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METRO COMMUNITY PROVIDER NETWORK INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
METRO COMMUNITY PROVIDER NETWORK INC (EIN 74-2477108)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-02
IRS object ID
201603079349301760
Schema version
2015v2.1
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

FieldValueIRS element (for citing)
Return2016-11-02T16:32:45-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN208019714PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JDS PROFESSIONAL GROUPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110303 E DRY CREEK RD STE 400AddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN742477108EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1METRO COMMUNITY PROVIDER NETWORKBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMETRBusinessNameControlTxt
Phone3037611977PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13701 S BROADWAYAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80113ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID MYERSPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone3037611977PhoneNum
Signature2016-10-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLORI B BAUER CPAPreparerPersonNm
PTINP01260252PTIN
Phone3037710123PhoneNum
Preparation2016-10-28PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID MYERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13701 S BROADWAYAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80113ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$40,288,966GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressMCPN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionTHE METRO COMMUNITY PROVIDER NETWORK IS THE SAFETY NET FOR MEDICAL, DENTAL, MENTAL HEALTH AND COMMUNITY-BASED SERVICES TO OVER 42,000 INDIVIDUALS LIVING AT OR CLOSE TO POVERTY IN SUBURBAN DENVER.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee426TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$6,511TotalGrossUBIAmt
PY Contributions Grants$17,228,878PYContributionsGrantsAmt
CY Contributions Grants$16,665,409CYContributionsGrantsAmt
PY Program Service Revenue$20,380,771PYProgramServiceRevenueAmt
CY Program Service Revenue$22,674,594CYProgramServiceRevenueAmt
PY Investment Income$99,910PYInvestmentIncomeAmt
CY Investment Income$108,387CYInvestmentIncomeAmt
PY Other Revenue$175,575PYOtherRevenueAmt
CY Other Revenue$681,299CYOtherRevenueAmt
PY Total Revenue$37,885,134PYTotalRevenueAmt
CY Total Revenue$40,129,689CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,078,991PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$26,185,497CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$503,202CYTotalFundraisingExpenseAmt
PY Other Expenses$13,182,410PYOtherExpensesAmt
CY Other Expenses$14,173,635CYOtherExpensesAmt
PY Total Expenses$35,261,401PYTotalExpensesAmt
CY Total Expenses$40,359,132CYTotalExpensesAmt
PY Revenues Less Expenses$2,623,733PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$229,443CYRevenuesLessExpensesAmt
Total Assets BOY$39,238,367TotalAssetsBOYAmt
Total Assets EOY$37,989,062TotalAssetsEOYAmt
Total Liabilities BOY$11,477,382TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,593,831TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$27,760,985NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,395,231NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE METRO COMMUNITY PROVIDER NETWORK IS THE SAFETY NET FOR MEDICAL, DENTAL, MENTAL HEALTH AND COMMUNITY-BASED SERVICES TO OVER 42,000 INDIVIDUALS LIVING AT OR CLOSE TO POVERTY IN SUBURBAN DENVER.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$33,505,308ExpenseAmt
Revenue$22,674,594RevenueAmt
Desc1. 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$33,505,308TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document68IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee426EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCOStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHE ORGANIZATIONPersonNm
Phone3037611977PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13701 S BROADWAYAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80113ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARION WALLS
CHAIR2.00Yes (X)Yes (X)$0$0$0
JEAN SISNEROS
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
LYNN RAMEY
TREASURER2.00Yes (X)Yes (X)$0$0$0
FRANK TAYLOR
SECRETARY2.00Yes (X)Yes (X)$0$0$0
BARBARA SHANNON-BANISTER
DIRECTOR2.00Yes (X)$0$0$0
JANIS DEBACA
DIRECTOR2.00Yes (X)$0$0$0
CARRIE REID
DIRECTOR2.00Yes (X)$0$0$0
MITCHELL BELL
DIRECTOR2.00Yes (X)$0$0$0
MORGAN HONEA
DIRECTOR2.00Yes (X)$0$0$0
DAVID MYERS
PRESIDENT/CE40.00Yes (X)$208,887$0$39,558
BARRY MARTIN
VP CLINICAL40.00$226,417$0$43,897Yes (X)
JESSICA LEE
DENTIST40.00$205,124$0$40,965Yes (X)
CHRISTINE MCLEMORE
PHYSICIAN40.00$198,438$0$41,212Yes (X)
NEHA BANSI SHAH
PHYSICIAN40.00$198,425$0$41,209Yes (X)
MAGDALINE PIATEK
PHYSICIAN40.00$190,252$0$35,972Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,227,543TotalReportableCompFromOrgAmt
Total Other Compensation$242,813TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K35IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QUEST DIAGNOSTICS INC
PO BOX 9050DENVERCO80209LAB SERVICES$599,958
COLORADO CENTER FOR NURSING
5290 E YALE CR 102DENVERCO80222NURSING SERVICE$415,603
CYRACOM
5780 N SWAN RDTUCSONAZ85718TRANSLATION$319,852
UNIVERSITY OF COLORADO DENVER
12605 E 16THAURORACO80045MEDICAL SERVICE$261,849
AURORA MENTAL HEALTH CENTER
11059 E BETHANY 200AURORACO80014CLINICAL SVC$240,342
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Fundraising$42,170FundraisingAmt
