ROCKY MOUNTAIN HEALTH CARE SERVICES: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ROCKY MOUNTAIN HEALTH CARE SERVICES (EIN 84-0765729)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-08
- IRS object ID
- 201743129349301209
- Schema version
- 2016v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-08T10:30:22-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 461497033 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EKS&H LLLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8181 E TUFTS AVENUE SUITE 600 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 802372579 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840765729 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCKY MOUNTAIN HEALTH CARE SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ROCK | BusinessNameControlTxt |
| Phone | 7194668777 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 SOUTH 14TH STREET | AddressLine1Txt |
| City | COLORADO SPRINGS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80904 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAMRIN APAYDIN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7194668777 | PhoneNum |
| Signature | 2017-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DORI J EGGETT | PreparerPersonNm |
| PTIN | P00645252 | PTIN |
| Phone | 3037409400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TAMRIN APAYDIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 SOUTH 14TH STREET | AddressLine1Txt |
| City | COLORADO SPRINGS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $39,239,321 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RMHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE OIMPROVING LIVES, OPTIMIZING WELLNESS, AND PROMOTING INDEPENDENCE FOR ELDERLY AND ADULTS WITH BRAIN INJURIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 352 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $154,031 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $133,399 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $195,825 | PYContributionsGrantsAmt |
| CY Contributions Grants | $153,969 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $26,951,019 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $38,188,871 | CYProgramServiceRevenueAmt |
| PY Investment Income | $37,154 | PYInvestmentIncomeAmt |
| CY Investment Income | -$194,333 | CYInvestmentIncomeAmt |
| PY Other Revenue | $162,655 | PYOtherRevenueAmt |
| CY Other Revenue | $281,597 | CYOtherRevenueAmt |
| PY Total Revenue | $27,346,653 | PYTotalRevenueAmt |
| CY Total Revenue | $38,430,104 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,228,362 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,368,286 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $37,000 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $3,000 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $257,003 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,177,444 | PYOtherExpensesAmt |
| CY Other Expenses | $22,107,775 | CYOtherExpensesAmt |
| PY Total Expenses | $25,442,806 | PYTotalExpensesAmt |
| CY Total Expenses | $34,479,061 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,903,847 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,951,043 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,958,925 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,126,901 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,668,244 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,885,177 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,290,681 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,241,724 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IMPROVING LIVES, OPTIMIZING WELLNESS, AND PROMOTING INDEPENDENCE FOR ELDERLY AND ADULTS WITH BRAIN INJURIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $26,744,372 | ExpenseAmt |
| Revenue | $33,121,692 | RevenueAmt |
| Desc | THE PROGRAM OF ALL INCLUSIVE CARE FOR THE ELDERLY (PACE) IS A MANAGED CARE PROGRAM THAT COMBINES REIMBURSMENT FROM MEDICARE AND MEDICAID ON A PER MEMBER PER MONTH BASIS. THE PACE PROGRAM IS RESPONSIBLE FOR EVERY LEVEL OF THE FRAIL ELDERLY PARTICIPANTS' CARE FROM IN-HOME CARE TO HOSPITALIZATION. PACE ELIMINATES FRAGMENTATION AND ACCESS CONFUSION AND GREATLY IMPROVES QUALITY OF CARE PROVIDED TO THIS POPULATION. ALL TREATMENT IS PROVIDED BY AN INTERDISCIPLINARY TEAM CONSISTING OF MEDICAL, SOCIAL, SPIRITUAL, AND TRANSPORTATION STAFF. IN 2016, THE PACE PROGRAM PROVIDED 4,668 MEMBER MONTHS OF SERVICE TO 436 INDIVIDUAL PARTICIPANTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,949,475 | ExpenseAmt |
| Revenue | $4,552,109 | RevenueAmt |
| Desc | THE ROCKY MOUNTAIN BRAINCARE PROGRAM OFFERS FOUR RESIDENTIAL FACILITIES, A STRUCTURED DAY TREATMENT PROGRAM, INDIVIDUAL AND GROUP COUNSELING, AND INDIVIDUAL LIVING SKILLS TRAINING AT HOME AND IN THE COMMUNITY FOR INDIVIDUALS WHO HAVE INCURRED A BRAIN INJURY. THESE PROGRAMS PROVIDE AN ADAPTIVE ENVIRONMENT IN WHICH CLIENTS RELEARN SKILLS OF DAILY LIVING, SOCIAL INTERACTION, AND COGNITIVE FUNCTIONING LOST DUE TO BRAIN INJURIES. RMHCS IS THE ONLY RESIDENTIAL TREATMENT FACILITY FOR BRAIN INJURED INDIVIDUALS IN EL PASO COUNTY AND THE ONLY POST-HOSPITALIZATION FACILITY FOR THE BRAIN INJURED IN COLORADO. TREATMENT PLANS ARE INDIVIDUALIZED TO SPECIFIC CLIENT CARE NEEDS. ONE HUNDRED CLIENTS WERE SERVED BY THIS PROGRAM IN 2016. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,517,899 | ExpenseAmt |
