METRO COMMUNITY PROVIDER NETWORK INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- METRO COMMUNITY PROVIDER NETWORK INC (EIN 74-2477108)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-29
- IRS object ID
- 201343029349300919
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-29T15:33:22-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | 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 | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742477108 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METRO COMMUNITY PROVIDER NETWORK | BusinessNameLine1 |
| Business Name Line2 | INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | METR | NameControl |
| Phone | 3037611977 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3701 S BROADWAY | AddressLine1 |
| City | ENGLEWOOD | City |
| State | CO | State |
| ZIP Code | 80113 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID MYERS | Name |
| Title | PRES. & CEO | Title |
| Phone | 3037611977 | Phone |
| Date Signed | 2013-10-29 | 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 | 2013-10-29 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID MYERS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3701 S BROADWAY | AddressLine1 |
| City | ENGLEWOOD | City |
| State | CO | State |
| ZIP Code | 80113 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 34984079 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | MCPN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1987 | YearFormation |
| State Legal Domicile | CO | StateLegalDomicile |
| Activity Or Mission Description | THE METRO COMMUNITY PROVIDER NETWORK IS THE SAFETY NET FOR MEDICAL, DENTAL, MENTAL HEALTH AND COMMUNITY-BASED SERVICES TO ALMOST 40,000 INDIVIDUALS LIVING AT OR CLOSE TO POVERTY IN SUBURBAN DENVER. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 366 | TotalNbrEmployees |
| Total Nbr Volunteers | 18 | TotalNbrVolunteers |
| Total Gross UBI | -11595 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -11595 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 19858184 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 21572879 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 11297040 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 13041420 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 22827 | InvestmentIncomePriorYear |
| Investment Income Current Year | 87972 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 12945 | OtherRevenuePriorYear |
| Other Revenue Current Year | 23032 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 31190996 | TotalRevenuePriorYear |
| Total Revenue Current Year | 34725303 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16797922 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 16951831 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 247743 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 11533605 | OtherExpensePriorYear |
| Other Expenses Current Year | 11832789 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 28331527 | TotalExpensesPriorYear |
| Total Expenses Current Year | 28784620 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2859469 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5940683 | RevenuesLessExpensesCY |
| Total Assets BOY | 26204383 | TotalAssetsBOY |
| Total Assets EOY | 34687226 | TotalAssetsEOY |
| Total Liabilities BOY | 11080830 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 13526121 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15123553 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 21161105 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE METRO COMMUNITY PROVIDER NETWORK IS THE SAFETY NET FOR MEDICAL, DENTAL, MENTAL HEALTH AND COMMUNITY-BASED SERVICES TO ALMOST 40,000 INDIVIDUALS LIVING AT OR CLOSE TO POVERTY IN SUBURBAN DENVER. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 24005663 | Expense |
| Revenue | 13041420 | Revenue |
| Description | 1. MEDICAL ACCESS AND CARE TO THE UNDERSERVED: MCPN PROVIDES MEDICAL ACCESS AND CARE TO THE MEDICALLY UNDERSERVED, INCLUDING THE HOMELESS POPULATION, LIVING IN ARAPAHOE, JEFFERSON, ADAMS, AND PARK COUNTIES. THESE SERVICES INCLUDE IMMUNIZATIONS TO CHILDREN, WELL CHILD CARE TO CHILDREN, WELL WOMEN CARE TO WOMEN, PRENATAL CARE TO WOMEN AND FAMILIES, DIABETIC CARE TO ADULTS, AND CARDIO-VASCULAR DISEASE MANAGEMENT TO ADULTS. 2. DENTAL CARE FOR THE UNDERSERVED: DENTAL CARE IS ONE OF THE MOST NEGLECTED COMPONENTS OF HEALTH CARE AND IS ONE OF THE MOST NEEDED SERVICES FOR MCPN PATIENTS. MCPN'S PROGRAM SPECIALIZES IN PEDIATRIC CARE INCLUDING THE RELIEF OF PAIN AND DENTAL HYGIENE / WELL CARE FOR ON-GOING DENTAL HEALTH. 3. COMMUNITY SERVICE PROGRAMS: AS A COMMUNITY HEALTH CENTER, MCPN IS COMMITTED TO THE DEVELOPMENT OF COMMUNITY-BASED PROGRAMS WHICH ENHANCE THE QUALITY OF HEALTH AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. TO THAT END, WE HAVE LAUNCHED A NUMBER OF COMMUNITY SERVICE PROGRAMS. SOME EXAMPLES ARE HOMELESS OUTREACH AND INTERVENTION SERVICES, PARENTING AND CHILD-REARING PROGRAMS, ADOLESCENT SERVICES, AND WORKFORCE DEVELOPMENT PROGRAMS. | Description |