Government Grants$13,770,012GovernmentGrantsAmt
All Other Contributions$2,853,227AllOtherContributionsAmt
Noncash Contributions$1,442,703NoncashContributionsAmt
Total Contributions$16,665,409TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL SERVICESDesc
Business621110BusinessCd
Total Revenue Column$22,674,594TotalRevenueColumnAmt
Related Or Exempt Func Income$22,674,594RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$22,674,594TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$108,387TotalRevenueColumnAmt
Exclusion$108,387ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$17,949RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$11,438RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,511RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,511TotalRevenueColumnAmt
Unrelated Business Revenue$6,511UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$159,923FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$42,170ContriRptFundraisingEventAmt
Fundraising Direct Expenses$147,839FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,084TotalRevenueColumnAmt
Exclusion$12,084ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISC INSURANCE & DISCOUNTSDesc
Total Revenue Column$662,704TotalRevenueColumnAmt
Related Or Exempt Func Income$662,704RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$662,704OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,129,689TotalRevenueColumnAmt
Related Or Exempt Func Income$23,337,298RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,511UnrelatedBusinessRevenueAmt
Exclusion$120,471ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$248,446TotalAmt
Program Services$208,909ProgramServicesAmt
Management And General$36,900ManagementAndGeneralAmt
Fundraising$2,637FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$20,904,376TotalAmt
Program Services$17,613,398ProgramServicesAmt
Management And General$3,071,837ManagementAndGeneralAmt
Fundraising$219,141FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$500,141TotalAmt
Program Services$402,146ProgramServicesAmt
Management And General$92,894ManagementAndGeneralAmt
Fundraising$5,101FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,955,664TotalAmt
Program Services$2,480,734ProgramServicesAmt
Management And General$440,578ManagementAndGeneralAmt
Fundraising$34,352FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,576,870TotalAmt
Program Services$1,342,252ProgramServicesAmt
Management And General$220,937ManagementAndGeneralAmt
Fundraising$13,681FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,144,659TotalAmt
Program Services$2,436,744ProgramServicesAmt
Management And General$475,426ManagementAndGeneralAmt
Fundraising$232,489FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,300,923TotalAmt
Program Services$2,736,799ProgramServicesAmt
Management And General$508,346ManagementAndGeneralAmt
Fundraising$55,778FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$402,455TotalAmt
Program Services$295,580ProgramServicesAmt
Management And General$106,836ManagementAndGeneralAmt
Fundraising$39FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,189,578TotalAmt
Program Services$1,057,431ProgramServicesAmt
Management And General$132,147ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$329,972TotalAmt
Program Services$170,281ProgramServicesAmt
Management And General$145,791ManagementAndGeneralAmt
Fundraising$13,900FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$252,222TotalAmt
Program Services$252,222ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,855,160TotalAmt
Program Services$1,407,238ProgramServicesAmt
Management And General$447,702ManagementAndGeneralAmt
Fundraising$220FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$288,355TotalAmt
Program Services$172,735ProgramServicesAmt
Management And General$114,403ManagementAndGeneralAmt
Fundraising$1,217FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
IN KIND PHARMAC.$1,378,950$1,378,950
LAB AND X-RAY FEES$1,098,107$1,098,107
REPAIRS & MAINT$590,561$191,724$398,073$764
TRAINING & RECRUITMENT$374,890$261,488$112,482$920

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$32,197TotalAmt
Program Services-$1,430ProgramServicesAmt
Management And General$46,270ManagementAndGeneralAmt
Fundraising-$77,037FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$40,359,132TotalAmt
Program Services$33,505,308ProgramServicesAmt
Management And General$6,350,622ManagementAndGeneralAmt
Fundraising$503,202FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$872,211BOYAmt
EOY$787,734EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,478,461BOYAmt
EOY$2,653,025EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,215,166BOYAmt
EOY$1,188,425EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,431,398BOYAmt
EOY$2,269,831EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$195,368BOYAmt
EOY$163,138EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$318,673BOYAmt
EOY$377,185EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,520,423LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,693,196LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$29,969,429BOYAmt
EOY$28,827,227EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,757,661BOYAmt
EOY$1,722,497EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$39,238,367BOYAmt
EOY$37,989,062EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,526,792BOYAmt
EOY$2,396,831EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,346,540BOYAmt
EOY$6,814,502EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$579,451BOYAmt
