 IS REVIEWED AND APPROVED FOR PRESENTATION TO FULL BOARD BY THE FINANCE COMMITTEE. THE DRAFT 990 IS INCLUDED IN THE BOARD OF TRUSTEES PACKET BEFORE THE FALL BOARD MEETING TAKES PLACE. THE 990 WILL BE LISTED AS A DISCUSSION/REVIEW/APPROVAL ITEM. THE 990 IS REVIEWED AND APPROVED BY THE FULL BOARD BEFORE IT IS SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: EACH BOARD MEMBER IS REQUIRED, ANNUALLY, TO FILL OUT, SIGN AND SUBMIT THEIR COPY OF THE STATEMENT. THE BOARD REVIEWS ANY ACTUAL OR POTENTIAL CONFLICTS AND WILL FOLLOW UP TO RESOLVE ANY CONFLICTS THAT EXIST. IF AN ACTUAL CONFLICT OF INTEREST EXISTS, THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DELIBERATIONS AND SHALL REFRAIN FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15A REVIEW OF CEO OR TOP MANAGEMENT COMPENSATION: THE PRESIDENT/CEO OF BCH FOUNDATION IS COMPENSATED BY AN AFFILIATED ORGANIZATION, BOULDER COMMUNITY HOSPITAL, FOR SERVICES RENDERED TO THE FOUNDATION AND TO BCH. THE COMPENSATION AMOUNTS REPORTED ON PART VII, SECTION A, LINE 1A FOR THE PRESIDENT/CEO ARE THE AMOUNTS PAID BY THE AFFILIATED ORGANIZATION. AN ANNUAL FORMAL REVIEW IS ALSO CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BCH FOUNDATION BOARD. FORM 990, PART VI, SECTION C, LINE 19 EXPLAIN HOW GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC: BOULDER COMMUNITY HEALTH FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: 16,685 CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST (691,577) NET CHANGE IN INVESTMENTS HELD IN PERPETUAL TRUSTS (674,892) TOTAL BOULDER COMMUNITY HEALTH PO BOX 9019 BOULDER CO 80301 840175870 HOSPITAL CO 501(C)(3) Line 3 false false true false false false false false false false false true true true true true false false false