2024-11-15T17:03:19-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 8390 EAST CRESCENT PARKWAY SUITE 300 GREENWOOD VILLAGE CO 80111 990 2023-01-01 841285505 LA CLINICA TEPEYAC LACL 7202742923 4725 HIGH STREET DENVER CO 80216 JIM GARCIA CEO 7202742923 2024-11-15 1 1 BECKY DETTMANN CPA P01408585 3037795710 2024-11-12 2023 2024-10-15 13:58:12Z TEPEYAC COMMUNITY HEALTH CENTER JIM GARCIA 4725 HIGH STREET DENVER CO 80216 11927268 0 X WWW.TEPEYACHEALTH.ORG X 1994 CO INSPIRE HEALTH, WELLBEING, AND HUMANITY IN OUR COMMUNITY, THROUGH ALL OF LIFE'S STAGES. 12 12 109 17 -724 0 7104184 9105081 1490517 2462438 103561 85647 -17868 -2036 8680394 11651130 60000 363 0 0 4355080 6135050 34099 17200 278021 2773618 3823011 7222797 9975624 1457597 1675506 17261657 16857320 8297509 6211976 8964148 10645344 X INSPIRE HEALTH, WELLBEING, AND HUMANITY IN OUR COMMUNITY, THROUGH ALL OF LIFE'S STAGES. WE ENVISION A HEALTHY COMMUNITY WITH ACCESS TO REGULAR AND ONGOING HEALTH CARE. AS WE EXPAND OUR REACH AND BRING,(CONTINUED ON SCHEDULE O)CULTURAL RESPONSIVENESS INTO THE COMMUNITY WE STRIVE FOR EXCEPTIONAL, TRUSTWORTHY CARE THAT EMPOWERS OUR PATIENTS, DECREASES ROUTINE VISITS TO EMERGENCY ROOMS, AND CREATES HEALTHIER FAMILIES OVERALL. 1 0 6181552 363 2462064 CLINIC: PROVIDE BASIC PRIMARY CARE SERVICES, BASIC WELLNESS, PHYSICAL EXAMS, BEHAVIORAL HEALTH AND HEALTH EDUCATION. THIS INCLUDES WOMEN'S HEALTH EXAMS, MAMMOGRAPHY, PRENATAL CARE, IMMUNIZATIONS, SCHOOL PHYSICALS, DIABETES MANAGEMENT, COLPOSCOPIES, PREVENTIVE HEALTH EDUCATION, WELLNESS CLASSES, AND ORAL HEALTH CARE.HEALTH PROMOTION: PROVIDES EDUCATION FOR THE LATINX COMMUNITY AND THEIR FAMILIES TO REDUCE THE RISK OF CHRONIC DISEASE THROUGH COMMUNITY OUTREACH AND PREVENTIVE HEALTH EDUCATION CONDUCTED BY THE PROMOTORAS DE SALUD (HEALTH PROMOTERS).(CONTINUED ON SCHEDULE O)PHARMACY: PROVIDES ACCESS TO AFFORDABLE MEDICATIONS AND PHARMACEUTICAL COUNSELING TO SUPPORT CHRONIC DISEASE MANAGEMENT, PREVENTIVE CARE, AND GENERAL HEALTH NEEDS, WITH A FOCUS ON IMPROVING MEDICATION ADHERENCE AND HEALTH OUTCOMES FOR UNDERSERVED POPULATIONS. 6181552 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 46 0 1 109 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X TOSHA ELLIS 3034585302 4725 HIGH STREET DENVER CO 80216 DR HARVEY BOGRAD MD PRESIDENT 1.00 0.00 X X 0 0 0 CAROLINE ACHA VICE PRESIDENT 0.50 0.00 X X 0 0 0 STEVE CHAVEZ TREASURER 1.00 0.00 X X 0 0 0 DR GILBERT VIGIL PHD SECRETARY 0.50 0.00 X X 0 0 0 JOHN BAUER MARTINEZ DIRECTOR 1.00 0.00 X 0 0 0 LUDY ESPERANZA CHACON CONSUMER MEMBER 0.50 0.00 X 0 0 0 ALFONSO ESPINO CONSUMER MEMBER 0.50 0.00 X 0 0 0 