FURP.ORG / PUBLIC DATA EXPLORER

MARILLAC CLINIC INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MARILLAC CLINIC INC (EIN 84-1085822)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-06-01
IRS object ID
202031539349302153
Schema version
2019v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-06-01T17:58:04-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1370 INTERLOCKEN BLVD SUITE 500AddressLine1Txt
CityBROOMFIELDCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80021ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN841085822EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARILLAC CLINIC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMARIBusinessNameControlTxt
Phone9702981782PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12333 NORTH 6TH STREETAddressLine1Txt
CityGRAND JUNCTIONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81501ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANIEL BECKER MBAPersonNm
Person TitleCFOPersonTitleTxt
Phone9702981782PhoneNum
Signature2020-05-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNIONPreparerPersonNm
PTINP01469618PTIN
Phone3034668822PhoneNum
Preparation2020-05-29PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-29IPDt
IP Tm16:10:21IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC886C6DF3866C97A155E85B4DBD95EC73AF8A20DAtSubmissionCreationDeviceId
At Submission Filing Device Id9C3E08EBF53FA5FA3C7B2B5BD0B3E335DF999A73AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MARILLACHEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKAY RAMACHANDRANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12333 NORTH 6TH STREETAddressLine1Txt
CityGRAND JUNCTIONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81501ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,264,040GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MARILLACCLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionPROVIDE A WIDE SCOPE OF PRIMARY HEALTH CARE SERVICES TO ALL MESA COUNTY RESIDENTS.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,224,995PYContributionsGrantsAmt
CY Contributions Grants$2,955,107CYContributionsGrantsAmt
PY Program Service Revenue$6,926,758PYProgramServiceRevenueAmt
CY Program Service Revenue$6,190,980CYProgramServiceRevenueAmt
PY Investment Income$15,681PYInvestmentIncomeAmt
CY Investment Income$26,413CYInvestmentIncomeAmt
PY Other Revenue$23,376PYOtherRevenueAmt
CY Other Revenue$91,540CYOtherRevenueAmt
PY Total Revenue$10,190,810PYTotalRevenueAmt
CY Total Revenue$9,264,040CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,620CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,849,582PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,991,099CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$408,306CYTotalFundraisingExpenseAmt
PY Other Expenses$3,194,050PYOtherExpensesAmt
CY Other Expenses$2,850,663CYOtherExpensesAmt
PY Total Expenses$10,043,632PYTotalExpensesAmt
CY Total Expenses$9,844,382CYTotalExpensesAmt
PY Revenues Less Expenses$147,178PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$580,342CYRevenuesLessExpensesAmt
Total Assets BOY$5,331,150TotalAssetsBOYAmt
Total Assets EOY$5,593,058TotalAssetsEOYAmt
Total Liabilities BOY$950,533TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,792,783TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,380,617NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,800,275NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMARILLAC CLINIC, INC. (DBA: MARILLACHEALTH) PROVIDES A WIDE SCOPE OF PRIMARY HEALTH CARE SERVICES TO ALL MESA COUNTY RESIDENTS REGARDLESS OF INCOME OR INSURANCE STATUS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,356,845ExpenseAmt
Grant$2,620GrantAmt
Revenue$6,190,980RevenueAmt
