METRO COMMUNITY PROVIDER NETWORK INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- METRO COMMUNITY PROVIDER NETWORK INC (EIN 74-2477108)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-02
- IRS object ID
- 201703069349300315
- Schema version
- 2016v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-02T11:06:41-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 208019714 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JDS PROFESSIONAL GROUP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10303 E DRY CREEK RD STE 400 | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742477108 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METRO COMMUNITY PROVIDER NETWORK | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | METR | BusinessNameControlTxt |
| Phone | 3037611977 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3701 S BROADWAY | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80113 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BEN WIEDERHOLT | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 3037611977 | PhoneNum |
| Signature | 2017-11-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI B BAUER CPA | PreparerPersonNm |
| PTIN | P01260252 | PTIN |
| Phone | 3037710123 | PhoneNum |
| Preparation | 2017-11-02 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 923159C4EC30E58B4BB99DBB9C60DE15804803CA | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 19A30682DA895754997B75D9579E3001D2FF81EF | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BEN WIEDERHOLT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3701 S BROADWAY | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80113 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $45,048,061 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MCPN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | THE METRO COMMUNITY PROVIDER NETWORK IS THE SAFETY NET FOR MEDICAL, DENTAL, MENTAL HEALTH AND COMMUNITY-BASED SERVICES TO OVER 53,000 INDIVIDUALS LIVING AT OR CLOSE TO POVERTY IN SUBURBAN DENVER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 547 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | -$8,513 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$8,513 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $16,665,409 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,316,395 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,674,594 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $27,052,771 | CYProgramServiceRevenueAmt |
| PY Investment Income | $108,387 | PYInvestmentIncomeAmt |
| CY Investment Income | $96,085 | CYInvestmentIncomeAmt |
| PY Other Revenue | $681,299 | PYOtherRevenueAmt |
| CY Other Revenue | $449,505 | CYOtherRevenueAmt |
| PY Total Revenue | $40,129,689 | PYTotalRevenueAmt |
| CY Total Revenue | $44,914,756 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,185,497 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $29,097,157 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $213,972 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,173,635 | PYOtherExpensesAmt |
| CY Other Expenses | $18,009,529 | CYOtherExpensesAmt |
| PY Total Expenses | $40,359,132 | PYTotalExpensesAmt |
| CY Total Expenses | $47,106,686 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$229,443 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,191,930 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $37,989,062 | TotalAssetsBOYAmt |
| Total Assets EOY | $36,394,966 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,593,831 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,162,313 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $27,395,231 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,232,653 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE METRO COMMUNITY PROVIDER NETWORK IS THE SAFETY NET FOR MEDICAL, DENTAL, MENTAL HEALTH AND COMMUNITY-BASED SERVICES TO OVER 53,000 INDIVIDUALS LIVING AT OR CLOSE TO POVERTY IN SUBURBAN DENVER. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $38,775,116 | ExpenseAmt |
| Revenue | $27,052,771 | RevenueAmt |
| Desc | 1. MEDICAL ACCESS AND CARE TO THE UNDERSERVED: MCPN PROVIDES MEDICAL ACCESS AND CARE TO THE MEDICALLY UNDERSERVED, INCLUDING THE HOMELESS POPULATION, LIVING IN ARAPAHOE, JEFFERSON, ADAMS, DOUGLAS AND PARK COUNTIES. THESE SERVICES INCLUDE IMMUNIZATIONS TO CHILDREN, WELL CHILD CARE TO CHILDREN, WELL WOMEN CARE TO WOMEN, PRENATAL CARE TO WOMEN AND FAMILIES, DIABETIC CARE TO ADULTS, AND CARDIO-VASCULAR DISEASE MANAGEMENT TO ADULTS. . 2. DENTAL CARE FOR THE UNDERSERVED: DENTAL CARE IS ONE OF THE MOST NEGLECTED COMPONENTS OF HEALTH CARE AND IS ONE OF THE MOST NEEDED SERVICES FOR MCPN PATIENTS. MCPN'S PROGRAM SPECIALIZES IN PEDIATRIC CARE INCLUDING THE RELIEF OF PAIN AND DENTAL HYGIENE / WELL CARE FOR ON-GOING DENTAL HEALTH. . 3. COMMUNITY SERVICE PROGRAMS: AS A COMMUNITY HEALTH CENTER, MCPN IS COMMITTED TO THE DEVELOPMENT OF COMMUNITY-BASED PROGRAMS WHICH ENHANCE THE QUALITY OF HEALTH AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. TO THAT END, WE HAVE LAUNCHED A NUMBER OF COMMUNITY SERVICE PROGRAMS. SOME EXAMPLES ARE HOMELESS OUTREACH AND INTERVENTION SERVICES, PARENTING AND CHILD-REARING PROGRAMS, ADOLESCENT SERVICES, AND WORKFORCE DEVELOPMENT PROGRAMS. | Desc |
