CLINICA CAMPESINA FAMILY HEALTH SERVICES: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CLINICA CAMPESINA FAMILY HEALTH SERVICES (EIN 84-0743432)
- Tax period
- 2013-02-01 to 2014-01-31
- Filed
- 2014-09-03
- IRS object ID
- 201432469349300443
- Schema version
- 2013v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-09-03T13:21:28-05:00 | ReturnTs |
| Tax Period End | 2014-01-31 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10303 E DRY CREEK RD STE 400 | AddressLine1 |
| City | ENGLEWOOD | City |
| State | CO | State |
| ZIP Code | 80112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840743432 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICA CAMPESINA FAMILY HEALTH | BusinessNameLine1 |
| Business Name Line2 | SERVICES | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLIN | BusinessNameControlTxt |
| Phone | 3036504460 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1345 PLAZA COURT NORTH 1A | AddressLine1 |
| City | LAFAYETTE | City |
| State | CO | State |
| ZIP Code | 80026 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SIMON SMITH | PersonNm |
| Person Title | PRES, CEO | PersonTitleTxt |
| Phone | 3036504460 | PhoneNum |
| Signature | 2014-09-03 | 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 | 2014-09-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICA FAMILY HEALTH SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SIMON G SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1345 PLAZA COURT NORTH 1A | AddressLine1 |
| City | LAFAYETTE | City |
| State | CO | State |
| ZIP Code | 80026 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $36,172,757 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CLINICA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | TO BE THE MEDICAL AND DENTAL CARE PROVIDER OF CHOICE FOR LOW INCOME AND OTHER UNDERSERVED PEOPLE IN SOUTHEAST BOULDER, BROOMFIELD AND WEST ADAMS COUNTIES. CARE SHALL BE CULTURALLY APPROPRIATE AND PREVENTION FOCUSED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 517 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $16,328,812 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,091,658 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,767,485 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,858,986 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,954 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,641 | CYInvestmentIncomeAmt |
| PY Other Revenue | $35,927 | PYOtherRevenueAmt |
| CY Other Revenue | $218,472 | CYOtherRevenueAmt |
| PY Total Revenue | $35,138,178 | PYTotalRevenueAmt |
| CY Total Revenue | $36,172,757 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,020,585 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,370,843 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $176,149 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,992,154 | PYOtherExpensesAmt |
| CY Other Expenses | $9,983,977 | CYOtherExpensesAmt |
| PY Total Expenses | $33,012,739 | PYTotalExpensesAmt |
| CY Total Expenses | $36,354,820 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,125,439 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$182,063 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,178,035 | TotalAssetsBOYAmt |
| Total Assets EOY | $30,180,885 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,074,467 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,259,380 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $27,103,568 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,921,505 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO BE THE MEDICAL AND DENTAL CARE PROVIDER OF CHOICE FOR LOW INCOME AND OTHER UNDERSERVED PEOPLE IN SOUTHEAST BOULDER, BROOMFIELD AND WEST ADAMS COUNTIES. CARE SHALL BE CULTURALLY APPROPRIATE AND PREVENTION FOCUSED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $29,578,415 | ExpenseAmt |
| Revenue | $20,858,986 | RevenueAmt |
| Desc | FOR FY 2014, CLINICA PROVIDED 135,708 MEDICAL VISITS, 16,949 DENTAL VISITS, 18,045 BEHAVIORAL HEALTH VISITS, 1,970 REGISTERED DIETICIAN VISITS, AND 21,835 CASE MANAGEMENT VISITS. | Desc |
| Total Program Service Expenses | $29,578,415 | 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 | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | 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 | false | 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 | false | TaxExemptBondsInd |
| 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 | false | 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 | 122 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 517 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3036504460 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1345 PLAZA COURT NORTH | AddressLine1 |
| City | LAFAYETTE | City |
| State | CO | State |
| ZIP Code | 80026 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| GLADYS JOHNSON | ||||||||
