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MOUNTAIN FAMILY HEALTH CENTERS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MOUNTAIN FAMILY HEALTH CENTERS (EIN 84-0742145)
Tax period
2012-06-01 to 2013-05-31
Filed
2014-04-02
IRS object ID
201400929349300830
Schema version
2012v2.1
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)
Timestamp2014-04-02T17:20:58-05:00Timestamp
Tax Period End Date2013-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1370 INTERLOCKEN BLVD SUITE 500AddressLine1
CityBROOMFIELDCity
StateCOState
ZIP Code80021ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840742145EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOUNTAIN FAMILY HEALTH CENTERSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOUNNameControl
Phone9709452840Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11905 BLAKE ST NO 101AddressLine1
CityGLENWOOD SPRINGSCity
StateCOState
ZIP Code81601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROSS BROOKSName
TitleEXECUTIVE DIRECTORTitle
Phone9709452840Phone
Date Signed2014-03-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameV E SHOUP CPAName
PTINP00220967PTIN
Phone3034668822Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROSS BROOKSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11905 BLAKE ST SUITE 101AddressLine1
CityGLENWOOD SPRINGSCity
StateCOState
ZIP Code81601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7906757GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MOUNTAINFAMILY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH QUALITY PRIMARY HEALTH, DENTAL, AND BEHAVIORAL HEALTH CARE IN THE COMMUNITIES WE SERVE, WITH SPECIAL CONSIDERATION FOR THE MEDICALLY UNDER-SERVED AND UNINSURED.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees112TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3259682ContributionsGrantsPriorYear
Contributions Grants Current Year3344012ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4550535ProgramServiceRevenuePriorYear
Program Service Revenue CY4495459ProgramServiceRevenueCY
Investment Income Prior Year2170InvestmentIncomePriorYear
Investment Income Current Year1136InvestmentIncomeCurrentYear
Other Revenue Prior Year15532OtherRevenuePriorYear
Other Revenue Current Year66150OtherRevenueCurrentYear
Total Revenue Prior Year7827919TotalRevenuePriorYear
Total Revenue Current Year7906757TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5002414SalariesEtcPriorYear
Salaries Etc Current Year5505768SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2900988OtherExpensePriorYear
Other Expenses Current Year2821833OtherExpensesCurrentYear
Total Expenses Prior Year7903402TotalExpensesPriorYear
Total Expenses Current Year8327601TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-75483RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-420844RevenuesLessExpensesCY
Total Assets BOY5194228TotalAssetsBOY
Total Assets EOY4804228TotalAssetsEOY
Total Liabilities BOY581567TotalLiabilitiesBOY
Total Liabilities EOY612466TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4612661NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4191762NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HIGH QUALITY, INTEGRATED PRIMARY, BEHAVIORAL AND DENTAL HEALTH CARE IN THE COMMUNITIES WE SERVE, WITH SPECIAL CONSIDERATION FOR THE MEDICALLY UNDER-SERVED AND UNINSURED REGARDLESS OF ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6468440Expense
Grants0Grants
Revenue4561609Revenue
DescriptionPRIMARY CARE SERVICES - FOUR CLINICS PROVIDE OUTPATIENT MEDICAL TREATMENT FOR THE GENERAL PUBLIC, INCLUDING LOW-COST AND DONATED SERVICES FOR LOW INCOME AND INDIGENT PERSONS. THE CLINICS ARE PARTIALLY FUNDED BY AN OPERATING GRANT FROM THE US DEPT OF HEALTH AND HUMAN SERVICES. FOR THE FISCAL YEAR, 13,395 PATIENTS SERVED WITH 43,145 BILLABLE ENCOUNTERS.Description
Total Program Service Expense6468440TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109633NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees112NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCOStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest
Other Explain In Sch OXOtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ANNETTE FRANTABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9709452840TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11905 BLAKE ST NO 101AddressLine1
CityGLENWOOD SPRINGSCity
StateCOState
ZIP Code81601ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOANN SORENSEN
PRESIDENT2.00XX000
JEROME EVANS
VICE-PRESIDENT2.00XX000
THOMAS BOAS
SECRETARY2.00XX000
JOHN W BARBEE
DIRECTOR2.00X000
LIZ STARK
DIRECTOR2.00X000
KEN FRIEDMAN
DIRECTOR2.00X000
TOM LAMBRECHT
DIRECTOR2.00X000
SANDRO TORRES
DIRECTOR2.00X000
RACHEL OYS
DIRECTOR2.00X000
CHRIS TONOZZI
PHYSICIAN, HIT DIRECTOR40.00176510010432X
AMY BROWN
PHYSICIAN40.0016272709957X
KEN DAVIS
MEDICAL DIRECTOR40.00104385020488X
GARRY MILLARD
DENTAL DIRECTOR40.00127090022940X
FieldValueIRS element (for citing)
Total Reportable Comp From Org570712TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation63817TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HENRY SCHIEN
DEPT CH 10241PALATINEIL60055MEDICAL SUPPLIES195474
CCMCN
600 GRANT STREETDENVERCO80203INFORMATION TECHNOLOGY SERVICES170960
LABORATORY CORPORATION OF AMERICA
PO BOX 2240BURLINGTONNC27216LAB SERVICES124679
QUALITY SYSTEMS INC
18111 VON KARMANIRVINECA92612HIT SOFTWARE AND SUPPORT115305
ITENTIVE CORPORATION
1700 E HIGGINS RD 650DES PLAINESIL60018INFORMATION TECHNOLOGY SERVICES102500
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants2346200GovernmentGrants
All Other Contributions997812AllOtherContributions
Noncash Contributions433635NoncashContributions
Total Contributions3344012TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621400BusinessCode
Total Revenue Column4495459TotalRevenueColumn
Related Or Exempt Function Income4495459RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4495459TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1136TotalRevenueColumn
Exclusion$1,136ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code621400BusinessCode
Total Revenue Column66150TotalRevenueColumn
Related Or Exempt Function Income66150RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue66150TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7906757TotalRevenueColumn
Related Or Exempt Function Income4561609RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,136ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total794764Total
Program Services382801ProgramServices
Management And General411963ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3738588Total
Program Services3270381ProgramServices
Management And General468207ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total972416Total
Program Services797843ProgramServices
Management And General174573ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15415Total
Program Services11580ProgramServices
Management And General3835ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20132Total
Program Services15124ProgramServices