| Total Program Service Expenses | $38,775,116 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | 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 | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 69 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 547 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (true) | 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 | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THE ORGANIZATION | PersonNm |
| Phone | 3037611977 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3701 S BROADWAY | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80113 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 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 |
|---|---|---|---|---|---|---|---|
| JEAN SISNEROS | |||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARION WALLS | |||||||
| CHAIR ELECT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| VINCENT ATCHITY | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TAMI MCGEE | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BARBARA SHANNON-BANISTER | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JANIS DEBACA | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LYNN RAMEY | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MITCHELL BELL | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MORGAN HONEA | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| FRANK TAYLOR | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID MYERS | |||||||
| PRESIDENT/CE | 40.00 | Yes (X) | $215,006 | $0 | $52,138 | ||
| SUSAN BROOKS FLOOD COOK | |||||||
| PHYSICIAN | 40.00 | $208,926 | $0 | $54,321 | Yes (X) | ||
| JESSICA LEE | |||||||
| DENTIST | 40.00 | $204,234 | $0 | $51,059 | Yes (X) | ||
| CHRISTINE MCLEMORE | |||||||
| PHYSICIAN | 40.00 | $196,538 | $0 | $47,721 | Yes (X) | ||
| NATALIA PAWLOWSKI | |||||||
| PHYSICIAN | 40.00 | $183,857 | $0 | $46,841 | Yes (X) | ||
| MAHKAMEH GHADIMI | |||||||
| PHYSICIAN | 40.00 | $180,797 | $0 | $46,045 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,189,358 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $298,125 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 51 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUEST DIAGNOSTICS INC | |||||
| PO BOX 9050 | DENVER | CO | 80209 | LAB SERVICES | $870,856 |
| GE HEALTHCARE | |||||
| 16575 TURRET WAY | BROOMFIELD | CO | 80023 | MEDICAL SERVICE | $480,244 |
| CYRACOM | |||||
| 5780 N SWAN RD | TUCSON | AZ | 85718 | TRANSLATION | $400,176 |
| COLORADO CENTER FOR NURSING | |||||
| 5290 E YALE CR 102 | DENVER | CO | 80222 | NURSING SERVICE | $331,944 |
| AAA BUILDING MAINTENANCE | |||||
| 6006 W 16TH AVE | LAKEWOOD | CO | 80214 | JANITORIAL SVC | $265,550 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $95,585 | FundraisingAmt |
| Government Grants | $16,121,029 | GovernmentGrantsAmt |
| All Other Contributions | $1,099,781 | AllOtherContributionsAmt |
| Noncash Contributions | $1,898,142 | NoncashContributionsAmt |
| Total Contributions | $17,316,395 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL SERVICES | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $27,052,771 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,052,771 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $27,052,771 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,085 | TotalRevenueColumnAmt |
| Exclusion | $96,085 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,300 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,813 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$8,513 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,513 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$8,513 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $153,950 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $95,585 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $119,492 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,458 | TotalRevenueColumnAmt |
| Exclusion | $34,458 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC INSURANCE & DISCOUNTS | Desc |
| Total Revenue Column | $423,560 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $423,560 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $423,560 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,914,756 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,476,331 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$8,513 | UnrelatedBusinessRevenueAmt |
| Exclusion | $130,543 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,145 | TotalAmt |
| Program Services | $222,166 | ProgramServicesAmt |
| Management And General | $43,758 | ManagementAndGeneralAmt |
| Fundraising | $1,221 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,020,378 | TotalAmt |
| Program Services | $19,138,005 | ProgramServicesAmt |
| Management And General | $3,782,511 | ManagementAndGeneralAmt |
| Fundraising | $99,862 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,878 | TotalAmt |
| Program Services | $484,320 | ProgramServicesAmt |
| Management And General | $105,851 | ManagementAndGeneralAmt |
| Fundraising | $1,707 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,470,322 | TotalAmt |
| Program Services | $2,900,199 | ProgramServicesAmt |
| Management And General | $549,116 | ManagementAndGeneralAmt |
| Fundraising | $21,007 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,747,434 | TotalAmt |
