SUNRISE COMMUNITY HEALTH: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- SUNRISE COMMUNITY HEALTH (EIN 84-0613289)
- Tax period
- 2022-04-01 to 2023-03-31
- Filed
- 2023-11-07
- IRS object ID
- 202323119349304322
- Schema version
- 2022v5.0
- 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 | 2023-11-07T17:01:52-06:00 | ReturnTs |
| Tax Period End | 2023-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8390 EAST CRESCENT PARKWAY SUITE | AddressLine1Txt |
| Address Line2 | 300 | AddressLine2Txt |
| City | GREENWOOD VILLAGE | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840613289 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUNRISE COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SUNR | BusinessNameControlTxt |
| Phone | 9703504609 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2930 11TH AVENUE | AddressLine1Txt |
| City | EVANS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80620 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CATHY WOLFF | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9703504609 | PhoneNum |
| Signature | 2023-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CATHY | PersonFirstNm |
| Person Last | WOLFF | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SARAH HINTZ | PreparerPersonNm |
| PTIN | P00492291 | PTIN |
| Phone | 3037795710 | PhoneNum |
| Preparation | 2023-11-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CATHY WOLFF | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2930 11TH AVENUE | AddressLine1Txt |
| City | EVANS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80620 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $59,081,134 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SUNRISECOMMUNITYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | DELIVERING HIGH QUALITY, AFFORDABLE HEALTHCARE TO WELD, LARIMER, AND SURROUNDING COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 509 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $22,850,395 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,850,734 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $28,612,367 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $37,528,449 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,164,382 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,221,355 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,911,757 | PYOtherRevenueAmt |
| CY Other Revenue | $98,441 | CYOtherRevenueAmt |
| PY Total Revenue | $54,538,901 | PYTotalRevenueAmt |
| CY Total Revenue | $56,698,979 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,614,069 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $29,456,841 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $29,438,170 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,679,832 | PYOtherExpensesAmt |
| CY Other Expenses | $17,290,903 | CYOtherExpensesAmt |
| PY Total Expenses | $48,136,673 | PYTotalExpensesAmt |
| CY Total Expenses | $53,343,142 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,402,228 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,355,837 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $52,266,159 | TotalAssetsBOYAmt |
| Total Assets EOY | $53,743,453 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,319,815 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,655,283 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $47,946,344 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $49,088,170 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SUNRISE COMMUNITY HEALTH (SUNRISE) BEGAN IN 1973 AS A MIGRANT HEALTH CLINIC. TODAY, OUR FAMILY MEDICINE, PEDIATRIC, PRENATAL, DENTAL, AND SCHOOL-BASED HEALTH CENTERS ARE HEALTH CARE CONTINUED ON SCHEDULE OHOMES FOR MORE THAN 40,000 PEOPLE IN NORTHEASTERN COLORADO. WE HAVE EIGHT CLINICS LOCATED IN GREELEY AND EVANS (WELD COUNTY) AND TWO CLINICS LOCATED IN LOVELAND (LARIMER COUNTY). | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $41,617,416 | ExpenseAmt |
| Grant | $6,614,069 | GrantAmt |
| Revenue | $37,528,449 | RevenueAmt |
| Desc | SUNRISE COMMUNITY HEALTH (SUNRISE) BEGAN IN 1973 AS A MIGRANT HEALTH CLINIC. TODAY, OUR FAMILY MEDICINE, PEDIATRIC, PRENATAL, DENTAL, AND SCHOOL-BASED HEALTH CENTERS ARE HEALTH CARE HOMES FOR MORE THAN 40,500 PEOPLE IN NORTHEASTERN COLORADO. WE HAVE EIGHT CLINICS LOCATED IN GREELEY AND EVANS (WELD COUNTY) AND TWO CLINICS LOCATED IN LOVELAND (LARIMER COUNTY). SUNRISE OFFERS COMPREHENSIVE, QUALITY, AND AFFORDABLE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES INCLUDING ON-SITE LABORATORY, RADIOLOGY, PHARMACY, AND PATIENT EDUCATION SERVICES. ALL SERVICES ARE OFFERED TO PEOPLE IN NEED REGARDLESS OF THEIR ABILITY TO PAY. CONTINUED ON SCHEDULE OSUNRISE IS A RECOGNIZED LEADER IN INTEGRATED CARE, ADVANCED HEALTH INFORMATION TECHNOLOGY (HIT), SAFETY NET COLLABORATIONS, AND PROFESSIONAL HEALTH EDUCATION. IN ADDITION, SUNRISE FOSTERS A COMMUNITY COLLABORATION FOCUSING ON THE LOW-INCOME, UNDER AND UNINSURED PEOPLE WITHIN OUR SERVICE AREA. PARTNERS INCLUDE COMMUNITY HEALTH, PUBLIC HEALTH, HOSPITAL, BEHAVIORAL HEALTH, SPECIALISTS, LOCAL FOUNDATIONS, EDUCATION, COUNTY COMMISSIONERS, MANAGED CARE ORGANIZATION, AND COUNTY SOCIAL SERVICES. COLLABORATIONS FOCUS ON INTEGRATED SERVICE EXPANSION; SHARED HIT INFRASTRUCTURE; WORKFORCE DEVELOPMENT; COMMUNITY HEALTH IMPROVEMENT; REGIONAL ACCOUNTABLE CARE ACTIVITIES; AND SYSTEM ACCOUNTABILITY AND EFFICIENCY. DURING THE FISCAL YEAR, SUNRISE SUPPORTED THE HEALTH OF 40,018 PATIENTS THROUGH CARE HOMES FOR MORE THAN 151,963 PEOPLE IN NORTHEASTERN COLORADO. WE HAVE EIGHT CLINICS LOCATED IN GREELEY AND EVANS (WELD COUNTY) AND TWO CLINICS LOCATED IN LOVELAND (LARIMER COUNTY). | Desc |