| Total Program Service Expense | 24005663 | 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 | true | 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 | true | 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 | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| 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 | true | 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 | 63 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 366 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| 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 | false | QuidProQuoContributions |
| 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 | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THE ORGANIZATION | NamePerson |
| Telephone Number | 3037611977 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3701 S BROADWAY | AddressLine1 |
| City | ENGLEWOOD | City |
| State | CO | State |
| ZIP Code | 80113 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JEAN SISNEROS | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| BARBARA SHANNON-BANISTER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| SCOTT SHIELDS | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| FRANK TAYLOR | ||||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | X | ||
| GEORGE ROMERO | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JANIS DEBACA | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| LYNN RAMEY | ||||||||
| VICE CHAIR | 2.00 | X | 0 | 0 | 0 | X | ||
| MARION WALLS | ||||||||
| CHAIR | 2.00 | X | 0 | 0 | 0 | X | ||
| MICHAEL KENNEY | ||||||||
| TREASURER | 2.00 | X | 0 | 0 | 0 | X | ||
| WALLY WESENER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DAVID MYERS | ||||||||
| PRESIDENT/CE | 40.00 | 184633 | 0 | 33234 | X | |||
| BARRY MARTIN | ||||||||
| VP CLINICAL | 40.00 | 184057 | 0 | 33130 | X | |||
| JOHN KUENNING | ||||||||
| VP FINANCE/O | 40.00 | 151761 | 0 | 27317 | X | |||
| PATRICK TELLEZ | ||||||||
| MEDICAL DIRE | 40.00 | 170901 | 0 | 30762 | X | |||
| MARY VRABEC | ||||||||
| PHYSICIAN | 40.00 | 160793 | 0 | 28943 | X | |||
| BIPIN KUMAR | ||||||||
| PHYSICIAN | 40.00 | 156022 | 0 | 28084 | X | |||
| CONSTANTINE A GEORGIADIS | ||||||||
| PHYSICIAN | 40.00 | 154299 | 0 | 27774 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1162466 | TotalReportableCompFromOrg |
| Total Other Compensation | 209244 | TotalOtherCompensation |
| Number Individuals GT100 K | 19 | 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 |
|---|---|---|---|---|---|
| ADOLFSON & PETERSON | |||||
| 797 VENTURA ST | AURORA | CO | 80011 | CONSTRUCTION | 4225730 |
| QUEST DIAGNOSTICS INC | |||||
| PO BOX 9050 | DENVER | CO | 80209 | LAB SERVICES | 1053187 |
| CYRACOM | |||||
| 5780 N SWAN RD | TUCSON | AZ | 85718 | TRANSLATION | 179800 |
| TECHNICAL MOMENTUM LLC | |||||
| 5197 S VERSAILLES ST | AURORA | CO | 80015 | COMPUTER SERV | 160207 |
| PROSCAN READING SERVICES | |||||
| 4440 GLEN ESTE WITHAMSVILLE RD | CINCINNATI | OH | 45245 | ULTRASOUND RAD. | 151198 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Government Grants | 18754588 | GovernmentGrants |
| All Other Contributions | 2818291 | AllOtherContributions |
| Noncash Contributions | 2646132 | NoncashContributions |
| Total Contributions | 21572879 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAL SERVICES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 13041420 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13041420 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 13041420 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 87972 | TotalRevenueColumn |
| Exclusion | $87,972 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 47205 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 58800 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -11595 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -11595 | TotalRevenueColumn |
| Unrelated Business Revenue | -11595 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 224064 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 199976 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24088 | TotalRevenueColumn |
| Exclusion | $24,088 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISC INSURANCE & DISCOUNTS | Description |
| Total Revenue Column | 10539 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10539 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 10539 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34725303 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13051959 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -11595 | UnrelatedBusinessRevenue |
| Exclusion | $112,060 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 614132 | Total |
| Program Services | 513092 | ProgramServices |
| Management And General | 95959 | ManagementAndGeneral |
| Fundraising | 5081 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13050479 | Total |
| Program Services | 10871145 | ProgramServices |
| Management And General | 2067976 | ManagementAndGeneral |
| Fundraising | 111358 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 341329 | Total |
