2024-05-15T19:00:52-05:00 2023-06-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2022-07-01 840935136 PARKVIEW MEDICAL CENTER PARK 7195844534 400 W 16TH STREET PUEBLO CO 81003 JON RIGGS CFO 7195844534 2024-05-15 1 JON RIGGS 999009999 1 AMY CIMINELLO P00796388 6148493000 2024-05-15 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z JON RIGGS 400 W 16TH STREET PUEBLO CO 81003 541573882 0 X WWW.PARKVIEWMC.COM X 1983 CO TO PROVIDE QUALITY HEALTHCARE SERVICES THAT IMPROVE THE HEALTH OF THE COMMUNITY 15 12 3532 72 0 0 11473178 262049 539762984 528065096 26536972 6097917 15098957 2853290 592872091 537278352 0 0 0 0 241268253 247659071 0 0 0 358263078 304861904 599531331 552520975 -6659240 -15242623 658954682 640101185 314693449 306509231 344261233 333591954 X TO ESTABLISH AND MAINTAIN ONE OR MORE HOSPITALS AS INSTITUTIONS WITH PERMANENT FACILITIES FOR DIAGNOSIS AND TREATMENT OF BOTH IN-PATIENTS AND OUT-PATIENTS AND TO PROVIDE SUCH MEDICAL SERVICES 0 0 271891411 530603757 PARKVIEW MEDICAL CENTER IS LICENSED FOR 350 BEDS AND PROVIDES A FULL RANGE OF HEALTHCARE SERVICES INCLUDING THE REGION'S MOST EXPERIENCED CERTIFIED LEVEL II TRAUMA CENTER AND THE REGION'S FIRST CERTIFIED STROKE CENTER. THE HOSPITAL IS THE LEADER IN CARDIAC, WOMEN'S, EMERGENCY & NEUROLOGICAL SERIVES AS WELL AS BEHAVIORAL HEALTH PROGRAM. PARKVIEW'S SERVICE AREA INCLUDES PUEBLO COUNTY & FOURTEEN SURROUNDING COUNTIES, WHICH TOGETHER REPRESENTS 370,000 TOTAL LIVES. PARKVIEW MEDICAL CENTER HAD 12,067 ADMISSIONS, 162,257 OUTPATIENT VISITS. PARKVIEW MEDICAL CENTER PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED AND CARE BELOW COST TO PATIENTS IN NEED. THE MEDICAL CENTER WRITES OFF $13.5 MILLION IN CHARITY CARE. PARKVIEW MEDICAL CENTER IS THE LARGEST NON-GOVERNMENT, NONPROFIT, PRIVATE SECTOR EMPLOYER IN PUEBLO COUNTY WITH AROUND 3,000 EMPLOYEES AND SKILLED MEDICAL STAFF OF OVER 360 PHYSICIANS. PARKVIEW MEDICAL CENTER'S ANNUAL PAYROLL CONTRIBUTES $241 MILLION TO THE LOCAL ECONOMY.PARKVIEW MEDICAL CENTER'S 66-BED EMERGENCY DEPARTMENT TREATS A VARIETY OF MEDICAL CONDITIONS, RANGING FROM MINOR CUTS AND ILLNESSES TO LIFE THREATENING INJURIES. THE REGIONAL EMERGENCY/TRAUMA DEPARTMENT HAD 74,404 PATIENT VISITS THIS YEAR, AND SERVES RESIDENTS FROM SOUTHEASTERN COLORADO TO NORTHERN NEW MEXICO AND WESTERN KANSAS. PARKVIEW'S EMERGENCY DEPARTMENT IS A CERTIFIED LEVEL II TRAUMA CENTER, THE DEPARTMENT IS STAFFED 24 HOURS A DAY BY BOARD CERTIFIED PHYSICIANS AND CRITICAL CARE REGISTERED NURSES. THEY ARE CERTIFIED IN ADVANCED CARDIAC LIFE SUPPORT, PEDIATRIC ADVANCED LIFE SUPPORT, AND TRAUMA NURSING CARE. IT'S EQUIPPED WITH A HELICOPTER-LANDING PAD TO TRANSPORT PATIENT IN AND OUT OF THE HOSPITAL IN EMERGENCY SITUATIONS.SURGICAL SERVICES AT PARKVIEW MEDICAL CENTER TREATED 4,368 INPATIENTS THIS YEAR. THE SURGEONS THAT PERFORM THE PROCEDURES REPRESENT MANY SPECIALTIES, INCLUDING GENERAL SURGERY, CARDIOTHORACIC, VASCULAR, ONCOLOGY, UROLOGY, GYNECOLOGIC, ORTHOPEDIC, NEUROSURGICAL, PEDIATRICS, OPHTHALMOLOGIC, ENDOSCOPY, EAR, NOSE & THROAT AND PLASTIC. THE SURGEONS AT PARKVIEW MEDICAL CENTER HAVE ACCESS TO LEADING-EDGE TECHNOLOGY AND EQUIPMENT, INCLUDING MINIMALLY INVASIVE SURGICAL PROCEDURES. 