| Revenue | $3,780 | RevenueAmt |
| Desc | HEALTHRIDE PROVIDES TRANSPORTATION FOR RMHCS'S BRAINCARE CLIENTS AND PACE PARTICIPANTS AS WELL AS THE PARTICIPANTS OF OTHER ORGANIZATIONS SERVING SIMILAR POPULATIONS. IN 2016, HEALTHRIDE PROVIDED OVER 64,000 RIDES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $0 | ExpenseAmt |
| Revenue | $511,290 | RevenueAmt |
| Desc | SUPPORTIVE SERVICES PROVIDED FOR RMOLTC AND VARIOUS OTHER PROGRAM SUPPORTIVE SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $511,290 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $32,211,746 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 170 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 352 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAMRIN APAYDIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7194668777 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 S 14TH STREET | AddressLine1Txt |
| City | COLORADO SPRINGS | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80904 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BILL LEVIS | ||||||||
| BOARD CHAIR | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CAROLYN PACE | ||||||||
| BOARD MEMBER AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAN O'REAR | ||||||||
| BOARD TREASURER (PART YEAR) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ED SMITH | ||||||||
| BOARD VICE-CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN BEAVERS | ||||||||
| BOARD MEMBER AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARNEL MOLA | ||||||||
| BOARD MEMBER AT LARGE (PART YEAR) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MCDENNIS THOMAS | ||||||||
| BOARD MEMBER AT LARGE (PART YEAR) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MELISSA KERR | ||||||||
| BOARD MEMBER AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| RALPH ZIMMERMAN | ||||||||
| BOARD MEMBER AT LARGE (PART YEAR) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBIN THORNE | ||||||||
| BOARD SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | 1.00 | |
| ROBYN FUHRMAN | ||||||||
| BOARD TREASURER (PART YEAR) | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SCOTT BOND | ||||||||
| BOARD MEMBER AT LARGE (PART YEAR) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHIRLEY STEWART | ||||||||
| BOARD MEMBER AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS REITER | ||||||||
| PRESIDENT & CEO | 36.00 | Yes (X) | $149,221 | $0 | $32,045 | 4.00 | ||
| TAMRIN APAYDIN | ||||||||
| CHIEF FINANCIAL OFFICER | 36.00 | Yes (X) | $122,342 | $0 | $24,696 | 4.00 | ||
| WANDA JONES | ||||||||
| VP OPERATIONS | 40.00 | Yes (X) | $98,799 | $0 | $14,426 | |||
| JUSTIN LEWIS | ||||||||
| VP ORGANIZATIONAL DEVELOPMENT | 40.00 | Yes (X) | $99,154 | $0 | $18,315 | |||
| CHRISTOPHER RUSKEY | ||||||||
| CHIEF MEDICAL OFFICER (PART YEAR) | 40.00 | Yes (X) | $166,493 | $0 | $2,387 | |||
| SCOT SICKBERT | ||||||||
| PACE PHYSICIAN | 40.00 | $223,054 | $0 | $26,536 | Yes (X) | |||
| ARLETTE KENNEDY | ||||||||
| PACE PHYSICAL THERAPIST | 40.00 | $101,165 | $0 | $1,653 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $960,228 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $120,058 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| KMTSJ INC (PHARMASTAR LLC) | |||||
| PO BOX 3217 | EAU CLAIRE | WI | 54702 | PHARMACY MGMT/PRESCRIPTIONS | $5,314,173 |
| MEMORIAL HEALTH SYSTEM | |||||
| 1400 E BOULDER STREET | COLORADO SPRINGS | CO | 809095533 | INPATIENT/OUTPATIENT/ER | $1,534,392 |
| PENROSE ST FRANCIS | |||||
| PO BOX 910506 | DENVER | CO | 802910506 | INPATIENT/OUTPATIENT/ER | $1,271,337 |
| SUNNY VISTA LIVING CENTER | |||||
| 2445 E CACHE LA POUDRE STREET | COLORADO SPRINGS | CO | 80909 | SKILLED NURSING FACILITY | $1,074,314 |
| EMERITUS PROPERTIES XVI INC (BROOKDAL | |||||
| 6737 W WASHINGTON STREET SUITE 23 | MILWAUKEE | WI | 53214 | ASSISTED LIVING/MEMORY CARE | $609,370 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 31 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $715 | FederatedCampaignsAmt |
| Fundraising | $37,442 | FundraisingAmt |
| Government Grants | $104,000 | GovernmentGrantsAmt |
| All Other Contributions | $11,812 | AllOtherContributionsAmt |
| Noncash Contributions | $4,412 | NoncashContributionsAmt |
| Total Contributions | $153,969 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HEALTH CARE SERVICES | 623990 | $37,764,896 | $37,764,896 |
| RMOLTC | 531110 | $410,885 | $410,885 |
| PROGRAM RENTAL INCOME | 531120 | $9,310 | $9,310 |
| HEALTHRIDE | 900099 | $3,780 | $3,780 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $38,188,871 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $707 | TotalRevenueColumnAmt |