DescVISION: MESA COUNTY IS A COMMUNITY WHERE EVERY RESIDENT HAS ACCESS TO QUALITY HEALTH CARE.ORGANIZATIONAL CORE VALUES: COLLABORATION, COMPASSION, EXCELLENCE, INCLUSIVENESS, INTEGRITY, STEWARDSHIP MARILLAC HEALTH PROVIDES PRIMARY AND PREVENTIVE HEALTH CARE SERVICES FOR MESA COUNTY'S LOW-MIDDLE INCOME, UNINSURED AND UNDERINSURED POPULATION, BIRTH TO END OF LIFE. MARILLAC OPENED ITS DOORS ON MAY 2, 1988 AND HAS REMARKABLY GROWN IN SIZE AND SCOPE WHILE CONSTANTLY SEARCHING FOR AND ADOPTING PROMISING AND INNOVATIVE APPROACHES TO HEALTH CARE. THE HEALTH CARE NEEDS OF THE MEDICALLY UNDERSERVED POPULATION ARE MORE COMPLEX, CHRONIC, AND POPULATION-BASED THAN THE LARGER POPULATION. OUR HEALTH SERVICES ARE DESIGNED TO ADDRESS THESE NEEDS THROUGH A MULTI-DISCIPLINARY TEAM MEMBER APPROACH. OUR TEAMS PROVIDE SEAMLESS, PATIENT-CENTERED CARE, WITH THE PATIENT'S GOALS, CULTURAL BELIEFS AND CHOICES GUIDING HIS OR HER CARE. MARILLAC PATIENTS ARE EMPANELLED TO INDIVIDUAL PROVIDERS TO ASSURE BOTH CONTINUITY OF CARE AND WARM, TRUSTING RELATIONSHIPS. A WELCOMING TEAM OF ELIGIBILITY SPECIALISTS ENROLL PATIENTS IN MARILLAC AND DETERMINES THEIR ELIGIBILITY FOR OUR SLIDING FEE SCALE (SFS), WHICH IS UPDATED ANNUALLY TO ALIGN WITH FEDERAL POVERTY GUIDELINES. THE SFS TAKES INTO ACCOUNT THE PATIENT'S INCOME AND HOUSEHOLD SIZE. DISCOUNTED SERVICES ARE AN IMPORTANT PART OF OUR MISSION AND VISION FOR HEALTH CARE THAT IS AFFORDABLE AND ACCESSIBLE TO ALL.PRIMARY MEDICAL CARE INCLUDES SCREENINGS AND OTHER PREVENTIVE SERVICES SUCH AS CANCER SCREENINGS, WELL-CHILD VISITS, ACUTE CARE, CHILD AND ADULT IMMUNIZATIONS, AND CHRONIC DISEASE MANAGEMENT WHICH IS PROVIDED DIRECTLY BY MARILLAC PHYSICIANS AND NURSE PRACTITIONERS/PHYSICIAN ASSISTANTS. THIS SCOPE OF CARE ALSO INCLUDES WOMEN'S HEALTH SERVICES SUCH AS PRENATAL CARE, LABOR AND DELIVERY AND POST-PARTUM. LABORATORY AND IMAGING SERVICES ARE PROVIDED ON SITE AND AS NEEDED, BY REFERRAL PARTNERS.BEHAVIORAL CARE IS INTEGRATED WITH MEDICAL CARE. AS NEEDED, THE PATIENT'S MEDICAL APPOINTMENT IS ENHANCED WITH A SHORT VISIT (CALLED A "BRIEF INTERVENTION") FROM A BEHAVIORAL HEALTH PROVIDER FOR ASSISTANCE WITH PROBLEM-SOLVING, CRISIS COUNSELING, SELF-CARE TIPS & COMMUNITY RESOURCES. THIS INTEGRATED CARE APPROACH REMOVES STIGMA AND/OR BARRIERS TO SEEKING HELP, AND IS VERY EFFECTIVE IN HELPING LOW INCOME, VULNERABLE PATIENTS TO BE SUCCESSFUL IN REDUCING STRESS, DEPRESSION AND ANXIETY WHILE TEACHING THEM TO MANAGE THEIR CHRONIC DISEASES AND IMPROVE THEIR HEALTH.OPTICAL CARE INCLUDES COMPREHENSIVE AND EMERGENCY VISION SERVICES. OUR MEDICAL EYE EXAMS UTILIZE STATE OF THE ART DIAGNOSTIC EQUIPMENT FOR DETECTING THE PRESENCE OF EYE DISEASES AND CONDITIONS AND DETERMINING THE NEED FOR VISION CORRECTION. MARILLAC IS PLEASED TO OFFER LOW-COST, DURABLE, FASHIONABLE EYEWEAR, EYEGLASSES FITTING AND REPAIR, REFERRALS TO SPECIALISTS, MEDICATIONS SUCH AS EYE DROPS, AND EDUCATION ON THE RISK FACTORS THAT CAN LEAD TO VISION LOSS AND BLINDNESS.DENTAL CARE HELPS THOUSANDS OF PATIENTS TO IMPROVE THEIR QUALITY OF LIFE BY ALLEVIATING PAIN, BUILDING LIFE-LONG HABITS OF GOOD ORAL HEALTH AND PROVIDING THOROUGH DIAGNOSTICS, TREATMENT AND FOLLOW-UP CARE FOR A WIDE RANGE OF DENTAL CONDITIONS. OUR DENTAL TEAMS PROVIDE EXAMINATIONS, X-RAYS, PREVENTIVE CLEANINGS, FILLINGS, CROWNS, BRIDGES, EXTRACTIONS, ROOT CANALS & DENTURES. A FULL TIME PEDIATRIC DENTIST CARES FOR OUR YOUNGEST PATIENTS.REFERRAL SPECIALISTS THROUGHOUT THE COMMUNITY ACCEPT MARILLAC PATIENTS; MOST HONOR OUR SLIDING FEE SCALE.ACCESSIBILITY TO MARILLAC HEALTH IS INCREASED BY OUR PRESENCE IN FIVE DIFFERENT CLINIC LOCATIONS WHERE LOW INCOME AND VULNERABLE POPULATIONS RESIDE AND/OR RECEIVE SERVICES.1. MARILLAC/MAIN: 2333 N 6TH STREET IN THE CENTER OF THE CITY2. MARILLAC/COUNTY: 520 29 1/2 ROAD, CO-LOCATED WITH MESA COUNTY PUBLIC HEALTH3. MARILLAC/PRIMARY CARE PARTNERS: 3150 N 12TH STREET, CO-LOCATED WITHIN WESTERN COLORADO PEDIATRIC ASSOCIATES4. MARILLAC/GRAND VALLEY CATHOLIC OUTREACH: 302 PITKIN AVENUE, CO-LOCATED IN A DAY CENTER FOR PERSONS WHO ARE HOMELESS5. MARILLAC/HOMEWARD BOUND OF THE GRAND VALLEY: 2853 N AVENUE, CO-LOCATED IN AN OVERNIGHT SHELTER FOR HOMELESSIN ADDITION TO THESE ESTABLISHED CLINIC SITES, MARILLAC CONDUCTS OUTREACH CLINICS AND EVENTS THROUGHOUT THE YEAR IN COORDINATION WITH MESA COUNTY VALLEY SCHOOL DISTRICT #51, AND EVENING CLINICS AT LOCAL ORCHARDS AND WINERIES IN ORDER TO SERVE MIGRANT WORKERS AND THEIR FAMILIES. AT MARILLAC, WE EMBRACE THE OPPORTUNITY TO PROVIDE CULTURALLY-FRIENDLY CARE TO