271891411 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 0 1 116 0 1 3532 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X JON RIGGS 7195844534 400 W 16TH STREET PUEBLO CO 81003 SHERRI BACA CHAIR 1.00 0.00 X X 0 0 0 SAM KRAGE VICE CHAIR 1.00 0.00 X X 0 0 0 JUDY WEAVER SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 LESLIE BARNES PRESIDENT/CEO (END 6/23) 40.00 1.00 X X 790014 0 36214 MATTHEW BOWLES MD BOARD MEMBER 1.00 0.00 X 0 0 0 SETH CLAYTON BOARD MEMBER 1.00 0.00 X 0 0 0 JUDY FONDA PHS CHAIR 1.00 0.00 X X 0 0 0 MICHAEL GROWNEY MD MEDICAL CHIEF OF STAFF 1.00 0.00 X 0 0 0 JIM HADLEY BOARD MEMBER 1.00 0.00 X 0 0 0 LAURA KELLY BOARD MEMBER 1.00 0.00 X 0 0 0 JOHN MILLEA DDS BOARD MEMBER 1.00 0.00 X 0 0 0 NATALIE MOSLEY DO BOARD MEMBER 1.00 0.00 X 615328 0 24558 MICHAEL RAMOS MD BOARD MEMBER 1.00 0.00 X 0 0 0 DAVE VECCHIO BOARD MEMBER 1.00 0.00 X 0 0 0 VINCE VIGIL BOARD MEMBER 1.00 0.00 X 0 0 0 DARRIN SMITH PRESIDENT/CEO 40.00 1.00 X X 410344 0 45058 JON RIGGS CFO 40.00 1.00 X 447756 0 44795 ALI K MURAD MD PHYSICIAN 30.00 10.00 X 1250008 416669 46071 LUCAS KING PHYSICIAN 30.00 10.00 X 884694 294898 44795 JOHN DUGAL PHYSICIAN 30.00 10.00 X 832653 277551 46071 JENNIFER FITZPATRICK PHYSICIAN 30.00 10.00 X 769368 256456 20500 RICKLAND LIKES PHYSICIAN 30.00 10.00 X 682501 227500 44795 6682666 1473074 352857 401 0 1 0 PUEBLO CARDIOLOGY ASSOCIATES PO BOX 17180 DEPT 1170 DENVER CO 802170180 CONTRACT PHYSICIANS 9561684 AVANT HEALTHCARE PROFESSIONALS 1211 SEMORAN BLVD SUITE 227 CASSELBERRY FL 32707 CONTRACT NURSE PROFESSIOANLS 9419391 SANGRE DE CRISTO SURG 1600 N GRAND AVE SUITE 430 PUEBLO CO 81003 PROFESSIONAL FEES 5628943 JJP RECRUITING LLCDBA RADAR HEALTHCARE PO BOX 1708 WATKINSVILLE GA 30677 CONTRACT PHYSICIANS 5181810 WHC OF PUEBLO PLLC 1600 N GRAND AVE SUITE 400 PUEBLO CO 81003 WOMEN'S PROF SERVICES 3262165 83 151722 102182 8145 262049 PATIENT SERVICES 900099 528227487 528227487 PASSTHROUGH PROGRAM ACTIVITY 900099 -162391 -162391 528065096 5937380 5937380 160537 160537 4610159 4295530 314629 314629 314629 CAFETERIA/VENDING 900099 1736985 1736985 OTHER REVENUE 900099 808091 808091 AP REV SHARE 900099 -6415 -6415 2538661 537278352 530603757 0 6412546 X 2414067 1115422 1298645 204272094 104530331 99741763 5173084 5173084 22625392 1906582 20718810 13174434 7388304 5786130 2225151 2225151 123415 123415 146643196 56239402 90403794 1930698 1930698 2004651 528148 1476503 13753631 13753631 9940071 1778486 8161585 359329 105241 254088 8004361 8004361 623910 623910 19562446 336785 19225661 3474033 50170 3423863 MEDICAL SUPPLIES 86774837 83647710 3127127 BAD DEBT 13003678 13003678 REPAIRS 7713259 459678 7253581 FOOD EXPENSE 2648755 228067 2420688 -13923517 573407 -14496924 552520975 271891411 280629564 0 61550 73741 51594484 22835129 52714693 57535069 3001252 813185 11988183 11991683 8007328 5973599 616577983 295359090 307122454 321218893 182042703 204103129 5297512 4357504 1288436 951736 35836087 10247517 658954682 640101185 56592314 54205705 238260605 236721408 10857476 7371035 8983054 8211083 314693449 306509231 X 341460492 330601054 2800741 2990900 344261233 333591954 658954682 640101185 X -15242623 4209451 -3073 366966 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 4700 0 0 4700 0 SCHEDULE C, PART II-B, LINE 1G PARKVIEW MEDICAL CENTER PAYS DUES TO THE COLORADO HOSPITAL ASSOCIATION WHICH IS A 501(C)(6) ORGANIZATION THAT PERFORMS LOBBYING ACTIVITIES AS PART OF ITS MISSION TO ADVOCATE ON BEHALF OF COLORADO HOSPITALS AND HEALTH SYSTEMS. 