Management And General5008ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total227922Total
Program Services171218ProgramServices
Management And General56704ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total75598Total
Program Services72458ProgramServices
Management And General3140ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total861236Total
Program Services849725ProgramServices
Management And General11511ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total170203Total
Program Services89867ProgramServices
Management And General80336ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total68140Total
Program Services16788ProgramServices
Management And General51352ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total246242Total
Program Services166310ProgramServices
Management And General79932ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total12500Total
Management And General12500ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES777415403028374387
REPAIRS AND MAINTENANCE12711711151015607
TELEPHONE1128736349049383
DUES AND SUBSCRIPTION56497471351784

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total50543Total
Program Services41604ProgramServices
Management And General8939ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8327601Total
Program Services6468440ProgramServices
Management And General1859161ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY31953BOY
EOY764802EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY824416BOY
EOY60309EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY843489BOY
EOY660845EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY549744BOY
EOY538675EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14861BOY
EOY20133EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3707116LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec970217LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2924087BOY
EOY2736899EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5678BOY
EOY22565EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5194228BOY
EOY4804228EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY537716BOY
EOY553200EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY43851BOY
EOY59249EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY17EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY581567BOY
EOY612466EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3811765BOY
EOY4048055EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY800896BOY
EOY143707EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4612661BOY
EOY4191762EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5194228BOY
EOY4804228EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-420844ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-55ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3361310CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4108891CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3966035CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3259682CurrentTaxYearMinus1Year
Current Tax Year3211868CurrentTaxYear
Total17907786Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3361310CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4108891CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3966035CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3259682CurrentTaxYearMinus1Year
Current Tax Year3211868CurrentTaxYear
Total17907786Total
FieldValueIRS element (for citing)
Public Support Total17017907786PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16160CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16426CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47706CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5057CurrentTaxYearMinus1Year
Current Tax Year1136CurrentTaxYear
Total86485Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13196CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8250CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15001CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15532CurrentTaxYearMinus1Year
Current Tax Year66150CurrentTaxYear
Total118129Total
FieldValueIRS element (for citing)
Total Support18112400TotalSupport
Gross Receipts From Admissions Etc16456564GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98870PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98700PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2508861OtherCostOrOtherBasis
Depreciation234539Depreciation
Book Value2274322BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis82815OtherCostOrOtherBasis
Depreciation46484Depreciation
Book Value36331BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis890396OtherCostOrOtherBasis
Depreciation572049Depreciation
Book Value318347BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis225044OtherCostOrOtherBasis
Depreciation117145Depreciation
Book Value107899BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2736899TotalOfBookValueLandBuildings
Federal Income Tax Liability17FederalIncomeTaxLiability
Total Of Amounts17TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt8213743TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-55NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities307041DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990306986RevenueNotRptdF990
Revenue Subtotal7906757RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9907906757TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8634642TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities307041DonatedServicesUseOfFacilities
Expenses Not Rptd F990307041ExpensesNotRptdF990
Expenses Subtotal8327601ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908327601TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
ExplanationLIABILITY UNDER FIN 48 FOOTNOTE: SCHEDULE D, PAGE 3, PART X, THE ORGANIZATION FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ACCOUNTING STANDARD WHICH REQUIRES THE ORGANIZATION 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 MAY 31, 2013,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 EFFECT ON ITS TAX-EXEMPT STATUS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHRIS TONOZZI
PHYSICIAN, HIT DIRECTOR1765100000000104320186942000
AMY BROWN
PHYSICIAN162727000000099570172684000
GARRY MILLARD
DENTAL DIRECTOR1270900000000229400150030000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions6456NumberOfContributions
Noncash Contribs Rptd F990433635NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE BOD WILL BE GIVEN A COPY WITH A SUMMARY STATEMENT BY MANAGEMENT FOR REVIEW AND APPROVAL BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CPOTENTIAL CONFLICTS ARE REVIEWED ANNUALLY WITH THE BOD VIA FORMAL SURVEY PROCESS, DISCLOSED MONTHLY AT EACH BOD MEETING, AND INDIVIDUALLY WITH EACH NEW MEMBER AS THEY COME ON BOARD.
FORM 990, PART VI, SECTION B, LINE 15EVERY TWO YEARS SALARY SURVEY INFORMATION FROM MOUNTAIN STATES EMPLOYERS COUNCIL AND NACHC/CCHN TO DETERMINE COMPENSATION OF TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 18UPON REQUEST AND VIA STATE OF COLORADO WEBSITE
FORM 990, PART VI, SECTION C, LINE 19MADE AVAILABLE UPON REQUEST.