| Total Program Service Expenses | $41,617,416 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 509 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHY WOLFF | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9703504609 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2930 11TH AVENUE | AddressLine1Txt |
| City | EVANS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80620 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MARILYN SCHOCK | |||||||
| PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JUAN GOMEZ | |||||||
| VICE PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GENE OHARA | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GINA PAYNE | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| IVAN CONTRERAS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JULIE HAFFNER | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MYINY THAN HTU | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SELENE ISLAS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MIRIAM MENDEZ | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SARITA REDDY | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| WENDY SPARKS | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MITZI MORAN | |||||||
| CEO | 40.00 | Yes (X) | $255,098 | $0 | $46,821 | ||
| CATHY WOLFF | |||||||
| CFO | 40.00 | Yes (X) | $137,528 | $0 | $8,931 | ||
| BETHANY ENGBLOM | |||||||
| PROVIDER | 40.00 | $184,574 | $0 | $7,994 | Yes (X) | ||
| CASSANDRA SANCHEZ | |||||||
| PHARMACIST | 40.00 | $188,143 | $0 | $34,803 | Yes (X) | ||
| KARL KOHLGRAF | |||||||
| DENTIST | 40.00 | $214,817 | $0 | $9,174 | Yes (X) | ||
| SEAN FILIPOVITZ | |||||||
| PROVIDER | 40.00 | $234,936 | $0 | $25,128 | Yes (X) | ||
| SAMUEL DAVIS | |||||||
| PROVIDER | 40.00 | $179,585 | $0 | $7,768 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,394,681 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $140,619 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 56 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GROWLING BEAR CO | |||||
| 2530 4TH AVENUE | GREELEY | CO | 80631 | CONSTRUCTION | $478,458 |
| ARC INCORPORATED | |||||
| 1821 E MULBERRY ST | FORT COLLINS | CO | 80524 | JANITORIAL | $388,969 |
| BANNER IMAGING COLORADO LLC | |||||
| PO BOX 741734 | LOS ANGELES | CA | 90074 | WOMEN'S HEALTH SERVICES | $173,749 |
| FOOTHILLS LANDSCAPE MAINTENANCE | |||||
| PO BOX 189 | WINDSOR | CO | 80550 | BUILDING MAINTAINANCE | $114,441 |
| ALLIED UNIVERSAL SECURITY SERVICES | |||||
| PO BOX 828854 | PHILADELPHIA | PA | 19182 | JANITORIAL | $114,132 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $17,821,213 | GovernmentGrantsAmt |
| All Other Contributions | $29,521 | AllOtherContributionsAmt |
| Noncash Contributions | $1,944,026 | NoncashContributionsAmt |
| Total Contributions | $17,850,734 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REV. | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $37,528,449 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,528,449 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $37,528,449 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $221,243 | TotalRevenueColumnAmt |
| Exclusion | $221,243 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,382,267 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,382,155 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,000,112 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,000,112 | TotalRevenueColumnAmt |
| Exclusion | $1,000,112 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $98,441 | TotalRevenueColumnAmt |
| Exclusion | $98,441 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $98,441 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,698,979 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,528,449 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,319,796 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,614,069 | TotalAmt |
| Program Services | $6,614,069 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,933 | TotalAmt |
| Management And General | $489,933 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,810,708 | TotalAmt |
| Program Services | $16,893,065 | ProgramServicesAmt |
| Management And General | $5,917,643 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,853 | TotalAmt |
| Program Services | $448,192 | ProgramServicesAmt |