OUR PATIENTS. WE ARE COMMITTED TO BI-LINGUAL STAFFING, CULTURAL COMPETENCE TRAINING, BI-LINGUAL SIGNAGE AND WRITTEN MATERIALS, AND INTERPRETATION/TRANSLATION IN SPANISH AND OTHER LANGUAGES. BY CONTINUALLY ASSESSING COMMUNITY NEED AND WORKING CLOSELY WITH NUMEROUS HEALTH, HUMAN SERVICE, EDUCATIONAL AND GOVERNMENT PARTNERS, MARILLAC SEEKS TO GENUINELY UNDERSTAND AND ADDRESS THE DYNAMIC, CHANGING HEALTH CARE NEEDS WITHIN MESA COUNTY.AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), MARILLAC HAS A COMPREHENSIVE QUALITY MANAGEMENT PLAN WHICH IS DESIGNED TO CREATE A CULTURE OF CONTINUOUS QUALITY IMPROVEMENT. ACROSS THE ORGANIZATION, THE PLAN ADDRESSES QUALITY IMPROVEMENT AND QUALITY ASSURANCE, PATIENT SAFETY, RISK MANAGEMENT, POLICIES AND PROCEDURES, PATIENT SATISFACTION AND PATIENT PRIVACY. EACH YEAR, 20-30 QUALITY METRICS ARE TRACKED IN ORDER TO DRIVE CLINICAL IMPROVEMENT AND FINANCIAL SUSTAINABILITY. ELECTRONIC MEDICAL AND DENTAL RECORDS, ALONG WITH DATA ANALYTICS TOOLS, PROVIDE DATA-RICH REPORTING THAT OUR LEADERS, PROVIDERS AND TEAMS UTILIZE FOR QUALITY IMPROVEMENT. RISK-STRATIFICATION ALLOWS US TO IDENTIFY AND CONCENTRATE CERTAIN SERVICES ON OUR PATIENTS WITH THE MOST SERIOUS/COMPLEX HEALTH NEEDS. IN ADDITION, THE USE OF COMPUTER TABLETS DURING PATIENT CHECK-IN ALLOWS OUR PATIENTS TO EASILY COMPLETE A DEPRESSION SCREENING TOOL AND OTHER BRIEF MENTAL HEALTH/SUBSTANCE ABUSE QUESTIONNAIRES. THIS IMPROVES OUR ABILITY TO IDENTIFY AND WORK MORE CLOSELY WITH PATIENTS IN ORDER TO ADDRESS HIDDEN RISKS AND PROBLEMS SOONER.PATIENT SATISFACTION IS AN IMPORTANT MEASURE OF MARILLAC'S SUCCESS. IN 2017 MARILLACHEALTH GAINED RECOGNITION AS A PATIENT CENTERED MEDICAL HOME (PCMH) BY THE NATIONAL COUNCIL ON QUALITY ASSURANCE.Desc
Total Program Service Expenses$8,356,845TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DANIEL BECKERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9702981799PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12333 NORTH 6TH STREETAddressLine1Txt
CityGRAND JUNCTIONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81501ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
SHANE HAAS
CHAIR1.00Yes (X)Yes (X)$0$0$0
LEE GAGLIONE DDS
INTERIM VICE CHAIR & PAST CHAIR1.00Yes (X)Yes (X)$0$0$0
JOANNA LITTLE
SECRETARY & VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
ANN BOLAND
DIRECTOR & SECRETARY1.00Yes (X)Yes (X)$0$0$0
DAN PRINSTER
TREASURER1.00Yes (X)Yes (X)$0$0$0
SR BARBARA ALDRICH
DIRECTOR1.00Yes (X)$0$0$0
DEANNA JOHNSON
DIRECTOR1.00Yes (X)$0$0$0
JENNIFER LOPEZ-NIELSON
DIRECTOR1.00Yes (X)$0$0$0
MIKE LUEDTKE
DIRECTOR1.00Yes (X)$0$0$0
MIKE STAHL
DIRECTOR1.00Yes (X)$0$0$0
ED WERNER
DIRECTOR1.00Yes (X)$0$0$0
JULI WILLIAMS
DIRECTOR1.00Yes (X)$0$0$0
KAY RAMACHANDRAN
CHIEF EXECUTIVE OFFICER50.00Yes (X)$234,159$0$29,066
DANIEL BECKER MBA
CHIEF FINANCIAL OFFICER50.00Yes (X)$108,976$0$14,597
FieldValueIRS element (for citing)
Total Reportable Comp From Org$343,135TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$43,663TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SCL HEALTH
PO BOX 912946DENVERCO802912946MANAGEMENT & EMPLOYEE SERVICES$7,084,231
RAY OF HOPE CONSULTING LLC
2614 S TIMBERLINE RD 109FT COLLINSCO80525REVENUE CYCLE CONSULTING$201,198
ECLINICAL WORKS
PO BOX 847950BOSTONMA022847950SOFTWARE & SUPPORT SERVICES$137,799
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Federated Campaigns$42,512FederatedCampaignsAmt
Government Grants$1,796,574GovernmentGrantsAmt
All Other Contributions$1,116,021AllOtherContributionsAmt
Noncash Contributions$43,782NoncashContributionsAmt
Total Contributions$2,955,107TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business621400BusinessCd
Total Revenue Column$6,190,980TotalRevenueColumnAmt
Related Or Exempt Func Income$6,190,980RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,190,980TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,413TotalRevenueColumnAmt
Exclusion$26,413ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$91,540TotalRevenueColumnAmt
Exclusion$91,540ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$91,540OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,264,040TotalRevenueColumnAmt
