2025-11-12T12:47:53-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 2001 16TH STREET SUITE 1700 DENVER CO 80202 990 2024-01-01 841285505 LA CLINICA TEPEYAC LACL 7202742923 4725 HIGH STREET DENVER CO 80216 JIM GARCIA CEO 7202742923 2025-11-11 1 1 REBECCA DETTMANN CPA P01408585 3037795710 2025-11-11 2024 2025-03-06 01:10:19Z TEPEYAC COMMUNITY HEALTH CENTER JIM GARCIA 4725 HIGH STREET DENVER CO 80216 19308042 0 X WWW.TEPEYACHEALTH.ORG X 1994 CO INSPIRE HEALTH, WELLBEING, AND HUMANITY IN OUR COMMUNITY, THROUGH ALL OF LIFE'S STAGES. 9 9 100 20 17213 9114 9105081 6669843 2462438 12311802 85647 70992 -2036 36544 11651130 19089181 363 7247717 0 0 6135050 7052384 17200 21450 230432 3823011 4438296 9975624 18759847 1675506 329334 16857320 16956844 6211976 5978383 10645344 10978461 X INSPIRE HEALTH, WELLBEING, AND HUMANITY IN OUR COMMUNITY, THROUGH ALL OF LIFE'S STAGES. WE ENVISION A HEALTHY COMMUNITY WITH ACCESS TO REGULAR AND ONGOING HEALTH CARE. AS WE EXPAND OUR REACH AND BRING,(CONTINUED ON SCHEDULE O)CULTURAL RESPONSIVENESS INTO THE COMMUNITY WE STRIVE FOR EXCEPTIONAL, TRUSTWORTHY CARE THAT EMPOWERS OUR PATIENTS, DECREASES ROUTINE VISITS TO EMERGENCY ROOMS, AND CREATES HEALTHIER FAMILIES OVERALL. 1 0 16274940 7247717 12269537 TEPEYAC COMMUNITY HEALTH CENTER PROVIDES TEAM-BASED, AFFORDABLE MEDICAL, BEHAVIORAL HEALTH, DENTAL, AND PHARMACY SERVICES FOR FAMILIES IN THE COMMUNITY. MOST CLINICAL STAFF ARE BICULTURAL AND BILINGUAL, AND ALL DIRECT-SERVICE PROVIDERS ARE PROFICIENT OR FLUENT IN BOTH SPANISH AND ENGLISH. SINCE 1995, TEPEYAC HAS SERVED THE COMMUNITY WITH ACCESSIBLE, CULTURALLY RESPONSIVE CARE.CLINIC: TEPEYAC OFFERS COMPREHENSIVE PRIMARY CARE SERVICES, WELLNESS AND PHYSICAL EXAMS, BEHAVIORAL HEALTH, AND HEALTH EDUCATION. THIS INCLUDES WOMEN'S HEALTH EXAMS, MAMMOGRAPHY, PRENATAL CARE, IMMUNIZATIONS, SCHOOL PHYSICALS, DIABETES MANAGEMENT, COLPOSCOPIESS, PREVENTIVE HEALTH EDUCATION, (CONTINUED ON SCHEDULE O) WELLNESS CLASSES, AND ORAL HEALTH CARE.HEALTH PROMOTION: PROVIDES EDUCATION FOR THE LATINX COMMUNITY AND THEIR FAMILIES TO REDUCE THE RISK OF CHRONIC DISEASE THROUGH COMMUNITY OUTREACH AND PREVENTIVE HEALTH EDUCATION CONDUCTED BY THE PROMOTORAS DE SALUD (HEALTH PROMOTERS).PHARMACY: PROVIDES ACCESS TO AFFORDABLE MEDICATIONS AND PHARMACEUTICAL COUNSELING TO SUPPORT CHRONIC DISEASE MANAGEMENT, PREVENTIVE CARE, AND GENERAL HEALTH NEEDS, WITH A FOCUS ON IMPROVING MEDICATION ADHERENCE AND HEALTH OUTCOMES FOR UNDERSERVED POPULATIONS. 