JUANA MALDONADO CONSUMER MEMBER 0.50 0.00 X 0 0 0 GINA MILLAN CONSUMER MEMBER 0.50 0.00 X 0 0 0 JAQUELINE MORALES-LOZANO CONSUMER MEMBER 0.50 0.00 X 0 0 0 LINDA OSTERLUND PHD DIRECTOR 1.00 0.00 X 0 0 0 DR SAMIT SHAH MD DIRECTOR 0.50 0.00 X 0 0 0 DR PAMELA VALENZA MD CHO 50.00 0.00 X 231614 0 17965 JIM GARCIA CEO 60.00 1.00 X 171035 0 10738 SHANA MONTROSE CAO (THROUGH 11/3/23) 40.00 0.00 X 117481 0 6032 LACY BRADLEY CFO 40.00 0.00 X 65054 0 869 DR PATRICK HUFFER MD PHYSICIAN 40.00 0.00 X 184913 0 16122 DANIEL WELLS-PRADO PHYSICIAN 40.00 0.00 X 174889 0 11788 KEELY BURKE PHYSICIAN 40.00 0.00 X 174789 0 11867 MICHAEL MESSICK SENIOR DIRECTOR, IT 40.00 0.00 X 132280 0 10515 EDUARDO SONNENSCEIN DENTIST 40.00 0.00 X 132677 0 8589 1384732 0 94485 8 0 1 0 COMMUNITY LINK CONSULTING 23905 W WELLESLEY AVENUE OTIS ORCHARDS WA 99027 CONTRACT ACCOUNTING SERVICES AND CFO 406976 QUEST DIAGNOSTICS 500 PLAZA DRIVE SECAUCUS NJ 07094 LAB SERVICES 226288 ECLINICAL WORKS 603 WEST STREET MANSFIELD MA 02048 EHR SYSTEM 144598 ROBERT HALF 1125 17TH STREET STE 900 DENVER CO 80202 ACCOUNTING SERVICES 123187 4 150000 933413 1020223 3502388 3499057 523026 9105081 PATIENT FEES 621110 2426181 2426181 RETAIL PHARMACY 456110 36257 35883 374 2462438 147116 147116 55159 56257 -1098 -1098 -1098 61469 -61469 -61469 -61469 30900 933413 158412 -127512 -127512 MISCELLANEOUS INCOME 900099 126574 126574 126574 11651130 2462064 -724 84709 363 363 620789 237551 301057 82181 4575958 2795539 1693628 86791 71100 41151 29949 446849 243247 193376 10226 420354 228732 181097 10525 18501 18501 95840 95840 17200 17200 969143 171740 736827 60576 23123 20973 931 1219 236886 220569 14208 2109 346321 346321 532263 453843 78420 6687 6065 269 353 7031 6377 283 371 202727 152115 50612 137030 87984 49046 56474 56474 MEDICAL SUPPLIES 780554 780554 CLINIC EXPENSES 272435 272435 MISC EXPENSES 49215 44549 2350 2316 DUES & MEMBERSHIPS 46493 42169 1872 2452 42288 29275 11311 1702 9975624 6181552 3516051 278021 343285 204305 3682231 1613629 1330776 1395078 137717 403263 9496937 9496937 73885 93499 3486748 998984 2097671 2487764 48914 54604 50241 1108241 17261657 16857320 693443 976198 917054 132592 6512499 3965091 174513 1138095 8297509 6211976 X 5618473 8415750 3345675 2229594 8964148 10645344 17261657 16857320 X 1675506 5690 X X 0 1 X 1 1 1 X 4270179 5170843 5889761 7104184 9105081 31540048 4270179 5170843 5889761 7104184 9105081 31540048 2271410 29268638 15186 8375 96090 103801 147116 370568 70274 41564 111838 56297 86488 35803 51057 126574 356219 32378673 7429042 0.90390 0.94560 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 56,297. 