Related Or Exempt Func Income$6,190,980RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$117,953ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$2,620TotalAmt
Program Services$2,620ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$386,798TotalAmt
Management And General$384,166ManagementAndGeneralAmt
Fundraising$2,632FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,247,998TotalAmt
Program Services$5,010,412ProgramServicesAmt
Fundraising$237,586FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$182,914TotalAmt
Program Services$173,696ProgramServicesAmt
Fundraising$9,218FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$745,668TotalAmt
Program Services$708,137ProgramServicesAmt
Fundraising$37,531FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$427,721TotalAmt
Program Services$397,915ProgramServicesAmt
Management And General$11,452ManagementAndGeneralAmt
Fundraising$18,354FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,554TotalAmt
Program Services$413ProgramServicesAmt
Management And General$13,141ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$45,527TotalAmt
Management And General$45,527ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,086,698TotalAmt
Program Services$640,935ProgramServicesAmt
Management And General$421,108ManagementAndGeneralAmt
Fundraising$24,655FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$52,387TotalAmt
Program Services$9,575ProgramServicesAmt
Management And General$2,683ManagementAndGeneralAmt
Fundraising$40,129FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$108,395TotalAmt
Program Services$78,916ProgramServicesAmt
Management And General$18,673ManagementAndGeneralAmt
Fundraising$10,806FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$423,290TotalAmt
Program Services$331,649ProgramServicesAmt
Management And General$75,171ManagementAndGeneralAmt
Fundraising$16,470FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$57,866TotalAmt
Program Services$29,614ProgramServicesAmt
Management And General$26,512ManagementAndGeneralAmt
Fundraising$1,740FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$48,883TotalAmt
Program Services$39,037ProgramServicesAmt
Management And General$9,754ManagementAndGeneralAmt
Fundraising$92FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$128,213TotalAmt
Program Services$121,946ProgramServicesAmt
Management And General$6,267ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$47,676TotalAmt
Program Services$38,507ProgramServicesAmt
Management And General$7,422ManagementAndGeneralAmt
Fundraising$1,747FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$589,350$589,032$232$86
MINOR EQUIPMENT$148,512$102,798$42,217$3,497
BAD DEBT EXPENSE$40,372$40,372
DUES & SUBSCRIPTIONS$35,102$29,872$3,591$1,639

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,838TotalAmt
Program Services$11,399ProgramServicesAmt
Management And General$11,315ManagementAndGeneralAmt
Fundraising$2,124FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,844,382TotalAmt
Program Services$8,356,845ProgramServicesAmt
Management And General$1,079,231ManagementAndGeneralAmt
Fundraising$408,306FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,359,569BOYAmt
EOY$1,499,737EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,004,322BOYAmt
EOY$1,026,578EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$392,343BOYAmt
EOY$461,857EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,035,108BOYAmt
EOY$2,141,679EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$25,090BOYAmt
EOY$51,876EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$53,754BOYAmt
EOY$36,049EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$968,857LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$593,575LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$460,964BOYAmt
EOY$375,282EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,331,150BOYAmt
EOY$5,593,058EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$950,533BOYAmt
EOY$1,792,783EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$950,533BOYAmt
EOY$1,792,783EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,990,781BOYAmt
