STRATEGY STUDIO / PUBLIC DATA EXPLORER

COLORADO FOUNDATION FOR MEDICAL CARE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
COLORADO FOUNDATION FOR MEDICAL CARE (EIN 84-0609820)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-01-21
IRS object ID
201140219349301004
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)
Timestamp2011-01-21T16:16:19-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JDS PROFESSIONAL GROUPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15670 GREENWOOD PLAZA BLVD STE 200AddressLine1
CityGREENWOOD VILLAGECity
StateCOState
ZIP Code80111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840609820EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COLORADO FOUNDATION FOR MEDICALBusinessNameLine1
Business Name Line2CAREBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCOLONameControl
Phone3036953300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line123 INVERNESS WAY EASTAddressLine1
Address Line2ROOM/SUITE 100AddressLine2
CityENGLEWOODCity
StateCOState
ZIP Code801125708ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameARJA P ADAIR JRName
TitlePRESIDENT/CEOTitle
Phone3036953300Phone
Date Signed2011-01-20DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameLORI B BAUER CPAName
Phone3037710123Phone
Date Prepared2011-01-21DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonARJA P ADAIR JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line123 INVERNESS WAY EASTAddressLine1
CityENGLEWOODCity
StateCOState
ZIP Code801125708ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8849434GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.CFMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionTO PROMOTE AND DEVELOP MEANS WHEREBY MEDICAL SERVICES CAN BE PROVIDED TO THE GENERAL PUBLIC AT A REASONABLE COST AND WITH APPROPRIATE QUALITY OF CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees108TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year5000ContributionsGrantsPriorYear
Contributions Grants Current Year25000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8565693ProgramServiceRevenuePriorYear
Program Service Revenue CY8709809ProgramServiceRevenueCY
Investment Income Prior Year10197InvestmentIncomePriorYear
Investment Income Current Year27452InvestmentIncomeCurrentYear
Other Revenue Prior Year4292OtherRevenuePriorYear
Other Revenue Current Year3279OtherRevenueCurrentYear
Total Revenue Prior Year8585182TotalRevenuePriorYear
Total Revenue Current Year8765540TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year202000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5893771SalariesEtcPriorYear
Salaries Etc Current Year6336176SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2858982OtherExpensePriorYear
Other Expenses Current Year2104895OtherExpensesCurrentYear
Total Expenses Prior Year8954753TotalExpensesPriorYear
Total Expenses Current Year8441071TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-369571RevenuesLessExpensesPriorYear
Revenues Less Expenses CY324469RevenuesLessExpensesCY
Total Assets BOY2473988TotalAssetsBOY
Total Assets EOY2176672TotalAssetsEOY
Total Liabilities BOY1450798TotalLiabilitiesBOY
Total Liabilities EOY794513TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1023190NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1382159NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROMOTE AND DEVELOP MEANS WHEREBY MEDICAL SERVICES CAN BE PROVIDED TO THE GENERAL PUBLIC AT A REASONABLE COST AND WITH APPROPRIATE QUALITY OF CARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1468465Expense
DescriptionCOLORADO DEPT OF HEALTH CARE POLICY & FINANCING TO PROFESSIONALLY REVIEW HEALTHCARE PROVIDED TO MEDICAID RECIPIENTS IN ACUTE CARE FACILITIES IN COLORADO, PERFORM MEDICARE PART B APPEALS AS A SUBCONTRACTOR TO FIRST COAST SERVICE OPTIONS, INC., WORK UNDER THE PROGRAM CALLED "GET WITH THE GUIDELINES" VIA A GRANT FROM THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, AND ANALYTIC WORK AS A SUBCONTRACTOR TO BOOZ ALLEN HAMILTON UNDER A VETERANS ADMINISTRATION CONTRACT IN SUPPORT OF THE VA'S PROJECT HERO PROGRAM.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4872516Expense
Description(QIO) TO IMPLEMENT AND OPERATE A FEDERAL PEER REVIEW SYSTEM TO ELIMINATE UNNECESSARY OR INAPPROPRIATE CARE TO MEDICARE BENEFICIARIES AND TO PROMOTE THE REQUIRED QUALITY OF CARE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense353822Expense
DescriptionPRIVATE & OTHER - TO PERFORM PROFESSIONAL PEER REVIEW FOR ACUTE AND AMBULATORY HEALTH CARE AND PROVIDE CONTINUING EDUCATION AND CONTINUING MEDICAL EDUCATION SERVICES NATIONALLY.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense57850Expense