16274940 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 39 0 1 100 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X TOSHA ELLIS 7202742949 4725 HIGH ST DENVER CO 80216 DR PAMELA VALENZA MD CHO 40.00 0.00 X 213845 0 17463 DR DANIEL WELLS-PRADO MD PHYSICIAN 40.00 0.00 X 184415 0 22456 JONATHAN CANO DENTAL DIRECTOR 40.00 0.00 X 159524 0 16965 JIM GARCIA CEO 60.00 1.00 X 155434 0 20098 MICHAEL MESSICK SENIOR DIRECTOR, IT 40.00 0.00 X 159196 0 13499 DR KEELY BURKE MD PHYSICIAN 40.00 0.00 X 158080 0 14054 DR PATRICK HUFFER MD PHYSICIAN 40.00 0.00 X 149195 0 20181 LACY BRADLEY CFO (THROUGH NOVEMBER 2024) 40.00 0.00 X 135460 0 8001 JESSICA WEIDNER COO (THROUGH NOVEMBER 2024) 40.00 0.00 X 117725 0 14558 DR HARVEY BOGRAD MD PRESIDENT 1.00 0.00 X X 0 0 0 CAROLINE ACHA VICE PRESIDENT 0.50 0.00 X X 0 0 0 STEVE CHAVEZ TREASURER 1.00 0.00 X X 0 0 0 DR GILBERT VIGIL MD SECRETARY 0.50 0.00 X X 0 0 0 JOHN BAUER MARTINEZ DIRECTOR 1.00 0.00 X 0 0 0 ALFONSO ESPINO CONSUMER BOARD MEMBER 0.50 0.00 X 0 0 0 GABBI LAYDEN DIRECTOR 1.00 0.00 X 0 0 0 GINA MILLAN CONSUMER MEMBER (THROUGH MAY 2024) 0.50 0.00 X 0 0 0 LINDA OSTERLUND PHD DIRECTOR (THROUGH APRIL 2024) 1.00 0.00 X 0 0 0 SONIA PENA CONSUMER BOARD MEMBER 0.50 0.00 X 0 0 0 DR SAMIT SHAH MD DIRECTOR 0.50 0.00 X 0 0 0 1432874 0 147275 16 0 1 0 QUEST DIAGNOSTICS PO BOX 772976 CHICAGO IL 60677 LAB SERVICES 304805 CPA MEDICAL BILLING LLC 100 S SHORE DR STE 200 EAST HAVEN CT 06512 BILLING AND CLAIMS SUPPORT 222150 CLIFTONLARSONALLEN 220 SOUTH SIXTH STREET STE 300 MINNEAPOLIS MN 55402 AUDIT AND TAX SUPPORT 110946 SBS SERVICES GROUP LLC DBA STRATUS PO BOX 208299 DALLAS TX 75320 JANITORIAL SERVICES 102429 4 223636 81873 5383412 980922 325 6669843 PATIENT FEES 621110 10605394 10605394 RETAIL PHARMACY 456110 1706408 1664143 42265 12311802 70971 70971 60168 85220 -25052 -25052 -25052 21 0 21 21 21 83772 223636 133641 -49869 -49869 MISCELLANEOUS INCOME 900099 111465 111465 111465 19089181 12269537 17213 132588 7247717 7247717 729942 336561 307191 86190 5212930 3834272 1273147 105511 97581 75903 21678 500103 364441 128658 7004 511828 367236 134315 10277 2912 2912 93514 93514 21450 21450 641419 641419 3704 3523 181 106849 95890 10959 65536 58814 6722 678093 598471 79622 27036 24263 2773 12806 11493 1313 34284 34284 192695 126584 66111 97800 97800 MEDICAL SUPPLIES 1410059 1410059 MISC EXPENSES 761630 693599 68031 BAD DEBT 111557 100115 11442 CLINIC EXPENSES 85090 85090 113312 101690 11622 18759847 16274940 2254475 230432 204305 80907 1613629 1976140 1395078 1177495 403263 594970 9496937 9496937 93499 81316 3878683 1197984 2487764 2680699 54604 58387 1108241 809993 16857320 16956844 976198 679203 132592 492276 3965091 3945280 1138095 861624 6211976 5978383 X 8415750 10485051 2229594 493410 10645344 10978461 16857320 16956844 X 329334 3783 X X 0 1 X 1 1 1 X 5170843 5889761 7104184 9105081 6669843 33939712 5170843 5889761 7104184 9105081 6669843 33939712 1298719 32640993 8375 96090 103801 147116 70971 426353 41564 41564 86488 35803 51057 126574 111465 411387 34819016 18588475 0.93740 0.90390 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 86,488. 