2020 AMOUNT: $ 86,488. 2021 AMOUNT: $ 35,803. 2022 AMOUNT: $ 51,057. 2023 AMOUNT: $ 126,574. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 48914 6213 523 54604 59032 -9599 -519 48914 54195 5404 567 59032 48268 6406 479 54195 41663 7057 452 48268 0.00000 1.00000 0.00000 1 0 22500 274000 296500 1905509 582294 1323215 1186690 416690 770000 98049 98049 2487764 DEPOSITS 14659 ROU ASSET 1093582 1108241 OPERATING LEASE LIABILITY 1138095 1138095 X 10680887 55159 55159 10625728 1025402 1025402 11651130 10647744 677299 677299 9970445 5179 5179 9975624 PART V, LINE 4: THE PURPOSE OF THE ENDOWMENT FUND IS TO PAY FOR MEDICAL SERVICES FOR THE UNINSURED. PART X, LINE 2: THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. THE ORGANIZATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX PROVISIONS. THE APPLICATION OF THIS STANDARD HAS NO EFFECT ON THE ORGANIZATIONS CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED REVENUE - TEPEYAC QALICB 305,250. ELIMINATIONS TO CONSOLIDATED FINANCIAL STATEMENTS -250,091. PART XI, LINE 4B - OTHER ADJUSTMENTS: ONGOING FUNDRAISING EXPENSE, NOT PART OF SPECIAL EVENTS 61,436. RENTAL EXPENSES -56,257. EQUITY TRANSFER FROM TEPEYAC QALICB 1,020,223. PART XII, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED EXPENSES - TEPEYAC QALICB 971,903. ELIMINATION ON FINANCIAL STATEMENT -294,604. PART XII, LINE 4B - OTHER ADJUSTMENTS: ONGOING FUNDRAISING EXPENSE, NOT PART OF SPECIAL EVENTS 61,436. RENTAL EXPENSES -56,257. X X X X X 0 LP CREATIVE EVENTS 16092 W 70TH AVE ARVADA CO 80007 EVENT MANAGEMENT 0 0 17200 0 17200 CO FIESTA ON THE PLAZA 918320 897320 21000 19054 70414 11375 26391 TORTILLAS FOR TEPEYAC 45993 36093 9900 8925 18513 3740 964313 933413 30900 27979 88927 11375 30131 158412 -127512 X X X X 0 0 0 0 0 0 0 0 0 DR PAMELA VALENZA MD CHO 231614 0 0 0 0 0 8912 0 9053 0 249579 0 0 0 DR PATRICK HUFFER MD PHYSICIAN 184913 0 0 0 0 0 7283 0 8839 0 201035 0 0 0 DANIEL WELLS-PRADO PHYSICIAN 174889 0 0 0 0 0 2692 0 9096 0 186677 0 0 0 KEELY BURKE PHYSICIAN 174789 0 0 0 0 0 2692 0 9175 0 186656 0 0 0 JIM GARCIA CEO 171035 0 0 0 0 0 5826 0 4912 0 181773 0 0 0 X 1 523026 FMV 0 0 1 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS WAS USED IN PART I. FORM 990, PART III, LINE 2 TO CONTINUE PROVIDING HEALTH SERVICES TO OUR COMMUNITY, THE ORGANIZATION OPENED A RETAIL PHARMACY AUGUST 7, 2023. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS COMPOSED OF THE PRESIDENT, VICE-PRESIDENT, SECRETARY, TREASURER, AND IMMEDIATE PAST-PRESIDENT OF THE BOARD OF DIRECTORS. WHEN THE BOARD IS NOT IN SESSION, THE EXECUTIVE COMMITTEE HAS THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, SUBJECT TO THE LIMITATIONS IMPOSED BY THE COLORADO NONPROFIT CORPORATION ACT AND TO ANY LIMITATIONS IMPOSED BY THE BOARD, INCLUDING, THAT SUCH COMMITTEE SHALL NOT: (1) ELECT, APPOINT, OR REMOVE ANY DIRECTOR; (2) AMEND ARTICLES OF INCORPORATION; (3) ADOPT, AMEND, OR REPEAL BYLAWS; (4) APPROVE A PLAN OF CONVERSION OR PLAN OF MERGER WITH ANOTHER ENTITY; OR (5) APPROVE A SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF ITS PROPERTY. THE EXECUTIVE COMMITTEE MUST REPORT ALL ACTIONS TAKEN INDEPENDENTLY AND ON BEHALF OF THE BOARD TO THE FULL GOVERNING BOARD, AND THE FULL GOVERNING BOARD MUST VOTE ON THESE ACTIONS AND REORD THEM IN THE BOARD MINUTES. FORM 990, PART VI, SECTION A, LINE 3 DURING 2023, THE ORGANIZATION PAID COMMUNITY LINK CONSULTING $406,976 FOR COMPREHENSIVE FINANCIAL MANAGEMENT SERVICES, LED BY SENIOR CONSULTANT MEAGAN DARBY. ACCOUNTING FUNCTIONS WERE SUBSEQUENTLY TRANSITIONED IN-HOUSE UNDER CFO LACY BRADLEY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S INDEPENDENT CPA WITH INFORMATION PROVIDED BY MANAGEMENT. A COPY OF THE FORM 990 WAS REVIEWED BY THE CFO AND THE CEO, THEN BY THE FINANCE COMMITTEE. THE 990 IS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, EACH BOARD MEMBER COMPLETES A CONFLICT OF INTEREST DISCLOSURE. IF A POTENTIAL CONFLICT OF INTEREST ARISES WITH A BOARD MEMBER, THE INDIVIDUAL PROVIDES WRITTEN NOTICE OF THE POTENTIAL CONFLICT OF INTEREST TO THE BOARD OF DIRECTORS AND REFRAINS FROM PARTICIPATION IN ANY DISCUSSION OR VOTING ON ANY MATTERS PERTAINING TO THE CONFLICT OF INTEREST. ANY DISCUSSION OF POTENTIAL CONFLICTS OF INTEREST ARE DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE CEO'S PERFORMANCE TO DETERMINE COMPENSATION. SALARY SURVEYS FROM THE COLORADO COMMUNITY HEALTH NETWORK AND THE COLORADO NONPROFIT ASSOCIATION ARE USED AS GUIDELINES. DISCUSSION RELATED TO THE DELIBERATION AND THE DECISION IS DOCUMENTED IN THE BOARD MINUTES. BASED ON COMPARABLE SALARY INFORMATION, THE CEO, CONTROLLER AND HR MANAGER REVIEW AND APPROVE THE COMPENSATION FOR THE OTHER OFFICERS OF THE ORGANIZATION. THE MOST RECENT COMPENSATION REVIEW WAS CONDUCTED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY OTHERS 5,690. PART XII, LINE 2C THE PROCESS AND OVERSIGHT FOR SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR. TEPEYAC QALICB INC 4725 HIGH STREET DENVER CO 80216 851563851 SUPPORT LA CLINICA TEPEYAC CO 501(C)(3) LINE 12C, III-FI LA CLINICA TEPEYAC 1 0 0 1 0 1 0 0 0 0 0 1 0 1 1 0 0 0 0 0 TEPEYAC QALICB INC C 1020223 ACTUAL TEPEYAC QALICB INC E 123085 FAIR MARKET VALUE TEPEYAC QALICB INC K 250091 ACTUAL