| CHAIR-ELECT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE KREZEK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHERLYN MARRIOTT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MANDY M RIGG | ||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| NATALIE HANLON-LEH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARYANN KELLER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELEANOR MONTOUR | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LOIS LACROIX | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TOM MAYBERRY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL MORAN | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| W DOUGLAS JONES | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| INEZ BUGGS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELIZABETH SHAFFER | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PETER E LEIBIG | ||||||||
| CEO/PRES | 40.00 | Yes (X) | $191,933 | $0 | $10,341 | |||
| SEAN SAUNDERS | ||||||||
| SECRETARY/CF | 40.00 | Yes (X) | $137,840 | $0 | $9,222 | |||
| SIMON SMITH | ||||||||
| PRESIDENT/CE | 40.00 | Yes (X) | $98,865 | $0 | $9,327 | |||
| CAROLYN M SHEPHERD | ||||||||
| EXEC VP CLIN | 40.00 | $218,424 | $0 | $11,138 | Yes (X) | |||
| KAREN FUNK | ||||||||
| VP OF CLINIC | 40.00 | $180,294 | $0 | $8,192 | Yes (X) | |||
| COLLEEN KEPNER | ||||||||
| PHYSICIAN | 40.00 | $248,060 | $0 | $11,504 | Yes (X) | |||
| JESSICA KENERSON | ||||||||
| PHYSICIAN | 40.00 | $216,608 | $0 | $11,228 | Yes (X) | |||
| CHRISTOPHER J KEENAN | ||||||||
| PHYSICIAN | 40.00 | $212,241 | $0 | $9,527 | Yes (X) | |||
| EDWARD FARRELL | ||||||||
| PHYSICIAN | 40.00 | $182,196 | $0 | $11,029 | Yes (X) | |||
| CHRISTOPHER TODD | ||||||||
| PHYSICIAN | 40.00 | $168,690 | $0 | $10,779 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,855,151 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $102,287 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 44 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SULLIVAN (HENRY SCHEIN) | |||||
| DEPT CH 10241 | LOUISVILLE | IL | 60055 | MEDICAL SVC | $288,324 |
| QDI QUEST DIAGNOSTICS | |||||
| 4500 CHERRY CREEK DR S 600 | DENVER | CO | 80246 | LAB SERVICES | $189,002 |
| FAUROT CONSTRUCTION INC | |||||
| 281 LAKESHORE PARK RD | BOULDER | CO | 80302 | CONSTRUCTION | $177,843 |
| IPN | |||||
| 1913 S 88TH ST | LOUISVILLE | CO | 80027 | SOFT. MAIN. | $169,159 |
| CARDINAL HEALTH | |||||
| PO BOX 100316 | PASADENA | CA | 91189 | MED. SERVICES | $162,628 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $89,036 | FederatedCampaignsAmt |
| Government Grants | $12,949,164 | GovernmentGrantsAmt |
| All Other Contributions | $2,053,458 | AllOtherContributionsAmt |
| Noncash Contributions | $1,870,815 | NoncashContributionsAmt |
| Total Contributions | $15,091,658 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| MEDICARE/MEDICAID PAYMENTS | $14,052,109 | $14,052,109 |
| THIRD PARTY PAYERS | $3,545,735 | $3,545,735 |
| PATIENT FEES | $3,261,142 | $3,261,142 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,858,986 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,641 | TotalRevenueColumnAmt |
| Exclusion | $3,641 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| MISC | $122,238 | $122,238 |
| MEDICAID APPLICATIONS | $69,326 | $69,326 |
| HONORARIUM | $15,243 | $15,243 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,665 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,665 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $218,472 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,172,757 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,077,458 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,641 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,560,963 | TotalAmt |
| Program Services | $388,363 | ProgramServicesAmt |
| Management And General | $1,172,600 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,698,570 | TotalAmt |
| Program Services | $17,933,326 | ProgramServicesAmt |
| Management And General | $2,627,576 | ManagementAndGeneralAmt |
| Fundraising | $137,668 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $307,368 | TotalAmt |
| Program Services | $251,698 | ProgramServicesAmt |
| Management And General | $53,598 | ManagementAndGeneralAmt |
| Fundraising | $2,072 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,244,625 | TotalAmt |
| Program Services | $1,748,404 | ProgramServicesAmt |
| Management And General | $482,271 | ManagementAndGeneralAmt |
| Fundraising | $13,950 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,559,317 | TotalAmt |
| Program Services | $1,278,286 | ProgramServicesAmt |
| Management And General | $271,208 | ManagementAndGeneralAmt |
| Fundraising | $9,823 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,135 | TotalAmt |
| Program Services | $23,567 | ProgramServicesAmt |
| Management And General | $12,568 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,148 | TotalAmt |
| Management And General | $28,148 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,082 | TotalAmt |
| Program Services | $4,851 | ProgramServicesAmt |
| Management And General | $70,231 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,808 | TotalAmt |