EOY$3,192,493EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$389,836BOYAmt
EOY$607,782EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,380,617BOYAmt
EOY$3,800,275EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,331,150BOYAmt
EOY$5,593,058EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$580,342ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,227,391CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,256,606CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,960,677CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,224,995CurrentTaxYearMinus1YearAmt
Current Tax Year$2,955,107CurrentTaxYearAmt
Total$15,624,776TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,244,156CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,439,275CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,090,278CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,926,758CurrentTaxYearMinus1YearAmt
Current Tax Year$6,190,980CurrentTaxYearAmt
Total$29,891,447TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,471,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,695,881CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,050,955CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,151,753CurrentTaxYearMinus1YearAmt
Current Tax Year$9,146,087CurrentTaxYearAmt
Total$45,516,223TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$348,596CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,845,370CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$396,279CurrentTaxYearMinus1YearAmt
Current Tax Year$456,447CurrentTaxYearAmt
Total$3,046,692TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$348,596CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,845,370CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$396,279CurrentTaxYearMinus1YearAmt
Current Tax Year$456,447CurrentTaxYearAmt
Total$3,046,692TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$42,469,531PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,582CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,751CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,133CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,546CurrentTaxYearMinus1YearAmt
Current Tax Year$26,413CurrentTaxYearAmt
Total$81,425TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,582CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,751CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,133CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,546CurrentTaxYearMinus1YearAmt
Current Tax Year$26,413CurrentTaxYearAmt
Total$81,425TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,602CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$270,233CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$416,089CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,376CurrentTaxYearMinus1YearAmt
Current Tax Year$91,540CurrentTaxYearAmt
Total$806,840TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,498,731CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,970,865CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,480,177CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,190,675CurrentTaxYearMinus1YearAmt
Current Tax Year$9,264,040CurrentTaxYearAmt
Total$46,404,488TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.91520PublicSupportCY509Pct
Public Support PY5090.91970PublicSupportPY509Pct
Investment Income CY0.00180InvestmentIncomeCYPct
Investment Income PY0.00250InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOMEExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$2,318OtherActivitiesAmt
Total Lobbying Expenditures$2,318TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAID MEMBERSHIP DUES TO THE COLORADO COMMUNITY HEALTH NETWORK, A PORTION OF WHICH WAS USED BY THE ASSOCIATION TO LOBBY ON BEHALF OF ITS MEMBERS.ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$968,857OtherCostOrOtherBasisAmt
Depreciation$593,575DepreciationAmt
Book Value$375,282BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$375,282TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,005,722TotalRevEtcAuditedFinclStmtAmt
Other Revenue$278,554OtherRevenueAmt