2021 AMOUNT: $ 35,803. 2022 AMOUNT: $ 51,057. 2023 AMOUNT: $ 126,574. 2024 AMOUNT: $ 111,465. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 54604 4391 608 58387 48914 6213 523 54604 59032 -9599 -519 48914 54195 5404 567 59032 48268 6406 479 54195 0.00000 1.00000 0.00000 1 0 22500 274000 296500 2348682 650350 1698332 1233501 547634 685867 2680699 OPERATING LEASE LIABILITY 861624 861624 X 12069602 91150 91150 11978452 7110729 7110729 19089181 12347359 616368 616368 11730991 7028856 7028856 18759847 PART V, LINE 4: THE PURPOSE OF THE ENDOWMENT FUND IS TO PAY FOR MEDICAL SERVICES FOR THE UNINSURED. PART X, LINE 2: THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. THE ORGANIZATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX PROVISIONS. THE APPLICATION OF THIS STANDARD HAS NO EFFECT ON THE ORGANIZATIONS CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED REVENUE - TEPEYAC QALICB 424,150. ELIMINATIONS TO CONSOLIDATED FINANCIAL STATEMENTS -333,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -133,641. RENTAL EXPENSES -85,220. EQUITY TRANSFER FROM TEPEYAC QALICB 81,873. SLIDING FEE 7,247,717. PART XII, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED EXPENSES - TEPEYAC QALICB 971,145. ELIMINATION ON FINANCIAL STATEMENT -354,777. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -133,641. RENTAL EXPENSES -85,220. SLIDING FEE 7,247,717. X X X X X 0 EVENTFUL PRODUCTIONS INC 5500 E YALE AVE DENVER CO 80222 EVENT MANAGEMENT 0 0 21450 0 21450 CO FIESTA ON THE PLAZA 217095 157933 59162 35182 52912 6250 TORTILLAS FOR TEPEYAC 90313 65703 24610 5400 17423 200 16274 307408 223636 83772 40582 70335 6450 16274 133641 -49869 1 SLIDING FEE 5067 7247717 0 N/A N/A PART I, LINE 2: THE ORGANIZATION DOES NOT PROVIDE CASH ASSISTANCE TO INDIVIDUALS. INSTEAD, THE ORGANIZATION HAS A POLICY OF PROVIDING CARE TO UNINSURED PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS POLICY AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, OR WITHOUT CHARGE. HOWEVER, ALL PATIENTS ARE REQUESTED TO PAY A MINIMUM FEE FOR EACH VISIT, ALTHOUGH NO PATIENT IS DENIED SERVICES BECAUSE OF INABILITY TO PAY. SINCE MANAGEMENT DOES NOT EXPECT PAYMENT FOR THIS CARE, THE SERVICES THAT ARE DISCOUNTED FROM THE ESTABLISHED RATES ARE EXCLUDED FROM REVENUE. X X X X 0 0 0 0 0 0 0 0 0 DR PAMELA VALENZA MD CHO 213845 0 0 0 0 0 9148 0 8315 0 231308 0 0 0 DR DANIEL WELLS-PRADO MD PHYSICIAN 184415 0 0 0 0 0 6583 0 15873 0 206871 0 0 0 JONATHAN CANO DENTAL DIRECTOR 159524 0 0 0 0 0 0 0 16965 0 176489 0 0 0 JIM GARCIA CEO 155434 0 0 0 0 0 7469 0 12629 0 175532 0 0 0 MICHAEL MESSICK SENIOR DIRECTOR, IT 159196 0 0 0 0 0 2498 0 11001 0 172695 0 0 0 DR KEELY BURKE MD PHYSICIAN 158080 0 0 0 0 0 6438 0 7616 0 172134 0 0 0 DR PATRICK HUFFER MD PHYSICIAN 149195 0 0 0 0 0 6442 0 