MOUNT EVANS HOSPICE INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT EVANS HOSPICE INC (EIN 84-0831843)
- Tax period
- 2021-11-01 to 2022-10-31
- Filed
- 2023-09-11
- IRS object ID
- 202332549349300133
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-09-11T09:37:38-05:00 | ReturnTs |
| Tax Period End | 2022-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Tejon Suite 800 | AddressLine1Txt |
| City | Colorado Springs | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 809039848 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840831843 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT EVANS HOSPICE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % BRANDI HOSKINS | InCareOfNm |
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 3036746400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3081 BERGEN PEAK DRIVE | AddressLine1Txt |
| City | EVERGREEN | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80439 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KERI SCHROEDER-JAEGER | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 3036746400 | PhoneNum |
| Signature | 2023-09-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KERI | PersonFirstNm |
| Person Last | SHROEDER-JAEGER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Adam R Smith CPA | PreparerPersonNm |
| PTIN | P00958966 | PTIN |
| Phone | 7194714290 | PhoneNum |
| Preparation | 2023-08-31 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT EVANS HOME HEALTH CARE & HOSPI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KERI SCHROEDER-JAEGER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3081 BERGEN PEAK DRIVE | AddressLine1Txt |
| City | EVERGREEN | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80439 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,725,430 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MTEVANS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1980 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | PROVIDING COMPASSIONATE AND EXPERIENCED CARE DURING CHALLENGING TIMES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 100 | TotalEmployeeCnt |
| Total Volunteers | 300 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,804,982 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,322,380 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,834,941 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,905,808 | CYProgramServiceRevenueAmt |
| PY Investment Income | $193,564 | PYInvestmentIncomeAmt |
| CY Investment Income | $213,730 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$2,493 | PYOtherRevenueAmt |
| CY Other Revenue | $4,864 | CYOtherRevenueAmt |
| PY Total Revenue | $8,830,994 | PYTotalRevenueAmt |
| CY Total Revenue | $9,446,782 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,897,341 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,906,900 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $215,403 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,290,842 | PYOtherExpensesAmt |
| CY Other Expenses | $2,445,134 | CYOtherExpensesAmt |
| PY Total Expenses | $7,188,183 | PYTotalExpensesAmt |
| CY Total Expenses | $7,352,034 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,642,811 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,094,748 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,027,978 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,828,699 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $620,446 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $693,072 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,407,532 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,135,627 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE SUPPORT OUR MOUNTAIN COMMUNITY BY PROVIDING COMPASSIONATE AND EXPERIENCED CARE DURING CHALLENGING TIMES | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,408,527 | ExpenseAmt |
| Revenue | $3,011,962 | RevenueAmt |
| Desc | MOUNT EVANS HOME HEALTH CARE SERVICES PROVIDE HOMEBOUND INDIVIDUALS AND THEIR FAMILIES WITH NURSING, THERAPIES, AND SUPPORT SERVICES AS THEY RECOVER FROM AN ILLNESS OR INJURY. HOME HEALTH CARE ALLOWS PEOPLE TO RECOVER IN THE COMFORT OF THEIR OWN HOME UNTIL THEY ARE ABLE TO TRANSFER TO OUTPATIENT SERVICES. MOUNT EVANS PALLIATIVE CARE SERVICES PROVIDE SUPPORTIVE CARE TO THOSE LIVING WITH A CHRONIC OR PROGRESSIVE ILLNESS. PALLIATIVE CARE FOCUSES ON PROVIDING RELIEF FROM A PATIENT'S SYMPTOMS AND THE STRESS OF THEIR ILLNESS WITH THE GOAL OF IMPROVING THEIR QUALITY OF LIFE. IN FISCAL YEAR 2022 OUR HOME HEALTH AND PALLIATIVE CARE PROGRAMS MADE 15,232 VISITS TO 1,165 PEOPLE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,253,094 | ExpenseAmt |
| Revenue | $2,893,846 | RevenueAmt |
| Desc | MOUNT EVANS HOSPICE SERVICES PROVIDE COMFORT CARE AND SUPPORT TO THOSE NEARING THE END OF THEIR LIVES IN FISCAL YEAR 2022 MOUNT EVANS HOSPICE TEAM PROVIDED 19,095 DAYS TO 214 PEOPLE TO PROVIDE END-OF-LIFE CARE. HOSPICE CARE IS PROVIDED IN PATIENT'S HOMES AND IN LOCAL LONG-TERM CARE AND ASSISTED CARE FACILITIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $115,543 | ExpenseAmt |
| Revenue | $0 | RevenueAmt |
| Desc | MOUNT EVANS SUPPORT SERVICES PROGRAM PROVIDES INDIVIDUAL AND FAMILY BEREAVEMENT COUNSELING AND SUPPORT GROUPS INCLUDING: CAREGIVER SUPPORT, GRIEVING THE DEATH OF A SPOUSE/PARTNER, ADULT GRIEF SUPPORT, BEREAVED PARENT SUPPORT, SURVIVING THE HOLIDAYS, AND SOLSTICE MEMORIALS. IN FISCAL YEAR 2022, Mount Evans held over 150 individual and group bereavement counseling sessions and over 45 caregiver and bereavement support groups. MOUNT EVANS ALSO OFFERED FREE FOOT CARE AND BLOOD PRESSURE CLINICS, INFORMATION AND REFERRAL, AND COORDINATED WITH SAINT JOSEPH'S HOSPITAL TO HOST A MOBILE MAMMOGRAPHY UNIT | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $5,777,164 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 100 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRANDI HOSKINS | PersonNm |