843926 6675 91341 941942 1124026 15379 -295479 843926 1053344 8663 62019 1124026 997144 9044 47156 1053344 903728 8786 84630 997144 1.00000 0 1 1 10919418 10919418 368669860 156243428 212426432 7139626 6310749 828877 20292905 12334071 7958834 209556174 120470842 89085332 321218893 EST. 3RD PARDTY PAYOR SETTLEMENT 5969476 LEASE OBLIGATION 2241607 8211083 X PART X, LINE 2: THE MEDICAL CENTER ACCOUNTS FOR ANY UNCERTAINTY IN INCOME TAXES BY RECOGNIZING THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE MEDICAL CENTER BELIEVES THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 1363565 1363565 0.00250 134539490 51808166 82731324 0.15330 778880 338801 440079 0.00080 136681935 52146967 84534968 0.15660 23839 23839 0.00000 5481489 2912481 2569008 0.00480 45481479 52007564 0 0.00000 50986807 54920045 2592847 0.00480 187668742 107067012 87127815 0.16140 23839 23839 0.00000 23839 23839 0.00000 1 13003678 78588542 66401627 12186915 X 1 1 1 PARKWEST IMAGING LLC DIAGNOSTIC IMAGING 0.51000 0.49000 2 PARKWEST SURGERY CENTER SURGERY CENTER 0.51790 0.52860 2 1 PARKVIEW MEDICAL CENTER 400 W 16TH STREET PUEBLO CO 81003 X X X 2 PUEBLO WEST EMERGENCY SERVICES 899 E INDUSTRIAL BLVD PUEBLO WEST CO 81007 X PARKVIEW MEDICAL CENTER 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X HTTP://WWW.PARKVIEWMC.COM/FINANCIAL-ASSISTANCE/ X 1 21 1 HTTP://WWW.PARKVIEWMC.COM/FINANCIAL-ASSISTANCE/ 0 1 X 300.000000000000 300.000000000000 X X 1 1 1 X HTTP://WWW.PARKVIEWMC.COM/FINANCIAL-ASSISTANCE/ X HTTP://WWW.PARKVIEWMC.COM/FINANCIAL-ASSISTANCE/ X HTTP://WWW.PARKVIEWMC.COM/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 PUEBLO WEST EMERGENCY SERVICES 2 0 0 1 X X X X X X X X X 21 1 1 1 1 X HTTP://WWW.PARKVIEWMC.COM/FINANCIAL-ASSISTANCE/ X 1 21 1 HTTP://WWW.PARKVIEWMC.COM/FINANCIAL-ASSISTANCE/ 0 1 X 300.000000000000 300.000000000000 X X 1 1 1 X HTTP://WWW.PARKVIEWMC.COM/FINANCIAL-ASSISTANCE/ X HTTP://WWW.PARKVIEWMC.COM/FINANCIAL-ASSISTANCE/ X HTTP://WWW.PARKVIEWMC.COM/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 PARKVIEW MEDICAL CENTER PART V, SECTION B, LINE 5: PARKVIEW MEDICAL CENTER (PMC) DEVELOPED A STRATEGIC PLAN TO IMPROVE THE HEALTH OF PUEBLO COUNTY RESIDENTS. THE PMC COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INVOLVED RESIDENTS OF SOUTHERN COLORADO, USING AN ONLINE SOCIAL MEDIA PLATFORM AND A STANDARD PAPER/PENCIL QUESTIONNAIRE TO GATHER INPUT FROM ALL AREAS OF THE COMMUNITY. THE ASSESSMENT IS DESIGNED TO IDENTIFY NEEDS AND CREATE OBJECTIVES AND ACTION PLANS TO BE UTILIZED BY PMC TO IMPROVE THE HEALTH OF THE PUEBLO AND SOUTHERN COLORADO COMMUNITY. THE CHNA WORKS IN CONJUNCTION WITH THE ANNUAL PARKVIEW COMMUNITY BENEFITS AND IMPLEMENTATION REPORT AND THE ANNUAL HOSPITAL COMMUNITY BENEFIT ACCOUNTABILITY. THE PROCESS FOR THE PMC CHNA WAS INITIALIZED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA). THE IMPLEMENTATION OF THE CHNA INVOLVED COLLECTING DATA, EVALUATING THE DATA TO DETERMINE THE NEEDS OF THE RESIDENTS AND AREA, AND THEN ESTABLISHING OBJECTIVES TO MEET THE GREATEST IDENTIFIED NEED OF THE COMMUNITY. PMC WANTS TO MAKE AN IMPACT IN THE COMMUNITY BY WORKING WITH OTHER AGENCIES TO PROVIDE THE BEST PREVENTATIVE PRACTICES. AFTER EXTENSIVE DATA GATHERING AND FEEDBACK FROM THE PUEBLO AND SOUTHERN COLORADO COMMUNITY, IN 2021- 2023 PMC WILL BE FOCUSING ON ACCESS TO HEALTHCARE AS A SOCIAL DETERMINATE OF HEALTH. SPECIFICALLY, THE CONNECTION BETWEEN PEOPLE'S ACCESS TO AND UNDERSTANDING OF HEALTH SERVICES AND THEIR OWN HEALTH.IN JULY OF 2021, PMC HOSTED 6 SMALL VIDEOS RELATED TO PREVENTABLE CARE, HEALTHY EATING, PHYSICAL ACTIVITY, AND ALCOHOL AND OTHER DRUG USE. ADDITIONALLY, PMC INTEGRATED THE TRANSITIONAL CARE CENTER AND ONLINE PATIENT EDUCATION PLATFORM FOR ONLINE ACCESS TO HEALTHCARE NEEDS. UPON LAUNCHING ONLINE HEALTHCARE ACCESS, PMC RELEASED QR CODES TO SHARE CREATED HEALTH TOPIC VIDEOS WITH PATIENTS. IN JANUARY 2022, PMC INTEGRATED ACCESS TO THE ONLINE PATIENT EDUCATION PLATFORM BEYOND ON-LINE SERVICES FOR PATIENTS TO EXPERIENCE DURINGIN-PATIENT STAYS AND THROUGH THEIR ESTABLISHED PATIENT PORTAL ACCOUNT. PARKVIEW MEDICAL