DescriptionBUSINESS DEVELOPMENT & MARKETING - DEVELOPMENT OF NEW LINES OF BUSINESS AND PRODUCT LINES TO FULFILL THE ORGANIZATION'S EXEMPT PURPOSE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp57850TotalOfOtherProgramServiceExp
Total Program Service Expense6752653TotalProgramServiceExpense
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 StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
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 EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109653NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees108NumberOfEmployees
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
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
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 CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCOLORADO FOUND FOR MEDICAL CARENamePerson
Telephone Number3036953300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line123 INVERNESS WAY EAST 100AddressLine1
CityENGLEWOODCity
StateCOState
ZIP Code801125708ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JAMES REGAN MD
VICE CHAIR1.00XX732200
RANDALL MARSH MD
CHAIR1.00XX27500
DEBRA BENNETT-WOODS
SECRETARY1.00XX000
THOMAS GREENE DO
TREASURER1.00XX000
ROBERT ALSEVER MD
DIRECTOR1.00X000
DAVID HAMM
DIRECTOR1.00X000
JOEL DICKERMAN DO
DIRECTOR1.00X000
DONNA MARSHALL
DIRECTOR1.00X000
DAVID EHRENBERGER MD
DIRECTOR1.00X000
LYNN PARRY MD
DIRECTOR1.00X000
CATHY ROBERTS RN
DIRECTOR1.00X000
LOUISE L ROUSE
DIRECTOR1.00X000
HOWARD WAITE MD
DIRECTOR1.00X000
DEAN CODDINGTON
DIRECTOR1.00X000
KENNETH LEISHER
DIRECTOR1.00X000
JANET LYONS
DIRECTOR1.00X000
ALEX TRUJILLO
DIRECTOR1.00X000
RUSSELL JOHNSON
DIRECTOR1.00X000
MARK YARBOROUGH
DIRECTOR1.00X000
ARJA P ADAIR JR
PRES/CEO40.00X214938012053
JANE BROCK POMMER
MED. OFFICER40.00178000011601X
MAUREEN O'BRIEN
SR SCIENTIST40.0013287208337X
CHRISTINE LAROCCA
MEDICAL OFFI40.0010829802347X
NANCY BORGSTADT
RS DIR.40.0010528809169X
GARY BRUG
IT DIRECTOR40.0010234208974X
FieldValueIRS element (for citing)
Total Reportable Comp From Org849335TotalReportableCompFromOrg
Total Other Compensation52481TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNITED HEALTHCARE
DEPT CH 10151PALATINEIL600550151HEALTH INSUR.460008
COLLIERS BENNETT KAHNWEILER
4643 S ULSTER STDENVERCO80237OFFICE LEASE373556
UNIVERSITY OF COLORADO AT DHSG
DEPT 238DENVERCO802910238EXPERT CONSULT226305
DENVER HEALTH HOSPITAL AUTHORITY
777 BANNOCK STDENVERCO80204CONSULTING197620
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions25000AllOtherContributions
Total Contributions25000TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FEES & CONTRACTS FROM GOVT.74361637436163
PRIVATE REVIEW CONTRACTS12736461273646
FieldValueIRS element (for citing)
Total Program Service Revenue8709809TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10963TotalRevenueColumn
Exclusion$10,963ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities100383Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities81881Securities
Other2013Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities18502Securities
Other-2013Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column16489TotalRevenueColumn
Exclusion$16,489ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
WEBSITE HOSTING22432243
MISC10361036
FieldValueIRS element (for citing)
Total Other Revenue3279TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8765540TotalRevenueColumn
Related Or Exempt Function Income8713088RelatedOrExemptFunctionIncome
Exclusion$27,452ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total231760Total
Program Services190129ProgramServices
Management And General41631ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4527825Total
Program Services3714485ProgramServices
Management And General813340ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total58057Total
Program Services47624ProgramServices
Management And General10433ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1129830Total
Program Services927025ProgramServices
Management And General202805ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total388704Total
Program Services318737ProgramServices
Management And General69967ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total865302Total
Program Services836284ProgramServices
Management And General29018ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1898Total
Program Services1813ProgramServices
Management And General85ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total331711Total
Program Services160706ProgramServices
Management And General171005ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total52982Total
Program Services21112ProgramServices
Management And General31870ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total349188Total
Program Services288232ProgramServices
