CLINICA CAMPESINA FAMILY HEALTH SERVICES: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- CLINICA CAMPESINA FAMILY HEALTH SERVICES (EIN 84-0743432)
- Tax period
- 2023-02-01 to 2024-01-31
- Filed
- 2024-09-12
- IRS object ID
- 202422569349301532
- Schema version
- 2023v5.1
- 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 I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-09-12T14:56:28-05:00 | ReturnTs |
| Tax Period End | 2024-01-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8390 EAST CRESCENT PARKWAY SUITE | AddressLine1Txt |
| Address Line2 | 300 | AddressLine2Txt |
| City | GREENWOOD VILLAGE | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840743432 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICA CAMPESINA FAMILY HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLIN | BusinessNameControlTxt |
| Phone | 3036504460 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1735 SOUTH PUBLIC ROAD | AddressLine1Txt |
| City | LAFAYETTE | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80026 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SIMON SMITH | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 3036504460 | PhoneNum |
| Signature | 2024-09-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BECKY DETTMANN CPA | PreparerPersonNm |
| PTIN | P01408585 | PTIN |
| Phone | 3037795710 | PhoneNum |
| Preparation | 2024-09-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICA FAMILY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SIMON SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1735 SOUTH PUBLIC ROAD | AddressLine1Txt |
| City | LAFAYETTE | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80026 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $68,440,415 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CLINICA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HIGH-QUALITY, CULTURALLY APPROPRIATE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 839 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $25,237,490 | PYContributionsGrantsAmt |
| CY Contributions Grants | $22,088,602 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $42,228,773 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $45,443,387 | CYProgramServiceRevenueAmt |
| PY Investment Income | $182,954 | PYInvestmentIncomeAmt |
| CY Investment Income | $282,514 | CYInvestmentIncomeAmt |
| PY Other Revenue | $747,975 | PYOtherRevenueAmt |
| CY Other Revenue | $625,032 | CYOtherRevenueAmt |
| PY Total Revenue | $68,397,192 | PYTotalRevenueAmt |
| CY Total Revenue | $68,439,535 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $8,268 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $7,404 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $50,728,219 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $54,479,911 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $374,107 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $21,776,520 | PYOtherExpensesAmt |
| CY Other Expenses | $21,661,748 | CYOtherExpensesAmt |
| PY Total Expenses | $72,513,007 | PYTotalExpensesAmt |
| CY Total Expenses | $76,149,063 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,115,815 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,709,528 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $56,549,715 | TotalAssetsBOYAmt |
| Total Assets EOY | $48,425,519 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $19,610,196 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,163,574 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $36,939,519 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $29,261,945 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CLINICA'S MISSION IS TO BE THE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE PROVIDER OF CHOICE FOR LOW INCOME AND OTHER UNDERSERVED PEOPLE IN IN SOUTH BOULDER, BROOMFIELD, GILPIN, AND WEST ADAMS COUNTIES. (CONTINUED ON SCHEDULE O)OUR CARE SHALL BE CULTURALLY APPROPRIATE AND PREVENTION FOCUSED.OUR VISION FOR THE FUTURE IS THAT EVERY LOW INCOME AND OTHER UNDERSERVED PERSON IN SOUTH BOULDER, BROOMFIELD, GILPIN, AND WEST ADAMS COUNTIES WILL HAVE ACCESS TO HIGH QUALITY, PREVENTATIVE MEDICAL AND DENTAL CARE WHICH IS INTEGRATED WITH BEHAVIORAL HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $58,839,981 | ExpenseAmt |
| Grant | $7,404 | GrantAmt |
| Revenue | $45,443,387 | RevenueAmt |
| Desc | FOR THE FISCAL YEAR ENDED JANUARY 31, 2024, CLINICA PROVIDED 199,275 MEDICAL VISITS, 42,606 DENTAL VISITS, 28,897 BEHAVIORAL HEALTH VISITS, 3,189 REGISTERED DIETICIAN VISITS, AND 36,522 CASE MANAGEMENT VISITS. | Desc |