CENTER PART V, SECTION B, LINE 6A: THE NEEDS ASSESSMENT WAS CONDUCTED WITH PUEBLO WEST EMERGENCY SERVICES. PARKVIEW MEDICAL CENTER PART V, SECTION B, LINE 6B: IN PREPARATION FOR THE 2021 NEEDS ASSESSMENT, PMC PARTNERED WITH THE PUEBLO CITY-COUNTY HEALTH DEPARTMENT AND OVER 30 LOCAL ORGANIZATIONS WHO WORKED TOGETHER ON A COMMON GOAL TO IDENTIFY THE GREATEST NEEDS OF THE COUNTY. THESE INCLUDE: A CARING PREGNANCY CENTER ACOVA AMERICAN MEDICAL RESPONSE AMR AMERICAN RED CROSS CATHOLIC CHARITIES CHAMBER OF COMMERCE CITY PARKS AND RECREATION CITY OF PUEBLO COLORADO BLUESKY COLORADO STATE UNIVERSITY- PUEBLO COOPERATIVE CARE CENTER COUNTY OF PUEBLO CROSSROADS TURNING POINTS CSU EXTENSION EL CENTRO DE LOS POBRES HEALTH SOLUTIONS JUNIOR ACHIEVEMENT LA LECHE LEAGUE POSADA PUEBLO ALLIANCE FOR HEALTHY TEENS PUEBLO CARE AND SHARE FOOD BANK OF SOUTHERN COLORADOPUEBLO CITY SCHOOL DISTRICT 60 PUEBLO DEPARTMENT OF PUEBLO HEALTH AND ENVIRONMENT PUEBLO CITY POLICE DEPARTMENT PUEBLO COMMUNITY HEALTH CENTER PUEBLO COOPERATIVE CARE CENTER PUEBLO COUNTY DEPARTMENT OF HUMAN SERVICES PUEBLO COUNTY SHERIFFS DEPARTMENT PUEBLO FIRE DEPARTMENT PUEBLO LATINO CHAMBER OF COMMERCE PUEBLO RESCUE MISSION PUEBLO SCHOOL DISTRICT 70 PUEBLO STEPUP PUEBLO TRIPLE AIM CORPORATION SAINT MARY-CORWIN - CENTURA HEALTH SENIOR RESOURCE DEVELOPMENT AGENCY SRDA THE GREATER PUEBLO CHAMBER OF COMMERCE UNITED WAY OF PUEBLO COUNTY YMCA OF PUEBLO YWCA PARKVIEW MEDICAL CENTER PART V, SECTION B, LINE 11: PARKVIEW MEDICAL CENTER'S PRIMARY FOCUS FOR 2021-2023 WILL BE THE IMPLEMENTATION OF THE ONLINE PATIENT EDUCATION PLATFORM. THE ONLINE PATIENT EDUCATION PLATFORM WILL BE IMPLEMENTED TO UTILIZE SHORT PRE-RECORDED AND LIVE HEALTH TOPIC VIDEOS FOR RESIDENTS OF SOUTHERN COLORADO, TO ENGAGE AND PROMOTE HEALTHY BEHAVIORS AND MEET PEOPLE WHERE THEY ARE USING UP-TO-DATE TECHNOLOGY IN REAL TIME. THIS PLATFORM WILL PROVIDE EDUCATIONAL VIDEOS ON PREVENTABLE CARE, HEALTHY EATING, ACTIVITY, ALCOHOL AND OTHER DRUG USE. THEY WILL INTEGRATE THE TRANSITIONAL CARE CENTER AND ONLINE PATIENT EDUCATION PLATFORM TO PROVIDE FOLLOW-UP CONTACT WITH DISCHARGED PATIENTS AND PROVIDE VIDEO LINKS WITH SPECIFIC HEALTH-RELATED TOPIC INFORMATION. PARKVIEW MEDICAL CENTER PART V, SECTION B, LINE 13B: THE HOSPITAL DETERMINES DISCOUNTED CARE FOR INDIVIDUALS WHO HAVE FAILED TO MEET THE REQUIREMENTS FOR ELIGIBILITY WITH EITHER COLORADO MEDICAID OR COLORADO INDIGENT CARE PROGRAM (CICP) AND PROVE TO BE ACTIVELY WORKING WITH THE PARKVIEW MEDICAL CENTER FINANCIAL SERVICES STAFF TO RESOLVE ANY OR ALL ACCOUNTS RECEIVABLE ACCOUNT BALANCES. PARKVIEW MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENT RECEIVING FINANCIAL ASSISTANCE WILL BE REQUIRED TO UNDERGO MEANS TESTING IN ORDER TO ESTABLISH ELIGIBILITY:A. FAIL TO MEET THE REQUIREMENTS FOR ELIGIBILITY WITH EITHER COLORADO MEDICAID OR COLORADO INDIGENT CARE PROGRAM (CICP).B. PROVE AN INABILITY TO MEET HOSPITAL FINANCING OPTIONS, WHICH INCLUDE HOSPITAL FINANCED PAYMENT PLANS AT 12 MONTHS OR BANK FINANCED LOANS FOR LONGER PERIODS.C. HAVE INCOME ABOVE BUT NOT LIMITED TO THE MAXIMUM THRESHOLDS FOR CICP (300% OF THE FEDERAL POVERTY GUIDELINES) AND PROVE AN INABILITY TO DEVELOP A PAYMENT PLAN.D. PROVE TO BE ACTIVELY WORKING WITH THE PARKVIEW MEDICAL CENTER FINANCIAL SERVICES STAFF TO RESOLVE ANY OR ALL ACCOUNTS RECEIVABLE ACCOUNT BALANCES. PUEBLO WEST EMERGENCY SERVICES PART V, SECTION B, LINE 13H: PATIENT RECEIVING FINANCIAL ASSISTANCE WILL BE REQUIRED TO UNDERGO MEANS TESTING IN ORDER TO ESTABLISH ELIGIBILITY:A. FAIL TO MEET THE REQUIREMENTS FOR ELIGIBILITY WITH EITHER COLORADO MEDICAID OR