Management And General60956ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total153819Total
Program Services143179ProgramServices
Management And General10640ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total78538Total
Program Services35909ProgramServices
Management And General42629ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total92360Total
Management And General92360ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total26744Total
Program Services21558ProgramServices
Management And General5186ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER PURCHASED SERVICES748555927715578
MAINTENANCE & SUPPLIES2536625366
MISC21991-1897540966
EQUIPMENT LEASE20359117219187
RECRUITMENT593011044826

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3852Total
Program Services3282ProgramServices
Management And General570ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8441071Total
Program Services6752653ProgramServices
Management And General1688418ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY962BOY
EOY250EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY365582BOY
EOY726164EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1578336BOY
EOY1029671EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY47082BOY
EOY40199EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1801363LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1596775LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY257868BOY
EOY204588EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY224158BOY
EOY175800EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2473988BOY
EOY2176672EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY929086BOY
EOY586451EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY54681BOY
EOY53075EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY270000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY197031BOY
EOY154987EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1450798BOY
EOY794513EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1019105BOY
EOY1382159EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4085BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1023190BOY
EOY1382159EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2473988BOY
EOY2176672EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6069212CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7723154CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10240487CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6923048CurrentTaxYearMinus1Year
Current Tax Year7461163CurrentTaxYear
Total38417064Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6069212CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7723154CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10240487CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6923048CurrentTaxYearMinus1Year
Current Tax Year7461163CurrentTaxYear
Total38417064Total
FieldValueIRS element (for citing)
Public Support Total17038417064PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16864CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11764CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13070CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10197CurrentTaxYearMinus1Year
Current Tax Year10963CurrentTaxYear
Total62858Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years928CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1640CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8988CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4292CurrentTaxYearMinus1Year
Current Tax Year3279CurrentTaxYear
Total19127Total
FieldValueIRS element (for citing)
Total Support38499049TotalSupport
Gross Receipts From Admissions Etc7730509GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99790PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99790PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis210983OtherCostOrOtherBasis
Depreciation111352Depreciation
Book Value99631BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1590380OtherCostOrOtherBasis
Depreciation1485423Depreciation
Book Value104957BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings204588TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED RENT INCENTIVE$112,778
CAPITAL LEASE OBLIGATIONS$42,209
FieldValueIRS element (for citing)
Total Of Amounts154987TotalOfAmounts
Total Revenue8765540TotalRevenue
Total Expenses8441071TotalExpenses
Excess Or Deficit For Year324469ExcessOrDeficitForYear
Net Unrealized GL On Investments34500NetUnrealizedGLOnInvestments
Total Adjustments34500TotalAdjustments
Excess Or Deficit Per FS358969ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8800040TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments34500NetUnrealizedGainsInvestments
Revenue Not Rptd F99034500RevenueNotRptdF990
