2025-08-15T17:08:29-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2024-01-01 840921521 PUEBLO COMMUNITY HEALTH CENTER INC PUEB 7195438711 110 EAST ROUTT AVENUE PUEBLO CO 81004 PHILLIP L DAVIS CFO 7195438711 2025-08-15 1 1 STEPHANIE MCCARTHY P01805699 3149254300 2025-08-04 2024 2025-03-06 01:10:19Z DONALD MOORE 110 EAST ROUTT AVENUE PUEBLO CO 81004 50608711 0 X WWW.PUEBLOCHC.ORG X 1983 CO TO PROVIDE PRIMARY HEALTH CARE TO THOSE IN NEED. 13 13 428 14 0 0 8490299 14096079 34482650 35445006 654951 924168 293872 143458 43921772 50608711 3709114 4087310 0 0 28803315 31200364 0 0 0 11131201 12632840 43643630 47920514 278142 2688197 52347187 54635430 13536265 12976944 38810922 41658486 TO PROVIDE PRIMARY HEALTH CARE TO THOSE IN NEED BY OFFERING TOP QUALITY CARE THROUGH ACCESSIBILITY, LEADERSHIP, AND FINANCIAL INDEPENDENCE. 0 0 33194972 4087310 28506935 PRIMARY HEALTH CARE SERVICES, INCLUDING PREVENTATIVE CARE,URGENT AND MINOR EMERGENCY CARE, BEHAVIORAL HEALTH, PERINATAL, AND DIAGNOSTIC LABORATORY AND RADIOLOGY, FOR LOW-INCOME, MEDICALLY UNINSURED AND UNDERINSURED OF PUEBLO AND HUERFANO COUNTIES. 3488038 0 4867483 PHARMACEUTICAL SERVICES FOR LOW-INCOME, MEDICALLY UNINSURED AND UNDERINSURED OF PUEBLO COUNTY. 2585144 0 2070588 PREVENTATIVE, RESTORATIVE, AND EMERGENCY DENTAL HEALTH CARE SERVICES FOR LOW-INCOME, MEDICALLY UNINSURED AND UNDERINSURED OF PUEBLO COUNTY. 39268154 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 48 0 1 428 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X PHILLIP DAVIS 7195438718 110 E ROUTT AVE PUEBLO CO 81004 DR DANA RILEY MD PHYSICIAN 40.00 0.00 X 264461 0 36371 DR NORMA NEHREN MD CHIEF MEDICAL OFFICER 40.00 0.00 X 280772 0 17055 DR CARLY LACROIX MD PHYSICIAN 40.00 0.00 X 267729 0 25481 DR PATRICIA S SABATINI MD PHYSICIAN 40.00 0.00 X 262324 0 28664 DR STEPHANIE PAYNE MD PHYSICIAN 40.00 0.00 X 264202 0 23250 DR SUSANNA JACOBS DPM PHYSICIAN PODIATRIST-CCLA 40.00 0.00 X 246057 0 21813 DONALD E MOORE CHIEF EXECUTIVE OFFICER 40.00 2.00 X 227248 0 31214 DR AARON LEVI MURRAY DDS CHIEF DENTAL OFFICER 40.00 0.00 X 214929 0 35452 DR STEVEN NAFZIGER MD INTERIM CMO (LEFT FEB. 2024) 40.00 0.00 X 221108 0 23765 JASON M PITTS CHIEF OPERATIONS OFFICER 40.00 0.00 X 174350 0 26862 PHILLIP DAVIS CHIEF FINANCIAL OFFICER 40.00 0.00 X 157483 0 21273 YESENIA BEASCOCHEA PRESIDENT (AS OF MARCH 2024) 1.00 0.00 X X 0 0 0 STEVE SHIRLEY - SECRETARY PRESIDENT-ELECT (AS OF MARCH 2024) 1.00 0.00 X X 0 0 0 LOUIS BALIZET IMMEDIATE PAST PRESIDENT 1.00 0.00 X X 0 0 0 LINDA RIKHOFF - IMMEDIATE PAST-PRESIDENT (LEFT MARCH 2024) 1.00 0.00 X X 0 0 0 TRACY PHILLIPS TREASURER (AS OF MARCH 2024) 1.00 0.00 X X 0 0 0 SANDRA LEMING SECRETARY (LEFT MARCH 2024) 1.00 0.00 X X 0 0 0 SHIRLEY CORDOVA DIRECTOR 1.00 0.00 X 0 0 0 RICHARD DURAN DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL GAGE DIRECTOR 1.00 0.00 X 0 0 0 LISA PERSONS DIRECTOR 1.00 0.00 X 0 0 0 ALEXIS ROMERO STEWART DIRECTOR 1.00 0.00 X 0 0 0 LAURA STEIN DIRECTOR 1.00 0.00 X 0 0 0 BEN STRAND DIRECTOR 1.00 0.00 X 0 0 0 TERRI WELDON DIRECTOR 1.00 0.00 X 0 0 0 ARTHUR YARBROUGH DIRECTOR 1.00 0.00 X 0 0 0 2580663 0 291200 53 0 1 0 OSIS PO BOX 772852 CHICAGO IL 60677 SOFTWARE SUPPORT SERVICES 646118 340B TECHNOLOGIES INC 161 GAITHER DR STE 201 MT LAUREL NJ 08054 CONTRACT PHARMACY CONSULTING 406116 CARDINAL HEALTH PHARMACY MANAGEMENT 21377 NETWORK PLACE CHICAGO IL 60673 PHARMACY MANAGEMENT SERVICES 390408 SCRIBES-X NORTHWEST 931 SW KING AVENUE PORTLAND OR 97205 MEDICAL SCRIBE SERVICES 385994 STRATUS INDEMAND INTERPRETING INC PO BOX 675248 DETROIT MI 48267 INTERPRETING SERVICES 329420 36 7937013 6159066 200000 14096079 PATIENT REVENUE 621110 30577523 30577523 PHARMACY REVENUE 621110 4867483 4867483 35445006 924168 924168 MISCELLANEOUS INCOME 621990 143458 143458 143458 50608711 35445006 0 1067626 18000 18000 4069310 4069310 1419967 431561 988406 23887014 22324039 1562975 910009 773886 136123 3046751 2520469 526282 1936623 1742153 194470 60601 60601 96995 990 96005 1792942 1665204 127738 245545 36416 209129 403652 192762 210890 2343986 878026 1465960 929752 11819 917933 54388 50918 3470 133314 100381 32933 394804 394804 1112639 135497 977142 123766 29472 94294 MEDICAL SUPPLIES 4205152 4203586 1566 SECURITY 290811 290811 OTHER EXPENSES 240483 19617 220866 DUES & LICENSES 204010 64048 139962 47920514 39268154 8652360 0 18509 22062 8998427 14820650 723746 524777 6437982 3577464 22025700 22025700 69777 63847 311499 339150 22014352 11060131 11370003 10954221 1371877 1531244 1019667 776315 52347187 54635430 2832823 2925229 142500 10560942 9294147 0 757568 13536265 12976944 X 37439045 40127242 1371877 1531244 38810922 41658486 52347187 54635430 X 2688197 159367 X X 0 1 X 1 1 1 X 9183352 11748789 11992133 8490299 14096079 55510652 9183352 11748789 11992133 8490299 14096079 55510652 55510652 76937 235894 381226 756245 924168 2374470 10424 55056 273441 293872 143458 776251 58661373 152749815 0.94630 0.94910 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2020 AMOUNT: $ 10,424. 2021 AMOUNT: $ 55,056. 2022 AMOUNT: $ 273,441. 2023 AMOUNT: $ 293,872. 2024 AMOUNT: $ 143,458. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 0 1 26155 26155 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE COLORADO COMMUNITY HEALTH NETWORK AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. A PORTION OF THE DUES ARE ALLOCATED TO LOBBYING EXPENDITURES INCURRED ON BEHALF OF THEIR MEMBER ORGANIZATIONS. 