2019-05-22T14:26:39-05:00 2018-06-30 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2017-07-01 840520493 MENTAL HEALTH CENTER OF BOULDER COUNTY INC MENT 3034438500 1455 DIXON AVE LAFAYETTE CO 80026 HANS WIIK INTERIM CEO 3034438500 2019-05-22 1 DORI J EGGETT P00645252 3037409400 2019-05-22 208.42.238.142 2019-05-22 14:25:40 MD P 262A5F787B32E309468E8803F52FC996F95AB226 25DF7CD009F2EC8E81AED9AD6942448DE9BE1F2B 2017 2019-02-21 02:37:17Z MENTAL HEALTH PARTNERS HANS WIIK 1455 DIXON AVE LAFAYETTE CO 80026 39409631 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 11 634 77 0 0 4001647 5633901 37178084 30672696 42353 2175587 208923 197109 41431007 38679293 5950 0 0 0 32849175 31034236 0 0 18473 11155942 11984456 44011067 43018692 -2580060 -4339399 46666876 38579914 21654617 19413446 25012259 19166468 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 28642780 30672696 PROVIDED COMPREHENSIVE COMMUNITY BASED MENTAL HEALTH SERVICES. MENTAL HEALTH PARTNERS PROVIDED 257,195 SERVICES TO 9,866 ENROLLED RESIDENTS OF BOULDER AND BROOMFIELD COUNTIES. MENTAL HEALTH PARTNERS ALSO PROVIDED SERVICES TO MORE THAN 1,410 NON-ENROLLED RESIDENTS. 28642780 1 1 0 0 0 0 0 0 1 1 1 0 1 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 79 0 1 634 1 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 HANS WIIK 3034136276 1455 DIXON AVE LAFAYETTE CO 80026 MOLLY WITTENBERG BOARD CHAIR 1.00 X X 0 0 0 KEITH COLLINS CHAIR ELECT 1.00 X X 0 0 0 RAQUEL HINMAN PAST CHAIR 1.00 X X 0 0 0 LISA WETHERBEE TREASURER 1.00 X X 0 0 0 ROXANNE BAILIN SECRETARY 1.00 X 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 SETH PATTERSON MEMBER 1.00 X 0 0 0 VALERIE LIPETZ MEMBER 1.00 X 0 0 0 FREDERICK MICHEL CHIEF MEDICAL OFFICER 40.00 X 316751 0 45716 KELLY PHILLIPS-HENRY CHIEF EXECUTIVE OFFICER 40.00 X 300998 0 27000 MATTHEW MEYER CHIEF STRATEGY OFFICER 40.00 X 191972 0 34515 LISA POTTER CHIEF FINANCIAL OFFICER 40.00 X 188278 0 41681 VICTORIA RODGERS CHIEF OPERATING OFFICER 40.00 X 183300 0 33888 WILLIAM MYERS COMMUNITY ENGAGEMENT OFFICER 40.00 X 153360 0 27880 HANS WIIK INTERIM CEO 40.00 X 0 0 0 GEORGE ELIOPULOS PSYCHIATRIST 40.00 X 297159 0 9000 JEFFREY ALMONY ASSISTANT MEDICAL DIRECTOR 40.00 X 256224 0 27716 ROBERT RUEGG PSYCHIATRIST 40.00 X 243639 0 16515 FRANK LEONE PSYCHIATRIST 40.00 X 206572 0 12952 ELIZABETH BHARGAVA PSYCHIATRIST 40.00 X 205995 0 20430 2544248 0 297293 29 0 1 0 STREAMLINE HEALTH CARE SOLUTIONS 510 E BUTLER COURT KALAMAZOO MI 49007 ELECTRONIC HEALTHCARE SOFTWARE DESIGN 748152 UNIVERSITY OF COLO BOULDERSPONSORED PRO PO BOX 910220 DENVER CO 80291 STAFF SERVICES 395490 CLINICA 1345 PLAZA COURT NORTH LAFAYETTE CO 80026 STAFF SERVICES 315796 AMERICAN MEDICAL RESPONSE PO BOX 31001-1584 PASADENA CA 91110 AMBULANCE SUBSIDY AGREEMENT 258225 VIRTUAL CFO PO BOX 120115 DEPT 0115 DALLAS TX 75312 ACCOUNTING SERVICES 168934 10 6770 5247376 379755 5633901 PATIENT SERVICE REVENU 623990 20668567 20668567 GOVERNMENT CONTRACTS 623990 9884080 9884080 OTHER PROGRAM SERVICE 900099 246240 246240 NET GAIN ON EQUITY INV 900099 -126191 -126191 30672696 12776 12776 200120 0 200120 200120 200120 2890000 727189 2162811 2162811 2162811 138 6770 3149 -3011 -3011 38679293 30672696 0 2372696 947509 621976 325105 428 25131096 16496867 8622892 11337 636451 417787 218377 287 2356328 1546770 808495 1063 1962852 1288480 673487 885 43537 43537 213385 213385 67151 67151 2105340 1391850 712534 956 7729 5074 2652 3 331260 219517 111592 151 1297535 851744 445206 585 1818893 1193980 624092 821 219529 144106 75324 99 53367 35032 18311 24 445924 292719 153004 201 2372880 1557636 814174 1070 582790 382562 199965 263 COST OF DRUGS SOLD 1685928 1685928 BAD DEBT EXPENSE 534754 351030 183483 241 DUES, FEES, LICENSES 130199 85467 44673 59 CLIENT RELATED EXPENSES 74255 74255 43018692 28642780 14357439 18473 4362767 1396158 585416 86849 926606 450834 3650586 2231105 571656 635968 37709007 8899955 30784299 28809052 1983224 1133613 2464144 2403710 1338178 1432625 46666876 38579914 3713296 4660034 191183 14033990 11912445 162834 137341 402346 510325 3342151 2002118 21654617 19413446 X 24280983 18706015 731276 460453 25012259 19166468 