| Management And General | $18,808 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $891,323 | TotalAmt |
| Program Services | $457,069 | ProgramServicesAmt |
| Management And General | $431,484 | ManagementAndGeneralAmt |
| Fundraising | $2,770 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,043 | TotalAmt |
| Program Services | $1,124 | ProgramServicesAmt |
| Management And General | $20,673 | ManagementAndGeneralAmt |
| Fundraising | $246 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $521,605 | TotalAmt |
| Program Services | $275,498 | ProgramServicesAmt |
| Management And General | $237,295 | ManagementAndGeneralAmt |
| Fundraising | $8,812 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $474,982 | TotalAmt |
| Program Services | $377,744 | ProgramServicesAmt |
| Management And General | $97,238 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,253,240 | TotalAmt |
| Program Services | $1,116,881 | ProgramServicesAmt |
| Management And General | $136,359 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,670 | TotalAmt |
| Program Services | $53,344 | ProgramServicesAmt |
| Management And General | $59,275 | ManagementAndGeneralAmt |
| Fundraising | $51 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,067 | TotalAmt |
| Program Services | $21,846 | ProgramServicesAmt |
| Management And General | $47,145 | ManagementAndGeneralAmt |
| Fundraising | $76 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $819,421 | TotalAmt |
| Program Services | $733,483 | ProgramServicesAmt |
| Management And General | $85,938 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,409 | TotalAmt |
| Program Services | $32,982 | ProgramServicesAmt |
| Management And General | $30,427 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PATIENT CARE EXPENSES | $4,563,657 | $4,559,141 | $4,516 | |
| DUES & SUBSCRIPTIONS | $557,091 | $90,248 | $466,843 | |
| TRAINING & RECRUITMENT | $414,720 | $167,984 | $246,055 | $681 |
| OTHER EXPENSES | $58,960 | $58,960 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,616 | TotalAmt |
| Program Services | $3,616 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,354,820 | TotalAmt |
| Program Services | $29,578,415 | ProgramServicesAmt |
| Management And General | $6,600,256 | ManagementAndGeneralAmt |
| Fundraising | $176,149 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,650 | BOYAmt |
| EOY | $7,050 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,913,214 | BOYAmt |
| EOY | $6,760,534 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $558,110 | BOYAmt |
| EOY | $542,036 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,556,934 | BOYAmt |
| EOY | $2,287,940 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,386 | BOYAmt |
| EOY | $47,218 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,033 | BOYAmt |
| EOY | $76,698 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,574,179 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,114,770 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,007,708 | BOYAmt |
| EOY | $20,459,409 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,178,035 | BOYAmt |
| EOY | $30,180,885 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,458,681 | BOYAmt |
| EOY | $893,509 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $20,521 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $867,125 | BOYAmt |
| EOY | $777,240 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,748,661 | BOYAmt |
| EOY | $1,568,110 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,074,467 | BOYAmt |
| EOY | $3,259,380 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,129,118 | BOYAmt |
| EOY | $26,468,434 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $974,450 | BOYAmt |
| EOY | $453,071 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,103,568 | BOYAmt |
| EOY | $26,921,505 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,178,035 | BOYAmt |
| EOY | $30,180,885 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$182,063 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | $14,016,456 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,287,462 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,868,113 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,328,812 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,091,658 | CurrentTaxYearAmt |
| Total | $76,592,501 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,016,456 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,287,462 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,868,113 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,328,812 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,091,658 | CurrentTaxYearAmt |
| Total | $76,592,501 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $76,592,501 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,658 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,127 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,831 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,954 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,641 | CurrentTaxYearAmt |