| Exclusion | $707 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $340,818 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $214,238 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $126,580 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $126,580 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $105,883 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,697 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $355,103 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $550,143 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$195,040 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$195,040 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $33,044 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$228,084 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $53,000 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $37,442 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $25,828 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,172 | TotalRevenueColumnAmt |
| Exclusion | $27,172 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $11,668 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $19,008 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,340 | TotalRevenueColumnAmt |
| Exclusion | -$7,340 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|
| CATERING | 722320 | $14,564 | $14,564 |
| LAUNDRY | 812300 | $540 | $540 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $120,081 | TotalRevenueColumnAmt |
| Exclusion | $120,081 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $135,185 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,430,104 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $38,188,871 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $154,031 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$66,767 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,877 | TotalAmt |
| Program Services | $168,880 | ProgramServicesAmt |
| Management And General | $558,997 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,628,160 | TotalAmt |
| Program Services | $8,954,769 | ProgramServicesAmt |
| Management And General | $489,516 | ManagementAndGeneralAmt |
| Fundraising | $183,875 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,842 | TotalAmt |
| Program Services | $188,857 | ProgramServicesAmt |
| Management And General | $14,620 | ManagementAndGeneralAmt |
| Fundraising | $3,365 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,011,321 | TotalAmt |
| Program Services | $972,417 | ProgramServicesAmt |
| Management And General | $13,191 | ManagementAndGeneralAmt |
| Fundraising | $25,713 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $794,086 | TotalAmt |
| Program Services | $700,647 | ProgramServicesAmt |
| Management And General | $78,987 | ManagementAndGeneralAmt |
| Fundraising | $14,452 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,596 | TotalAmt |
| Management And General | $44,596 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,253 | TotalAmt |
| Management And General | $61,253 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,244 | TotalAmt |
| Program Services | $10,244 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000 | TotalAmt |
| Fundraising | $3,000 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,068 | TotalAmt |
| Program Services | $315,357 | ProgramServicesAmt |
| Management And General | $72,437 | ManagementAndGeneralAmt |
| Fundraising | $1,274 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,786 | TotalAmt |
| Program Services | $111,295 | ProgramServicesAmt |
| Management And General | $56 | ManagementAndGeneralAmt |
| Fundraising | $14,435 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,248 | TotalAmt |
| Program Services | $51,425 | ProgramServicesAmt |
| Management And General | $24,594 | ManagementAndGeneralAmt |
| Fundraising | $229 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,489 | TotalAmt |
| Program Services | $359,316 | ProgramServicesAmt |
| Management And General | $75,737 | ManagementAndGeneralAmt |
| Fundraising | $3,436 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $611,038 | TotalAmt |
| Program Services | $579,284 | ProgramServicesAmt |
| Management And General | $29,210 | ManagementAndGeneralAmt |
| Fundraising | $2,544 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,707 | TotalAmt |
| Program Services | $86,916 | ProgramServicesAmt |
| Management And General | $10,791 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,546 | TotalAmt |
| Program Services | $49,333 | ProgramServicesAmt |
| Management And General | $13,213 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,308 | TotalAmt |
| Program Services | $117,307 | ProgramServicesAmt |
| Management And General | $60,286 | ManagementAndGeneralAmt |
| Fundraising | $715 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $740,298 | TotalAmt |
| Program Services | $438,041 | ProgramServicesAmt |
| Management And General | $302,216 | ManagementAndGeneralAmt |
| Fundraising | $41 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,347 | TotalAmt |
| Program Services | $231,062 | ProgramServicesAmt |
| Management And General | $50,285 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| CLIENT HEALTH CARE SERV | $17,631,423 | $17,625,321 | $5,801 | $301 |
| VEHICLE AND EQUIPMENT | $612,370 | $579,500 | $31,493 | $1,377 |
| STAFF DEVELOPMENT | $232,524 | $193,918 | $36,963 | $1,643 |
| UBIT | $17,986 | $0 | $17,986 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $496,544 | TotalAmt |
| Program Services | $477,857 | ProgramServicesAmt |
| Management And General | $18,084 | ManagementAndGeneralAmt |
| Fundraising | $603 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,479,061 | TotalAmt |
| Program Services | $32,211,746 | ProgramServicesAmt |