EOY$444,096EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,024,599BOYAmt
EOY$938,402EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,477,382BOYAmt
EOY$10,593,831EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,162,905BOYAmt
EOY$25,207,676EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$632,595EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,598,080BOYAmt
EOY$1,554,960EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,760,985BOYAmt
EOY$27,395,231EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$39,238,367BOYAmt
EOY$37,989,062EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$229,443ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$136,311OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,858,184CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,572,879CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,686,468CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,228,878CurrentTaxYearMinus1YearAmt
Current Tax Year$16,665,409CurrentTaxYearAmt
Total$97,011,818TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,858,184CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,572,879CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,686,468CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,228,878CurrentTaxYearMinus1YearAmt
Current Tax Year$16,665,409CurrentTaxYearAmt
Total$97,011,818TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$97,011,818PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,827CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$87,972CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$125,236CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$120,348CurrentTaxYearMinus1YearAmt
Current Tax Year$126,336CurrentTaxYearAmt
Total$482,719TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,539CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$527,470CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$198,096CurrentTaxYearMinus1YearAmt
Current Tax Year$662,704CurrentTaxYearAmt
Total$1,431,956TotalAmt
FieldValueIRS element (for citing)
Total Support$98,926,493TotalSupportAmt
Gross Receipts Rltd Activities$82,166,172GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98060PublicSupportCY170Pct
Public Support PY1700.98770PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOME 1,431,956ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$9,100OtherActivitiesAmt
Total Lobbying Expenditures$9,100TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationPORTION OF DUES PAID TO COLORADO COMMUNITY HEALTH NETWORK (CCHN) FOR LOBBYING ACTIVITIES, AS REPORTED BY CCHN 9,100.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,598,080BeginningYearBalanceAmt
Contributions$93,191ContributionsAmt
Investment Earnings Or Losses-$53,130InvestmentEarningsOrLossesAmt
Other Expenditures$83,180OtherExpendituresAmt
End Year Balance$1,554,961EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,635,074BeginningYearBalanceAmt
Investment Earnings Or Losses$46,197InvestmentEarningsOrLossesAmt
Other Expenditures$83,191OtherExpendituresAmt
End Year Balance$1,598,080EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,425,850BeginningYearBalanceAmt
Contributions$30,000ContributionsAmt
Investment Earnings Or Losses$258,231InvestmentEarningsOrLossesAmt
Other Expenditures$79,008OtherExpendituresAmt
End Year Balance$1,635,073EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,328,982BeginningYearBalanceAmt
Investment Earnings Or Losses$168,648InvestmentEarningsOrLossesAmt
Other Expenditures$71,780OtherExpendituresAmt
End Year Balance$1,425,850EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,345,322BeginningYearBalanceAmt
Investment Earnings Or Losses-$16,340InvestmentEarningsOrLossesAmt
End Year Balance$1,328,982EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,457,672OtherCostOrOtherBasisAmt
Book Value$4,457,672BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,369,034OtherCostOrOtherBasisAmt
Depreciation$3,735,975DepreciationAmt
Book Value$18,633,059BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,198,948OtherCostOrOtherBasisAmt
Depreciation$1,511,806DepreciationAmt
Book Value$2,687,142BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,450,741OtherCostOrOtherBasisAmt
Depreciation$4,445,415DepreciationAmt
Book Value$3,005,326BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,028OtherCostOrOtherBasisAmt
Book Value$44,028BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,827,227TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATIONS$922,672
INTEREST PAYABLE$15,730
FieldValueIRS element (for citing)
Total Liability$938,402TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$40,565,429TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$412,774DonatedServicesAndUseFcltsAmt
Other Revenue-$136,311OtherRevenueAmt
Revenue Not Reported$276,463RevenueNotReportedAmt
Revenue Subtotal$40,288,966RevenueSubtotalAmt
Other Revenues Not Included-$159,277OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$159,277RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$40,129,689TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$40,931,183TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$412,774DonatedServicesUseFcltsAmt
Expenses Not Reported$412,774ExpensesNotReportedAmt
Expenses Subtotal$40,518,409ExpensesSubtotalAmt
Other Expenses Not Included-$159,277OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$159,277ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$40,359,132TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4DISTRIBUTIONS FROM THE FUND ARE AVAILABLE TO THE FOUNDATION FOR ITS UNRESTRICTED USE.
