CLINICA CAMPESINA FAMILY HEALTH SERVICES: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CLINICA CAMPESINA FAMILY HEALTH SERVICES (EIN 84-0743432)
- Tax period
- 2012-02-01 to 2013-01-31
- Filed
- 2013-09-27
- IRS object ID
- 201312709349300146
- Schema version
- 2012v2.3
- 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) |
|---|---|---|
| Timestamp | 2013-09-27T16:09:47-05:00 | Timestamp |
| Tax Period End Date | 2013-01-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JDS PROFESSIONAL GROUP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-02-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840743432 | EIN |
Name Name
| 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) |
|---|---|---|
| Name Control | CLIN | NameControl |
| Phone | 3036504460 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PETER LEIBIG | Name |
| Title | PRES, CEO | Title |
| Phone | 3036504460 | Phone |
| Date Signed | 2013-09-25 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LORI B BAUER CPA | Name |
| Phone | 3037710123 | Phone |
| Date Prepared | 2013-09-27 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICA FAMILY HEALTH SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PETER E LEIBIG | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 35138178 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CLINICA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1977 | YearFormation |
| State Legal Domicile | CO | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 462 | TotalNbrEmployees |
| Total Nbr Volunteers | 19 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 14868113 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 16328812 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15444995 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 18767485 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 9831 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5954 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 12798 | OtherRevenuePriorYear |
| Other Revenue Current Year | 35927 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 30335737 | TotalRevenuePriorYear |
| Total Revenue Current Year | 35138178 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 20953093 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 23020585 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 164220 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9160261 | OtherExpensePriorYear |
| Other Expenses Current Year | 9992154 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 30113354 | TotalExpensesPriorYear |
| Total Expenses Current Year | 33012739 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 222383 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2125439 | RevenuesLessExpensesCY |
| Total Assets BOY | 28689218 | TotalAssetsBOY |
| Total Assets EOY | 31178035 | TotalAssetsEOY |
| Total Liabilities BOY | 3711089 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4074467 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 24978129 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 27103568 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 28199279 | Expense |
| Revenue | 18767485 | Revenue |
| Description | FOR FY 2013, CLINICA PROVIDED 147,238 MEDICAL VISITS, 14,171 DENTAL VISITS, 17,828 MENTAL HEALTH VISITS, 1,814 REGISTERED DIETICIAN VISITS, AND 24,192 CASE MANAGEMENT VISITS. | Description |
| Total Program Service Expense | 28199279 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 65 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 462 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CO | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3036504460 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| GLADYS JOHNSON | ||||||||
| CHAIR-ELECT | 1.00 | X | X | 0 | 0 | 0 | ||
| MICHELLE KREZEK | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| CHERLYN MARRIOTT | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MANDY M RIGG | ||||||||
| CHAIR | 1.50 | X | X | 0 | 0 | 0 | ||
| STEPHANIE ARENALES | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| NATALIE HANLON-LEH | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MARYANN KELLER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ELEANOR MONTOUR | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| LOIS LACROIX | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| TOM MAYBERRY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL MORAN | ||||||||
| TREASURER | 1.50 | X | X | 0 | 0 | 0 | ||
| CHRIS ENGEN | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| W DOUGLAS JONES | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| INEZ BUGGS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ELIZABETH SHAFFER | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| PETER E LEIBIG | ||||||||
| CEO/PRES | 40.00 | X | 172478 | 0 | 8906 | |||
| SEAN SAUNDERS | ||||||||
| SECRETARY/CF | 40.00 | X | 108654 | 0 | 1159 | |||
| CAROLYN M SHEPHERD | ||||||||
| EXEC VP CLIN | 40.00 | 200322 | 0 | 9406 | X | |||
| COLLEEN KEPNER | ||||||||
| PHYSICIAN | 40.00 | 220344 | 0 | 9728 | X | |||
| CHRISTOPHER J KEENAN | ||||||||
| PHYSICIAN | 40.00 | 197102 | 0 | 5102 | X | |||
| AMY RUSSELL | ||||||||
| VP CLINICAL | 40.00 | 190383 | 0 | 9631 | X | |||
| EDWARD FARRELL | ||||||||
| PHYSICIAN | 40.00 | 174960 | 0 | 6180 | X | |||
| MICHELLE DRURY | ||||||||
| PHYSICIAN | 40.00 | 161619 | 0 | 9098 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1425862 | TotalReportableCompFromOrg |
| Total Other Compensation | 59210 | TotalOtherCompensation |
| Number Individuals GT100 K | 37 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| FAUROT CONSTRUCTION INC | |||||