| Total Program Service Expenses | $58,839,981 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 839 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIAN JOHNSTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3036653036 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1735 S PUBLIC ROAD | AddressLine1Txt |
| City | LAFAYETTE | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80026 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ELLA PADILLA | |||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFF ZAYACH | |||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW ANTUSH | |||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HEATHER ELKINS | |||||||||
| SECRETARY | 0.50 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| INEZ BUGGS | |||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LIZANDRO GONZALEZ | |||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| WDOUGLAS JONES | |||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROLINA FLORES MANROSS | |||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CHERLYN MARRIOTT | |||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MAYRA MARTINEZ | |||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| HEIDY ORDONEZ | |||||||||
| DIRECTOR | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SIMON SMITH | |||||||||
| PRESIDENT & CEO | 39.00 | 1.00 | Yes (X) | $254,794 | $0 | $22,519 | |||
| BRIAN JOHNSTON | |||||||||
| CFO | 39.00 | 1.00 | Yes (X) | $144,218 | $0 | $34,486 | |||
| KAREN FUNK | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | $302,679 | $0 | $28,289 | Yes (X) | |||
| AN NGUYEN | |||||||||
| CHIEF DENTAL OFFICER | 40.00 | 0.00 | $242,769 | $0 | $16,500 | Yes (X) | |||
| PHILIP KEPPELER | |||||||||
| PHYSICIAN | 39.00 | 0.00 | $329,429 | $0 | $37,702 | Yes (X) | |||
| LISA WINKLER | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $264,952 | $0 | $33,686 | Yes (X) | |||
| ANGELA FRYER | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $262,224 | $0 | $30,858 | Yes (X) | |||
| CARLIE FIELD | |||||||||
| PHYSICIAN | 36.00 | 0.00 | $271,957 | $0 | $6,624 | Yes (X) | |||
| BREANNA TOMLIN | |||||||||
| PHYSICIAN | 36.00 | 0.00 | $254,690 | $0 | $17,038 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,327,712 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $227,702 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 102 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| OHIO SHARED INFORMATION SERVICES INC | |||||
| 8790 GOVERNORS HILL DR 202 | CINICINNATI | OH | 45249 | SOFTWARE LICENSE MAINTENANCE FEES | $1,069,179 |
| ROBERT HALF TECHNOLOGY | |||||
| 1125 17TH ST 900 | DENVER | CO | 80202 | TEMPORARY PERSONNEL | $288,103 |
| MOJOS CLEANING SERVICES | |||||
| 17 N 12TH AVE UNIT B | BRIGHTON | CO | 80601 | JANITORIAL SERVICES | $271,169 |
| AMN HEALTHCARE LANGUAGE SERVICES | |||||
| 2999 OLYMPUS BLVD SUITE 500 | DALLAS | TX | 75019 | VIDEO TRANSLATION SERVICES | $271,074 |
| TECHNICAL MOMENTUM | |||||
| 5197 S VERSAILLES ST | AURORA | CO | 800156558 | IT MAINTENANCE SERVICES | $250,184 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $20,362,413 | GovernmentGrantsAmt |
| All Other Contributions | $1,726,189 | AllOtherContributionsAmt |
| Noncash Contributions | $3,055,968 | NoncashContributionsAmt |
| Total Contributions | $22,088,602 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REV. | 621498 | $42,205,939 | $42,205,939 |
| PHARMACY REVENUE | 456110 | $3,237,448 | $3,237,448 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $45,443,387 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $283,394 | TotalRevenueColumnAmt |
| Exclusion | $283,394 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $880 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$880 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$880 | TotalRevenueColumnAmt |
| Exclusion | -$880 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $625,032 | TotalRevenueColumnAmt |
| Exclusion | $625,032 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $625,032 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,439,535 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $45,443,387 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $907,546 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,404 | TotalAmt |
| Program Services | $7,404 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,051,133 | TotalAmt |
| Program Services | $187,130 | ProgramServicesAmt |