| Program Services | 269395 | ProgramServices |
| Management And General | 69408 | ManagementAndGeneral |
| Fundraising | 2526 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1883208 | Total |
| Program Services | 1599189 | ProgramServices |
| Management And General | 271159 | ManagementAndGeneral |
| Fundraising | 12860 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1062683 | Total |
| Program Services | 893327 | ProgramServices |
| Management And General | 159987 | ManagementAndGeneral |
| Fundraising | 9369 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180936 | Total |
| Management And General | 175936 | ManagementAndGeneral |
| Fundraising | 5000 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1670662 | Total |
| Program Services | 1442321 | ProgramServices |
| Management And General | 195196 | ManagementAndGeneral |
| Fundraising | 33145 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 406437 | Total |
| Program Services | 332968 | ProgramServices |
| Management And General | 73469 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189599 | Total |
| Program Services | 85549 | ProgramServices |
| Management And General | 90404 | ManagementAndGeneral |
| Fundraising | 13646 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 562974 | Total |
| Program Services | 562974 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1183751 | Total |
| Program Services | 777814 | ProgramServices |
| Management And General | 405937 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 149304 | Total |
| Program Services | 95822 | ProgramServices |
| Management And General | 52839 | ManagementAndGeneral |
| Fundraising | 643 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| IN KIND PHARMAC. | 2597040 | 2597040 | ||
| CONTRACT SERVICES | 1739785 | 1027630 | 529056 | 183099 |
| LAB AND X-RAY FEES | 1476885 | 1476885 | ||
| BAD DEBTS | 987334 | 987334 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 688082 | Total |
| Program Services | 473178 | ProgramServices |
| Management And General | 343888 | ManagementAndGeneral |
| Fundraising | -128984 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28784620 | Total |
| Program Services | 24005663 | ProgramServices |
| Management And General | 4531214 | ManagementAndGeneral |
| Fundraising | 247743 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1816499 | BOY |
| EOY | 780450 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2287990 | BOY |
| EOY | 1590350 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92651 | BOY |
| EOY | 3928090 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 896805 | BOY |
| EOY | 1327875 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98884 | BOY |
| EOY | 122182 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184241 | BOY |
| EOY | 288247 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 30431195 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5363598 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19279990 | BOY |
| EOY | 25067597 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1547323 | BOY |
| EOY | 1582435 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26204383 | BOY |
| EOY | 34687226 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1997631 | BOY |
| EOY | 4800919 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7966362 | BOY |
| EOY | 8367449 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 652660 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 464177 | BOY |
| EOY | 357753 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11080830 | BOY |
| EOY | 13526121 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12456629 | BOY |
| EOY | 18815063 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1337942 | BOY |
| EOY | 920191 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1328982 | BOY |
| EOY | 1425851 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15123553 | BOY |
| EOY | 21161105 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26204383 | BOY |
| EOY | 34687226 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 5940683 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 96869 | ReconcilationOtherChanges |
| 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 | 17101656 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16791540 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16612116 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19858184 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21572879 | CurrentTaxYear |
| Total | 91936375 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17101656 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16791540 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16612116 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19858184 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21572879 | CurrentTaxYear |
| Total | 91936375 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 91936375 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 107065 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 235110 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 25695 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22827 | CurrentTaxYearMinus1Year |
