Longmont United Hospital 2012 Tax Return

Page 25

LONGMONT UNITED HOSPITAL Part VII Investments - Other Securities. See Form 990, Part X, line 12.

Schedule D (Form 990) 2012

(a) Description of security or category (including name of security)

(b) Book value

84-0460697

Page 3

(c) Method of valuation: Cost or end-of-year market value

(1) Financial derivatives ~~~~~~~~~~~~~~~ (2) Closely-held equity interests ~~~~~~~~~~~ (3) Other (A) (B) (C) (D) (E) (F) (G) (H) (I) Total. (Col. (b) must equal Form 990, Part X, col. (B) line 12.) |

Part VIII Investments - Program Related. See Form 990, Part X, line 13. (a) Description of investment type

(b) Book value

(c) Method of valuation: Cost or end-of-year market value

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total. (Col. (b) must equal Form 990, Part X, col. (B) line 13.) | Part IX Other Assets. See Form 990, Part X, line 15. (a) Description

(b) Book value

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total. (Column (b) must equal Form 990, Part X, col. (B) line 15.) •••••••••••••••••••••••••••• | Part X Other Liabilities. See Form 990, Part X, line 25. (a) Description of liability (b) Book value 1. (1) Federal income taxes 3,454,618. (2) MEDICARE SETTLEMENT (3) (4) (5) (6) (7) (8) (9) (10) (11) 3,454,618. Total. (Column (b) must equal Form 990, Part X, col. (B) line 25.) ••••• | 2. FIN 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's X liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII •••••• Schedule D (Form 990) 2012 232053 12-10-12

14280923 138837 4822-00

25 2012.04030 LONGMONT UNITED HOSPITAL

4822-001


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