| Management And General | $864,003 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,229,728 | TotalAmt |
| Program Services | $37,488,762 | ProgramServicesAmt |
| Management And General | $7,484,283 | ManagementAndGeneralAmt |
| Fundraising | $256,683 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $694,404 | TotalAmt |
| Program Services | $576,315 | ProgramServicesAmt |
| Management And General | $114,286 | ManagementAndGeneralAmt |
| Fundraising | $3,803 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,866,067 | TotalAmt |
| Program Services | $3,197,004 | ProgramServicesAmt |
| Management And General | $648,030 | ManagementAndGeneralAmt |
| Fundraising | $21,033 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,638,579 | TotalAmt |
| Program Services | $2,955,128 | ProgramServicesAmt |
| Management And General | $664,071 | ManagementAndGeneralAmt |
| Fundraising | $19,380 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,486 | TotalAmt |
| Program Services | $14,646 | ProgramServicesAmt |
| Management And General | $56,914 | ManagementAndGeneralAmt |
| Fundraising | $1,926 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,625 | TotalAmt |
| Program Services | $21,650 | ProgramServicesAmt |
| Management And General | $84,129 | ManagementAndGeneralAmt |
| Fundraising | $2,846 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,491 | TotalAmt |
| Program Services | $11,491 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,891,615 | TotalAmt |
| Program Services | $1,992,181 | ProgramServicesAmt |
| Management And General | $889,101 | ManagementAndGeneralAmt |
| Fundraising | $10,333 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,824 | TotalAmt |
| Program Services | $22,685 | ProgramServicesAmt |
| Management And General | $166,370 | ManagementAndGeneralAmt |
| Fundraising | $1,769 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,601,857 | TotalAmt |
| Program Services | $1,076,097 | ProgramServicesAmt |
| Management And General | $499,503 | ManagementAndGeneralAmt |
| Fundraising | $26,257 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,763,743 | TotalAmt |
| Program Services | $285,510 | ProgramServicesAmt |
| Management And General | $2,461,667 | ManagementAndGeneralAmt |
| Fundraising | $16,566 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,182,742 | TotalAmt |
| Program Services | $1,884,460 | ProgramServicesAmt |
| Management And General | $1,298,282 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,967 | TotalAmt |
| Program Services | $68,636 | ProgramServicesAmt |
| Management And General | $43,120 | ManagementAndGeneralAmt |
| Fundraising | $211 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,455 | TotalAmt |
| Program Services | $18,056 | ProgramServicesAmt |
| Management And General | $11,343 | ManagementAndGeneralAmt |
| Fundraising | $56 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,286 | TotalAmt |
| Program Services | $214,205 | ProgramServicesAmt |
| Management And General | $160,081 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,314,965 | TotalAmt |
| Program Services | $867,877 | ProgramServicesAmt |
| Management And General | $447,088 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,657 | TotalAmt |
| Program Services | $149,808 | ProgramServicesAmt |
| Management And General | $206,535 | ManagementAndGeneralAmt |
| Fundraising | $4,314 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $7,312,470 | $7,312,470 | ||
| EQUIP RENTAL & REPAIRS | $496,121 | $158,157 | $336,301 | $1,663 |
| EDUCATION | $485,911 | $275,833 | $208,742 | $1,336 |
| DUES & SUBSCRIPTIONS | $189,270 | $37,723 | $146,587 | $4,960 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,263 | TotalAmt |
| Program Services | $16,753 | ProgramServicesAmt |
| Management And General | $144,539 | ManagementAndGeneralAmt |
| Fundraising | $971 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,149,063 | TotalAmt |
| Program Services | $58,839,981 | ProgramServicesAmt |
| Management And General | $16,934,975 | ManagementAndGeneralAmt |
| Fundraising | $374,107 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,455,568 | BOYAmt |
| EOY | $2,091,795 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,560,637 | BOYAmt |
| EOY | $250,937 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $580,771 | BOYAmt |
| EOY | $2,943,144 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,426,827 | BOYAmt |
| EOY | $8,768,450 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,469,400 | BOYAmt |
| EOY | $12,469,400 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,830 | BOYAmt |