| Program Services | $1,459,230 | ProgramServicesAmt |
| Management And General | $280,556 | ManagementAndGeneralAmt |
| Fundraising | $7,648 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,949,347 | TotalAmt |
| Program Services | $2,232,317 | ProgramServicesAmt |
| Management And General | $594,323 | ManagementAndGeneralAmt |
| Fundraising | $122,707 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,655,018 | TotalAmt |
| Program Services | $2,553,444 | ProgramServicesAmt |
| Management And General | $1,074,251 | ManagementAndGeneralAmt |
| Fundraising | $27,323 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,603 | TotalAmt |
| Program Services | $331,731 | ProgramServicesAmt |
| Management And General | $150,872 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,164,167 | TotalAmt |
| Program Services | $995,630 | ProgramServicesAmt |
| Management And General | $168,537 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,867 | TotalAmt |
| Program Services | $133,083 | ProgramServicesAmt |
| Management And General | $122,543 | ManagementAndGeneralAmt |
| Fundraising | $7,241 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,826 | TotalAmt |
| Program Services | $253,826 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,863,739 | TotalAmt |
| Program Services | $1,423,907 | ProgramServicesAmt |
| Management And General | $439,503 | ManagementAndGeneralAmt |
| Fundraising | $329 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,364 | TotalAmt |
| Program Services | $192,664 | ProgramServicesAmt |
| Management And General | $139,490 | ManagementAndGeneralAmt |
| Fundraising | $1,210 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBTS | $2,445,950 | $2,440,424 | $5,526 | |
| IN KIND PHARMAC. | $2,225,473 | $2,225,473 | ||
| LAB AND X-RAY FEES | $1,402,810 | $1,402,810 | ||
| OTHER EXPENSES | $491,473 | $5,732 | $479,494 | $6,247 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,892 | TotalAmt |
| Program Services | $380,155 | ProgramServicesAmt |
| Management And General | $181,267 | ManagementAndGeneralAmt |
| Fundraising | -$82,530 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,106,686 | TotalAmt |
| Program Services | $38,775,116 | ProgramServicesAmt |
| Management And General | $8,117,598 | ManagementAndGeneralAmt |
| Fundraising | $213,972 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $787,734 | BOYAmt |
| EOY | $272,295 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,653,025 | BOYAmt |
| EOY | $2,661,706 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,188,425 | BOYAmt |
| EOY | $1,127,369 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,269,831 | BOYAmt |
| EOY | $1,771,222 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,138 | BOYAmt |
| EOY | $84,634 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $377,185 | BOYAmt |
| EOY | $439,317 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $39,292,658 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,087,487 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,827,227 | BOYAmt |
| EOY | $28,205,171 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,722,497 | BOYAmt |
| EOY | $1,833,252 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,989,062 | BOYAmt |
| EOY | $36,394,966 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,396,831 | BOYAmt |
| EOY | $3,458,029 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,814,502 | BOYAmt |
| EOY | $6,267,539 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $444,096 | BOYAmt |
| EOY | $404,604 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $938,402 | BOYAmt |
| EOY | $1,032,141 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,593,831 | BOYAmt |
| EOY | $11,162,313 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,207,676 | BOYAmt |
| EOY | $23,156,044 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $632,595 | BOYAmt |
| EOY | $399,116 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,554,960 | BOYAmt |
| EOY | $1,677,493 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,395,231 | BOYAmt |
| EOY | $25,232,653 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,989,062 | BOYAmt |
| EOY | $36,394,966 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,191,930 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $29,352 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,572,879 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,686,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,228,878 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,665,409 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,316,395 | CurrentTaxYearAmt |
| Total | $94,470,029 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,572,879 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,686,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,228,878 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,665,409 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,316,395 | CurrentTaxYearAmt |
| Total | $94,470,029 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $94,470,029 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $87,972 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $125,236 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $120,348 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $126,336 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $101,385 | CurrentTaxYearAmt |