| Total | $46,211 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $968 | CurrentTaxYearMinus4YearsAmt |
| Total | $968 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,678 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,190 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,798 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,927 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $218,472 | CurrentTaxYearAmt |
| Total | $283,065 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $76,922,745 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $82,912,044 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99570 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99690 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part IV Form990ScheduleAPartIVGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | OTHER EXEMPT REVENUE 283,065 | 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
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $18,808 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $18,808 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $36,336,012 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $36,354,820 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $15,644 | CurrentYearMinus3Amt |
| Current Year Minus2 | $10,292 | CurrentYearMinus2Amt |
| Current Year Minus1 | $10,658 | CurrentYearMinus1Amt |
| Current Year | $18,808 | CurrentYearAmt |
| Total | $55,402 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,300,781 | OtherCostOrOtherBasisAmt |
| Book Value | $4,300,781 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,707,123 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,152,560 | DepreciationAmt |
| Book Value | $14,554,563 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,566,275 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,962,210 | DepreciationAmt |
| Book Value | $1,604,065 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,459,409 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PAYROLL LIABILITIES | $1,476,373 |
| CAPITAL LEASE | $44,503 |
| DEFERRED RENT LIABILITY | $25,724 |
| SOFTWARE PAYABLE | $21,510 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,568,110 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $36,172,757 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $36,172,757 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $36,172,757 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $36,354,820 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $36,354,820 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $36,354,820 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | 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 JANUARY 31, 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 EFFECT ON ITS TAX-EXEMPT STATUS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| PETER E LEIBIG | ||||
| CEO/PRES | $191,933 | $4,015 | $6,326 | $202,274 |
| CAROLYN M SHEPHERD | ||||
| EXEC VP CLINICAL AFF | $218,424 | $4,456 | $6,682 | $229,562 |
| KAREN FUNK | ||||
| VP OF CLINICAL SVCS | $180,294 | $3,741 | $4,451 | $188,486 |
| COLLEEN KEPNER | ||||
| PHYSICIAN | $248,060 | $4,964 | $6,540 | $259,564 |
| JESSICA KENERSON | ||||
| PHYSICIAN | $216,608 | $4,456 | $6,772 | $227,836 |
| CHRISTOPHER J KEENAN | ||||
| PHYSICIAN | $212,241 | $4,326 | $5,201 | $221,768 |
| EDWARD FARRELL | ||||
| PHYSICIAN | $182,196 | $3,868 | $7,161 | $193,225 |
| CHRISTOPHER TODD | ||||
| PHYSICIAN | $168,690 | $3,603 | $7,176 | $179,469 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 40988 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,704,093 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | SOFTWARE | 1 | $165,504 | FMV |
| Yes (X) | MISC | 1 | $1,218 | FMV |
| 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 | 40,988 IS THE NUMBER OF DOSES OF VACCINES FOR CHILDREN THAT WERE DONATED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE RETURN WILL BE RECONCILED WITH THE FINANCIAL STATEMENTS AND REVIEWED FOR COMPLETENESS. THE RETURN WILL BE PROVIDED TO AND REVIEWED BY THE FINANCE COMMITTEE. THE BOARD WILL BE PROVIDED WITH THE TAX RETURN BEFORE IT IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | "CONFLICT OF INTEREST" IS A STANDARD BOARD AGENDA ITEM, AND BOARD MEMBERS IDENTIFY POTENTIAL CONFLICTS OF INTEREST BASED ON THE MEETING'S AGENDA BEFORE THE BOARD BUSINESS COMMENCES. |
| FORM 990, PAGE 6, PART VI, LINE 15A | WE USE MARKET SALARY DATA FROM CCHN, MOUNTAIN STATES EMPLOYMENT AND AMERICAN MEDICAL ASSOCIATION TO DETERMINE COMPENSATION FOR ALL EMPLOYEES. A COMMITTEE FROM THE BOARD OF DIRECTORS DETERMINES THE SALARY FOR THE EXECUTIVE DIRECTOR, AFTER EVALUATING SALARY SURVEY DATA AND PERFORMANCE. |
| FORM 990, PAGE 6, PART VI, LINE 15B | WE USE MARKET SALARY DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND MEDICAL GROUP MANAGEMENT ASSOCIATION SALARY SURVEYS IN ADDITION TO COLORADO COMMUNITY HEALTH NETWORK AND MOUNTAIN STATES EMPLOYMENT COUNCIL TO DETERMINE COMPENSATION FOR ALL EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |