2021-04-22T09:17:59-05:00 2020-06-30 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2019-07-01 840520493 MENTAL HEALTH CENTER OF BOULDER COUNTY INC MENT 3034438500 1455 DIXON AVE LAFAYETTE CO 80026 DIXIE CASFORD CEO 3034438500 2021-02-18 1 DORI J EGGETT P00645252 3037409400 2021-02-18 2019 2022-09-23 18:48:47Z MENTAL HEALTH PARTNERS DIXIE CASFORD 1455 DIXON AVE LAFAYETTE CO 80026 41289209 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. 11 11 536 0 0 0 17501723 18234166 21859867 22849213 3018029 15647 188308 181338 42567927 41280364 0 0 0 0 27121977 28125605 0 0 162321 11837008 12020616 38958985 40146221 3608942 1134143 39532050 42754793 16722481 18747678 22809569 24007115 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 30055631 22849213 PROVIDED COMPREHENSIVE COMMUNITY BASED MENTAL HEALTH SERVICES. MENTAL HEALTH PARTNERS PROVIDED 223,041 SERVICES TO 9,379 ENROLLED RESIDENTS OF BOULDER AND BROOMFIELD COUNTIES. MENTAL HEALTH PARTNERS ALSO PROVIDED SERVICES TO MORE THAN 638 NON-ENROLLED RESIDENTS. 30055631 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 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 90 0 1 536 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 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 X JESUS SANCHEZ BOARD CHAIR 1.00 X X 0 0 0 SETH PATTERSON CHAIR ELECT 1.00 X X 0 0 0 MOLLY WITTENBERG 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 MEMBER 1.00 X 0 0 0 RENEE EZER MEMBER 1.00 X 0 0 0 DALE VARNER MEMBER 1.00 X 0 0 0 HANS WIIK CHIEF EXECUTIVE OFFICER 40.00 X 193507 0 16949 JENNIFER LACOV CHIEF FINANCIAL OFFICER 40.00 X 115003 0 9385 GEORGE ELIOPULOS CHIEF MEDICAL DIRECTOR 40.00 X 303657 0 12783 DIXIE CASFORD CO-CEO BEGIN 01/20 40.00 X 153295 0 8153 JENNIFER LEOSZ MARRIOT CO-CEO BEGIN 01/20 40.00 X 160660 0 5707 JEFFREY ALMONY PSYCHIATRIST 40.00 X 262521 0 18800 KAREN RICE ASSISTANT MEDICAL DIRECTOR 40.00 X 260914 0 13577 ROBERT RUEGG PSYCHIATRIST 40.00 X 247809 0 18681 DEBRA EDELSON PSYCHIATRIST 40.00 X 226677 0 5962 FRANK LEONE PSYCHIATRIST 40.00 X 225148 0 6502 2149191 0 116499 14 0 1 0 STREAMLINE HEALTH CARE SOLUTIONS 510 E BUTLER COURT KALAMAZOO MI 49007 HEALTHCARE SOFTWARE 355333 LOCUM TENENS PO BOX 405547 ATLANTA GA 30384 MEDICAL STAFF SERVICES 330006 AMERICAN MEDICAL RESPONSE PO BOX 841439 DALLAS TX 75284 AMBULANCE SUBSIDY AGREEMENT 248991 VIRTUAL CFO PO BOX 120115 DEPT 0115 DALLAS TX 75312 ACCOUNTING SERVICES 227528 UNIVERSITY OF COLO BOULDER PO BOX 910220 DENVER CO 80291 STAFF SERVICES 218085 11 35735 17739902 458529 18234166 PATIENT SERVICE REVENU 623990 22483704 22483704 OTHER PROGRAM SERVICE 900099 347833 347833 NET GAIN ON EQUITY INV 900099 17676 17676 22849213 12747 12747 190183 0 190183 190183 190183 2900 0 2900 2900 2900 0 35735 8845 -8845 -8845 41280364 22849213 0 196985 619843 513012 106831 22905123 18841602 3950690 112831 492244 404916 84903 2425 2471141 2032744 426224 12173 1637254 1346794 282395 8065 18163 18163 169375 169375 932744 878306 54438 28327 4089 24046 192 344176 160939 179671 3566 674920 11991 661122 1807 2284381 1358018 924330 2033 86013 70516 14439 1058 184896 26181 157512 1203 385060 195214 189846 1148489 1148489 2001998 881403 1111777 8818 CLIENT RELATED EXPENSES 3352902 3241326 103426 8150 OTHER EXPENSES 408383 88580 319803 BAD DEBT EXPENSE 789 789 40146221 30055631 9928269 162321 6517494 10319127 18378 19027 3060856 4357963 475548 474015 454621 335866 37132768 11640924 26860273 25491844 1262046 1337474 651843 318489 230991 100988 39532050 42754793 2777673 2646934 135361 209707 11316549 10820478 