| Phone | 3036746400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3081 BERGEN PEAK DR | AddressLine1Txt |
| City | EVERGREEN | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80439 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| KERI SCHROEDER-JAEGER | ||||||||
| PRESIDENT/CEO | 40.0 | 0.0 | Yes (X) | $197,113 | $0 | $24,062 | ||
| JULIE NELSON | ||||||||
| RN | 40.0 | 0.0 | $117,770 | $0 | $26,704 | Yes (X) | ||
| DOUGLAS LINN | ||||||||
| DIRECTOR OF FINANCE | 40.0 | 0.0 | Yes (X) | $90,755 | $0 | $28,556 | ||
| ISABELLE COMINA | ||||||||
| THERAPY MANAGER | 40.0 | 0.0 | $106,305 | $0 | $10,699 | Yes (X) | ||
| KRISTIN SCHULD | ||||||||
| RN | 40.0 | 0.0 | $107,413 | $0 | $8,913 | Yes (X) | ||
| SUZANNE FEROLDI | ||||||||
| DIRECTOR OF OPERATIONS | 40.0 | 0.0 | $105,106 | $0 | $11,150 | Yes (X) | ||
| TERRY RITTER | ||||||||
| NURSING MANAGER | 40.0 | 0.0 | $101,976 | $0 | $12,424 | Yes (X) | ||
| DOUG SPENCER | ||||||||
| CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DAN TUTEUR | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| JIM CHIDDIX | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| VALERIE GLUTH | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| ALAN HOROWITZ | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| BARRY SCHROEDER | ||||||||
| CHAIR-ELECT | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TODD WISSER MD | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| ROD HOCK | ||||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MARK GRAYBILL | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| LEONOR MCCALL-RODRIGUEZ | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| BILL SLAUGHTER | ||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JAMIE ARNOLD | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| DAVIS LINDEN | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| ROBERT LOEFFLER | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| TED NING MD | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| BARB SCRIPPS | ||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $826,438 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $122,508 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Life Care Center of Evergreen | |||||
| 2987 Bergen Peak Drive | EVERGREEN | CO | 80439 | Patient Care Service | $352,452 |
| Core Medical Group | |||||
| PO Box 306478 | NASHVILLE | TN | 372306478 | CONTRACT CLINICIANS | $179,173 |
| EIDE BAILEY CONSULTING | |||||
| 7001 E BELLEVIEW AVE SUITE 700 | DENVER | CO | 80237 | IT SUPPORT | $128,337 |
| DELTA CARE RX | |||||
| PO BOX 2340 | WINTERSVILLE | OH | 43953 | PHARMACY SERVICES | $110,605 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $390,076 | FundraisingAmt |
| Government Grants | $1,863,952 | GovernmentGrantsAmt |
| All Other Contributions | $1,068,352 | AllOtherContributionsAmt |
| Noncash Contributions | $286,044 | NoncashContributionsAmt |
| Total Contributions | $3,322,380 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID | 621610 | $4,620,668 | $4,620,668 |
| PATIENT SERVICE REVENUE | 621610 | $1,279,230 | $1,279,230 |
| MISCELLANEOUS REVENUE | 900099 | $5,910 | $5,910 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,905,808 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $213,510 | TotalRevenueColumnAmt |
| Exclusion | $213,510 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,670 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,670 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,670 | TotalRevenueColumnAmt |
| Exclusion | $1,670 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $131,372 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $131,152 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $220 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $220 | TotalRevenueColumnAmt |
| Exclusion | $220 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $150,690 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $390,076 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $147,496 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,194 | TotalRevenueColumnAmt |
| Exclusion | $3,194 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,446,782 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,905,808 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $218,594 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,203 | TotalAmt |
| Management And General | $393,203 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,125,485 | TotalAmt |
| Program Services | $3,934,448 | ProgramServicesAmt |
| Management And General | $41,108 | ManagementAndGeneralAmt |
| Fundraising | $149,929 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,602 | TotalAmt |
| Program Services | $47,880 | ProgramServicesAmt |
| Management And General | $31,972 | ManagementAndGeneralAmt |
| Fundraising | $750 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,810 | TotalAmt |
| Program Services | $121,300 | ProgramServicesAmt |
| Fundraising | $11,510 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,800 | TotalAmt |
| Program Services | $161,130 | ProgramServicesAmt |
| Management And General | $6,800 | ManagementAndGeneralAmt |
| Fundraising | $6,870 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,740 | TotalAmt |
| Management And General | $34,740 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $769,620 | TotalAmt |
