FURP.ORG / PUBLIC DATA EXPLORER

MARILLAC CLINIC INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MARILLAC CLINIC INC (EIN 84-1085822)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-04-29
IRS object ID
201921199349300792
Schema version
2018v3.1
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)
Return2019-04-29T11:12:10-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Begin2018-01-01TaxPeriodBeginDt

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
Signature2019-04-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNIONPreparerPersonNm
PTINP01469618PTIN
Phone3034668822PhoneNum
Preparation2019-04-27PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-04-27IPDt
IP Tm06:04:50IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4E1019BFE9B9EF55B23EDC930650553A5FF3285AAtSubmissionCreationDeviceId
At Submission Filing Device Id33F877C3ABFBB78B8EF2964D67A95BC3B590144CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$10,190,810GrossReceiptsAmt
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 Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,960,677PYContributionsGrantsAmt
CY Contributions Grants$3,224,995CYContributionsGrantsAmt
PY Program Service Revenue$7,090,278PYProgramServiceRevenueAmt
CY Program Service Revenue$6,926,758CYProgramServiceRevenueAmt
PY Investment Income$13,133PYInvestmentIncomeAmt
CY Investment Income$15,681CYInvestmentIncomeAmt
PY Other Revenue$416,089PYOtherRevenueAmt
CY Other Revenue$23,376CYOtherRevenueAmt
PY Total Revenue$10,480,177PYTotalRevenueAmt
CY Total Revenue$10,190,810CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,476,403PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,849,582CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$383,194CYTotalFundraisingExpenseAmt
PY Other Expenses$3,182,160PYOtherExpensesAmt
CY Other Expenses$3,194,050CYOtherExpensesAmt
PY Total Expenses$9,658,563PYTotalExpensesAmt
CY Total Expenses$10,043,632CYTotalExpensesAmt
PY Revenues Less Expenses$821,614PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$147,178CYRevenuesLessExpensesAmt
Total Assets BOY$6,325,254TotalAssetsBOYAmt
Total Assets EOY$5,331,150TotalAssetsEOYAmt
Total Liabilities BOY$2,091,815TotalLiabilitiesBOYAmt
Total Liabilities EOY$950,533TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,233,439NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,380,617NetAssetsOrFundBalancesEOYAmt
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$8,752,270ExpenseAmt
Grant$0GrantAmt
Revenue$6,926,758RevenueAmt
DescVISION: MESA COUNTY IS A COMMUNITY WHERE EVERY RESIDENT HAS ACCESS TO QUALITY HEALTH CARE.ORGANIZATIONAL CORE VALUES: COLLABORATION, COMPASSION, EXCELLENCE, INCLUSIVENESS, INTEGRITY, STEWARDSHIPMARILLAC 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 MULTIPLEDISCIPLINARY 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 CITY 2. MARILLAC/COUNTY: 520 29 1/2 ROAD, CO-LOCATED WITH MESA COUNTY PUBLIC HEALTH3. MARILLAC/PRIMARY CARE PARTNERS, CO-LOCATED WITHIN WESTERN COLORADO PEDIATRIC ASSOCIATES4. MARILLAC/GRAND VALLEY CATHOLIC OUTREACH, CO-LOCATED IN DAY CENTER FOR PERSONS WHO ARE HOMELESS5. MARILLAC/HOMEWARD BOUND OF THE GRAND VALLEY, 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 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. A 2018 PATIENT SATISFACTION SURVEY REVEALED THAT 86% OF MARILLAC PATIENTS ARE "VERY SATISFIED" WITH THEIR OVERALL HEALTH CARE IN THE PAST 12 MONTHS; 89% RATED THEIR MEDICAL/DENTAL PROVIDER AS "EXCELLENT, AND 91% RESPONDED THAT THEIR MEDICAL AND DENTAL ASSISTANTS PROVIDED THE "BEST POSSIBLE CARE." IN 2017 MARILLACHEALTH GAINED RECOGNITION AS A PATIENT CENTERED MEDICAL HOME (PCMH) BY THE NATIONAL COUNCIL ON QUALITY ASSURANCE, AND IN 2019 WILL APPLY FOR THE NEXT LEVEL PCMH UNDER THE NEW STANDARDS.Desc
Total Program Service Expenses$8,752,270TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 ActivitiesYes (1)FundraisingActivitiesInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document12IRPDocumentCnt
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 DocumentsYes (1)ChangeToOrgDocumentsInd
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 (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LEE GAGLIONE DDS CHAIR
PAST CHAIR & INTERIM VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
SHANE HAAS
VICE CHAIR & CHAIR1.00Yes (X)Yes (X)$0$0$0
MARK GREEN DIRECTOR
VICE CHAIR (THROUGH JUNE 2018))1.00Yes (X)Yes (X)$0$0$0
JOAN BAKER
SECRETARY (THROUGH OCTOBER 2018)1.00Yes (X)Yes (X)$0$0$0
JOANNA LITTLE
DIRECTOR & SECRETARY1.00Yes (X)Yes (X)$0$0$0
DAN PRINSTER
TREASURER1.00Yes (X)Yes (X)$0$0$0
JAN ROHR PAST CHAIR
& DIRECTOR (THROUGH DECEMBER 2018)1.00Yes (X)Yes (X)$0$0$0
SR BARBARA ALDRICH
DIRECTOR1.00Yes (X)$0$0$0
ANN BOLAND
DIRECTOR1.00Yes (X)$0$0$0
DEANNA JOHNSON
DIRECTOR1.00Yes (X)$0$0$0
JENNIFER LOPEZ-NIELSON
DIRECTOR1.00Yes (X)$0$0$0
LEAH LYON
DIRECTOR (THROUGH AUGUST 2018)1.00Yes (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)$233,285$0$24,471
DANIEL BECKER MBA
CHIEF FINANCIAL OFFICER50.00Yes (X)$112,708$0$9,926
FieldValueIRS element (for citing)
Total Reportable Comp From Org$345,993TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$34,397TotalOtherCompensationAmt
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$7,301,992
RAY OF HOPE CONSULTING LLC
2614 S TIMBERLINE RD 109FT COLLINSCO80525REVENUE CYCLE CONSULTING$185,952
ECLINICAL WORKS
PO BOX 847950BOSTONMA022847950SOFTWARE & SUPPORT SERVICES$122,779
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Federated Campaigns$37,259FederatedCampaignsAmt
Fundraising$31,240FundraisingAmt
Government Grants$1,596,971GovernmentGrantsAmt
All Other Contributions$1,559,525AllOtherContributionsAmt
Noncash Contributions$59,190NoncashContributionsAmt
Total Contributions$3,224,995TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business621400BusinessCd
Total Revenue Column$6,926,758TotalRevenueColumnAmt
Related Or Exempt Func Income$6,926,758RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,926,758TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,546TotalRevenueColumnAmt
Exclusion$15,546ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$135SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$135SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$135TotalRevenueColumnAmt
Exclusion$135ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$31,240ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$23,376TotalRevenueColumnAmt
Exclusion$23,376ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$23,376OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,190,810TotalRevenueColumnAmt
Related Or Exempt Func Income$6,926,758RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$39,057ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$379,485TotalAmt
Program Services$379,485ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,040,403TotalAmt
Program Services$4,666,343ProgramServicesAmt
Management And General$165,708ManagementAndGeneralAmt
Fundraising$208,352FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$207,874TotalAmt
Program Services$191,737ProgramServicesAmt
Management And General$5,825ManagementAndGeneralAmt
Fundraising$10,312FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$809,830TotalAmt
Program Services$747,454ProgramServicesAmt
Management And General$20,169ManagementAndGeneralAmt
Fundraising$42,207FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$411,990TotalAmt
Program Services$383,374ProgramServicesAmt
Management And General$12,677ManagementAndGeneralAmt
Fundraising$15,939FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,919TotalAmt
Management And General$21,919ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$44,368TotalAmt
Management And General$44,368ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$757,599TotalAmt
Program Services$346,998ProgramServicesAmt
Management And General$386,486ManagementAndGeneralAmt
Fundraising$24,115FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$75,940TotalAmt
Program Services$73,779ProgramServicesAmt
Management And General$2,161ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$75,735TotalAmt
Program Services$47,161ProgramServicesAmt
Management And General$17,015ManagementAndGeneralAmt
Fundraising$11,559FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$152,552TotalAmt
Program Services$145,038ProgramServicesAmt
Management And General$6,769ManagementAndGeneralAmt
Fundraising$745FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$419,333TotalAmt
Program Services$315,269ProgramServicesAmt
Management And General$93,298ManagementAndGeneralAmt
Fundraising$10,766FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$53,019TotalAmt
Program Services$23,196ProgramServicesAmt
Management And General$27,202ManagementAndGeneralAmt
Fundraising$2,621FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$27,568TotalAmt
Program Services$13,730ProgramServicesAmt
Management And General$13,508ManagementAndGeneralAmt
Fundraising$330FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$121,245TotalAmt
Program Services$114,827ProgramServicesAmt
Management And General$6,418ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$42,241TotalAmt
Program Services$37,540ProgramServicesAmt
Management And General$3,997ManagementAndGeneralAmt
Fundraising$704FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$693,272$687,804$2,210$3,258
BAD DEBT EXPENSE$451,088$451,088
MINOR EQUIPMENT$125,065$75,399$46,211$3,455
MISCELLANEOUS$61,442$13,375$134$47,933