| Current Tax Year | 87972 | CurrentTaxYear |
| Total | 478669 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 52578 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 33147 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10539 | CurrentTaxYear |
| Total | 96264 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 92511308 | TotalSupport |
| Gross Receipts From Admissions Etc | 51626849 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99380 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99130 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $8,881 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 8881 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE C, PART II-B, LINE 1 | ReturnReference |
| Explanation | PORTION OF DUES PAID TO COLORADO COMMUNITY HEALTH NETWORK (CCHN) FOR LOBBYING ACTIVITIES, AS REPORTED BY CCHN 8,881.00 | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1328982 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 168648 | InvestmentEarningsOrLosses |
| Other Expenditures | 71780 | OtherExpenditures |
| End Of Year Balance | 1425850 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1345322 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -16340 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1328982 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1212964 | BeginningOfYearBalance |
| Contributions | 11490 | Contributions |
| Investment Earnings Or Losses | 120868 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1345322 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1047834 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 221596 | InvestmentEarningsOrLosses |
| Other Expenditures | 56466 | OtherExpenditures |
| End Of Year Balance | 1212964 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1069679 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 33025 | InvestmentEarningsOrLosses |
| Other Expenditures | 54870 | OtherExpenditures |
| End Of Year Balance | 1047834 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5000268 | OtherCostOrOtherBasis |
| Book Value | 5000268 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10885037 | OtherCostOrOtherBasis |
| Depreciation | 2129185 | Depreciation |
| Book Value | 8755852 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3303305 | OtherCostOrOtherBasis |
| Depreciation | 928493 | Depreciation |
| Book Value | 2374812 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4034683 | OtherCostOrOtherBasis |
| Depreciation | 2305920 | Depreciation |
| Book Value | 1728763 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7207902 | OtherCostOrOtherBasis |
| Book Value | 7207902 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 25067597 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $338,438 |
| INTEREST PAYABLE | $19,315 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 357753 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 35487873 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 406925 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 96869 | OtherRevenues |
| Revenue Not Rptd F990 | 503794 | RevenueNotRptdF990 |
| Revenue Subtotal | 34984079 | RevenueSubtotal |
| Other Revenues Not Included | -258776 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -258776 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 34725303 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 29450321 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 406925 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 406925 | ExpensesNotRptdF990 |
| Expenses Subtotal | 29043396 | ExpensesSubtotal |
| Other Expenses Not Included | -258776 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -258776 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 28784620 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| INTENDED USES FOR ENDOWMENT FUNDS | SCHEDULE D, PAGE 2, PART V, LINE 4 | DISTRIBUTIONS FROM THE FUND ARE AVAILABLE TO THE FOUNDATION FOR ITS UNRESTRICTED USE. |
| LIABILITY UNDER FIN 48 FOOTNOTE | SCHEDULE D, PAGE 3, PART X | THE ORGANIZATION FOLLOWS ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH REQUIRES IT 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 DECEMBER 31, 2012 AND 2011, 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 AFFECT ON ITS TAX-EXEMPT STATUS. |
| REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 2D | CHANGE IN THE VALUE IN BENEFICIAL TRUST 96,869 |
| REVENUE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 4B | SPECIAL EVENT EXPENSES -199,976 RENTAL EXPENSES -58,800 |
| EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 4B | SPECIAL EVENT EXPENSES -199,976 RENTAL EXPENSES -58,800 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GREEN TIE DINNE | NameOfEvent1 |
| Gross Receipts Event1 | 144914 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 144914 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 129009 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF TOURNAMENT | NameOfEvent2 |
