2020-07-14T16:02:35-05:00 2019-06-30 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2018-07-01 840520493 MENTAL HEALTH CENTER OF BOULDER COUNTY INC MENT 3034438500 1455 DIXON AVE LAFAYETTE CO 80026 DIXIE CASFORD CEO 3034438500 2020-07-09 1 DORI J EGGETT P00645252 3037409400 2020-07-08 71.218.248.222 2020-07-09 18:36:14 MD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 321DDE24B35CC1D1467AEA03569F7C6B0A555C82 2018 2021-01-29 14:40:06Z MENTAL HEALTH PARTNERS DIXIE CASFORD 1455 DIXON AVE LAFAYETTE CO 80026 43032239 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. 15 15 536 77 0 0 5633901 17501723 30672696 21859867 2175587 3018029 197109 188308 38679293 42567927 0 0 0 0 31034236 27121977 0 0 138583 11984456 11837008 43018692 38958985 -4339399 3608942 38579914 39532050 19413446 16722481 19166468 22809569 HEALING IS OUR PURPOSE, HELP IS OUR PROMISE, HEALTH IS OUR PASSION. 0 0 29854177 21859867 PROVIDED COMPREHENSIVE COMMUNITY BASED MENTAL HEALTH SERVICES. MENTAL HEALTH PARTNERS PROVIDED 240,607 SERVES TO 9,817 ENROLLED RESIDENTS OF BOULDER AND BROOMFIELD COUNTIES. MENTAL HEALTH PARTNERS ALSO PROVIDED SERVICES TO MORE THAN 3,171 NON-ENROLLED RESIDENTS. 29854177 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 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 15 15 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 KEITH COLLINS 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 RAQUEL HINMAN MEMBER 1.00 X 0 0 0 LISA WETHERBEE MEMBER 1.00 X 0 0 0 ROXANNE BAILIN MEMBER 1.00 X 0 0 0 DAWN KILGORE MEMBER 1.00 X 0 0 0 JESUS SANCHEZ MEMBER 1.00 X 0 0 0 MICHAEL CALCOTE MEMBER 1.00 X 0 0 0 POLLY SWARTZFAGER MEMBER 1.00 X 0 0 0 VALERIE LIPETZ MEMBER 1.00 X 0 0 0 MARK STERN 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 HANS WIIK CEO 40.00 X 185074 0 9149 JENNIFER LACOV CFO 40.00 X 109421 0 8759 GEORGE ELIOPULOS CHIEF MEDICAL DIRECTOR 40.00 X 294657 0 12783 JEFFREY ALMONY PSYCHIATRIST 40.00 X 253521 0 18800 KAREN RICE ASSISTANT MEDICAL DIRECTOR 40.00 X 251914 0 13557 ROBERT RUEGG PSYCHIATRIST 40.00 X 241386 0 17701 DEBRA EDELSON PSYCHIATRIST 40.00 X 226677 0 5962 FRANK LEONE PSYCHIATRIST 40.00 X 225148 0 6502 1787798 0 93213 23 0 1 0 VIRTUAL CFO PO BOX 120115 DEPT 0115 DALLAS TX 75312 ACCOUNTING SERVICES 328361 SAND CONTRUCTION 5106 WEST 58TH AVENUE ARVADA CO 80002 CONSTRUCTION 269201 UNIVERSITY OF COLO BOULDER PO BOX 910220 DENVER CO 80291 STAFF SERVICES 263095 AMERICAN MEDICAL RESPONSE PO BOX 31001-1584 PASADENA CA 91110 AMBULANCE SUBSIDY AGREEMENT 223968 STREAMLINE HEALTH CARE SOLUTIONS 510 E BUTLER COURT KALAMAZOO MI 49007 ELECTRONIC HEALTHCARE SOFTWARE DESIGN 195476 13 41574 16797652 662497 17501723 PATIENT SERVICE REVENU 623990 21743508 21743508 OTHER PROGRAM SERVICE 900099 310625 310625 NET GAIN ON EQUITY INV 900099 -194266 -194266 21859867 10233 10233 192278 0 192278 192278 192278 3462900 455104 3007796 3007796 3007796 5238 41574 9208 -3970 -3970 42567927 