| 281 LAKESHORE PARK RD | BOULDER | CO | 80302 | CONSTRUCTION | 1618424 |
| KAISER PERMANENTE | |||||
| PO BOX 711697 | DENVER | CO | 80271 | MEDICAL SVC | 1255934 |
| QDI QUEST DIAGNOSTICS | |||||
| 4500 CHERRY CREEK DR S 600 | DENVER | CO | 80246 | LAB SERVICES | 392998 |
| SULLIVAN (HENRY SCHEIN) | |||||
| DEPT CH 10241 | LOUISVILLE | IL | 60055 | MEDICAL SVC | 312176 |
| CARDINAL HEALTH | |||||
| PO BOX 100316 | PASADENA | CA | 91189 | MED. SERVICES | 183035 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| Federated Campaigns | 88622 | FederatedCampaigns |
| Government Grants | 15200980 | GovernmentGrants |
| All Other Contributions | 1039210 | AllOtherContributions |
| Noncash Contributions | 2019362 | NoncashContributions |
| Total Contributions | 16328812 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| MEDICARE/MEDICAID PAYMENTS | 15214468 | 15214468 |
| THIRD PARTY PAYERS | 1789650 | 1789650 |
| PATIENT FEES | 1763367 | 1763367 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 18767485 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5954 | TotalRevenueColumn |
| Exclusion | $5,954 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| HONORARIUM | 17893 | 17893 |
| MEDICAL RECORDS | 11176 | 11176 |
| MISC | 6858 | 6858 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 35927 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35138178 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18803412 | RelatedOrExemptFunctionIncome |
| Exclusion | $5,954 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 870012 | Total |
| Program Services | 141656 | ProgramServices |
| Management And General | 728356 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18434675 | Total |
| Program Services | 16144651 | ProgramServices |
| Management And General | 2163704 | ManagementAndGeneral |
| Fundraising | 126320 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 259487 | Total |
| Program Services | 226532 | ProgramServices |
| Management And General | 30605 | ManagementAndGeneral |
| Fundraising | 2350 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1986060 | Total |
| Program Services | 1678631 | ProgramServices |
| Management And General | 293013 | ManagementAndGeneral |
| Fundraising | 14416 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1470351 | Total |
| Program Services | 1230557 | ProgramServices |
| Management And General | 230015 | ManagementAndGeneral |
| Fundraising | 9779 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33838 | Total |
| Program Services | 25172 | ProgramServices |
| Management And General | 8666 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2508 | Total |
| Management And General | 2508 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66503 | Total |
| Management And General | 66503 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10658 | Total |
| Program Services | 10658 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 667683 | Total |
| Program Services | 270905 | ProgramServices |
| Management And General | 396778 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1736 | Total |
| Program Services | 100 | ProgramServices |
| Fundraising | 1636 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 323743 | Total |
| Program Services | 232565 | ProgramServices |
| Management And General | 85512 | ManagementAndGeneral |
| Fundraising | 5666 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 811864 | Total |
| Program Services | 757207 | ProgramServices |
| Management And General | 54657 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1006954 | Total |
| Program Services | 887190 | ProgramServices |
| Management And General | 119764 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 278623 | Total |
| Program Services | 199176 | ProgramServices |
| Management And General | 78979 | ManagementAndGeneral |
| Fundraising | 468 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33781 | Total |
| Program Services | 18590 | ProgramServices |
| Management And General | 11625 | ManagementAndGeneral |
| Fundraising | 3566 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1330227 | Total |
| Program Services | 1260668 | ProgramServices |
| Management And General | 69559 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PATIENT CARE EXPENSES | 4902380 | 4902380 | ||
| TRAINING & RECRUITMENT | 210078 | 128842 | 81217 | 19 |
| DUES & SUBSCRIPTIONS | 166807 | 83799 | 83008 | |
| OTHER EXPENSES | 144771 | 144771 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33012739 | Total |
| Program Services | 28199279 | ProgramServices |
| Management And General | 4649240 | ManagementAndGeneral |
| Fundraising | 164220 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6650 | BOY |
| EOY | 6650 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7727570 | BOY |
| EOY | 8913214 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1457132 | BOY |
| EOY | 558110 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1381067 | BOY |
| EOY | 1556934 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37295 | BOY |
| EOY | 45386 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 275368 | BOY |
| EOY | 90033 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 25299441 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5291733 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17804136 | BOY |
| EOY | 20007708 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28689218 | BOY |
| EOY | 31178035 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 941404 | BOY |
| EOY | 1458681 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8250 | BOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 996570 | BOY |