2439582 2439582 14888208 7142754 7745454 7413 7413 4679149 3917377 761772 10954221 OPERATING LEASE LIABILITY 757568 757568 X 46605585 66184 -4069310 -4003126 50608711 0 50608711 43917388 66184 66184 43851204 4069310 4069310 47920514 PART X, LINE 2: THE ORGANIZATION HAS PREVIOUSLY RECEIVED NOTICE OF EXEMPTION OF INCOME TAX FROM THE INTERNAL REVENUE SERVICE UNDER SECTION 501(C)(3) OF THE FEDERAL INTERNAL REVENUE CODE (IRC). THE ORGANIZATION IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX PROVISIONS. THE IMPLEMENTATION OF THE ACCOUNTING STANDARDS REGARDING UNCERTAIN TAX PROVISIONS HAD NO IMPACT 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: CHARITY CARE NETTED WITH REVENUE ON AUDITED FINANCIAL STATEMENTS -4,069,310. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHARITY CARE NETTED WITH REVENUE ON AUDITED FINANCIAL STATEMENTS 4,069,310. 1 PUEBLO COMMUNITY HEALTH CENTER FOUNDATION 310 COLORADO AVENUE PUEBLO CO 81004 041404345 501(C)(3) 18000 0 N/A N/A GENERAL OPERATING EXPENSES 1 0 PATIENT ASSISTANCE 17222 4069310 0 N/A N/A PART I, LINE 2: THE ORGANIZATION MAKES CONTRIBUTIONS TO LOCAL CHARITIES AND GOVERNMENT AGENCIES. PUEBLO COMMUNITY HEALTH CENTER (PCHC) CONFIRMS THE CHARITABLE STATUS OF THE RECIPIENT ORGANIZATION, BUT DOES NOT MONITOR THE RECEIPTS FOR SPECIFIC USE OF THE FUNDS. FUNDS TRANSFERRED TO THE PUEBLO COMMUNITY HEALTH CENTER FOUNDATION ARE MONITORED BY COMMON MANAGEMENT WHO ENSURE THAT ALL TRANSFERRED FUNDS ARE USED FOR APPROPRIATE PURPOSES. PCHC PAYS THE INVOICES FOR PUEBLO PRIMARY CARE QALICB (PPC) AND THEN IS REIMBURSED FORM PPC AFTER THEY ARE PAID. PCHC KEEPS AN A/R ACCOUNT FROM PPC AND PPC KEEPS AN A/P ACCOUNT TO PCHC. CHARITY CARE PROVIDED IS MONITORED BY THE DETERMINATION OF FINANCIAL NEED. X X X 0 0 0 0 0 0 0 0 0 DR DANA RILEY MD PHYSICIAN 264461 0 0 0 0 0 12416 0 23955 0 300832 0 0 0 DR NORMA NEHREN MD CHIEF MEDICAL OFFICER 280772 0 0 0 0 0 8077 0 8978 0 297827 0 0 0 DR CARLY LACROIX MD PHYSICIAN 267729 0 0 0 0 0 9332 0 16149 0 293210 0 0 0 DR PATRICIA S SABATINI MD PHYSICIAN 262324 0 0 0 0 0 15740 0 12924 0 290988 0 0 0 DR STEPHANIE PAYNE MD PHYSICIAN 264202 0 0 0 0 0 7926 0 15324 0 287452 0 0 0 DR SUSANNA JACOBS DPM PHYSICIAN PODIATRIST-CCLA 246057 0 0 0 0 0 12005 0 9808 0 267870 0 0 0 DONALD E MOORE CHIEF EXECUTIVE OFFICER 226248 0 1000 0 0 0 13635 0 17579 0 258462 0 0 0 DR AARON LEVI MURRAY DDS CHIEF DENTAL OFFICER 214929 0 0 0 0 0 12896 0 22556 0 250381 0 0 0 DR STEVEN NAFZIGER MD INTERIM CMO (LEFT FEB. 2024) 221108 0 0 0 0 0 9622 0 14143 0 244873 0 0 0 JASON M PITTS CHIEF OPERATIONS OFFICER 166850 0 7500 0 0 0 5231 0 21631 0 201212 0 0 0 PHILLIP DAVIS CHIEF FINANCIAL OFFICER 157483 0 0 0 0 0 6299 0 14974 0 178756 0 0 0 X 1 200000 APPRAISAL 0 0 1 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS WAS USED IN PART I. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE HAS THE POWER TO ACT IN SITUATIONS THAT CANNOT WAIT FOR THE NEXT FULL BOARD MEETING. HOWEVER, THE EXECUTIVE COMMITTEE MAY NOT SUPERSEDE THE BOARD'S AUTHORITIES, FUNCTIONS AND RESPONSIBILITIES. THE EXECUTIVE COMMITTEE BRIEFS THE FULL BOARD ON ALL SUCH ACTIONS TAKEN. ON THOSE ACTIONS, THE BOARD SUBSEQUENTLY VOTES ON WHETHER TO RATIFY THE ACTIONS OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE ALSO HANDLES SPECIFIC QUESTIONS REFERRED BY THE FULL BOARD, ISSUES THAT NEED PRELIMINARY DISCUSSION BEFORE THE FULL BOARD CONSIDERS THEM, AND ROUTINE MATTERS NOT REQUIRING FULL BOARD ATTENTION. THE EXECUTIVE COMMITTEE ESTABLISHES AND IMPLEMENTS A PROCESS FOR ASSESSING THE PERFORMANCE OF THE CEO. FORM 990, PART VI, SECTION A, LINE 3 PHARMACY MANAGEMENT WAS OUTSOURCED TO CARDINAL HEALTH UNTIL APRIL 2024 WHEN IT WAS BROUGHT UNDER PCHC'S MANAGEMENT. CARDINAL HEALTH PHARMACY MANAGEMENT WAS COMPENSATED $390,408 IN 2024. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED IN DETAIL BY THE CFO AND CEO. IT WAS THEN REVIEWED BY THE FINANCE COMMITTEE, THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY PROHIBITS TRANSACTIONS THAT WOULD GIVE RISE TO A CONFLICT OF INTEREST. BOARD MEMBERS ARE PROVIDED WITH A CONFLICT OF INTEREST POLICY WHEN APPOINTED TO THE BOARD. ALL BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST AND COMPENSATION DISCLOSURE STATEMENT ANNUALLY. EMPLOYEES SIGN THAT THEY RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY WHEN HIRED AND ARE INFORMED THAT THEY NEED TO ADVISE THE ORGANIZATION IF A CONFLICT OF INTEREST ARISES. THE DISCLOSURE STATEMENTS ARE REVIEWED BY THE CEO AND PCHC'S LEGAL COUNSEL (IF NECESSARY). THE EXECUTIVE COMMITTEE DETERMINES THE APPROPRIATE PROCESS FOR RESOLVING AND/OR MANAGING THE CONFLICTS. AT EACH MONTHLY BOARD MEETING, BOARD MEMBERS ARE ASKED IF THEY HAVE ANY CONFLICTS TO DISCLOSE AND THIS IS NOTED IN THE BOARD MINUTES. BOARD MEMBERS WITH AN IDENTIFIED CONFLICT OF INTEREST RECUSE THEMSELVES FROM THE CONVERSATION AND THE VOTE, AND THIS IS REFLECTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD PERFORMS A THOROUGH REVIEW TO DETERMINE SUITABLE COMPENSATION FOR THE CEO. AFTER APPROVAL BY THE BOARD IN EXECUTIVE SESSION, A WRITTEN CONTRACT IS PREPARED AND SIGNED. COMPARABILITY DATA CAN INCLUDE COLORADO COMMUNITY HEALTH NETWORK OR MOUNTAIN STATES EMPLOYER'S COUNCIL COMPENSATION SURVEYS OR FORMS 990 OF SIMILAR ORGANIZATIONS. THE CEO AND HR DIRECTOR PERFORM A THOROUGH REVIEW TO DETERMINE SUITABLE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES. COMPARABILITY DATA CAN INCLUDE COLORADO COMMUNITY HEALTH NETWORK OR MOUNTAIN STATES EMPLOYER'S COUNCIL COMPENSATION SURVEYS OR FORMS 990 OF SIMILAR ORGANIZATIONS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. REQUESTS MAY BE SUBMITTED TO THE CEO AND ARE FORWARDED TO THE BOARD PRESIDENT. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 159,367. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. PUEBLO PRIMARY CARE QALICB 110 EAST ROUTT AVENUE PUEBLO CO 81004 853699288 SUPPORT CLINIC CO 501(C)(3) LINE 12C, III-FI PUEBLO COMMUNITY HEALTH CENTER 1 0 0 0 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 PUEBLO PRIMARY CARE QALICB L 70000 FMV PUEBLO PRIMARY CARE QALICB Q 52097 FMV