46666876 38579914 -4339399 108191 -326103 -1288480 0 X 0 1 X 1 1 1 X 2002675 4471000 6742804 4001647 5633901 22852027 32917672 43474204 34088493 37183640 30672696 178336705 1190061 1096108 1230041 1835807 1323438 6675455 36110408 49041312 42061338 43021094 37630035 207864187 0 8632576 8503532 3042402 6882025 6125114 33185649 8632576 8503532 3042402 6882025 6125114 33185649 174678538 24033 38456 852826 403907 212896 1532118 24033 38456 852826 403907 212896 1532118 22913 13459 36372 36157354 49093227 42914164 43425001 37842931 209432677 0.83410 0.82040 0.00730 0.00660 X 0 1 X 13750 999 77 14672 12305 1445 13750 12666 -246 115 12305 12402 264 12666 1.00000 0 0 7115872 7115872 19776310 3946026 15830284 287342 99596 187746 10529483 4854333 5675150 28809052 INVESTMENT IN FHS, LLC 7044 F INVESTMENT IN FRHP, LLC 144503 F INVESTMENT IN CCC, LLC 24027 F INVESTMENT IN FBHP, LLC 2204581 F INVESTMENT IN PHO, LLC 23555 F 2403710 INTEREST PAYABLE 31251 CLIENT DEPOSITS 23604 RELATED PARTY PAYABLE 552969 LAND EROSION LIABILITY 51131 457 PLAN 1116243 CAPITAL LEASES 226920 2002118 X 40114071 108191 1323438 3149 1434778 38679293 0 38679293 44688117 1649541 19883 1669424 43018693 0 43018693 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 PROVIDES FOR A MORE-LIKELY-THAN-NOT MEASURMENT METHODOLOGY TO REFLECT THE FINANCIAL STATEMENT IMPACT OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AFTER EVALUATING THE TAX POSITIONS TAKEN, NONE ARE CONSIDERED TO BE UNCERTAIN; THEREFORE, NO AMOUNTS HAVE BEEN RECOGNIZED AS OF JUNE 30, 2018 OR 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 3,149. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 3,149. RELATED PARTY EXPENSES 16,734. BBB 6908 6770 138 251 1012 135 1751 6908 6770 138 251 1012 135 1751 3149 -3011 X X X X 1 0 0 0 0 0 0 0 0 FREDERICK MICHEL CHIEF MEDICAL OFFICER 261035 0 10000 0 45716 0 27000 0 18716 0 362467 0 0 0 KELLY PHILLIPS-HENRY CHIEF EXECUTIVE OFFICER 253810 0 35850 0 11338 0 27000 0 0 0 327998 0 0 0 MATTHEW MEYER CHIEF STRATEGY OFFICER 146957 0 10000 0 35015 0 18000 0 16515 0 226487 0 0 0 LISA POTTER CHIEF FINANCIAL OFFICER 136117 0 10000 0 42161 0 22965 0 18716 0 229959 0 0 0 VICTORIA RODGERS CHIEF OPERATING OFFICER 139412 0 10000 0 33888 0 27000 0 6888 0 217188 0 0 0 WILLIAM MYERS COMMUNITY ENGAGEMENT OFFICER 142860 0 10000 0 500 0 22165 0 5715 0 181240 0 0 0 GEORGE ELIOPULOS PSYCHIATRIST 288159 0 0 0 9000 0 9000 0 0 0 306159 0 0 0 JEFFREY ALMONY ASSISTANT MEDICAL DIRECTOR 228508 0 0 0 27716 0 9000 0 18716 0 283940 0 0 0 ROBERT RUEGG PSYCHIATRIST 226144 0 0 0 17495 0 0 0 16515 0 260154 0 0 0 FRANK LEONE PSYCHIATRIST 201118 0 0 0 5454 0 0 0 12952 0 219524 0 0 0 ELIZABETH BHARGAVA PSYCHIATRIST 200874 0 0 0 5121 0 9000 0 11430 0 226425 0 0 0 PART I, LINE 4A DURING THE FISCAL YEAR, KELLY PHILLIPS-HENRY AND LISA POTTER RECEIVED SEVERANCE PAYMENTS OF $64,344 AND $45,528, RESPECTIVELY. THESE PAYMENTS WERE MADE IN 2018 BEFORE FISCAL YEAR END. 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 1 0 0 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 I, LINE B(F) THE PURPOSE OF THE 2015 BOND ISSUE INCLUDE: (1) FINANCING THE PURCHASE FOR THE DIXON PROPERTY (2) FINANCING THE IMPROVEMENTS OF RYAN WELLNESS CENTER 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 CONTROLLER OF THE ORGANIZATION. THE 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 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 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: AS PART OF A MANDATORY ANNUAL CORPORATE COMPLIANCE TRAINING, ALL EMPLOYEES, OFFICERS AND DIRECTORS SIGN A CONFLICT OF INTEREST STATEMENT. THESE ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER TO DETERMINE IF THERE IS A CONFLICT OF INTEREST. THE CORPORATE COMPLIANCE OFFICER REPORTS DIRECTLY TO THE BOARD. IF ANY INDIVIDUAL INDICATES A CONFLICT OF INTEREST, THEY ARE RESTRICTED FROM MAKING ANY DECISIONS REGARDING THE AREA WHERE THEY HAVE A CONFLICT OF INTEREST. EMPLOYEES ARE ALSO ASKED CONFLICT OF INTEREST QUESTIONS DURING THEIR ANNUAL PERFORMANCE REVIEW. 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 LATE FILED RETURN DUE TO CCH SOFTWARE OUTAGE