Revenue Subtotal8765540RevenueSubtotal
Total Revenue Per Form9908765540TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8441071TotExpensesEtcAuditedFinclStmt
Expenses Subtotal8441071ExpensesSubtotal
Total Expenses Per Form9908441071TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
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 PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
ARJA P ADAIR JR
21493821629891226991
JANE BROCK POMMER
17800018819720189601

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierFRINGE OR EXPENSE EXPLANATIONIdentifier
Return ReferenceSCHEDULE J, PAGE 1, PART I, LINE 1AReturnReference
ExplanationTHE ORGANIZATION REIMBURSES HEALTH CLUB MEMBERSHIPS UP TO 25 PER MONTH, AND THE EMPLOYEE IS REQUIRED TO PROVIDE PROOF OF MEMBERSHIP EVERY 6 MONTHS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACHIEVEMENTS DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DBUSINESS DEVELOPMENT & MARKETING - DEVELOPMENT OF NEW LINES OF BUSINESS AND PRODUCT LINES TO FULFILL THE ORGANIZATION'S EXEMPT PURPOSE.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6MEMBERS CAN BE ANY COLORADO LICENSED MEDICAL DOCTOR OR DOCTOR OF OSTEPATHY WHO HAVE APPLIED FOR MEMBERSHIP AND HAVE BEEN ACCEPTED AS A PARTICIPATING MEMBER WHO THEREAFTER BECOMES A CORPORATE MEMBER UNTIL TERMINATED. THERE IS ONLY ONE CLASS OF MEMBERSHIP KNOWN AS CORPORATE MEMBERS. THERE IS NO DUES TO MEMBERSHIP. AS A NON-PROFIT, MEMBERS CANNOT RECEIVE PROFITS, EXCESS DUES OR NET ASSETS.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AAN ANNUAL MEETING IS HELD WHERE THE DIRECTORS ARE ELECTED BY THE CORPORATE MEMBERS.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE MEMBERS REVIEW AND VOTE ON ALL BY-LAWS CHANGES AT THE ANNUAL MEETING.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11THE ENTIRE BOARD RECEIVES AND REVIEWS THE 990 AT A REGULARLY SCHEDULED BOARD MEETING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CAT START OF EMPLOYMENT AND ANNUALLY, PLUS ANY POTENTIAL DURING THE YEAR, ALL EMPLOYEES DISCLOSE ANY OTHER EMPLOYMENT THAN THAT WITH THE ORGANIZATION, AND ANY COMMITTEES/BOARDS ON WHICH THEY SERVE IN AN ADVISORY ROLE. RECORDS ARE MAINTAINED IN THE HUMAN RESOURCES DEPARTMENT. ADDITIONALLY, EACH BOARD MEMBER IS TRAINED IN CONFLICT OF INTEREST AND IS REMINDED AT EACH MEETING.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD REVIEWS THE CEO'S SALARY BASED ON INFORMATION PROVIDED BY THE DIRECTOR OF HUMAN RESOURCES. THIS INFORMATION IS USED TO DETERMINE THE CEO'S COMPENSATION ON AN ANNUAL BASIS. THE SALARY INCREASE CANNOT BE MORE THAN THE 3% INCREASE PROVIDED TO ALL EMPLOYEES. NO OTHER COMPENSATION IS PROVIDED OTHER THAN THAT WHICH IS PROVIDED BY THE FRINGE BENEFIT STRUCTURE PROVIDED TO ALL EMPLOYEES. THE CEO AND ALL EMPLOYEE SALARIES ARE SET USING COMPARISON JOB SALARY INFORMATION FROM MOUNTAIN STATES EMPLOYERS COUNCIL. THE SALARY SCALES AND ADJUSTMENTS ARE INDEPENDENTLY REVIEWED BY A CONTRACTOR FOR MOUNTAIN STATES EMPLOYERS COUNCIL AND REPORTED AND ACTED ON BY THE BOARD WITHOUT THE CEO PRESENT.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD REVIEWS THE CEO'S SALARY BASED ON INFORMATION PROVIDED BY THE DIRECTOR OF HUMAN RESOURCES. THIS INFORMATION IS USED TO DETERMINE THE CEO'S COMPENSATION ON AN ANNUAL BASIS. THE SALARY INCREASE CANNOT BE MORE THAN THE 3% INCREASE PROVIDED TO ALL EMPLOYEES. NO OTHER COMPENSATION IS PROVIDED OTHER THAN THAT WHICH IS PROVIDED BY THE FRINGE BENEFIT STRUCTURE PROVIDED TO ALL EMPLOYEES. THE CEO AND ALL EMPLOYEE SALARIES ARE SET USING COMPARISON JOB SALARY INFORMATION FROM MOUNTAIN STATES EMPLOYERS COUNCIL. THE SALARY SCALES AND ADJUSTMENTS ARE INDEPENDENTLY REVIEWED BY A CONTRACTOR FOR MOUNTAIN STATES EMPLOYERS COUNCIL AND REPORTED AND ACTED ON BY THE BOARD WITHOUT THE CEO PRESENT. THERE IS NO CURRENT COMPENSATION FOR BOARD OFFICERS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL GOVERNING DOCUMENTS, AUDIT AND POLICIES ARE AVAILABLE UPON EMAIL REQUEST.
ADDITIONAL INFORMATIONSCHEDULE OTHREE BOARD MEMBERS, DONNA MARSHALL, DAVID EHRENBERGER, AND HOWARD WAITE, ARE ALSO ON THE BOARD OF AN ORGANIZATION, CCGC/HEALTH TEAMWORKS, THAT CFMC HAS TWO SMALL CONTRACTS WITH. ONE IS FOR 2,000 FOR TRAINING, AND ONE IS FOR 4,000 FOR CONTINUING EDUCATION SERVICES. ALSO, AN EMPLOYEE, ELLEN BATCHELOR (NOT A KEY OR HIGHLY PAID EMPLOYEE) WAS ON THE CCGC BOARD IN THE PRIOR YEAR. THE CFMC BOARD HAS APPROVED A 3333.33 ANNUAL CONTRIBUTION TO COLORADO PERFORMANCE EXCELLENCE (CPEX)TO ASSIST IN THEIR PROVISION OF THE STATE BASED BALDRIGE PROGRAM. THIS REQUEST AND DECISION IS DONE COMPLETELY INDEPENDENT OF THE PRESIDENT/CEO WHO REGULARLY DISCLOSES TO THE CFMC BOARD THE FACT THAT HE IS A MEMBER OF THE CPEX BOARD, A 501 (C)3 CORPORATION.