2013-09-27T16:09:47-05:00 2013-01-31 JDS PROFESSIONAL GROUP 10303 E DRY CREEK RD STE 400 ENGLEWOOD CO 80112 990 2012-02-01 840743432 CLINICA CAMPESINA FAMILY HEALTH SERVICES CLIN 3036504460 1345 PLAZA COURT NORTH 1A LAFAYETTE CO 80026 PETER LEIBIG 3036504460 2013-09-25 true LORI B BAUER CPA 3037710123 2013-09-27 2012 2016-02-25 16:41:14Z CLINICA FAMILY HEALTH SERVICES PETER E LEIBIG 1345 PLAZA COURT NORTH 1A LAFAYETTE CO 80026 35138178 false X WWW.CLINICA.ORG X 1977 CO 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. 11 11 462 19 0 14868113 16328812 15444995 18767485 9831 5954 12798 35927 30335737 35138178 0 0 20953093 23020585 0 164220 9160261 9992154 30113354 33012739 222383 2125439 28689218 31178035 3711089 4074467 24978129 27103568 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. false false 28199279 18767485 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. 28199279 true true false true false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 65 0 true 462 true false false false false false true true false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false CO X THE ORGANIZATION 3036504460 1345 PLAZA COURT NORTH LAFAYETTE CO 80026 GLADYS JOHNSON 1.00 X X 0 0 0 MICHELLE KREZEK 1.00 X 0 0 0 CHERLYN MARRIOTT 1.00 X 0 0 0 MANDY M RIGG 1.50 X X 0 0 0 STEPHANIE ARENALES 1.00 X 0 0 0 NATALIE HANLON-LEH 1.00 X 0 0 0 MARYANN KELLER 1.00 X 0 0 0 ELEANOR MONTOUR 1.00 X 0 0 0 LOIS LACROIX 1.00 X 0 0 0 TOM MAYBERRY 1.00 X 0 0 0 MICHAEL MORAN 1.50 X X 0 0 0 CHRIS ENGEN 1.00 X 0 0 0 W DOUGLAS JONES 1.00 X 0 0 0 INEZ BUGGS 1.00 X 0 0 0 ELIZABETH SHAFFER 1.00 X X 0 0 0 PETER E LEIBIG 40.00 X 172478 0 8906 SEAN SAUNDERS 40.00 X 108654 0 1159 CAROLYN M SHEPHERD 40.00 X 200322 0 9406 COLLEEN KEPNER 40.00 X 220344 0 9728 CHRISTOPHER J KEENAN 40.00 X 197102 0 5102 AMY RUSSELL 40.00 X 190383 0 9631 EDWARD FARRELL 40.00 X 174960 0 6180 MICHELLE DRURY 40.00 X 161619 0 9098 1425862 59210 37 false true false 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 9 88622 15200980 1039210 2019362 16328812 MEDICARE/MEDICAID PAYMENTS 15214468 15214468 THIRD PARTY PAYERS 1789650 1789650 PATIENT FEES 1763367 1763367 18767485 5954 5954 HONORARIUM 17893 17893 MEDICAL RECORDS 11176 11176 MISC 6858 6858 35927 35138178 18803412 5954 870012 141656 728356 18434675 16144651 2163704 126320 259487 226532 30605 2350 1986060 1678631 293013 14416 1470351 1230557 230015 9779 33838 25172 8666 2508 2508 66503 66503 10658 10658 667683 270905 396778 1736 100 1636 323743 232565 85512 5666 811864 757207 54657 1006954 887190 119764 278623 199176 78979 468 33781 18590 11625 3566 1330227 1260668 69559 PATIENT CARE EXPENSES 4902380 4902380 TRAINING & RECRUITMENT 210078 128842 81217 19 DUES & SUBSCRIPTIONS 166807 83799 83008 OTHER EXPENSES 144771 144771 33012739 28199279 4649240 164220 6650 6650 7727570 8913214 1457132 558110 1381067 1556934 37295 45386 275368 90033 25299441 5291733 17804136 20007708 28689218 31178035 941404 1458681 8250 996570 867125 1764865 1748661 3711089 4074467 X 23612854 26129118 1365275 974450 24978129 27103568 28689218 31178035 2125439 X false true X true true true X 15248588 14016456 16287462 14868113 16328812 76749431 15248588 14016456 16287462 14868113 16328812 76749431 76749431 108127 11658 15127 9831 5954 150697 968 968 21466 12678 3190 12798 35927 86059 76987155 73104547 0.99690 0.99440 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10658 10658 33002081 33012739 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 5475 15644 10292 10658 42069 250000 250000 250000 250000 1000000 1500000 4300781 4300781 17217623 2703490 14514133 3781037 2588243 1192794 20007708 ACCRUED PAYROLL LIABILITIES 1730350 DEFERRED RENT LIABILITY 18311 LINE OF CREDIT 1748661 X 35138178 35138178 35138178 33012739 33012739 33012739 LIABILITY 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 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. X X X false false false false false false false false false PETER E LEIBIG 172478 3228 5678 181384 CAROLYN M SHEPHERD 200322 3703 5703 209728 COLLEEN KEPNER 220344 3977 5751 230072 CHRISTOPHER J KEENAN 197102 3574 1528 202204 AMY RUSSELL 190383 3523 6108 200014 EDWARD FARRELL 174960 3164 3016 181140 MICHELLE DRURY 161619 2990 6108 170717 X 45500 1841863 FMV X SOFTWARE MAINT. 1 165504 FMV X MISC 1 11995 FMV false true false SUPPLEMENTAL INFORMATION SCHEDULE M, PAGE 2, PART II 45,500 IS THE NUMBER OF DOSES OF VACCINES FOR CHILDREN THAT WERE DONATED. 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.