COLORADO INDIGENT CARE PROGRAM (CICP).B. PROVE AN INABILITY TO MEET HOSPITAL FINANCING OPTIONS, WHICH INCLUDE HOSPITAL FINANCED PAYMENT PLANS AT 12 MONTHS OR BANK FINANCED LOANS FOR LONGER PERIODS.C. HAVE INCOME ABOVE BUT NOT LIMITED TO THE MAXIMUM THRESHOLDS FOR CICP (300% OF THE FEDERAL POVERTY GUIDELINES) AND PROVE AN INABILITY TO DEVELOP A PAYMENT PLAN.D. PROVE TO BE ACTIVELY WORKING WITH THE PARKVIEW MEDICAL CENTER FINANCIAL SERVICES STAFF TO RESOLVE ANY OR ALL ACCOUNTS RECEIVABLE ACCOUNT BALANCES. PART I, LINE 7 THE METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON, PART 1, LINE 7, IS A COST ACCOUNTING SYSTEM. THIS COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS. THE FIGURES REPORTED ON THE TABLE, LINE 7, USED THE COST-TO CHARGE RATIO THAT WAS CALCULATED FROM THE INTERNAL REVENUE SERVICES, RATIO OF PATIENT CARE COST-TO CHARGES AS FOUND IN THE INSTRUCTIONS FOR SCHEDULE H, FORM 990. PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE IN THE AMOUNT OF 13,003,678 IS INCLUDED ON FORM 990, PART IX, LINE 25, BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. PART III, LINE 2: THE MEDICAL CENTER GRANTS EQUAL ACCESS TO HEALTH CARE SERVICES TO ALL MEMBERS OF ITS COMMUNITY REGARDLESS OF FINANCIAL STATUS. THE MEDICAL CENTER ATTEMPTS TO MAXIMIZE NET PATIENT SERVICE REVENUE BY QUALIFYING INDIGENT PATIENTS FOR STATE FUNDED PROGRAMS. IT IS THE MEDICAL CENTER'S POLICY TO BILL FOR, AND PURSUE COLLECTION OF, ALL SERVICES RENDERED. AT THE POINT IN TIME THAT A CHARGE IS BELIEVED TO BE UNCOLLECTIBLE, THE RELATED RECEIVABLE IS WRITTEN OFF. ANNUAL PROVISIONS ARE MADE FOR ESTIMATED UNCOMPENSATED SERVICES, WHICH INCLUDE BAD DEBTS AND OTHER UNCOLLECTIBLE AMOUNTS. THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINDED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE COST METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED AS BAD DEBT EXPENSE IS USING A COST-TO CHARGES RATIO. THE AMOUNT OF BAD DEBTS ATTRIBUTABE TO PATIENT ACCOUNTS IS MULTIPLIED BY THE RATIO OF PATIENT CARE COST TO CHARGES TO CALCULATE THE ESTIMATED COST OF BAD DEBTS ATTRIBUTABLE TO PATIENT ACCOUNTS. PART II, LINE 8 PARKVIEW MEDICAL CENTER PROMOTES WORKFORCE DEVELOPMENT BY RECRUITING PHYSICIANS BASED ON COMMUNITY NEEDS ASSESSMENTS FOR CERTAIN MEDICAL SPECIALTIES. PHYSICIANS ARE RECRUITED TO RELOCATE TO PUEBLO AS EITHER AN EMPLOYEE OF THE MEDICAL CENTER OR TO ESTABLISH A MEDICAL PRACTICE IN PUEBLO. THE PHYSICIANS RECIEVE PAYMENTS FOR RELOCATION EXPENSES AND INCOME GUARANTEES, IN EXCHANGE FOR PRACTICING IN THE PUEBLO AREA FOR A SET NUMBER OF YEARS. PART III, LINE 8: MEDICARE COST REPORTS ARE USED TO CALCULATE THE MEDICARE SHORTFALL/SURPLUS. PART III, LINE 8 REVENUES FROM THE MEDICARE PROGRAM ACCOUNTED FOR APPROXIMATELY 30% OF THE MEDICAL CENTER'S NET PATIENT SERVICES REVENUE FOR THE YEAR ENDED JUNE 30, 2022. THE MEDICARE SHORTFALL MAKES UP A LARGE PORTION OF UNCOMPENSATED CARE. UNCOMPENSATED CARE IS PART OF FULFILLING THE MEDICAL CENTER'S COMMUNITY MISSION TO PROVIDED QUALITY HEALTHCARE SERVICES THAT IMPROVE THE HEALTH OF THE COMMUNITY. MEDICARE COSTS WERE CALCULATED FROM THE MEDICARE COST REPORT FOR THE FYE JUNE 30, 2022. THE MEDICARE COST REPORT UTILIZES THE COST TO CHARGE RATIOS BY DEPARTMENT AT THE MEDICAL CENTER TO THE MEDICARE REVENUE FOR THE DEPARTMENT. THEY ALSO CALCULATED UTILIZING THE COST REPORT MEDICARE COSTS RELATED TO PHYSICIAN SERVICES THAT ARE BILLED TO THE MEDICARE PART B PROGRAM AND CHARGES ARE NOT PART OF THE MEDICARE COST REPORT. IN THIS INSTANCE THERE IS NOT A COST OF CHARGE RATIO. PART III, LINE 9B THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. PART VI, LINE 2 PARKVIEW MEDICAL CENTER REVIEWS COUNTY-LEVEL DATA FROM HOSPITAL ADMISSIONS, AS WELL AS THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, COLLABORATES WITH LOCAL PUBLIC HEALTH AND PHYSICIANS, AND SOLICITS INPUT FROM COMMUNITY AGENCIES/COMMUNITY MEMBERS VIA NETWORKS AND EVENTS IN ORDER TO BETTER UNDERSTAND DISEASE STATES AND ADDRESS GAPS IN EDUCATION/SERVICE DELIVERY. PART VI, LINE 3 THE MEDICAL CENTER EDUCATES PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S DISCOUNT POLICY UPON ADMISSION OR PRIOR TO DISMISSAL. PATIENTS ARE ENCOURAGED TO APPLY FOR MEDICAID, COLORADO INDIGENT CARE PROGRAM OR PARKVIEW MEDICAL CENTERS DISCOUNTS IF THEY ARE WITHOUT RESOURCES. THE CREDIT/COLLECTION DEPARTMENT OR FINANCIAL COUNSELOR MAY REVIEW WITH THE PATIENT OR GUARANTOR ANY ACCOUNT WHERE THERE IS PARTIAL OR NO INSURANCE COVERAGE. PART VI, LINE 4 PARKVIEW MEDICAL CENTER PROVIDES ACUTE AND BEHAVIORAL HEALTH SERVICES IN PUEBLO AND 14 SURROUNDING COUNTIES. AS A PRIVATE, NON-PROFIT ORGANIZATION, PARKVIEW IS LICENSED FOR 350 ACUTE BEDS AND PROVIDES A FULL RANGE OF HEALTHCARE SERVICES INCLUDING THE REGION'S ONLY CERTIFIED ANDVERIFIED LEVEL II TRAUMA CENTER AND THE REGION'S FIRST CERTIFIED STROKE CENTER. THE ZIP CODES OF PUEBLO COUNTY THAT MAKE UP THE PRIMARY USE OF PMC SERVICES ARE 81001, 81002, 81003, 81004, 81005, 81006, 81007, AND 81008. PMC SEES ON AVERAGE 1,400 INPATIENTS EACH MONTH, WITH APPROXIMATELY 80 PERCENT BEING PUEBLO COUNTY RESIDENTS AND THE REMAINING 20 PERCENT OF PATIENTS ARE FROM OUTLYING SOUTHERN COLORADO COUNTIES AND BEYOND. THE LARGEST POPULATED AREA IS PUEBLO COUNTY WITH A POPULATION OF 168,424. THE MAJORITY OF THE POPULATION LIVES IN THE CITY OF PUEBLO. HOWEVER, THERE ARE SEVERAL RURAL AREAS KNOWN AS ST. CHARLES MESA, AVONDALE, BOONE, COLORADO CITY, RYE, AND BEULAH. THE POPULATION DEMOGRAPHICS IN PUEBLO COUNTY INCLUDES 76.3 PERCENT WHITE ALONE, 13.4 PERCENT BLACK OR AFRICAN AMERICAN, 1.3 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, 5.9 PERCENT ASIAN, 18.5 PERCENT HISPANIC OR LATINO, AND 60.1 PERCENT WHITE NON HISPANIC OR LATINO, 42.2 PERCENT WHITE NON-HISPANIC, 52.6 PERCENT HISPANIC OR LATINO, 2.1 PERCENT BLACK, 0.5 PERCENT AMERICAN INDIAN/ALASKAN NATIVE AND 0.8 PERCENT ARE ASIAN. PUEBLO COUNTY SCHOOL DISTRICTS REPORT A HIGH SCHOOL COMPLETION RATE OF 92.2 PERCENT, WHICH IS HIGHER THAN THE COLORADO AVERAGE (80.3PERCENT). PUEBLO COUNTY HAS SEEN A 24.8 PERCENT INCREASE IN EMPLOYMENT FROM 2017 TO 2018. HEALTH CARE AND SOCIAL ASSISTANCE ARE THE LEADING INDUSTRIES. PART VI, LINE 5 PARKVIEW MEDICAL CENTER HOUSES A MARKETING OUTREACH, PARKVIEW MOBILE NURSES DEPARTMENT, WHOSE MISSION IS TO PROMOTE THE HEALTH AND WELL-BEING OF PUEBLO AND SOUTHEASTERN COLORADO COMMUNITIES THOUGH A VARIETY OF PROGRAMS AND SERVICES THAT REACH ACROSS THE LIFE SPAN. EDUCATIONAL INITIATIVES ARE CREATED IN AN EFFORT TO EFFECT CHANGE THOUGH: -ESTABLISHING COLLABORATIVE PARTNERSHIPS WITHIN THE COMMUNITY - PROMOTING HEALTH AND WELL-BEING -SERVING AS A LIAISON ON BEHALF OF PARKVIEW MEDICAL CENTER THROUGHOUT THE BUSINESS, PROVIDER, AND EDUCATIONAL SECTORS -PROVIDING OPPORTUNITIES TO STUDENTS OF ALL AGES INTERESTED IN PURSUING HEALTHCARE CAREERS - STEP PROGRAM -ADVOCATING HEALTHY LIFESTYLES EDUCATION IS PROVIDED ON INJURY PREVENTION/SAFETY, WOMEN'S HEALTH CONCERNS, CLINICAL SCREENINGS, AND WORKSITE HEALTH/WELLNESS. ON AVERAGE, THE DEPARTMENT PROVIDES DIRECT EDUCATIONAL SERVICES TO OVER 10,000 INDIVIDUALS EACH YEAR PARKVIEW MEDICAL CENTER'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO RESIDE IN THE PUEBLO, COLORADO