| Total | $561,277 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,539 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $527,470 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $198,096 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $662,704 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $423,560 | CurrentTaxYearAmt |
| Total | $1,822,369 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $96,853,675 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $98,075,853 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97540 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98060 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME 1,822,369 | ExplanationTxt |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $64,885 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $64,885 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | PORTION OF DUES PAID TO COLORADO COMMUNITY HEALTH NETWORK (CCHN) FOR LOBBYING ACTIVITIES, AS REPORTED BY CCHN 11,840, AND 53,045 FOR THE TOBACCO TAX LOBBYING EFFORT. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,554,961 | BeginningYearBalanceAmt |
| Contributions | $93,180 | ContributionsAmt |
| Investment Earnings Or Losses | $109,154 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $79,802 | OtherExpendituresAmt |
| End Year Balance | $1,677,493 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,598,080 | BeginningYearBalanceAmt |
| Contributions | $93,191 | ContributionsAmt |
| Investment Earnings Or Losses | -$53,130 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $83,180 | OtherExpendituresAmt |
| End Year Balance | $1,554,961 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,635,074 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $46,197 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $83,191 | OtherExpendituresAmt |
| End Year Balance | $1,598,080 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,425,850 | BeginningYearBalanceAmt |
| Contributions | $30,000 | ContributionsAmt |
| Investment Earnings Or Losses | $258,231 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $79,008 | OtherExpendituresAmt |
| End Year Balance | $1,635,073 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,328,982 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $168,648 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $71,780 | OtherExpendituresAmt |
| End Year Balance | $1,425,850 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| 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 | $4,457,672 | OtherCostOrOtherBasisAmt |
| Book Value | $4,457,672 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,363,686 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,316,808 | DepreciationAmt |
| Book Value | $18,046,878 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,444,547 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,727,055 | DepreciationAmt |
| Book Value | $2,717,492 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,970,739 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,043,624 | DepreciationAmt |
| Book Value | $2,927,115 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,014 | OtherCostOrOtherBasisAmt |
| Book Value | $56,014 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $28,205,171 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST COMMUNITY FIRST | $1,677,493 |
| BOND ACQUISTION COSTS | $100,692 |
| DEPOSITS | $51,926 |
| NOTE ISSUANCE COSTS | $3,141 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,833,252 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $1,017,673 |
| INTEREST PAYABLE | $14,468 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,032,141 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $45,441,261 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $363,848 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $29,352 | OtherRevenueAmt |
| Revenue Not Reported | $393,200 | RevenueNotReportedAmt |
| Revenue Subtotal | $45,048,061 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$133,305 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$133,305 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $44,914,756 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $47,603,839 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $363,848 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $363,848 | ExpensesNotReportedAmt |
| Expenses Subtotal | $47,239,991 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$133,305 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$133,305 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $47,106,686 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | DISTRIBUTIONS FROM THE FUND ARE AVAILABLE TO THE FOUNDATION FOR ITS UNRESTRICTED USE. |