| Program Services | $591,170 | ProgramServicesAmt |
| Management And General | $178,450 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,650 | TotalAmt |
| Management And General | $58,650 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,836 | TotalAmt |
| Program Services | $62,496 | ProgramServicesAmt |
| Management And General | $177,800 | ManagementAndGeneralAmt |
| Fundraising | $35,540 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,930 | TotalAmt |
| Program Services | $314,400 | ProgramServicesAmt |
| Management And General | $50,530 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,450 | TotalAmt |
| Management And General | $178,240 | ManagementAndGeneralAmt |
| Fundraising | $210 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,410 | TotalAmt |
| Program Services | $187,530 | ProgramServicesAmt |
| Management And General | $6,880 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,330 | TotalAmt |
| Management And General | $18,330 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,298 | TotalAmt |
| Management And General | $126,298 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,900 | TotalAmt |
| Program Services | $12,790 | ProgramServicesAmt |
| Management And General | $46,110 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $285,990 | $285,990 | ||
| BAD DEBT EXPENSE | $58,030 | $58,030 | ||
| FUNDRAISING | $10,594 | $10,594 | ||
| MISCELLANEOUS EXPENSE | $10,356 | $10,356 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,352,034 | TotalAmt |
| Program Services | $5,777,164 | ProgramServicesAmt |
| Management And General | $1,359,467 | ManagementAndGeneralAmt |
| Fundraising | $215,403 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,340 | BOYAmt |
| EOY | $6,580 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,024,987 | BOYAmt |
| EOY | $748,154 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,320 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,814,707 | BOYAmt |
| EOY | $3,792,337 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,852 | BOYAmt |
| EOY | $20,850 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,622 | BOYAmt |
| EOY | $105,435 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,246,884 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,830,438 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,328,387 | BOYAmt |
| EOY | $1,416,446 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,529,083 | BOYAmt |
| EOY | $2,532,577 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,000 | BOYAmt |
| EOY | $205,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,027,978 | BOYAmt |
| EOY | $8,828,699 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $528,885 | BOYAmt |
| EOY | $601,512 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,561 | BOYAmt |
| EOY | $91,560 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $620,446 | BOYAmt |
| EOY | $693,072 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,449,792 | BOYAmt |
| EOY | $7,096,721 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $957,740 | BOYAmt |
| EOY | $1,038,906 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,407,532 | BOYAmt |
| EOY | $8,135,627 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,027,978 | BOYAmt |
| EOY | $8,828,699 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,094,748 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$366,653 | NetUnrlzdGainsLossesInvstAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,235,742 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $925,010 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,189,213 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,804,982 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,322,380 | CurrentTaxYearAmt |
| Total | $8,477,327 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,218,230 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,824,383 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,914,168 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,834,941 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,905,808 | CurrentTaxYearAmt |
| Total | $27,697,530 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,453,972 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,749,393 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,103,381 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,639,923 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,228,188 | CurrentTaxYearAmt |
| Total | $36,174,857 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $92,835 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $103,411 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $111,003 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,429 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $62,120 | CurrentTaxYearAmt |
| Total | $418,798 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $5,726 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year | $95,625 | CurrentTaxYearAmt |
| Total | $101,351 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $92,835 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $109,137 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $111,003 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,429 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $157,745 | CurrentTaxYearAmt |
| Total | $520,149 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $35,654,708 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $107,269 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $99,082 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $115,795 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $158,394 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $215,180 | CurrentTaxYearAmt |