| EOY | $40,968 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $777,173 | BOYAmt |
| EOY | $565,377 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $33,695,262 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,743,499 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,659,502 | BOYAmt |
| EOY | $15,951,763 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,573,007 | BOYAmt |
| EOY | $5,343,685 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,549,715 | BOYAmt |
| EOY | $48,425,519 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,456,673 | BOYAmt |
| EOY | $6,295,867 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,900 | BOYAmt |
| EOY | $31,900 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,157,935 | BOYAmt |
| EOY | $6,326,409 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,963,688 | BOYAmt |
| EOY | $6,509,398 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,610,196 | BOYAmt |
| EOY | $19,163,574 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,856,545 | BOYAmt |
| EOY | $28,669,267 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,974 | BOYAmt |
| EOY | $592,678 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,939,519 | BOYAmt |
| EOY | $29,261,945 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,549,715 | BOYAmt |
| EOY | $48,425,519 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,709,528 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $31,954 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,662,293 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,921,691 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,190,999 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,237,490 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,088,602 | CurrentTaxYearAmt |
| Total | $123,101,075 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,662,293 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,921,691 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,190,999 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,237,490 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,088,602 | CurrentTaxYearAmt |
| Total | $123,101,075 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $123,101,075 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $165,115 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $172,410 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $187,038 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $183,076 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $283,394 | CurrentTaxYearAmt |
| Total | $991,033 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $434,287 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $630,436 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,463,270 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $747,975 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $625,032 | CurrentTaxYearAmt |
| Total | $3,901,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $127,993,108 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $204,109,283 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96180 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95800 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2019 AMOUNT: $ 434,287. 2020 AMOUNT: $ 630,436. 2021 AMOUNT: $ 1,463,270. 2022 AMOUNT: $ 747,975. 2023 AMOUNT: $ 625,032. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Political Expenditures | $0 | PoliticalExpendituresAmt |
| Volunteer Hours | 0 | VolunteerHoursCnt |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $11,491 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $11,491 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $75,763,465 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $75,774,956 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $13,942 | CurrentYearMinus3Amt |
| Current Year Minus2 | $9,423 | CurrentYearMinus2Amt |
| Current Year Minus1 | $12,641 | CurrentYearMinus1Amt |
| Current Year | $11,491 | CurrentYearAmt |
| Total | $47,497 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,835,786 | OtherCostOrOtherBasisAmt |
| Book Value | $3,835,786 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,794,337 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,443,068 | DepreciationAmt |
| Book Value | $9,351,269 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,323,103 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,300,431 | DepreciationAmt |
| Book Value | $2,022,672 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $742,036 | OtherCostOrOtherBasisAmt |
