2022-05-16T17:39:18-05:00 2021-06-30 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2020-07-01 840520493 MENTAL HEALTH CENTER OF BOULDER COUNTY INC MENT 3034438500 1455 DIXON AVE LAFAYETTE CO 80026 DIXIE CASFORD CEO 3034438500 2022-05-11 1 DIXIE CASFORD 999009999 RYAN C HARRIS P00614618 3037409400 2022-05-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MENTAL HEALTH PARTNERS DIXIE CASFORD 1455 DIXON AVE LAFAYETTE CO 80026 42660029 0 X WWW.MHPCOLORADO.ORG X 1964 CO PARTNERING TO IMPROVE QUALITY OF LIFE AS A NONPROFIT ORGANIZATION DEDICATED TO MENTAL HEALTH AND WELLNESS. HEALING IS OUR PURPOSE, HELP IS OUR PROMISE, HEALTH IS OUR PASSION. 9 9 504 0 0 0 18234166 20367838 22849213 21576728 15647 117939 181338 197257 41280364 42259762 0 0 0 0 28125605 28428503 0 0 208520 12020616 13058142 40146221 41486645 1134143 773117 42754793 46481544 18747678 21388700 24007115 25092844 PARTNERING TO IMPROVE QUALITY OF LIFE AS A NONPROFIT ORGANIZATION DEDICATED TO MENTAL HEALTH AND WELLNESS. HEALING IS OUR PURPOSE, HELP IS OUR PROMISE, HEALTH IS OUR PASSION. 0 0 30513440 21576728 PROVIDED COMPREHENSIVE COMMUNITY BASED MENTAL HEALTH SERVICES. MENTAL HEALTH PARTNERS PROVIDED 202,445 SERVICES TO 8,641 ENROLLED RESIDENTS OF BOULDER AND BROOMFIELD COUNTIES. MENTAL HEALTH PARTNERS ALSO PROVIDED SERVICES TO MORE THAN 519 NON-ENROLLED RESIDENTS. 30513440 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 55 0 1 504 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DIXIE CASFORD 3034136276 1455 DIXON AVE LAFAYETTE CO 80026 JESUS SANCHEZ MEMBER 1.00 X 0 0 0 SETH PATTERSON PAST CHAIR 1.00 X X 0 0 0 MICHAEL CALCOTE MEMBER 1.00 X 0 0 0 POLLY SWARTZFAGER MEMBER 1.00 X 0 0 0 BILL FARROW MEMBER 1.00 X 0 0 0 SAM TAYLOR MEMBER 1.00 X 0 0 0 TIM ENWALL MEMBER 1.00 X 0 0 0 ELLEN BURNES BOARD CHAIR 1.00 X X 0 0 0 DALE VARNER MEMBER 1.00 X 0 0 0 DIXIE CASFORD CO-CEO 40.00 X 174286 0 22039 JENNIFER LEOSZ CO-CEO 40.00 X 183806 0 14804 GEORGE ELIOPULOS CHIEF MEDICAL DIRECTOR 40.00 X 289578 0 15994 KAREN RICE ASSISTANT MEDICAL DIRECTOR 40.00 X 227990 0 15994 ROBERT RUEGG PSYCHIATRIST 40.00 X 243371 0 26846 DEBRA EDELSON PSYCHIATRIST 40.00 X 231831 0 13988 FRANK LEONE PSYCHIATRIST 40.00 X 230104 0 13988 1580966 0 123653 68 0 1 0 LOCUM TENENS PO BOX 405547 ATLANTA GA 30384 MEDICAL STAFF SERVICES 619245 VIRTUAL CFO PO BOX 120115 DEPT 0115 DALLAS TX 75312 ACCOUNTING SERVICES 511374 STREAMLINE HEALTH CARE SOLUTIONS 510 E BUTLER COURT KALAMAZOO MI 49007 HEALTHCARE SOFTWARE 332349 AMERICAN MEDICAL RESPONSE PO BOX 841439 DALLAS TX 75284 AMBULANCE SUBSIDY AGREEMENT 256409 UNIVERSITY OF COLORADO BOULDER PO BOX 910220 DENVER CO 80291 STAFF SERVICES 237258 11 19958487 409351 20367838 PATIENT SERVICE REVENU 623990 21205154 