SCHEDULE D, PAGE 3, PART XTHE 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, 2015 AND 2014, 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 2DCHANGE IN THE VALUE IN BENEFICIAL TRUST -136,311
SCHEDULE D, PAGE 4, PART XI, LINE 4BRENTAL EXPENSES -11,438 SPECIAL EVENT EXPENSES -147,839
SCHEDULE D, PAGE 4, PART XII, LINE 4BSPECIAL EVENT EXPENSES -147,839 RENTAL EXPENSES -11,438

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GREEN TIE DINNEEvent1Nm
Gross Receipts Event1$131,326GrossReceiptsEvent1Amt
Charitable Contri Event1$21,709CharitableContriEvent1Amt
Gross Revenue Event1$109,617GrossRevenueEvent1Amt
Other Direct Expenses Event1$92,203OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$70,767GrossReceiptsEvent2Amt
Charitable Contri Event2$20,461CharitableContriEvent2Amt
Gross Revenue Event2$50,306GrossRevenueEvent2Amt
Other Direct Expenses Event2$55,636OtherDirectExpensesEvent2Amt
Gross Receipts Total$202,093GrossReceiptsTotalAmt
Charitable Contributions Tot$42,170CharitableContributionsTotAmt
Gross Revenue Total Events$159,923GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$147,839OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$147,839DirectExpenseSummaryEventsAmt
Net Income Summary$12,084NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DAVID MYERS
PRESIDENT/CEO$208,887$8,495$31,063$248,445
BARRY MARTIN
VP CLINICAL AFFAIRS$226,417$7,017$36,880$270,314
JESSICA LEE
DENTIST$205,124$8,311$32,654$246,089
CHRISTINE MCLEMORE
PHYSICIAN$198,438$41,212$239,650
NEHA BANSI SHAH
PHYSICIAN$198,425$7,259$33,950$239,634
MAGDALINE PIATEK
PHYSICIAN$190,252$6,063$29,909$226,224

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COLORADO STATE BANK & TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issued2012-10-01BondIssuedDt
Issue Price$8,450,000IssuePriceAmt
PurposeFACILITIESPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintfalseAdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution23875ContributionCnt
Noncash Contributions Rpt F990$1,378,950NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescSUPPLIES & MISCDesc
Contribution120ContributionCnt
Noncash Contributions Rpt F990$63,753NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PAGE 2, PART IIFormAndLineReferenceDesc
Explanation23,875 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4ASPECIALIZES 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 11BTHE 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 12CTHE 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 15ATHE 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 15BTHE 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 19THE FORM 990 AND THE ANNUAL REPORT ARE PUBLISHED ON GUIDESTAR AND ARE ALSO AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9CHANGE IN THE VALUE IN BENEFICIAL TRUST -136,311 RENTAL EXPENSES 11,438 SPECIAL EVENT EXPENSES 147,839 SPECIAL EVENT EXPENSES -147,839 RENTAL EXPENSES -11,438 TOTAL -136,311

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HEALTHCARE PROTECTIVE SERVICES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13701 S BROADWAYAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80113ZIPCd
FieldValueIRS element (for citing)
EIN263161859EIN
Primary ActivitiesSECURITYPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Total Income$299,952TotalIncomeAmt
End Of Year Assets$12,839EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MCPNBusinessNameLine1Txt