| Book Value | $742,036 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,951,763 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SECURITY DEPOSITS | $129,777 |
| RIGHT OF USE ASSET | $4,928,568 |
| INTEREST RATE SWAP AGREEMENT | $285,340 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,343,685 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PAYABLES TO RELATED ORGANIZATIONS | $1,181,000 |
| OPERATING LEASE LIABILITY | $5,328,398 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,509,398 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $71,142,486 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $2,724,163 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$21,212 | OtherRevenueAmt |
| Revenue Not Reported | $2,702,951 | RevenueNotReportedAmt |
| Revenue Subtotal | $68,439,535 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $68,439,535 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $79,247,523 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $2,724,163 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $374,297 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3,098,460 | ExpensesNotReportedAmt |
| Expenses Subtotal | $76,149,063 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $76,149,063 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. THE ORGANIZATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX PROVISIONS. THE APPLICATION OF THIS STANDARD HAS NO EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 31,954. HOLDING COMPANY REVENUE NOT INCLUDED 714,834. ELIMINATING ENTRY TO CONSOLIDATE FINANCIAL STATEMENTS -768,000. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | HOLDING COMPANY EXPENSES NOT INCLUDED 1,142,297. ELIMINATING ENTRY TO CONSOLIDATE FINANCIAL STATEMENTS -768,000. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | PATIENT TRANSPORTATION ASSISTANCE | GrantTypeTxt |
| Recipient | 740 | RecipientCnt |
| Cash Grant | $7,404 | CashGrantAmt |
| Valuation Method Used | N/A | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION ENSURES APPROPRIATE USE OF TRANSPORTATION ASSISTANCE BY GIVING INDIVIDUALS TRANSPORTATION VOUCHERS THAT ARE ONLY GOOD FOR TRANSPORTATION OR BY PAYING THE TRANSPORTATION COMPANY DIRECTLY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHILIP KEPPELER | ||||||||||||||
| PHYSICIAN | $329,429 | $0 | $0 | $0 | $0 | $0 | $6,841 | $0 | $30,861 | $0 | $367,131 | $0 | $0 | $0 |
| KAREN FUNK | ||||||||||||||
| CHIEF MEDICAL OFFICER | $302,679 | $0 | $0 | $0 | $0 | $0 | $6,167 | $0 | $22,122 | $0 | $330,968 | $0 | $0 | $0 |
| LISA WINKLER | ||||||||||||||
| PHYSICIAN | $264,952 | $0 | $0 | $0 | $0 | $0 | $5,553 | $0 | $28,133 | $0 | $298,638 | $0 | $0 | $0 |
| ANGELA FRYER | ||||||||||||||
| PHYSICIAN | $262,224 | $0 | $0 | $0 | $0 | $0 | $5,391 | $0 | $25,467 | $0 | $293,082 | $0 | $0 | $0 |
| CARLIE FIELD | ||||||||||||||
| PHYSICIAN | $271,957 | $0 | $0 | $0 | $0 | $0 | $5,425 | $0 | $1,199 | $0 | $278,581 | $0 | $0 | $0 |
| SIMON SMITH | ||||||||||||||
| PRESIDENT & CEO | $254,794 | $0 | $0 | $0 | $0 | $0 | $5,199 | $0 | $17,320 | $0 | $277,313 | $0 | $0 | $0 |
| BREANNA TOMLIN | ||||||||||||||
| PHYSICIAN | $254,690 | $0 | $0 | $0 | $0 | $0 | $5,163 | $0 | $11,875 | $0 | $271,728 | $0 | $0 | $0 |
| AN NGUYEN | ||||||||||||||
| CHIEF DENTAL OFFICER | $242,769 | $0 | $0 | $0 | $0 | $0 | $4,923 | $0 | $11,577 | $0 | $259,269 | $0 | $0 | $0 |
| BRIAN JOHNSTON | ||||||||||||||
| CFO | $144,218 | $0 | $0 | $0 | $0 | $0 | $3,158 | $0 | $31,328 | $0 | $178,704 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 79101 | ContributionCnt |
| Noncash Contributions Rpt F990 | $3,055,968 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER OF ITEMS RECEIVED IS REPORTED IN PART I. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE GOVERNING BOARD OF DIRECTORS SHALL HAVE THE POWER TO DESIGNATE AND APPOINT ONE OR MORE COMMITTEES, EACH OF WHICH SHALL CONSIST OF TWO OR MORE DIRECTORS, WHICH COMMITTEES SHALL HAVE SUCH AUTHORITY AS DELEGATED BY THE BOARD, EXCEPT THAT NO SUCH COMMITTEE SHALL HAVE THE AUTHORITY TO AMEND, ALTER OR REPEAL THE BYLAWS; ELECT, APPOINT OR REMOVE ANY OFFICER OR DIRECTOR OF THE CORPORATION; AMEND THE ARTICLES OF INCORPORATION; RESTATE THE ARTICLES OF INCORPORATION; ADOPT A PLAN OF MERGER OR ADOPT A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION; AUTHORIZE THE SALE, LEASE, EXCHANGE, OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION; AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKE PROCEEDINGS