Revenue Not Reported$278,554RevenueNotReportedAmt
Revenue Subtotal$8,727,168RevenueSubtotalAmt
Other Revenues Not Included$536,872OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$536,872RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,264,040TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,804,010TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$9,804,010ExpensesSubtotalAmt
Other Expenses Not Included$40,372OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$40,372ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,844,382TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. 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:NET ASSETS RELEASED FROM RESTRICTIONS 278,554.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS 496,500. BAD DEBT EXPENSE 40,372.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 40,372.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonKAY RAMACHANDRANPersonNm
TitleCHIEF EXECUTIVE OFFICERTitleTxt
Base Compensation Filing Org$238,280BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org-$4,121OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$12,365DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$16,701NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$263,225TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution16ContributionCnt
Noncash Contributions Rpt F990$43,782NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 32B:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION USES A THIRD-PARTY INVESTMENT MANAGER TO PROCESS AND SELL DONATED SECURITIES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE OF THE BOARD CONSISTS OF THE CHAIR OF THE BOARD, THE CEO, AND OTHER BOARD MEMBERS AS DESIGNATED BY THE CHAIR. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE ORGANIZATION DURING THE INTERIM BETWEEN MEETINGS OF THE BOARD, PROVIDED THAT ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE CANNOT CONFLICT WITH THE ARTICLES OF INCORPORATION, BYLAWS, OR THE POLICIES OR EXPRESS WISHES OF THE BOARD. THE EXECUTIVE COMMITTEE REPORTS ALL MATTERS ACTED UPON TO THE BOARD AT THE BOARD'S NEXT MEETING.
FORM 990, PART VI, SECTION A, LINE 3ALL MANAGEMENT SERVICES ARE PROVIDED THROUGH A CONTRACT WITH SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCL HEALTH), EXCEPT FOR THE CEO AND CFO.
FORM 990, PART VI, SECTION A, LINE 7AONE BOARD MEMBER IS APPOINTED BY ST. MARY'S HOSPITAL AND REGIONAL MEDICAL CENTER. TWO BOARD MEMBERS ARE APPOINTED BY THE SISTERS OF CHARITY OF LEAVENWORTH.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. IT WAS THEN REVIEWED BY THE FINANCE COMMITTEE WITH A RECOMMENDATION TO THE BOARD OF DIRECTORS TO APPROVE THE FORM 990. A COPY OF THE FORM 990 WAS PROVIDED TO AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S EXECUTIVES, DIRECTORS, MANAGERS, AND BOARD MEMBERS COMPLETE A NEW CONFLICT OF INTEREST (COI) DISCLOSURE FORM EACH YEAR. A COPY OF THE POLICY IS DISTRIBUTED ALONG WITH THE COI FORMS. IN THE EVENT OF A CHANGE OF CIRCUMSTANCE, EACH INDIVIDUAL WHO HAS ALREADY SIGNED A COI IS EXPECTED TO NOTIFY THE ORGANIZATION OF THE CHANGE AND UPDATE THE CONFLICT OF INTEREST INFORMATION. THE STATEMENTS ARE REVIEWED AND COI ISSUES ARE ADDRESSED AT THE APPROPRIATE LEVEL, WHICH IS GENERALLY THE BOARD CHAIR. AT THE BEGINNING OF BOARD AND BOARD COMMITTEE MEETINGS, THE QUESTION OF COI IS ASKED OF THOSE IN ATTENDENCE. WHEN AN ACTUAL CONFLICT IS IDENTIFIED, THE INDIVIDUAL IS EXCUSED FROM PARTICIPATING IN THE DISCUSSIONS AND DECISION-MAKING.
FORM 990, PART VI, SECTION B, LINE 15IN 2017, A COMPREHENSIVE WAGE STUDY WAS DONE FOR ALL OF MARILLAC'S POSITIONS; INCLUDING SENIOR LEADERSHIP. MARILLAC CONTRACTED WITH MOUNTAIN STATES EMPLOYERS COUNCIL, INC. (MSEC) TO PERFORM THIS STUDY. MSEC USED A VARIETY OF LOCAL, REGIONAL, AND NATIONAL RESOURCES TO DO THEIR ANALYSIS AND GENERATE THEIR RECOMMENDATIONS. THESE COMPREHENSIVE WAGE STUDIES ARE CONDUCTED EVERY OTHER YEAR, SO ANOTHER STUDY WILL BE CONDUCTED IN 2020.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 640,935. MANAGEMENT AND GENERAL EXPENSES 421,108. FUNDRAISING EXPENSES 24,655. TOTAL EXPENSES 1,086,698.