| Management And General | $145,661 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,789,921 | TotalAmt |
| Program Services | $2,893,872 | ProgramServicesAmt |
| Management And General | $896,049 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,753,755 | TotalAmt |
| Program Services | $1,517,593 | ProgramServicesAmt |
| Management And General | $236,162 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,742 | TotalAmt |
| Management And General | $29,742 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,000 | TotalAmt |
| Management And General | $48,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,600 | TotalAmt |
| Management And General | $77,600 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,128,802 | TotalAmt |
| Program Services | $1,838,663 | ProgramServicesAmt |
| Management And General | $290,139 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,598 | TotalAmt |
| Management And General | $29,598 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $675,510 | TotalAmt |
| Program Services | $350,267 | ProgramServicesAmt |
| Management And General | $325,243 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,911,709 | TotalAmt |
| Program Services | $80,912 | ProgramServicesAmt |
| Management And General | $1,830,797 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,148,657 | TotalAmt |
| Program Services | $2,136,139 | ProgramServicesAmt |
| Management And General | $12,518 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,012 | TotalAmt |
| Program Services | $5,139 | ProgramServicesAmt |
| Management And General | $9,873 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,280 | TotalAmt |
| Program Services | $184,433 | ProgramServicesAmt |
| Management And General | $37,847 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $867,153 | TotalAmt |
| Program Services | $867,153 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,860 | TotalAmt |
| Management And General | $135,860 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $8,131,859 | $7,212,765 | $919,094 |
| BAD DEBT | $356,479 | $356,479 | |
| DUES & SUBSCRIPTIONS | $191,253 | $29,376 | $161,877 |
| LEASE EQUIPMENT | $188,897 | $187,783 | $1,114 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,492 | TotalAmt |
| Program Services | $1,516 | ProgramServicesAmt |
| Management And General | $130,976 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,343,142 | TotalAmt |
| Program Services | $41,617,416 | ProgramServicesAmt |
| Management And General | $11,725,726 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,383,460 | BOYAmt |
| EOY | $16,983,587 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,209,971 | BOYAmt |
| EOY | $1,193,730 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,968,557 | BOYAmt |
| EOY | $2,833,722 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $241,824 | BOYAmt |
| EOY | $272,843 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $550,242 | BOYAmt |
| EOY | $296,878 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,768,075 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,551,608 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,547,599 | BOYAmt |
| EOY | $12,216,467 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,806,947 | BOYAmt |
| EOY | $7,895,591 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,465,371 | BOYAmt |
| EOY | $11,193,625 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,188 | BOYAmt |
| EOY | $857,010 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,266,159 | BOYAmt |
| EOY | $53,743,453 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,315,131 | BOYAmt |
| EOY | $4,006,022 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,684 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $649,261 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,319,815 | BOYAmt |
| EOY | $4,655,283 | 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 | $47,946,344 | BOYAmt |
| EOY | $48,988,620 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $99,550 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,946,344 | BOYAmt |
| EOY | $49,088,170 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,266,159 | BOYAmt |
| EOY | $53,743,453 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,355,837 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,214,011 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $671,764 | OtherCostOrOtherBasisAmt |
| Book Value | $671,764 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,689,432 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,076,653 | DepreciationAmt |
| Book Value | $9,612,779 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,745,966 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,552,435 | DepreciationAmt |
| Book Value | $1,193,531 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,421,037 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,922,520 | DepreciationAmt |
| Book Value | $498,517 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $239,876 | OtherCostOrOtherBasisAmt |