THEREFOR; ADOPT A PLAN FOR THE DISTRIBUTION OF ASSETS OF THE CORPORATION; AND/OR AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD OF DIRECTORS WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED, OR REPEALED BY SUCH COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS PREPARED BY THE ORGANIZATIONS INDEPENDENT CPA WITH INFORMATION PROVIDED BY MANAGEMENT. MANAGEMENT PROVIDES THE FORM 990 AND 990 EDUCATIONAL MATERIALS VIA EMAIL TO ALL DIRECTORS PRIOR TO FILING FORM 990. THE FINANCE COMMITTEE REVIEWS THE FORM 990 AT THE COMMITTEE MEETING NEAREST THE FILING DATE - EITHER BEFORE OR AFTER. THIS REVIEW INCLUDES OPPORTUNITIES FOR DIRECTORS TO ASK QUESTIONS OF MANAGEMENT REGARDING THE FORM 990 AND ITS CONTENTS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS, VOTING COMMITTEE MEMBERS, AND OFFICERS. EACH INDIVIDUAL IS REQUIRED TO DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST AND IS GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS. AFTER SUCH DISCLOSURE, THE INDIVIDUAL DOES NOT PARTICIPATE IN THE REMAINDER OF THE PROCESS, INCLUDING DISCUSSIONS AND VOTES. IF IT IS UNCLEAR WHETHER A CONFLICT EXISTS, THE REMAINING BOARD OR COMMITTEE MEMBERS MAKE THE DETERMINATION. THE CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE TRANSACTION. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT IDENTIFIED, THE BOARD OR COMMITTEE VOTES ON WHETHER TO ENTER THE TRANSACTION. IF THE BOARD OR A COMMITEE BELIEVES A PERSON HAS FAILED TO DISCLOSE A CONFLICT, THE INDIVIDUAL IS GIVEN AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE. IF THE BOARD OR COMMITTEE DETERMINES THAT A FAILURE HAS OCCURRED, APPROPRIATE DISCIPLINARY ACTION IS TAKEN. DELIBERATIONS AND DECISIONS MADE ARE DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE DETERMINES THE COMPENSATION OF THE CEO USING AN ANALYSIS OF MARKET SALARIES COMPILED BY THE CHIEF HR OFFICER, USING INFORMATION AVAILABLE FROM THE EMPLOYERS COUNCIL, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, COMMUNITY HEALTH ASSOCIATION OF MOUNTAIN/PLAINS STATES, AND THE COLORADO COMMUNITY HEALTH NETWORK. THE DISCUSSION/DELIBERATION IS DOCUMENTED IN THE BOARD'S COMPENSATION COMMITTEE NOTES AND NOTED IN THE BOARD'S MEETING MINUTES. A PAYROLL NOTE DOCUMENTS THE FINAL DECISION AND IS APPROVED BY THE MEMBERS OF THE BOARD'S COMPENSATION COMMITTEE. THE COMPENSATION OF OTHER OFFICERS IS EVALUATED USING AN ANALYSIS OF MARKET SALARIES COMPILED BY THE CHIEF HR OFFICER, USING INFORMATION AVAILABLE FROM THE EMPLOYERS COUNCIL, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, COMMUNITY HEALTH ASSOCIATION OF MOUNTAIN/PLAINS STATES AND THE COLORADO COMMUNITY HEALTH NETWORK. THE CEO DETERMINES ANY COMPENSATION ADJUSTMENTS AND THE DECISION IS DOCUMENTED IN A PAYROLL NOTE APPROVED BY THE CEO. IN ADDITION, THE ORGANIZATION PERIODICALLY USES AN EXTERNAL COMPENSATION CONSULTANT TO DETERMINE COMPENSATION OF THE CEO, OFFICERS, KEY EMPLOYEES, AND CERTAIN OTHER EMPLOYEES OF THE ORGANIZATION. THE CONSULTANT REVIEWS THE ORGANIZATION'S STRATEGIC OBJECTIVES, RELEVANT POLICIES AND PROCEDURES AND CURRENT COMPENSATION DOCUMENTATION. THE CONSULTANT USES SURVEYS AND OTHER INFORMATION TO DEVELOP UP-TO-DATE MARKET INFORMATION BASED ON THE DETAILED JOB DESCRIPTIONS PROVIDED BY THE ORGANIZATION. THE CONSULTANT WORKS WITH LEADERSHIP TO DEVELOP BASE COMPENSATION SALARY RANGES INCLUDING COST ANALYSIS FOR PROPOSED PAY ADJUSTMENTS TO THOSE SALARIES FALLING OUTSIDE THE RANGE. THE PROCESSES DESCRIBED HERE WERE LAST COMPLETED IN 2023. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FINANCIAL INFORMATION INCLUDING FORM 990 AS WELL AS OUR ANNUAL AUDIT AND FINANCIAL STATEMENTS ARE ALSO MADE AVAILABLE THROUGH THE GUIDESTAR.ORG WEBSITE. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 31,954. |
| FORM 990 PART XII LINE 2C: | THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICA HOLDING COMPANY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1735 SOUTH PUBLIC ROAD | AddressLine1Txt |
| City | LAFAYETTE | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80026 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 823052286 | EIN |
| Primary Activities | PROPERTY HOLDING | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICA CAMPESINA FAMILY HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CLINICA HOLDING COMPANY | ||
| E | $1,181,000 | FAIR MARKET VALUE |
| CLINICA HOLDING COMPANY | ||
| K | $768,000 | FAIR MARKET VALUE |
| CLINICA HOLDING COMPANY | ||
| N | $697,670 | FAIR MARKET VALUE |
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