| EOY | 867125 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1764865 | BOY |
| EOY | 1748661 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3711089 | BOY |
| EOY | 4074467 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23612854 | BOY |
| EOY | 26129118 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1365275 | BOY |
| EOY | 974450 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24978129 | BOY |
| EOY | 27103568 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28689218 | BOY |
| EOY | 31178035 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2125439 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15248588 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14016456 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16287462 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14868113 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16328812 | CurrentTaxYear |
| Total | 76749431 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15248588 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14016456 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16287462 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14868113 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16328812 | CurrentTaxYear |
| Total | 76749431 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 76749431 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 108127 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11658 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 15127 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9831 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5954 | CurrentTaxYear |
| Total | 150697 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 968 | CurrentTaxYearMinus3Years |
| Total | 968 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 21466 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12678 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3190 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12798 | CurrentTaxYearMinus1Year |
| Current Tax Year | 35927 | CurrentTaxYear |
| Total | 86059 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 76987155 | TotalSupport |
| Gross Receipts From Admissions Etc | 73104547 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99690 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99440 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 10658 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 10658 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 33002081 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 33012739 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 5475 | CurrentYearMinus3 |
| Current Year Minus2 | 15644 | CurrentYearMinus2 |
| Current Year Minus1 | 10292 | CurrentYearMinus1 |
| Current Year | 10658 | CurrentYear |
| Total | 42069 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4300781 | OtherCostOrOtherBasis |
| Book Value | 4300781 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17217623 | OtherCostOrOtherBasis |
| Depreciation | 2703490 | Depreciation |
| Book Value | 14514133 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3781037 | OtherCostOrOtherBasis |
| Depreciation | 2588243 | Depreciation |
| Book Value | 1192794 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 20007708 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PAYROLL LIABILITIES | $1,730,350 |
| DEFERRED RENT LIABILITY | $18,311 |
| LINE OF CREDIT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1748661 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 35138178 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 35138178 | RevenueSubtotal |
| Total Revenue Per Form990 | 35138178 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 33012739 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 33012739 | ExpensesSubtotal |
| Total Expenses Per Form990 | 33012739 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LIABILITY UNDER FIN 48 FOOTNOTE | Identifier |
| Return Reference | SCHEDULE D, PAGE 3, PART X | ReturnReference |
| 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, 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|
| PETER E LEIBIG | ||||
| CEOPRES | 172478 | 3228 | 5678 | 181384 |
| CAROLYN M SHEPHERD | ||||
| EXEC VP CLINICAL AFF | 200322 | 3703 | 5703 | 209728 |
| COLLEEN KEPNER | ||||
| PHYSICIAN | 220344 | 3977 | 5751 | 230072 |
| CHRISTOPHER J KEENAN | ||||
| PHYSICIAN | 197102 | 3574 | 1528 | 202204 |
| AMY RUSSELL | ||||
| VP CLINICAL AFFAIRS | 190383 | 3523 | 6108 | 200014 |
| EDWARD FARRELL | ||||
| PHYSICIAN | 174960 | 3164 | 3016 | 181140 |
| MICHELLE DRURY | ||||
| PHYSICIAN | 161619 | 2990 | 6108 | 170717 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 45500 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1841863 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | SOFTWARE MAINT. | 1 | 165504 | FMV |
| X | MISC | 1 | 11995 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | SCHEDULE M, PAGE 2, PART II | ReturnReference |
| Explanation | 45,500 IS THE NUMBER OF DOSES OF VACCINES FOR CHILDREN THAT WERE DONATED. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | 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. |
| ENFORCEMENT OF CONFLICTS POLICY | 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. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | 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. |
| COMPENSATION PROCESS FOR OFFICERS | 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. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | 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. |