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        <ExplanationTxt>THE FOUNDATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR THE ENDOWMENT FUND THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. THE FOUNDATION EXPECTS DISTRIBUTIONS OF APPROXIMATELY FIVE PERCENT OF ASSETS ANNUALLY, ALTHOUGH THIS PERCENTAGE CAN VARY.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARKVIEW MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE 20242026 PERIOD, UCHEALTH PARKVIEW MEDICAL CENTER ("PARKVIEW") TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED, INCLUDING INDIVIDUALS WITH SPECIALIZED KNOWLEDGE OF PUBLIC HEALTH.BETWEEN JANUARY AND JUNE 2024, PARKVIEW USED A MULTI PHASED CHNA PROCESS THAT INCORPORATED COMMUNITY AND PUBLIC HEALTH EXPERTISE. PARKVIEW PARTNERED DIRECTLY WITH THE PUEBLO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (PDPHE) DURING THE COUNTY'S COMMUNITY HEALTH ASSESSMENT (CHA) PROCESS, WHICH INCLUDED REVIEW OF POPULATION HEALTH DATA, SOLICITATION OF FEEDBACK FROM COMMUNITY LEADERS, AND ENGAGEMENT WITH COMMUNITY MEMBERS THROUGH SURVEYS, FOCUS GROUPS, AND PUBLIC FORUMS. THIS COLLABORATION ENSURED ALIGNMENT WITH COUNTY LEVEL PUBLIC HEALTH PRIORITIES AND INPUT FROM PROFESSIONALS WITH EXPERTISE IN POPULATION HEALTH AND SOCIAL DETERMINANTS OF HEALTH.PARKVIEW ALSO SOLICITED INPUT FROM ITS MEDICAL STAFF PROVIDERS THROUGH A WEB BASED SURVEY TO GATHER PROFESSIONAL INSIGHT INTO COMMUNITY HEALTH NEEDS, BARRIERS TO CARE, AND SERVICE GAPS. SURVEY RESPONDENTS RANKED AND PRIORITIZED HEALTH NEEDS BASED ON THEIR CLINICAL EXPERIENCE SERVING THE PUEBLO COUNTY POPULATION.IN ADDITION, PARKVIEW'S INTERNAL ADVISORY GROUP, COMPOSED OF HOSPITAL LEADERSHIP REPRESENTING A BROAD RANGE OF CLINICAL AND OPERATIONAL DISCIPLINES, REVIEWED SECONDARY PUBLIC HEALTH DATA FROM SOURCES INCLUDING COUNTY HEALTH RANKINGS, COLORADO HEALTH INDICATORS, AND THE HEALTHY KIDS COLORADO SURVEY. THE GROUP SYNTHESIZED COMMUNITY INPUT, PROVIDER FEEDBACK, AND PUBLIC HEALTH DATA TO IDENTIFY AND PRIORITIZE SIGNIFICANT HEALTH NEEDS.THE RESULTS OF THE CHNA, INCLUDING THE IDENTIFIED PRIORITY HEALTH NEEDS, WERE REVIEWED AND APPROVED BY THE PARKVIEW BOARD OF DIRECTORS, WHICH INCLUDES REPRESENTATIVES FROM THE LOCAL COMMUNITY. COLLECTIVELY, THIS PROCESS ENSURED THAT THE CHNA REFLECTED INPUT FROM INDIVIDUALS REPRESENTING DIVERSE COMMUNITY INTERESTS AND THOSE WITH PUBLIC HEALTH KNOWLEDGE AND EXPERTISE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARKVIEW MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: THE NEEDS ASSESSMENT WAS CONDUCTED WITH PUEBLO WEST EMERGENCY SERVICES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARKVIEW MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARKVIEW MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: UCHEALTH PARKVIEW MEDICAL CENTER ("PARKVIEW") ADOPTED AN IMPLEMENTATION STRATEGY BASED ON ITS 20242026 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WAS APPROVED BY THE PARKVIEW BOARD OF DIRECTORS IN SEPTEMBER 2024. THE STRATEGY OUTLINES PLANS FOR 20252027 TO ADDRESS SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN PUEBLO COUNTY.PARKVIEW IDENTIFIED THREE PRIORITY HEALTH NEEDS: ACCESS TO CARE, BEHAVIORAL HEALTH, AND CHRONIC DISEASE, BASED ON COMMUNITY INPUT, HEALTH DATA, AND THE HOSPITAL'S ABILITY TO IMPACT THESE ISSUES.TO IMPROVE ACCESS TO CARE, PARKVIEW PLANS TO EXPAND VIRTUAL PRIMARY CARE SERVICES, INCREASE REMOTE PATIENT MONITORING, CONTINUE SCREENING FOR SOCIAL DETERMINANTS OF HEALTH, AND EVALUATE RECRUITMENT OF ADDITIONAL PHYSICIANS TO IMPROVE AVAILABILITY OF SERVICES.TO ADDRESS BEHAVIORAL HEALTH, PARKVIEW WILL FOCUS ON IMPROVING IDENTIFICATION, TREATMENT, AND REFERRAL THROUGH INITIATIVES SUCH AS VIRTUAL EDUCATION ON PERINATAL AND POSTPARTUM DEPRESSION, INTEGRATION OF BEHAVIORAL HEALTH SERVICES INTO PRIMARY CARE, VIRTUAL BEHAVIORAL HEALTH CONSULTATIONS, COLLABORATION ON CO RESPONDER PROGRAMS, AND OFFERING RESOURCES FOR INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS. PARKVIEW ALSO PLANS TO IMPLEMENT ALTERNATIVES-TO-OPIOIDS PAIN MANAGEMENT PRACTICES.TO ADDRESS CHRONIC DISEASE, PARKVIEW WILL PROVIDE COMMUNITY-BASED EDUCATION FOCUSED ON PREVENTION, EARLY DETECTION, AND MANAGEMENT OF CONDITIONS SUCH AS CANCER, HEART DISEASE, DIABETES, AND OBESITY, PARTICULARLY AMONG HIGHER RISK POPULATIONS.THESE INITIATIVES WILL BE SUPPORTED THROUGH HOSPITAL STAFF TIME, IN KIND RESOURCES, FINANCIAL SUPPORT, AND COLLABORATION WITH COMMUNITY PARTNERS. PARKVIEW WILL MONITOR PROGRESS THROUGHOUT THE IMPLEMENTATION PERIOD AND ADJUST STRATEGIES AS COMMUNITY NEEDS EVOLVE.PARKVIEW DOES NOT INTEND TO DIRECTLY ADDRESS ALL OTHER IDENTIFIED NEEDS, AS CERTAIN NEEDS ARE MORE APPROPRIATELY OR EFFECTIVELY ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS, PUBLIC HEALTH AGENCIES, OR GOVERNMENTAL PROGRAMS, OR FALL OUTSIDE THE HOSPITAL'S PRIMARY EXPERTISE OR RESOURCE CAPACITY. PARKVIEW CONSIDERED EXISTING COMMUNITY RESOURCES AND INITIATIVES AND DETERMINED THAT FOCUSING HOSPITAL RESOURCES ON THE PRIORITIZED NEEDS WOULD ALLOW FOR THE GREATEST MEASURABLE IMPACT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARKVIEW MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARKVIEW MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>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."</ExplanationTxt>