| Gross Receipts Event2 | 79150 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 79150 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 70967 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 224064 | GrossReceiptsTotal |
| Gross Revenue Total Events | 224064 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 199976 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 199976 | DirectExpenseSummaryEvents |
| Net Income Summary | 24088 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| 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 |
|---|---|---|---|---|
| DAVID MYERS | ||||
| PRESIDENTCEO | 184633 | 7298 | 25936 | 217867 |
| BARRY MARTIN | ||||
| VP CLINICAL AFFAIRS | 184057 | 7573 | 25557 | 217187 |
| JOHN KUENNING | ||||
| VP FINANCEOPERATION | 151761 | 6396 | 20921 | 179078 |
| PATRICK TELLEZ | ||||
| MEDICAL DIRECTOR | 170901 | 3686 | 27076 | 201663 |
| MARY VRABEC | ||||
| PHYSICIAN | 160793 | 5008 | 23935 | 189736 |
| BIPIN KUMAR | ||||
| PHYSICIAN | 156022 | 6488 | 21596 | 184106 |
| CONSTANTINE A GEORGIADIS | ||||
| PHYSICIAN | 154299 | 5058 | 22716 | 182073 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLORADO STATE BANK & TRUST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Issued | 2012-10-01 | DateIssued |
| Issue Price | 8450000 | IssuePrice |
| Description Of Purpose | FOR THE ACQUISITION, CONSTRUCTION AND EQUIPPING OF THE MEDICAL CLINIC | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | false | FinalAllocationMade |
| Adequate Books And Recds Maintaind | false | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | false | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedProp |
| Remedial Action Taken | false | RemedialActionTaken |
| Non Qualified Bond Remed Procdrs | false | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiled |
| Rebate Not Due Yet | false | RebateNotDueYet |
| Exception To Rebate | false | ExceptionToRebate |
| No Rebate Due | false | NoRebateDue |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | false | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PURPOSE OF ISSUE DESCRIPTION | Identifier |
| Return Reference | SCHEDULE K | ReturnReference |
| Explanation | COLORADO STATE BANK TRUST LOCATED IN AURORA ARVADA ENGLEWOOD AND LAKEWOOD COLORADO | Explanation |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 33107 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 2597040 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | SUPPLIES & MISC | Description |
| Number Of Contributions | 103 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 49092 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| 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 | 33,107 IS THE NUMBER OF DOSES OF VACCINES AND PHARMACEUTICALS THAT WERE DONATED. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FIRST ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4A | SPECIALIZES IN PEDIATRIC CARE INCLUDING THE RELIEF OF PAIN AND DENTAL HYGIENE / WELL CARE FOR ON-GOING DENTAL HEALTH. 3. COMMUNITY SERVICE PROGRAMS: AS A COMMUNITY HEALTH CENTER, MCPN IS COMMITTED TO THE DEVELOPMENT OF COMMUNITY-BASED PROGRAMS WHICH ENHANCE THE QUALITY OF HEALTH AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. TO THAT END, WE HAVE LAUNCHED A NUMBER OF COMMUNITY SERVICE PROGRAMS. SOME EXAMPLES ARE HOMELESS OUTREACH AND INTERVENTION SERVICES, PARENTING AND CHILD-REARING PROGRAMS, ADOLESCENT SERVICES, AND WORKFORCE DEVELOPMENT PROGRAMS. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS REVIEWED BY THE PRESIDENT/CEO, THE AUDIT AND COMPLIANCE COMMITTEE, AS WELL AS THE BOARD OF DIRECTORS PRIOR TO BEING FILED. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD REVIEWS ANY POSSIBLE CONFLICTS OF INTEREST BASED ON DISCLOSURES BY OFFICERS, DIRECTORS, AND KEY EMPLOYEES IN A FORM THAT IS COMPLETED ANNUALLY. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD ANNUALLY REVIEWS AND APPROVES COMPENSATION FOR OFFICERS AND KEY EMPLOYEES BASED ON COMPARABILITY DATA AMONG SIMILAR ORGANIZATIONS AND PERFORMANCE. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE BOARD ANNUALLY REVIEWS AND APPROVES COMPENSATION FOR OFFICERS AND KEY EMPLOYEES BASED ON COMPARABILITY DATA AMONG SIMILAR ORGANIZATIONS AND PERFORMANCE. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THE FORM 990 AND THE ANNUAL REPORT ARE PUBLISHED ON GUIDESTAR AND ARE ALSO AVAILABLE UPON REQUEST. |
| RECONCILIATION OF CHANGES - OTHER | FORM 990, PART XI, LINE 9 | CHANGE IN THE VALUE IN BENEFICIAL TRUST 96,869 SPECIAL EVENT EXPENSES 199,976 RENTAL EXPENSES 58,800 SPECIAL EVENT EXPENSES -199,976 RENTAL EXPENSES -58,800 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHCARE PROTECTIVE SERVICES LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3701 S BROADWAY | AddressLine1 |
| City | ENGLEWOOD | City |
| State | CO | State |
| ZIP Code | 80113 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263161859 | EIN |
| Primary Activities | SECURITY | PrimaryActivities |
| Legal Domicile State | CO | LegalDomicileState |
| Total Income | 324445 | TotalIncome |
| EOY Assets | 7842 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCPN | BusinessNameLine1 |