13739 0 169376 0 0 0 FORM 990, PART III, LINE 2 TEPEYAC OPENED A REFUGEE CLINIC IN JULY 2024 WITH FUNDING ASSISTANCE FROM THE CITY OF DENVER AND MEDICAID. THE PURPOSE OF THE CLINIC IS TO PROVIDE HEALTH SCREENINGS FOR REFUGEES TO REVIEW AND VERIFY OVERSEAS SCREENING RESULTS AND TO IDENTIFY HEALTH CONDITIONS THAT MAY POSE A RISK TO THE INDIVIDUAL'S OR THE PUBLIC'S HEALTH. THE PROCESS ALSO CONNECTS REFUGEES TO MEDICAL HOMES AND PRIMARY CARE PROVIDERS. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS COMPOSED OF THE PRESIDENT, VICE-PRESIDENT, SECRETARY, TREASURER, AND IMMEDIATE PAST-PRESIDENT OF THE BOARD OF DIRECTORS. WHEN THE BOARD IS NOT IN SESSION, THE EXECUTIVE COMMITTEE HAS THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, SUBJECT TO THE LIMITATIONS IMPOSED BY THE COLORADO NONPROFIT CORPORATION ACT AND TO ANY LIMITATIONS IMPOSED BY THE BOARD, INCLUDING THAT SUCH COMMITTEE SHALL NOT: (1) ELECT, APPOINT, OR REMOVE ANY DIRECTOR; (2) AMEND ARTICLES OF INCORPORATION; (3) ADOPT, AMEND, OR REPEAL BYLAWS; (4) APPROVE A PLAN OF CONVERSION OR PLAN OF MERGER WITH ANOTHER ENTITY; OR (5) APPROVE A SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF ITS PROPERTY. THE EXECUTIVE COMMITTEE MUST REPORT ALL ACTIONS TAKEN INDEPENDENTLY AND ON BEHALF OF THE BOARD TO THE FULL GOVERNING BOARD, AND THE FULL GOVERNING BOARD MUST VOTE ON THESE ACTIONS AND RECORD THEM IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT CPA WITH INFORMATION PROVIDED BY MANAGEMENT. A COPY OF THE FORM 990 WAS REVIEWED BY THE CFO AND THE CEO, THEN BY THE FINANCE COMMITTEE. THE FORM 990 IS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, EACH BOARD MEMBER COMPLETES A CONFLICT OF INTEREST DISCLOSURE. IF A POTENTIAL CONFLICT ARISES, THE BOARD MEMBER PROVIDES WRITTEN NOTICE TO THE BOARD OF DIRECTORS AND REFRAINS FROM PARTICIPATION IN ANY DISCUSSION OR VOTING ON MATTERS RELATED TO THE CONFLICT. ANY DISCUSSION OF POTENTIAL CONFLICTS OF INTEREST IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE CEO'S PERFORMANCE TO DETERMINE COMPENSATION. SALARY SURVEYS FROM THE COLORADO COMMUNITY HEALTH NETWORK AND THE COLORADO NONPROFIT ASSOCIATION ARE USED AS GUIDELINES. DISCUSSION RELATED TO THE DELIBERATION AND THE DECISION IS DOCUMENTED IN THE BOARD MINUTES. BASED ON COMPARABLE SALARY INFORMATION, THE CEO, CONTROLLER AND HR MANAGER REVIEW AND APPROVE THE COMPENSATION FOR THE OTHER OFFICERS OF THE ORGANIZATION. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY OTHERS 3,783. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. TEPEYAC QALICB INC 4725 HIGH STREET DENVER CO 80216 851563851 SUPPORT LA CLINICA TEPEYAC CO 501(C)(3) LINE 12C, III-FI LA CLINICA TEPEYAC 1 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 TEPEYAC QALICB INC C 81873 ACTUAL TEPEYAC QALICB INC K 333000 ACTUAL