| Book Value | $239,876 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,216,467 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| GOVERNMENT BONDS | $1,578,101 | C |
| CORPORATE BONDS | $2,695,366 | C |
| ALTERNATIVE INVESTMENTS | $6,897,248 | C |
| ACCRUED INTEREST | $22,910 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $11,193,625 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITY | Desc |
| Amt | $649,261 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $649,261 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $51,784,744 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$2,214,011 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $4,347,924 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $2,133,913 | RevenueNotReportedAmt |
| Revenue Subtotal | $49,650,831 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $77,600 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $6,970,548 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $7,048,148 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $56,698,979 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $50,642,918 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $4,347,924 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $4,347,924 | ExpensesNotReportedAmt |
| Expenses Subtotal | $46,294,994 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $77,600 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $6,970,548 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $7,048,148 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $53,343,142 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION HAS PREVIOUSLY RECEIVED NOTICE OF EXEMPTION OF INCOME TAX FROM THE INTERNAL REVENUE SERVICE UNDER SECTION 501 (C)(3) OF THE FEDERAL 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 THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX PROVISIONS. THE IMPLEMENTATION OF THE ACCOUNTING STANDARDS REGARDING UNCERTAIN TAX PROVISIONS HAD NO IMPACT ON THE ORGANIZATION'S 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 4B - OTHER ADJUSTMENTS: | BAD DEBT INCLUDED WITH EXPENSES 356,479. SLIDING SCALE FEE ADJUSTMENT INCLUDED WITH EXPENSES 6,614,069. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | SLIDING SCALE FEE ADJUSTMENT INCLUDED WITH EXPENSES 6,614,069. BAD DEBT INCLUDED WITH EXPENSES 356,479. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SLIDING SCALE FEE ADJUSTMENT | GrantTypeTxt |
| Recipient | 4910 | RecipientCnt |
| Cash Grant | $6,614,069 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | NA | ValuationMethodUsedDesc |
| Non Cash Assistance | NA | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | TO QUALIFY FOR SLIDING SCALE FEE ADJUSTMENT PROOF OF INCOME MUST BE PROVIDED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MITZI MORAN | ||||||||||||||
| CEO | $255,098 | $0 | $0 | $0 | $0 | $0 | $10,703 | $0 | $36,118 | $0 | $301,919 | $0 | $0 | $0 |
| SEAN FILIPOVITZ | ||||||||||||||
| PROVIDER | $234,936 | $0 | $0 | $0 | $0 | $0 | $9,519 | $0 | $15,609 | $0 | $260,064 | $0 | $0 | $0 |
| KARL KOHLGRAF | ||||||||||||||
| DENTIST | $214,817 | $0 | $0 | $0 | $0 | $0 | $8,589 | $0 | $585 | $0 | $223,991 | $0 | $0 | $0 |
| CASSANDRA SANCHEZ | ||||||||||||||
| PHARMACIST | $188,143 | $0 | $0 | $0 | $0 | $0 | $7,711 | $0 | $27,092 | $0 | $222,946 | $0 | $0 | $0 |
| BETHANY ENGBLOM | ||||||||||||||
| PROVIDER | $184,574 | $0 | $0 | $0 | $0 | $0 | $7,438 | $0 | $556 | $0 | $192,568 | $0 | $0 | $0 |
| SAMUEL DAVIS | ||||||||||||||
| PROVIDER | $179,585 | $0 | $0 | $0 | $0 | $0 | $7,183 | $0 | $585 | $0 | $187,353 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,944,026 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER OF CONTRIBUTIONS WAS USED IN PART I. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE RECOMMENDS ACTIONS FOR APPROVAL BY THE FULL BOARD AND ACTS FOR THE BOARD BETWEEN MEETINGS ONLY AS NECESSARY. EXECUTIVE COMMITTEE ACTIONS MUST BE RATIFIED BY THE FULL BOARD AT THE NEXT BOARD MEETING. THE EXECUTIVE COMMITTEE IS THE ONLY BOARD COMMITTEE AUTHORIZED TO ACT ON BEHALF OF THE FULL BOARD, CONSISTENT WITH BOARD POLICY AND DIRECTION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S INDEPENDENT CPA WITH INFORMATION PROVIDED BY MANAGEMENT. THE FORM 990 IS REVIEWED BY THE FULL BOARD BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUAL TRAINING MEETINGS ARE HELD WITH KEY EMPLOYEES. BOARD MEMBERS ARE ASKED TO IDENTIFY ANY POTENTIAL OR KNOWN CONFLICTS OF INTEREST AT THE BEGINNING OF EACH BOARD MEETING, PRIOR TO ANY ACTION ITEMS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE ORGANIZATION'S CEO AND OFFICERS IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS USING STATE, LOCAL, AND INDUSTRY COMPARATIVE DATA. DISCUSSION RELATED TO THE DELIBERATION AND THE DECISION IS DOCUMENTED IN THE BOARD MINUTES. THE PROCESS WAS LAST COMPLETED IN 2022. |
| 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 XII, LINE 2C: | THE PROCESS AND OVERSIGHT FOR SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR. |