AREA. THE MAJORITY OF THE ORGANIZATION'S BOARD MEMBERS ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE MEDICAL CENTER. THE BOARD OF DIRECTORS IS MADE UP MOSTLY OF COMMUNITY BUSINESS PEOPLE INTERESTED IN MAINTAINING QUALITY HEALTH CARE IN PUEBLO. THE MEDICAL CENTER EXTENDS MEDICAL STAFF PRIVILDGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR MOST DEPARTMENTS. THE MEDICAL CENTER ALSO ACTIVELY RECRUITS AND ENCOURAGES RELOCATION OF PHYSICIANS TO PUEBLO, COLORADO. PARKVIEW MEDICAL CENTER IS THE LARGEST NON-GOVERNMENT, NONPROFIT PRIVATE SECTOR EMPLOYER IN PUEBLO COUNTY. THE WORKFORCE OF THE MEDICAL CENTER HAS A STRONG IMPACT ON THE COMMUNITY THE ANNUAL PAYROLL CONTRIBUTES MILLIONS TO THE ECONOMY. THEMEDICAL CENTER IS ONE OF THE LARGEST PROPERTY TAX PAYERS IN PUEBLO, AS THE MEDICAL CENTER PAYS PROPERTY TAXES ON ALL OF THE MEDICAL OFFICE BUILDINGS FUNDS REMAINING AFTER EXPENSES ARE REINVESTED IN EQUIPMENT AND BUILDINGS TO MAINTAIN A STATE-OF-THE-ART FACILITY THAT DELIVERS HIGH QUALITY HEALTHCARE. THE MEDICAL CENTER IS CONSTANTLY SEEKING NEW TECHNOLOGY AND SERVICES THAT ARE NEEDED IN THE REGION. PARKVIEW MEDICAL CENTER HAS A STRONG SENSE OF OWNERSHIP IN THE COMMUNITY AND IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR THE RESIDENTS OF PUEBLO AND SOUTHEASTERN COLORADO. PART VI, LINE 6 PARKVIEW HEALTH SYSTEM, INC. IS A NONPROFIT CORPORATION THAT CONTROLS AND IS THE SOLE OWNER OF PARKVIEW MEDICAL CENTER, PARKVIEW FOUNDATION, PARKVIEW ANCILLARY SERVICES CORPORATION AND PUEBLO HEALTH CARE. PARKVIEW MEDICAL CENTER IS INCORPORATED IN COLORADO AS A COLORADO NONPROFIT CORPORATION FOR THE PURPOSE OF CONDUCTING THE DAY-TO-DAY OPERATION OF THE HOSPITAL FACILITIES. THE MEDICAL CENTER OFFERS ACUTE HEALTHCARE AND BEHAVIORAL MEDICINE SPECIALTY SERVICES. PARKVIEW FOUNDATION IS A COLORADO NONPROFIT CORPORATION. THE FOUNDATION IS ORGANIZED TO SUPPORT THE HEALTH SYSTEM AND TO PROMOTE ITS FISCAL AND PUBLIC STATURE. THE FOUNDATION IS RESPONSIBLE FOR SOLICITING, PRESERVING AND MONITORING THE FUNDS IT GENERATES FOR THE MEDICAL PARKVIEW ANCILARY SERVICE CORPORATION IS A SINGLE MEMBER LLC AND IS CONTROLLED BY PARKVIEW HEALTH SYSTEMS, INC. IT OPERATES TO SUPPORT THE ACTIVITIES OF THE HEALTH SYSTEM THROUGH PHYSICIAN PRACTICE OPERATIONS. PUEBLO HEALTH CARE IS A FOR-PROFIT CORPORATION. PUEBLO HEALTH CARE PROVIDES THE PHYSICIAN PARTNERS WITH SERVICE AND SUPPORT FOR PHYSICIAN CONTRACTING AND ADMISTRATIVE DUTIES. X 0 0 X X 0 0 0 0 0 0 0 0 0 ALI K MURAD MD PHYSICIAN 1250008 416669 0 0 0 0 15375 5125 19178 6393 1284561 428187 0 0 LUCAS KING PHYSICIAN 884694 294898 0 0 0 0 15375 5125 18221 6074 918290 306097 0 0 JOHN DUGAL PHYSICIAN 832653 277551 0 0 0 0 15375 5125 19178 6393 867206 289069 0 0 JENNIFER FITZPATRICK PHYSICIAN 769368 256456 0 0 0 0 15375 5125 0 0 784743 261581 0 0 RICKLAND LIKES PHYSICIAN 682501 227500 0 0 0 0 15375 5125 18221 6074 716097 238699 0 0 LESLIE BARNES PRESIDENT/CEO (END 6/23) 790014 0 0 0 0 0 20500 0 15714 0 826228 0 0 0 NATALIE MOSLEY DO BOARD MEMBER 615328 0 0 0 0 0 0 0 24558 0 639886 0 0 0 JON RIGGS CFO 447756 0 0 0 0 0 20500 0 24295 0 492551 0 0 0 DARRIN SMITH PRESIDENT/CEO 410344 0 0 0 0 0 20500 0 24558 0 455402 0 0 0 PART I, LINE 3 PARKVIEW HEALTH SYSTEMS, INC., PROVIDES TRAVEL EXPENSES TO THE BOARD OF DIRECTORS, OFFICERS AND THEIR SPOUSES TO THE ANNUAL BOARD OF DIRECTORS MEETING. THE SPOUSES OF THE BOARD OF DIRECTORS AND OFFICERS RECEIVE A 1099 FOR THE AMOUNT OF EXPENSES PAID ON THEIR BEHALF. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648FBC7 2016-09-22 74639980 CONSTRUCTION 0 0 0 B COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648AB95 2012-10-04 30358821 CONSTRUCTION 0 0 0 C COLORADO HEALTH FACILITIES AUTHORITY 840752932 2014-09-30 11820000 REFUNDING OF SERIES 2004 0 0 0 D COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648F047 2017-10-18 19514670 REFUNDING OF SERIES 2007B 0 0 0 A 76428075 3875168 80303243 2020 0 0 1 1 B 9640000 30503825 1503777 32007603 2015 0 0 1 1 C 8325000 11839811 146415 11986226 2014 1 0 1 1 D 4695000 19562489 2999900 22562389 2010 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/10/2021 ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/11/2022 ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/16/2019 ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/08/2022 ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/24/2020 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A799 2015-06-15 44900645 REFUNDING OF SERIES 2005 & 2007A 0 0 0 B COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648FPX6 2020-07-15 72597400 CONSTRUCTION 0 0 0 A 5050000 44951557 1951124 46902681 1 1 1 1 B 72888612 364240 73252852 2023 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 A 1 B 1 MICHAEL GROWNEY MD DIRECTOR 2966693 PROFESSIONAL SERVICES AGREEMENT WITH PARKVIEW MEDICAL CENTER 0 FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT REVIEWS THE 990 PRIOR TO FILING FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES MEMBERS TO DISCLOSE ANY CONFLICTS OF INTERESTS ON AN ANNUAL BASIS. ANNUALLY, THE ORGANIZATION REVIEWS AND DISCUSSES THE CONFLICT-OF-INTEREST POLICY, AND REQUESTS THAT EACH BOARD MEMBER AND OFFICER, LIST AND ACKNOWLEDGE ANY KNOWN CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS APPROVES WAGE PARAMETERS AND CONTRACT EXTENSIONS OF ALL PERSONNEL. THE ORGANIZATION'S BOARD OF DIRECTORS DETERMINES THE SALARY AND BONUS OF THE EXECUTIVE DIRECTOR BASED ON EMPLOYMENT CONTRACTS AND RECOMMENDATIONS BY THE ORGANIZATION'S COMPENSATION COMMITTEE. THE COMPENSATION STRUCTURE FOR ALL OTHER EMPLOYEES IS BASED ON EXPERIENCE, TITLE, AND RANGE FOR THE POSITION. THE COMPENSATION IS EVALUATED ON AN ANNUAL BASIS AND IS OVERSEEN BY THE EXECUTIVE DIRECTOR. FOR ALL NEW EMPLOYEES, A FORMAL LETTER IS PREPARED REGARDING THE TERMS OF EMPLOYMENT. THE SIGNED LETTER SERVES AS DOCUMENTATION OF THE EMPLOYEE'S TERMS OF EMPLOYMENT AND IS KEPT IN EACH EMPLOYEE'S PERMANENT FILE. THESE PROCESSES APPLY TO ALL EMPLOYEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 56,239,402. MANAGEMENT AND GENERAL EXPENSES 90,403,794. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 146,643,196. FORM 990, PART XI, LINE 9: EPIC CONVERSION CLEARING 176,805. CHANGE IN FOUNDATION RESTRICTED FUND 190,161. PARKVIEW HEALTH SYSTEMS INC 400 W 16TH STREET PUEBLO CO 81003 840935138 HEALTH SERVICES/SUPPORTS PARKVIEW MEDICAL CENTER CO 501(C)(3) 12(A) N/A 0 PARKVIEW FOUNDATION 400 W 16TH STREET PUEBLO CO 81003 840701833 SUPORTS PARKVIEW MEDICAL CENTER CO 501(C)(3) 12(A) PARKVIEW MEDICAL CENTER 0 PARKWEST IMAGING CENTER LLC 400 W 16TH STREET PUEBLO CO 81003 840701833 MEDICAL SERVICES CO PMC RELATED 134683 1935010 0 0 0.51000 PARKWEST SURGERY CENTER LLC 400 W 16TH STREET PUEBLO CO 81003 840701833 MEDICAL SERVICES CO PMC RELATED -151996 293327 0 0 0.51790 PUEBLO HEALTH CARE INC 400 W 16TH STREET PUEBLO CO 81003 840701833 CONTRACT SERVICES CO N/A C 1 GREENWOOD BUILDING 400 W 16TH STREET PUEBLO CO 81003 840701833 BUILDING MGMT CO PMC C 77662 1.00000 1 PARKWEST UNIT OWNERS' ASSOC 400 W 16TH STREET PUEBLO CO 81003 840701833 BUILDING MGMT CO PMC C 6097 1.00000 1 1 0 1 1 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 PARKVIEW MEDICAL CENTER C 151722 ACCRUAL