| Management And General | $2,010,312 | ManagementAndGeneralAmt |
| Fundraising | $257,003 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,164,115 | BOYAmt |
| EOY | $7,781,636 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $40,923 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,854,850 | BOYAmt |
| EOY | $2,966,219 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,328 | BOYAmt |
| EOY | $389,780 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,283,240 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,357,563 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,604,632 | BOYAmt |
| EOY | $14,925,677 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $22,666 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,958,925 | BOYAmt |
| EOY | $26,126,901 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,696,227 | BOYAmt |
| EOY | $2,669,503 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $31,473 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,794,039 | BOYAmt |
| EOY | $7,069,088 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,177,978 | BOYAmt |
| EOY | $3,115,113 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,668,244 | BOYAmt |
| EOY | $12,885,177 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,290,681 | BOYAmt |
| EOY | $13,241,724 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,290,681 | BOYAmt |
| EOY | $13,241,724 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,958,925 | BOYAmt |
| EOY | $26,126,901 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,951,043 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $233,466 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $275,315 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $72,569 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $195,825 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $153,969 | CurrentTaxYearAmt |
| Total | $931,144 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $233,466 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $275,315 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $72,569 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $195,825 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $153,969 | CurrentTaxYearAmt |
| Total | $931,144 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $64,346 | SubstantialContributorsTotAmt |
| Public Support Total170 | $866,798 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,270 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $109,503 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $320,978 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,905 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,404 | CurrentTaxYearAmt |
| Total | $466,060 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $84,762 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $92,066 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $154,031 | CurrentTaxYearAmt |
| Total | $330,859 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,771 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $41,979 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $79,456 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $84,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $173,081 | CurrentTaxYearAmt |
| Total | $413,287 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,141,350 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $120,643,107 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.40480 | PublicSupportCY170Pct |
| Public Support PY170 | 0.41660 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2012 AMOUNT: $ 34,771. 2013 AMOUNT: $ 41,979. 2014 AMOUNT: $ 79,456. 2015 AMOUNT: $ 84,000. 2016 AMOUNT: $ 173,081. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $10,244 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $10,244 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $34,684,823 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $34,695,067 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $950,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $3,950,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $5,925,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $5,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $5,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $5,000 | CurrentYearMinus1Amt |
| Current Year | $10,244 | CurrentYearAmt |
| Total | $25,244 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $237,500 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $987,500 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,481,250 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $616,463 | OtherCostOrOtherBasisAmt |
| Book Value | $616,463 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,381,619 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,066,501 | DepreciationAmt |
| Book Value | $13,315,118 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,652,056 | OtherCostOrOtherBasisAmt |
| Depreciation | $850,341 | DepreciationAmt |
| Book Value | $801,715 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $633,102 | OtherCostOrOtherBasisAmt |
| Depreciation | $440,721 | DepreciationAmt |
| Book Value | $192,381 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,925,677 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PACE MEDICAL LIABILITIES | Desc |