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$71,664TotalAmt
Program Services$38,673ProgramServicesAmt
Management And General$32,093ManagementAndGeneralAmt
Fundraising$898FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,043,632TotalAmt
Program Services$8,752,270ProgramServicesAmt
Management And General$908,168ManagementAndGeneralAmt
Fundraising$383,194FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,094,114BOYAmt
EOY$1,359,569EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$1,004,322EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$310,590BOYAmt
EOY$392,343EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,369,760BOYAmt
EOY$2,035,108EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$49,762BOYAmt
EOY$25,090EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$46,281BOYAmt
EOY$53,754EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$926,326LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$465,362LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$454,747BOYAmt
EOY$460,964EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,325,254BOYAmt
EOY$5,331,150EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,341,815BOYAmt
EOY$950,533EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$750,000BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,091,815BOYAmt
EOY$950,533EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,043,118BOYAmt
EOY$3,990,781EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$190,321BOYAmt
EOY$389,836EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,233,439BOYAmt
EOY$4,380,617EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,325,254BOYAmt
EOY$5,331,150EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$147,178ReconcilationRevenueExpnssAmt
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$3,651,514CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,227,391CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,256,606CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,960,677CurrentTaxYearMinus1YearAmt
Current Tax Year$3,224,995CurrentTaxYearAmt
Total$16,321,183TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,827,183CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,244,156CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,439,275CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,090,278CurrentTaxYearMinus1YearAmt
Current Tax Year$6,926,758CurrentTaxYearAmt
Total$25,527,650TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,478,697CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,471,547CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,695,881CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,050,955CurrentTaxYearMinus1YearAmt
Current Tax Year$10,151,753CurrentTaxYearAmt
Total$41,848,833TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$348,596CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,850,370CurrentTaxYearMinus1YearAmt
Current Tax Year$396,279CurrentTaxYearAmt
Total$2,595,245TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$348,596CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,850,370CurrentTaxYearMinus1YearAmt
Current Tax Year$396,279CurrentTaxYearAmt
Total$2,595,245TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$39,253,588PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,257CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,582CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,751CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,133CurrentTaxYearMinus1YearAmt
Current Tax Year$15,546CurrentTaxYearAmt
Total$105,269TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,257CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,582CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,751CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,133CurrentTaxYearMinus1YearAmt
Current Tax Year$15,546CurrentTaxYearAmt
Total$105,269TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,035CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,602CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$270,233CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$416,089CurrentTaxYearMinus1YearAmt
Current Tax Year$23,376CurrentTaxYearAmt
Total$725,335TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,538,989CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,498,731CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,970,865CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,480,177CurrentTaxYearMinus1YearAmt
Current Tax Year$10,190,675CurrentTaxYearAmt
Total$42,679,437TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.91970PublicSupportCY509Pct
Public Support PY5090.97700PublicSupportPY509Pct
Investment Income CY0.00250InvestmentIncomeCYPct
Investment Income PY0.00390InvestmentIncomePYPct
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

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$926,326OtherCostOrOtherBasisAmt
Depreciation$465,362DepreciationAmt
Book Value$460,964BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$460,964TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,540,207TotalRevEtcAuditedFinclStmtAmt
Other Revenue$194,512OtherRevenueAmt
Revenue Not Reported$194,512RevenueNotReportedAmt
Revenue Subtotal$9,345,695RevenueSubtotalAmt
Other Revenues Not Included$845,115OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$845,115RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,190,810TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,592,544TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$9,592,544ExpensesSubtotalAmt
Other Expenses Not Included$451,088OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$451,088ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,043,632TotalExpensesPerForm990Amt

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 194,512.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS 394,027. BAD DEBT EXPENSE 451,088.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 451,088.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FUNDRAISING EVENTEvent1Nm
Gross Receipts Event1$31,240GrossReceiptsEvent1Amt
Charitable Contri Event1$31,240CharitableContriEvent1Amt
Gross Receipts Total$31,240GrossReceiptsTotalAmt
Charitable Contributions Tot$31,240CharitableContributionsTotAmt

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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonKAY RAMACHANDRANPersonNm
TitleCHIEF EXECUTIVE OFFICERTitleTxt
Base Compensation Filing Org$230,966BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$2,319OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$11,740DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$12,731NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$257,756TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationDURING 2018, THE CEO AND CFO WERE GIVEN BONUSES OF $500 AND $300, RESPECTIVELY, BY THE BOARD OF DIRECTORS FOR PASSING THE HRSA OSV SITE AUDIT.ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution17ContributionCnt
Noncash Contributions Rpt F990$59,190NoncashContributionsRptF990Amt
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, EXCEPT FOR THE CEO AND CFO, WHICH BECAME EMPLOYEES OF MARILLAC CLINIC DURING 2018.
FORM 990, PART VI, SECTION A, LINE 4IN OCTOBER 2018, THE BYLAWS WERE AMENDED TO ALLOW BOARD MEMBERS TO VOTE BY PROXY IN LIMITED CIRCUMSTANCES.
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 2019.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.