| Total | $695,720 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $107,269 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $99,082 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $115,795 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $158,394 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $215,180 | CurrentTaxYearAmt |
| Total | $695,720 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $145,622 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $101,461 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $58,375 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $3,194 | CurrentTaxYearAmt |
| Total | $308,652 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,706,863 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,949,936 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,277,551 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,798,317 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,446,562 | CurrentTaxYearAmt |
| Total | $37,179,229 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.95900 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97010 | PublicSupportPY509Pct |
| Investment Income CY | 0.01871 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01674 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $728,693 | BeginningYearBalanceAmt |
| Contributions | $63,500 | ContributionsAmt |
| Investment Earnings Or Losses | -$152,923 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $639,270 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $539,730 | BeginningYearBalanceAmt |
| Contributions | $20,102 | ContributionsAmt |
| Investment Earnings Or Losses | $168,861 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $728,693 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $515,913 | BeginningYearBalanceAmt |
| Contributions | $6,620 | ContributionsAmt |
| Investment Earnings Or Losses | $17,197 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $539,730 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $463,553 | BeginningYearBalanceAmt |
| Contributions | $14,850 | ContributionsAmt |
| Investment Earnings Or Losses | $37,510 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $515,913 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $431,205 | BeginningYearBalanceAmt |
| Contributions | $27,335 | ContributionsAmt |
| Investment Earnings Or Losses | $5,013 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $463,553 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.07620 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.61660 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.30720 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $394,000 | OtherCostOrOtherBasisAmt |
| Book Value | $394,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,394,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,372,028 | DepreciationAmt |
| Book Value | $1,022,446 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $458,410 | OtherCostOrOtherBasisAmt |
| Depreciation | $458,410 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $1,416,446 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Rental Property Use Allocation | Desc |
| Amt | $91,560 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $91,560 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $9,021,525 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$366,653 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$366,653 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,388,178 | RevenueSubtotalAmt |
| Other Revenues Not Included | $58,604 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $58,604 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,446,782 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,293,430 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $7,293,430 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $58,604 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $58,604 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,352,034 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | MOUNT EVANS' ENDOWMENT CONSISTS OF TWO INDIVIDUAL FUNDS ESTABLISHED BY DONORS TO PROVIDE ANNUAL FUNDING FOR MOUNT EVANS ACTIVITIES. THE ENDOWMENT ALSO INCLUDES CERTAIN UNRESTRICTED NET ASSETS DESIGNATED FOR ENDOWMENT BY BOARD OF DIRECTORS. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. |
| SCHEDULE D, PART X, LINE 2 | MOUNT EVANS IS A COLORADO NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MOUNT EVANS HAS RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME IN PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)(VIII), AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX-EXEMPT STATUS. IN GENERAL, SUCH STANDARDS REQUIRE MOUNT EVANS TO MEET A COMMUNITY BENEFIT STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. UNRELATED BUSINESS INCOME TO MOUNT EVANS' TAX-EXEMPT STATUS IS REPORTED ACCORDINGLY AND A PROVISION FOR INCOME TAX IS PROVIDED FOR THOSE ACTIVITIES THAT CREATE TAXABLE INCOME. MOUNT EVANS ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC TOPIC 740. MOUNT EVANS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT OCTOBER 31, 2022 AND 2021. MOUNT EVANS HAD NO UNCERTAIN TAX POSITIONS ACCRUED. |
| SCHEDULE D, PART XI, LINE 4B | REVENUE ON RETURN, NOT INCLUDED ON BOOKS: SPECIAL EVENT EXPENSE 58,064 |
| SCHEDULE D, PART XII, LINE 4B | EXPENSE ON RETURN, NOT INCLUDED ON BOOKS: SPECIAL EVENT EXPENSE 58,064 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $203,983 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $142,595 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $61,388 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $1,200 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $11,655 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $11,506 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $37,892 | OtherDirectExpensesEvent1Amt |
