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COLORADO WEST INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
COLORADO WEST INC (EIN 26-4166271)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-06-09
IRS object ID
201111609349300416
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-06-09T13:34:19-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Tejon Suite 800AddressLine1
CityColorado SpringsCity
StateCOState
ZIP Code809039848ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN264166271EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Colorado West IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOLONameControl
Phone9703843032Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 40AddressLine1
CityGLENWOOD SPRINGSCity
StateCOState
ZIP Code81602ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBonita L WasliName
TitleCFOTitle
Date Signed2011-05-16DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRita F Worster CPAName
Phone7194714290Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Special Condition DescriptionReturn timely e-filed but rejected for period endSpecialConditionDescription
Initial ReturnXInitialReturn
Name Of Principal Officer PersonSHARON RAGGIONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 40AddressLine1
CityGLENWOOD SPRINGSCity
StateCOState
ZIP Code81602ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8503298GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number5688GroupExemptionNumber
Organization501cXOrganization501c
Web SiteWWW.CWRMHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionPROVIDE ADMINISTRATIVE OVERSIGHT AND MANAGEMENT SERVICES TO AFFILIATED ORGANIZATIONS WITH OUR MISSION BASED PROGRAMS.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees511TotalNbrEmployees
Total Nbr Volunteers6TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year1795280ContributionsGrantsCurrentYear
Program Service Revenue CY6534330ProgramServiceRevenueCY
Investment Income Current Year105050InvestmentIncomeCurrentYear
Other Revenue Current Year19701OtherRevenueCurrentYear
Total Revenue Current Year8454361TotalRevenueCurrentYear
Grants And Similar Amnts CY6700GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year2773675SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expenses Current Year2003405OtherExpensesCurrentYear
Total Expenses Current Year4783780TotalExpensesCurrentYear
Revenues Less Expenses CY3670581RevenuesLessExpensesCY
Total Assets BOY0TotalAssetsBOY
Total Assets EOY15230780TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY5378107TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY0NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9852673NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE ADMINISTRATIVE OVERSIGHT AND MANAGEMENT SERVICES TO AFFILIATED ORGANIZATIONS WITH OUR MISSION BASED PROGRAMS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3142123Expense
Grants6700Grants
Revenue6534330Revenue
DescriptionProvide administrative oversight and management services to affiliated organizations with our mission based programs.Description
Total Program Service Expense3142123TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109658NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees511NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTARA JARVISNamePerson
Telephone Number9706837150TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1515 28 3/4 ROAD BLDG A ACCT DEPTAddressLine1
CityGRAND JUNCTIONCity
StateCOState
ZIP Code81501ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BUZZ BINDER
TREASURER1.0XX000
CAROL VINER
SECRETARY1.0XX000
DAVID RESSLER
OFFICER1.0XX000
DEB WIEPKING
OFFICER1.0XX000
DENNIS BRUENS
CHAIR ELECT1.0X000
MARKEY BUTLER
CHAIR1.0X000
SHARON RAGGIO
PRESIDENT & CEO40.0XX196199049144
BONITA L WASLI
CFO40.0X107203022755
ROBERT CHALFANT
MED DIR- CO WEST PSYCH HOSP.40.0180758011622X
JOHN SADLER
PHYSICIAN40.028843500X
MATTHEW BURSON
PHYSICIAN40.017113406135X
HOLLY COVINGTON
APN40.011689702213X
LINDA SHAW
APN40.010634403132X
BOBBY BROWN
DEPUTY DIRECTOR40.010212702949X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1269097TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation97950TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HILLTOP COMMUNITY RESOURCES
1331 HERMOSA AVEGRAND JUNCTIONCO81506OUT PATIENT CARE451851
IMPACT MEDICAL STAFFING
1873 SOUTH BELLAIRE STREET SUITE 9DENVERCO80222NURSING STAFF306891
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants95642GovernmentGrants
All Other Contributions1699638AllOtherContributions
Total Contributions1795280TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID SUBCAPITATION REVENUE90009916157841615784
MANAGEMENT FEES56100036936323693632
RENT53112011575201157520
INCOME FROM EQUITY INVESTEE90009958515851
OTHER9000996154361543
FieldValueIRS element (for citing)
Total Program Service Revenue6534330TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column98750TotalRevenueColumn
Exclusion$98,750ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real19701Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real19701Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column19701TotalRevenueColumn
Exclusion$19,701ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other55237Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other48937Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other6300Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6300TotalRevenueColumn
Exclusion$6,300ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8454361TotalRevenueColumn
Related Or Exempt Function Income6534330RelatedOrExemptFunctionIncome
Exclusion$124,751ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6700Total
Program Services6700ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total567680Total
Program Services397376ProgramServices
Management And General170304ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1716557Total
Program Services1201590ProgramServices