| SCHEDULE D, PAGE 3, PART X | THE ORGANIZATION FOLLOWS ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH REQUIRES IT TO DETERMINE WHETHER A TAX POSITION (AND THE RELATED TAX BENEFIT) IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY, BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT TO BE RECOGNIZED IS MEASURED AS THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT, PRESUMING THAT THE TAX POSITION IS EXAMINED BY THE APPROPRIATE TAXING AUTHORITY THAT HAS FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. DURING THE YEAR ENDED DECEMBER 31, 2016 AND 2015, THE ORGANIZATION'S MANAGEMENT EVALUATED ITS TAX POSITIONS TO DETERMINE THE EXISTENCE OF UNCERTAINTIES, AND DID NOT NOTE ANY MATTERS THAT WOULD REQUIRE RECOGNITION OR WHICH MAY HAVE AN AFFECT ON ITS TAX-EXEMPT STATUS. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | CHANGE IN THE VALUE IN BENEFICIAL TRUST 29,352 |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | RENTAL EXPENSES -13,813 SPECIAL EVENT EXPENSES -119,492 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | RENTAL EXPENSES -13,813 SPECIAL EVENT EXPENSES -119,492 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GREEN TIE DINNE | Event1Nm |
| Gross Receipts Event1 | $167,815 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $77,615 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $90,200 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $78,499 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF TOURNAMENT | Event2Nm |
| Gross Receipts Event2 | $81,720 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $17,970 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $63,750 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $40,993 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $249,535 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $95,585 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $153,950 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $119,492 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $119,492 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $34,458 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | 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 | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| DAVID MYERS | ||||
| PRESIDENT/CEO | $215,006 | $8,719 | $43,419 | $267,144 |
| SUSAN BROOKS FLOOD COOK | ||||
| PHYSICIAN | $208,926 | $8,367 | $45,954 | $263,247 |
| JESSICA LEE | ||||
| DENTIST | $204,234 | $8,340 | $42,719 | $255,293 |
| CHRISTINE MCLEMORE | ||||
| PHYSICIAN | $196,538 | $47,721 | $244,259 | |
| NATALIA PAWLOWSKI | ||||
| PHYSICIAN | $183,857 | $7,399 | $39,442 | $230,698 |
| MAHKAMEH GHADIMI | ||||
| PHYSICIAN | $180,797 | $7,276 | $38,769 | $226,842 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLORADO STATE BANK & TRUST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issued | 2012-10-01 | BondIssuedDt |
| Issue Price | $8,450,000 | IssuePriceAmt |
| Purpose | FACILITIES | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | false | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 61244 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,859,282 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | SUPPLIES & MISC | Desc |
| Contribution | 120 | ContributionCnt |
| Noncash Contributions Rpt F990 | $38,860 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PAGE 2, PART II | FormAndLineReferenceDesc |
| Explanation | 61,244 IS THE NUMBER OF DOSES OF VACCINES AND PHARMACEUTICALS THAT WERE DONATED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | SPECIALIZES IN PEDIATRIC CARE INCLUDING THE RELIEF OF PAIN AND DENTAL HYGIENE / WELL CARE FOR ON-GOING DENTAL HEALTH. . 3. COMMUNITY SERVICE PROGRAMS: AS A COMMUNITY HEALTH CENTER, MCPN IS COMMITTED TO THE DEVELOPMENT OF COMMUNITY-BASED PROGRAMS WHICH ENHANCE THE QUALITY OF HEALTH AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. TO THAT END, WE HAVE LAUNCHED A NUMBER OF COMMUNITY SERVICE PROGRAMS. SOME EXAMPLES ARE HOMELESS OUTREACH AND INTERVENTION SERVICES, PARENTING AND CHILD-REARING PROGRAMS, ADOLESCENT SERVICES, AND WORKFORCE DEVELOPMENT PROGRAMS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS REVIEWED BY THE PRESIDENT/CEO, THE AUDIT AND COMPLIANCE COMMITTEE, AS WELL AS THE BOARD OF DIRECTORS PRIOR TO BEING FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD REVIEWS ANY POSSIBLE CONFLICTS OF INTEREST BASED ON DISCLOSURES BY OFFICERS, DIRECTORS, AND KEY EMPLOYEES IN A FORM THAT IS COMPLETED ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD ANNUALLY REVIEWS AND APPROVES COMPENSATION FOR OFFICERS AND KEY EMPLOYEES BASED ON COMPARABILITY DATA AMONG SIMILAR ORGANIZATIONS AND PERFORMANCE. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE BOARD ANNUALLY REVIEWS AND APPROVES COMPENSATION FOR OFFICERS AND KEY EMPLOYEES BASED ON COMPARABILITY DATA AMONG SIMILAR ORGANIZATIONS AND PERFORMANCE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE FORM 990 AND THE ANNUAL REPORT ARE PUBLISHED ON GUIDESTAR AND ARE ALSO AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | CHANGE IN THE VALUE IN BENEFICIAL TRUST 29,352 RENTAL EXPENSES 13,813 SPECIAL EVENT EXPENSES 119,492 RENTAL EXPENSES -13,813 SPECIAL EVENT EXPENSES -119,492 TOTAL 29,352 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHCARE PROTECTIVE SERVICES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3701 S BROADWAY | AddressLine1Txt |
| City | ENGLEWOOD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80113 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263161859 | EIN |
| Primary Activities | SECURITY | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Total Income | $382,187 | TotalIncomeAmt |
| End Of Year Assets | $10,322 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCPN | BusinessNameLine1Txt |