157689 276264 408217 306676 1926992 4487619 16722481 18747678 X 22221986 23277767 587583 729348 22809569 24007115 39532050 42754793 1134143 63403 0 X 0 1 X 1 1 1 X 6742804 4001647 5633901 17501723 18234166 52114241 34088493 37183640 30672696 21859867 22849213 146653909 1230041 1835807 1323438 1267788 1033210 6690284 42061338 43021094 37630035 40629378 42116589 205458434 0 3042402 6882025 6125114 16049541 3042402 6882025 6125114 16049541 189408893 852826 403907 212896 202511 202930 1875070 852826 403907 212896 202511 202930 1875070 42914164 43425001 37842931 40831889 42319519 207333504 0.91350 0.87730 0.00900 0.00800 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 12666 -246 115 12305 1.00000 0 0 7115872 7115872 20141721 5585194 14556527 285374 155551 129823 9589801 5900179 3689622 25491844 INTEREST PAYABLE 29077 CLIENT DEPOSITS 16577 CAPITAL LEASES 15687 EQUIPMENT NOTE PAYABLE 115811 RISK CORRIDOR PAYABLE 839704 PPP LOAN 3470763 4487619 X 42386113 63403 1033501 8845 1105749 41280364 0 41280364 41203514 1033501 23792 1057293 40146221 0 40146221 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 V, LINE 4: THE TEMPORARILY RESTRICTED ENDOWMENT CONSISTS OF THE KITTY DEKIEFFER ENDOWMENT, WHICH HAS BEEN RESTRICTED TO THE PROGRAMS OF THE HEALTH CENTER. 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, 2020 AND 2019, 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 XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 8,845. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 8,845. RELATED PARTY EXPENSES 14,947. 2020 BOULDER SKYLINE TRAVERSE 24083 24083 368 292 2020 MHP COMMUNITY BREAKFAST 11652 11652 2345 2154 2761 925 35735 35735 368 2345 2446 2761 925 8845 -8845 X X X X 0 0 0 0 0 0 0 0 0 HANS WIIK CHIEF EXECUTIVE OFFICER 193507 0 0 0 0 0 8433 0 8516 0 210456 0 0 0 GEORGE ELIOPULOS CHIEF MEDICAL DIRECTOR 303657 0 0 0 0 0 9000 0 3783 0 316440 0 0 0 DIXIE CASFORD CO-CEO BEGIN 01/20 152315 0 0 0 980 0 8153 0 0 0 161448 0 0 0 JENNIFER LEOSZ MARRIOT CO-CEO BEGIN 01/20 160660 0 0 0 0 0 5707 0 0 0 166367 0 0 0 JEFFREY ALMONY PSYCHIATRIST 262521 0 0 0 0 0 9000 0 9800 0 281321 0 0 0 KAREN RICE ASSISTANT MEDICAL DIRECTOR 260914 0 0 0 0 0 9000 0 4577 0 274491 0 0 0 ROBERT RUEGG PSYCHIATRIST 247809 0 0 0 0 0 6423 0 12258 0 266490 0 0 0 DEBRA EDELSON PSYCHIATRIST 226677 0 0 0 0 0 0 0 5962 0 232639 0 0 0 FRANK LEONE PSYCHIATRIST 225148 0 0 0 0 0 0 0 6502 0 231650 0 0 0 A BOULDER COUNTY CO 846000748 2014-06-11 8114663 SEE PART VI 0 0 0 B BOULDER COUNTY CO 846000748 2015-12-16 6675000 SEE PART VI 0 0 0 A 275181 8114663 162291 2413193 5539179 2014 1 0 1 1 B 1565284 6675000 133500 6541500 2016 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 SCHEDULE K, PART I, LINE A(F) THE PURPOSE OF THE 2014 BOND ISSUE INCLUDE; (1) PAYING FOR THE CAPITAL COSTS ASSOCIATED WITH THE 1000 ALPINE RENOVATIONS. (2) PAYING OFF THE SERIES 2005 BONDS ON 08/01/2014 (3) PAYING OFF THE WELLS FARGO ALPINE BRIDGE LOAN SCHEDULE K, PART IV, LINE 2C THE REBATE CALCULATION FOR THE 2014 BOND ISSUANCE WAS PERFORMED ON SEPTEMBER 14, 2019. 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. FORM 990 PART VII DIXIE CASFORD AND JENNIFER LEOSZ MARRIOTT WERE PROMOTED TO CO-CEO POSITIONS IN JANUARY 2020. AS SUCH, THEY ARE BEING REPORTED AS CURRENT OFFICERS ON THE FY20 RETURN. THE COMPENSATION THAT WAS REPORTED ON FORM W-2 IN 2019 FOR THESE TWO EMPLOYEES REPRESENTED COMPENSATION PAID TO THEM FOR SERVICES IN THEIR PRIOR POSITIONS AS VP-ACUTE CARE AND VP-CLINICAL CARE, RESPECTIVELY. 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