Management And General514967ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total23210Total
Program Services16247ProgramServices
Management And General6963ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total256069Total
Program Services179248ProgramServices
Management And General76821ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total210159Total
Program Services147111ProgramServices
Management And General63048ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total66306Total
Program Services46414ProgramServices
Management And General19892ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total113200Total
Program Services79240ProgramServices
Management And General33960ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total344088Total
Program Services240862ProgramServices
Management And General103226ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3107Total
Program Services540ProgramServices
Management And General2567ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total251471Total
Program Services176030ProgramServices
Management And General75441ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total381967Total
Program Services267377ProgramServices
Management And General114590ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total84327Total
Program Services14034ProgramServices
Management And General70293ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total43288Total
Management And General43288ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total117387Total
Program Services82171ProgramServices
Management And General35216ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total399786Total
Program Services279850ProgramServices
Management And General119936ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total33034Total
Management And General33034ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
EDUCATION532054460487450
DUES, FEES, & SUBS963821341950410
RECRUITING796246774950
FOOD711735167660
MISCELLANEOUS778714640

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4783780Total
Program Services3142123ProgramServices
Management And General1641657ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY495648EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY2158974EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY109971EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY107616EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14198849LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2494214LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY11704635EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY595212EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY58724EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY15230780EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY0BOY
EOY1450580EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY1205160EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY1934500EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY787867EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY5378107EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY9852673EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY0BOY
EOY9852673EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY0BOY
EOY15230780EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
COLORADO WEST REGIONAL MENTAL HEALTH INC
84062589009truetruetrue$0
COLORDO WEST PSYCHIATRIC HOSPITAL INC
26416667509truetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1441740OtherCostOrOtherBasis
Book Value1441740BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11314230OtherCostOrOtherBasis
Depreciation2291618Depreciation
Book Value9022612BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis188667OtherCostOrOtherBasis
Depreciation38213Depreciation
Book Value150454BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis665328OtherCostOrOtherBasis
Depreciation134758Depreciation
Book Value530570BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis588884OtherCostOrOtherBasis
Depreciation29625Depreciation
Book Value559259BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11704635TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATEDescription
Amount$787,867Amount
FieldValueIRS element (for citing)
Total Of Amounts787867TotalOfAmounts
Total Revenue8454361TotalRevenue
Total Expenses4783780TotalExpenses
Excess Or Deficit For Year3670581ExcessOrDeficitForYear
Other$6,182,092OtherAmount
Total Adjustments6182092TotalAdjustments
Excess Or Deficit Per FS9852673ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14636453TotRevenueEtcAuditedFinclStmt
Other Revenues6182092OtherRevenues
Revenue Not Rptd F9906182092RevenueNotRptdF990
Revenue Subtotal8454361RevenueSubtotal
Total Revenue Per Form9908454361TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4783780TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4783780ExpensesSubtotal
Total Expenses Per Form9904783780TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XI, Line 8Other Changes to Net AssetsTransfer of Equity From Affiliate 6,182,092
Part XII, Line 2dOther Revenue on Books, Not on ReturnTransfer of Equity From Affiliate 6,182,092
Part X, Line 2Uncertain Tax PositionsManagement has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SHARON RAGGIO
182833010000033660284030207410245343000
JOHN SADLER
288435000000000288435000
ROBERT CHALFANT
17998400077405466061560192380000
MATTHEW BURSON
17086400027003714024200177268000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF NON-FIXED PAYMENTSIdentifier
Return ReferencePART 1 QUESTION 7ReturnReference
ExplanationA BONUS WAS ACCRUED BASED UPON THE CONSOLIDATED ORGANIZATION EXCEEDING BUDGETED REVENUE IN EXCESS OF EXPENSE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROCESS TO REVIEW THE FORM 990FORM 990, PART VI, QUESTION 11AThe form 990 is prepared by an outside third party and is reviewed by the Controller and CFO. The Form 990 is provided to the board of directors for their review prior to filing with the IRS.
PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICYFORM 990, PART VI, QUESTION 12CIn connection with any actual or possible conflict of interest that an interested person may have with a proposed transaction, the interested person must disclose the existence of all financial interests that could be construed to be a conflict of interest and be given the opportunity to disclose all material facts to the directors and members of committees with governing board delegated powers considering the proposed transaction or arrangement. Each director, principal officer and member of a committee with governing board-delegated powers shall annually sign a statement, which affirms such person has received a copy of the conflicts of interest policy; has read and understands the policy; has agreed to comply with the policy; and understands the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. Periodic reviews are conducted to determine if officers and directors are in compliance with the policy. If the governing board or committee has reasonable cause to believe a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If, after hearing the member's response and after making further investigation as warranted by the circumstances, the governing board or committee determines the member has failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action.
REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATIONFORM 990, PART VI, QUESTION 15ACompensation is reviewed minimally semi-annually by Human Resources as directed by the board of directors. CEO compensation was determined by performing a market analysis of CEO compensation in Colorado for a variety of Community Mental Health Organizations. This information was shared with the executive recruiter for the CEO position who then compared this information with national market analysis' for CEO compensation, taking into account the size and volume of the organization. Most recent market analysis was performed in 2010. The Board does not approve executive compensation and the decision is not formally documented.
REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATIONFORM 990, PART VI, QUESTION 15BCompensation is reviewed minimally on a semi-annual basis by Human Resources as directed by the CEO and CFO of the organization. Other officer compensation is determined by using Mountain States Employers Council compensation survey for Colorado. Most recent market analysis was performed in 2010. The Board does not approve other officer's compensation and the decision is not formally documented.
DESCRIBE HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLICFORM 990, PART VI, QUESTION 19The Articles of Incorporation are available on the Colorado Secretary of State website. Requests for other governing documents, financial statements, and the conflict of interest policy will be considered.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1COLORADO WEST ASSET MANAGEMENT LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1515 28 3/4 ROADAddressLine1
CityGRAND JUNCTIONCity
StateCOState
ZIP Code81501ZIPCode
FieldValueIRS element (for citing)
EIN264166883EIN
Primary ActivitiesASSET MANAGEPrimaryActivities
Legal Domicile StateCOLegalDomicileState
Total Income1323582TotalIncome
EOY Assets10800497EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
COLORADO WEST PSYCHIATRIC HOSPITAL INC
515 28 3/4 ROADGRAND JUNCTIONCO81501264166675PATIENT CARECO501(C)(3)LINE 9NA
COLORADO WEST REGIONAL MENTAL HEALTH INC
PO BOX 40GLENWOOD SPRINGSCO81602840625890OUT PATIENTCO501(C)(3)LINE 9NA
HEALTH SERVICES PROGRAMS
515 28 3/4 ROADGRAND JUNCTIONCO81501742232434HUD HOUSINGCO501(C)(3)LINE 9NA

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1West Slope Casa LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 1208AddressLine1
CityMontroseCity
StateCOState
ZIP Code81402ZIPCode
FieldValueIRS element (for citing)
EIN841313944EIN
Primary ActivityCounselingPrimaryActivity
Legal Domicile StateCOLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeType
Share Of Total Income9345ShareOfTotalIncome
Share Of EOY Assets639518ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnertrueGeneralOrManagingPartner
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
COLORADO WEST PSYCHIATRIC HOSPITAL INC
I371400
COLORADO WEST REGIONAL MENTAL HEALTH INC
I786120
COLORADO WEST PSYCHIATRIC HOSPITAL INC
K, M,1148373
COLORADO WEST REGIONAL MENTAL HEALTH INC
K, M,2545259
COLORADO WEST REGIONAL MENTAL HEALTH INC
C6182092
COLORADO WEST REGIONAL MENTAL HEALTH INC
D50956
COLORADO WEST PSYCHIATRIC HOSPITAL INC
P6913607
COLORADO WEST REGIONAL MENTAL HEALTH INC
P15242356