21859867 0 3206337 619843 529998 89845 21960985 18205757 3667891 87337 453591 376029 75758 1804 2509699 2080552 419166 9981 1577859 1308052 263532 6275 58317 58317 69419 69419 595102 471820 123282 27932 1193 25438 1301 320983 176553 135963 8467 710378 351244 356074 3060 2185572 1256644 926824 2104 102919 88257 12913 1749 179109 16892 162217 402578 206249 196329 451628 451628 2212275 1273519 930041 8715 CLIENT RELATED EXPENSES 3758361 3411543 345573 1245 BAD DEBT EXPENSE 521620 521620 OTHER EXPENSES 240815 99875 134395 6545 38958985 29854177 8966225 138583 1396158 6517494 86849 18378 450834 724143 2231105 2812261 635968 454621 36706807 9846534 28809052 26860273 1133613 1262046 2403710 651843 1432625 230991 38579914 39532050 4660034 2777673 191183 135361 11912445 11316549 137341 157689 510325 408217 2002118 1926992 19413446 16722481 X 18706015 22221986 460453 587583 19166468 22809569 38579914 39532050 3608942 34159 0 X 0 1 X 1 1 1 X 4471000 6742804 4001647 5633901 17501723 38351075 43474204 34088493 37183640 30672696 21859867 167278900 1096108 1230041 1835807 1323438 1267788 6753182 49041312 42061338 43021094 37630035 40629378 212383157 0 8503532 3042402 6882025 6125114 24553073 8503532 3042402 6882025 6125114 24553073 187830084 38456 852826 403907 212896 202511 1710596 38456 852826 403907 212896 202511 1710596 13459 13459 49093227 42914164 43425001 37842931 40831889 214107212 0.87730 0.83410 0.00800 0.00730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 14672 495 15167 13750 999 77 14672 12305 1445 13750 12666 -246 115 12305 12402 264 12666 1.00000 0 0 7115872 7115872 20097735 4753022 15344713 285374 127888 157486 9207826 4965624 4242202 26860273 INTEREST PAYABLE 30804 CLIENT DEPOSITS 13054 457 PLAN 180196 CAPITAL LEASES 68392 EQUIPMENT NOTE PAYABLE 147580 RISK CORRIDOR PAYABLE 1486966 1926992 43879082 34159 1267788 9208 1311155 42567927 0 42567927 40248678 1267787 21906 1289693 38958985 0 38958985 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 XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 9,208. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 9,208. RELATED PARTY EXPENSES 12,698. 2019 MHP COMMUNITY BREAKFAST 25846 20876 4970 3520 4967 152 2019 BOULDER SKYLINE TRAVERSE 20966 20698 268 100 192 277 46812 41574 5238 100 3520 5159 429 9208 -3970 X X X X 0 0 0 0 0 0 0 0 0 HANS WIIK CEO 176558 0 0 0 8516 0 8433 0 716 0 194223 0 0 0 GEORGE ELIOPULOS CHIEF MEDICAL DIRECTOR 290874 0 0 0 3783 0 9000 0 3783 0 307440 0 0 0 JEFFREY ALMONY PSYCHIATRIST 243721 0 0 0 9800 0 9000 0 9800 0 272321 0 0 0 KAREN RICE ASSISTANT MEDICAL DIRECTOR 247357 0 0 0 4557 0 9000 0 4557 0 265471 0 0 0 ROBERT RUEGG PSYCHIATRIST 229128 0 0 0 12258 0 6423 0 11278 0 259087 0 0 0 DEBRA EDELSON PSYCHIATRIST 220715 0 0 0 5962 0 0 0 5962 0 232639 0 0 0 FRANK LEONE PSYCHIATRIST 218646 0 0 0 6502 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. 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