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            <AddressLine1Txt>1100 CENTRAL PARK DR SUITE 1000</AddressLine1Txt>
            <CityNm>STEAMBOAT SPRINGS</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
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            <AddressLine1Txt>940 CENTRAL PARK DR SUITE 202</AddressLine1Txt>
            <CityNm>STEAMBOAT SPRINGS</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80487</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - UCHEALTH PRIMARY CARE CLINIC - CRAIG</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>595 RUSSELL STREET</AddressLine1Txt>
            <CityNm>CRIAG</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81625</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTREACH PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - UCHEALTH SPORTSMED CLINIC - HAYDEN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>300 SOUTH SHELTON LANE</AddressLine1Txt>
            <CityNm>HAYDEN</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81639</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICAL THERAPY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - LITTLE SNAKE RIVER CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>305 WHIPOORWILL STREET</AddressLine1Txt>
            <CityNm>BAGGS</CityNm>
            <StateAbbreviationCd>WY</StateAbbreviationCd>
            <ZIPCd>82321</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - UCHEALTH SPORTSMED CLINIC - OAK CREEK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>300 MAIN STREET</AddressLine1Txt>
            <CityNm>OAK CREEK</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80467</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYCIAL THERAPY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - UCHEALTH SPORTSMED PEDIATRIC CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1920 PINE GROVE ROAD</AddressLine1Txt>
            <CityNm>STEAMBOAT SPRINGS</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80487</ZIPCd>
          </USAddress>
          <FacilityTxt>PEDIATRIC THERAPY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - UCHEALTH CRAIG MEDICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>651 YAMPA AVE</AddressLine1Txt>
            <CityNm>CRAIG</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>81625</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTREACH PHYSICIAN CLINIC PROVIDING LAB SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - UCHEALTH OCCUPATIONAL MEDICINE CLINIC</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>3001 SOUTH LINCOLN AVE SUITE A</AddressLine1Txt>
            <CityNm>STEAMBOAT SPRINGS</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80487</ZIPCd>
          </USAddress>
          <FacilityTxt>OCCUPATIONAL HEALTH CLINIC</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - UCHEALTH PAIN MANAGEMENT CLINIC</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>3001 SOUTH LINCOLN AVE SUITE A</AddressLine1Txt>
            <CityNm>STEAMBOOAT SPRINGS</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80487</ZIPCd>
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          <FacilityTxt>PAIN MANAGEMENT CLINIC</FacilityTxt>
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      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE IN THE AMOUNT OF $20,232,033 IS INCLUDED ON FORM 990, PART IX, LINE 25, BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 DETERMINED 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 ATTRIBUTABLE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT CONSIDER ANY OF ITS BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF ALLOWANCES FOR DOUBTFUL ACCOUNTS, CONTRACTUAL ADJUSTMENTS, AND MEDICALLY INDIGENT ALLOWANCES. SEE PAGE 26 IN THE ATTACHED FINANCIALS FOR RELATED FOOTNOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE COST REPORTS ARE USED TO CALCULATE THE MEDICARE SHORTFALL/SURPLUS. REVENUES FROM THE MEDICARE PROGRAM ACCOUNTED FOR APPROXIMATELY 30% OF THE MEDICAL CENTER'S NET PATIENT SERVICES REVENUE FOR THE YEAR ENDED JUNE 30, 2025. 