| Amt | $3,115,113 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,115,113 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $38,710,792 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $21,614 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $259,074 | OtherRevenueAmt |
| Revenue Not Reported | $280,688 | RevenueNotReportedAmt |
| Revenue Subtotal | $38,430,104 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $38,430,104 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $34,759,749 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $21,614 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $259,074 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $280,688 | ExpensesNotReportedAmt |
| Expenses Subtotal | $34,479,061 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $34,479,061 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION APPLIES A MORE-LIKELY-THAN-NOT MEASUREMENT 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 DECEMBER 31, 2016 AND 2015. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE 214,238. COST OF GOODS SOLD 19,008. FUNDRAISING EVENT EXPENSE 25,828. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE 214,238. FUNDRAISING EVENT EXPENSE 25,828. CAFE CART EXPENSES 19,008. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CHEF SHOWCASE | Event1Nm |
| Gross Receipts Event1 | $89,954 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $36,954 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $53,000 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $9,191 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $11,072 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $4,220 | OtherDirectExpensesEvent1Amt |
| Event2 | YARD SALE | Event2Nm |
| Gross Receipts Event2 | $488 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $488 | CharitableContriEvent2Amt |
| Other Direct Expenses Event2 | $1,345 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $90,442 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $37,442 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $53,000 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $9,191 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $11,072 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $5,565 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $25,828 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $27,172 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS REITER | ||||||||||||||
| PRESIDENT & CEO | $144,789 | $0 | $4,290 | $0 | $142 | $0 | $6,723 | $0 | $25,322 | $0 | $181,266 | $0 | $0 | $0 |
| CHRISTOPHER RUSKEY | ||||||||||||||
| CHIEF MEDICAL OFFICER (PART YEAR) | $166,392 | $0 | $0 | $0 | $101 | $0 | $1,286 | $0 | $1,101 | $0 | $168,880 | $0 | $0 | $0 |
| SCOT SICKBERT | ||||||||||||||
| PACE PHYSICIAN | $222,363 | $0 | $295 | $0 | $396 | $0 | $7,950 | $0 | $18,586 | $0 | $249,590 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THERE IS AN EXECUTIVE COMMITTEE MADE UP OF THE BOARD CHAIR, VICE CHAIR, TREASURER, AND SECRETARY. EACH OF THESE MEMBERS SERVE ON THE GOVERNING BODY OF THE ORGANIZATION AS WELL. THE EXECUTIVE COMMITTEE HAS THE POWER TO ACT ON BEHALF OF THE BOARD OF DIRECTORS ON ROUTINE MATTERS THAT ARISE BETWEEN REGULAR BOARD MEETINGS AND IN URGENT SITUATIONS THAT CANNOT WAIT FOR THE NEXT FULL BOARD MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM, REVIEWED IN DETAIL BY THE BOARD AUDIT AND FINANCE COMMITTEE, AND THEN EMAILED TO THE FULL BOARD FOR REVIEW AND COMMENTS BEFORE FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND KEY EMPLOYEES COMPLETE A STATEMENT REGARDING CONFLICTS OF INTEREST ANNUALLY. THESE STATEMENTS ARE REVIEWED BY THE APPROPRIATE SUPERVISOR OR BOARD PRESIDENT. ANY POTENTIAL CONFLICTS OF INTEREST ARE RESOLVED USING PROCESSES DOCUMENTED IN THE POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS THE CEO ANNUALLY AND SETS COMPENSATION UTILIZING THE ORGANIZATION'S COMPENSATION PLAN ESTABLISHED USING CURRENT MARKET COMPENSATION SURVEY DATA. THE COMPENSATION AMOUNT AND APPROVAL ARE DOCUMENTED IN THE BOARD MINUTES. THE CEO SETS THE OTHER MANAGEMENT SALARIES ALSO UTILIZING THE ORGANIZATION'S COMPENSATION PLAN AND CURRENT COMPENSATION SURVEY DATA. AN OUTSIDE CONSULTANT WAS HIRED TO CREATE THE COMPENSATION PLAN BASED ON NATIONAL MARKET SURVEY DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST PLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| ROCKY MOUNTAIN BRAIN INJURY SERVICES LLC | |||||||||
| 310 S 14TH STREET | COLORADO SPRINGS | CO | 80904 | 263739252 | NONE | CO | $0 | $0 | ROCKY MOUNTAIN HEALTH CARE SERVICES |
| HEALTHRIDE LLC | |||||||||
| 310 S 14TH STREET | COLORADO SPRINGS | CO | 80904 | 465153888 | PROVIDES TRANSPORTATION SERVICES TO RMHCS CLIENTS & PATIENTS | CO | $20,682 | $192,880 | ROCKY MOUNTAIN HEALTH CARE SERVICES |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ROCKY MOUNTAIN OPTIONS FOR LONG TERM CARE | ||||||||||
| 310 S 14TH STREET | COLORADO SPRINGS | CO | 80904 | 743037370 | MEDICAID SEP CASE MANAGEMENT | CO | 501(C)(3) | LINE 12B, II | N/A | 0 |
| ROCKY MOUNTAIN PACE LLC | ||||||||||
| 310 S 14TH STREET | COLORADO SPRINGS | CO | 80904 | 263526736 | NONE | CO | 501(C)(3) | LINE 7 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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