21205154 OTHER PROGRAM SERVICE 900099 332951 332951 NET GAIN ON EQUITY INV 900099 38623 38623 21576728 13721 13721 197257 0 197257 197257 197257 504485 400267 104218 104218 104218 42259762 21576728 0 315196 1626615 1340429 286186 20153552 16870463 3131920 151169 434962 434962 4542734 3743488 799246 1670640 1368882 292261 9497 5360 5360 84380 84380 1710453 688190 1017516 4747 7467 3004 4442 21 1148570 462120 683262 3188 1099471 442365 654054 3052 1814274 1107689 703588 2997 19997 15625 4363 9 38225 15380 22739 106 340529 137010 202574 945 1078436 1078436 1982476 797637 1179337 5502 CLIENT RELATED EXPENSES 3669279 3509239 132788 27252 OTHER EXPENSES 59225 6559 52631 35 41486645 30513440 10764685 208520 10319127 14621131 19027 614196 4357963 4997870 474015 614552 335866 366040 33475301 9675134 25491844 23800167 1337474 1069158 318489 357111 100988 41319 42754793 46481544 2646934 3282847 209707 308261 10820478 10693018 276264 343580 306676 234945 4487619 6526049 18747678 21388700 X 23277767 24386701 729348 706143 24007115 25092844 42754793 46481544 773117 312612 0 X 0 1 X 1 1 1 X 4001647 5633901 17501723 18234166 20367838 65739275 37183640 30672696 21859867 22849213 21576728 134142144 1835807 1323438 1267788 1033210 870376 6330619 43021094 37630035 40629378 42116589 42814942 206212038 0 6882025 6125114 13007139 6882025 6125114 13007139 193204899 403907 212896 202511 202930 210978 1233222 403907 212896 202511 202930 210978 1233222 43425001 37842931 40831889 42319519 43025920 207445260 0.93140 0.91350 0.00590 0.00900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 15167 900 16067 14672 495 15167 13750 999 77 14672 12305 1445 13750 7115872 7115872 19583768 5913474 13670294 216628 87973 128655 6559033 3673687 2885346 23800167 INTEREST PAYABLE 21312 CLIENT DEPOSITS 16577 CAPITAL LEASES 2886 RISK CORRIDOR PAYABLE 3014511 PPP LOAN 3470763 6526049 X 43551200 312612 978826 1291438 42259762 0 42259762 42480454 978826 14983 993809 41486645 0 41486645 PART IV, LINE 2B: ESCROW AND CUSTODIAL ACCOUNT LIABILITY: THE MENTAL HEALTH CENTER ACTS AS A CUSTODIAN BY HOLDING FUNDS ON BEHALF OF THEIR CLIENTS. THE FUNDS ARE RECORDED IN CASH AND AN OFFSETTING LIABILITY ACCOUNT SINCE MENTAL HEALTH CENTER DOES NOT HAVE OWNERSHIP OF THESE FUNDS. PART X, LINE 2: THE CENTER IS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS MADE FOR FEDERAL, STATE, OR LOCAL TAXES. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT, AS OF JUNE 30, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED PARTY EXPENSES 14,983. X X X X 0 0 0 0 0 0 0 0 0 GEORGE ELIOPULOS CHIEF MEDICAL DIRECTOR 289578 0 0 0 0 0 9000 0 6994 0 305572 0 0 0 ROBERT RUEGG PSYCHIATRIST 242391 0 0 0 980 0 9000 0 17846 0 270217 0 0 0 DEBRA EDELSON PSYCHIATRIST 231831 0 0 0 0 0 0 0 13988 0 245819 0 0 0 FRANK LEONE PSYCHIATRIST 230104 0 0 0 0 0 0 0 13988 0 244092 0 0 0 KAREN RICE ASSISTANT MEDICAL DIRECTOR 227750 0 0 0 240 0 9000 0 6994 0 243984 0 0 0 JENNIFER LEOSZ CO-CEO 183806 0 0 0 0 0 7810 0 6994 0 198610 0 0 0 DIXIE CASFORD CO-CEO 173666 0 0 0 620 0 9000 0 13039 0 196325 0 0 0 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 2021-05-28 10915000 REFUND PRIOR EXEMPT DEBT 0 0 0 A 10915000 221982 10693018 2021 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW FORM 990: THE FORM 990 IS PREPARED BY A THIRD-PARTY PREPARER WITH A DETAIL REVIEW BEING COMPLETED BY THE CFO AND CONTROLLER OF THE ORGANIZATION. THE FORM 990 IS PRESENTED FOR REVIEW AT A REGULAR FINANCE COMMITTEE AND BOARD MEETING PRIOR TO SUBMISSION. ALTERNATIVELY, IF A REGULAR MEETING DOES NOT OCCUR BETWEEN THE TIME THE FORM 990 IS PREPARED AND THE SUBMISSION DATE, THE 990 IS EMAILED TO ALL BOARD MEMBERS ASKING FOR FOLLOW-UP QUESTIONS AND A PHONE CALL APPROVAL VOTE IS TAKEN AND RATIFIED AT THE NEXT BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL EMPLOYEES AND OFFICERS OF MHP SIGN AN ACKNOWLEDGEMENT OF THE EMPLOYEE HANDBOOK, UPON HIRE AND WHEN UPDATES ARE MADE. MHP'S CONFLICT OF INTEREST POLICY IS LISTED IN THE HANDBOOK AND REQUIRES ALL STAFF TO REPORT CONFLICTS OF INTEREST TO THEIR DIRECT SUPERVISOR SO IT CAN BE ROUTED APPROPRIATELY. REPORTED CONFLICTS ARE REVIEWED BY MHP'S HR TEAM AND COMPLIANCE OFFICER (WHO REPORTS DIRECTLY TO THE BOARD). IF AN INDIVIDUAL INDICATES A CONFLICT OF INTEREST, THEY ARE RESTRICTED FROM MAKING ANY DECISIONS REGARDING THE AREA WHERE THEY HAVE A CONFLICT OF INTEREST FORM 990, PART VI, SECTION B, LINE 15 PROCESS FOR DETERMINING EXECUTIVE DIRECTOR COMPENSATION: THE CEO'S COMPENSATION IS DETERMINED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THIS IS DOCUMENTED BY THE SIGNED EMPLOYMENT CONTRACT OR OTHER DOCUMENTATION SIGNED BY THE BOARD CHAIR. COMPARATIVE COMPENSATION PAID TO CEO'S OF THE 17 MENTAL HEALTH CENTERS IN COLORADO IS AVAILABLE THROUGH A CBHC ANNUAL SURVEY. THIS, PLUS SALARY SURVEY DATA FROM EMPLOYER'S COUNCIL, IS USED TO ADVISE THE BOARD ON COMPENSATION LEVEL. FORM 990, PART VI, SECTION B, LINE 15B PROCESS FOR DETERMINING CHIEF FINANCIAL OFFICER COMPENSATION: THE CEO AND VP, TALENT MANAGEMENT DETERMINE THE COMPENSATION LEVEL FOR THE CFO. THIS IS BASED ON APPROPRIATE SALARY SURVEY DATA AND MHP'S COMPENSATION STRUCTURE. PAY CHANGES ARE DOCUMENTED ON A PERSONNEL ACTION FORM SIGNED BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 DESCRIBE HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED TO THE PUBLIC UPON REQUEST. CHARITABLE REMAINDER TRUST CRAT CO N/A 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0