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, 2025. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 AND VERIFIED 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 (80.3 PERCENT). PUEBLO COUNTY HAS SEEN A 24.8 PERCENT INCREASE IN EMPLOYMENT FROM 2017 TO 2018. HEALTH CARE AND SOCIAL ASSISTANCE ARE THE LEADING INDUSTRIES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 PRIVILEGES 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. THE MEDICAL 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 ANCILLARY 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 ADMINISTRATIVE DUTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>CO</ExplanationTxt>
      </SupplementalInformationDetail>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATALIE MOSLEY DO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>9216</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DARRIN SMITH</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JON RIGGS</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BOARD OF DIRECTORS DETERMINES THE SALARY AND BONUS OF THE EXECUTIVE DIRECTOR BASED ON EMPLOYMENT CONTRACTS, COMPENSATION SURVEYS, 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.</ExplanationTxt>
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      <TaxExemptBondsIssuesGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>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: 12/15/2023 ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/15/2023 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: 12/03/2024</ExplanationTxt>
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        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MICHAEL GROWNEY MD</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR</RelationshipDescriptionTxt>
        <TransactionAmt>1627146</TransactionAmt>
        <TransactionDesc>PROFESSIONAL SERVICES AGREEMENT WITH PARKVIEW MEDICAL CENTER</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>AMENDED RETURN:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING LINES WERE AMENDED: SCHEDULE H PART I LINE 2 SCHEDULE H PART III LINE 1 SCHEDULE H PART VI FOR PART I LINE 7 COLUMN F, PART III LINE 3 AND LINE 4, AND PART VI LINE 7</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PARKVIEW MEDICAL CENTER REVISED ITS ARTICLES OF INCORPORATION, GRANTING THE UNIVERSITY OF COLORADO HEALTH THE AUTHORITY TO APPOINT MEMBERS TO THE PARKVIEW BOARDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>PARKVIEW HEALTH SYSTEMS, INC. IS THE SOLE CORPORATE MEMBER OF PARKVIEW MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>UNIVERSITY OF COLORADO HEALTH (UCHEALTH) IS THE SOLE MEMBER OF PARKVIEW HEALTH SYSTEM. PARKVIEW HEALTH SYSTEM IS THE SOLE MEMBER OF PARKVIEW MEDICAL CENTER AND PARKVIEW FOUNDATION. UCHEALTH HAS THE AUTHORITY TO APPOINT THE MEMBERS OF THE BOARDS OF PARKVIEW HEALTH SYSTEM, PARKVIEW MEDICAL CENTER, AND PARKVIEW FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>UCHEALTH SHALL HAVE THE ULTIMATE AUTHORITY OVER PARKVIEW HEALTH SYSTEM AND ITS AFFILIATES AS SET FORTH IN THE PARKVIEW BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY INDEPENDENT CPAS. A PRELIMINARY DRAFT IS REVIEWED BY THE INTERNAL FINANCE DEPARTMENT. THE FINAL COPY OF THE FORM 990 IS PROVIDED IN AN ELECTRONIC FORMAT TO ALL BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ALL DOCUMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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          <AddressLine1Txt>400 W 16TH STREET</AddressLine1Txt>
          <CityNm>PUEBLO</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81003</ZIPCd>
        </USAddress>
        <EIN>840701833</EIN>
        <PrimaryActivitiesTxt>BUILDING MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>103989</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PARKWEST UNIT OWNERS' ASSOC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>400 W 16TH STREET</AddressLine1Txt>
          <CityNm>PUEBLO</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81003</ZIPCd>
        </USAddress>
        <EIN>840701833</EIN>
        <PrimaryActivitiesTxt>BUILDING MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PMC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>711838</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>INTEGRITY URGENT CARE CLINICS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>7901 EAST LOWRY BLVD SUITE 350</AddressLine1Txt>
          <CityNm>DENVER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80231</ZIPCd>
        </USAddress>
        <EIN>472405856</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>