| Event2 | MOONLIGHT SOIRE | Event2Nm |
| Gross Receipts Event2 | $174,250 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $148,133 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $26,117 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $3,215 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $22,145 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $3,766 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $4,170 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $158,542 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $99,348 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $59,194 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $699 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $9,040 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $477 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $5,520 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $36,211 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $536,775 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $390,076 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $146,699 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $699 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $13,455 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $34,277 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $20,792 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $78,273 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $147,496 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$797 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KERI SCHROEDER-JAEGER | PersonNm |
| Title | PRESIDENT/CEO | TitleTxt |
| Base Compensation Filing Org | $178,013 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $19,100 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $24,062 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $221,175 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 4a | DESCRIPTION OF SEVERANCE OR CHANGE OF CONTROL PAYMENT: DOUGLAS LINN, DIRECTOR OF FINANCE, RECEIVED A QUALIFYING PAYMENT IN THE AMOUNT OF $50,000. |
| SCHEDULE J, PART I, LINE 7 | THE ORGANIZATION'S EXECUTIVE COMMITTEE ANNUALLY REVIEWS THE PERFORMANCE OF THE PRESIDENT/CEO TO DETERMINE IF ADDITIONAL COMPENSATION IN THE FORM OF A BONUS WILL BE PAID. DURING CALENDAR YEAR ENDED DECEMBER 31, 2021, THE EXECUTIVE COMMITTEE AWARDED THE PRESIDENT/CEO A BONUS BASED ON REVIEW OF HER PERFORMANCE AND SERVICE TO THE ORGANIZAITON. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $286,044 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (true) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE M, PART I, COLUMN (B) | THE NUMBER REPORTED ON SCHEDULE M. PART I, COLUMN (B) REPRESENTS THE TOTAL NUMBER OF CONTIRUBUTIONS RECEIVED. |
| SCHEDULE M, LINE 32B | MOUNT EVANS HOSPICE USES CARE HELPING CHARITIES, INC. (CHC). A TAX-EXEMPT VEHICLE DONATION CORPORATION THAT ALLOWS INDIVIDUALS INTERESTED IN DONATING A VEHICLE TO PROCESS AUTO DONATIONS. DONORS SUBMIT INFORMATION TO CHC ON THE DONATION OF THE VEHICLE. CHC PICKS UP THE VEHICLE, SELLS IT, AND THEN PROVIDES THE PROCEEDS TO MOUNT EVANS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE COMPLETED FORM 990 IS EMAILED IN PDF FORMAT TO ALL BOARD MEMBERS AND MEMBERS OF THE FINANCE COMMITTEE FOR THEIR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND OFFICERS ARE REQUIRED TO ANNUALLY DISCLOSE ANY TRANSACTIONS WITH THE ORGANIZATION THAT WOULD RESULT IN ANY BENEFIT TO THEMSELVES. THEIR IMMEDIATE FAMILIES OR ANY ENTITY IN WHICH THEY HOLD A SIGNIFICANT FINANCIAL OWNERSHIP OR OTHER INTERESTS. BOARD MEMBERS WILL REFRAIN FROM PARTICIPATION IN ANY ACTION ON SUCH MATTERS. DISCLOSURE OF A POTENTIAL CONFLICT AND THE GOVERNING BODY'S DECISION REGARDING VOTING WILL BE NOTED IN THE MINUTES OF THE MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE PRESIDENT OF THE BOARD OF DIRECTORS COMPLETES A PERFORMANCE EVALUATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER BASED ON PREVIOUS GOALS SET FOR THE PRIOR YEAR. THE PRESIDENT'S EVALUATION AND RECOMMENDATION FOR COMPENSATION IS TAKEN TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL. SALARY SURVEYS ARE REVIEWED AND DISCUSSED DURING THE EXECUTIVE COMMITTEE'S APPROVAL PROCESS. ONCE THE EXECUTIVE COMMITTEE HAS COMPLETED THEIR REVIEW, THE RECOMMENDATION FOR COMPENSATION, INCLUDING SALARY SURVEYS AND THE PERFORMANCE EVALUATION, IS TAKEN TO THE BOARD OF DIRECTORS FOR THEIR FINAL REVIEW AND APPROVAL. THE DELIBERATION AND DOCUEMNTION IS DOCUMENTED IN THE BOARD MEETING MINUTES AND THE PERSONELL FILE. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MAINTAINED IN THE AGENCY ADMINISTRATIVE OFFICES AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PAGE 11, PART XI, LINE 2C | THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS SELECTS THE INDEPENDENT ACCOUNTANT AND HAS THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. UPON CONCLUSION OF THE AUDIT, THE AUDITING FIRM PRESENTS THE RESULTS AND FINIDINGS TO THE FINANCE COMMITTEE. THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM THE PRIOR YEAR. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:NURSING SERVICE FEES TOTAL FEES:517690 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICAL THERAPISTS TOTAL FEES:73480 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTANTS TOTAL FEES:110070 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:HUMAN RESOURCE SERVICES TOTAL FEES:68380 |