ROCKY MOUNTAIN HEALTH CARE SERVICES: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ROCKY MOUNTAIN HEALTH CARE SERVICES (EIN 84-0765729)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-05
- IRS object ID
- 201813099349302136
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-05T16:14:11-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | 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 | 2017-01-01 | 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 | NATHAN OLSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7194668777 | PhoneNum |
| Signature | 2018-11-03 | 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 |
| Preparation | 2018-11-05 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 208.42.238.142 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-05 | IPDt |
| IP Tm | 16:11:21 | IPTm |
| IP Timezone | MS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | CD71869BFC494223FABD92E93AB0669CE7B22062 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CD71869BFC494223FABD92E93AB0669CE7B22062 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | NATHAN OLSON | 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 | $47,879,500 | 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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 416 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $165,697 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $143,247 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $153,969 | PYContributionsGrantsAmt |
| CY Contributions Grants | $27,576 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $38,188,871 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $47,267,551 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$194,333 | PYInvestmentIncomeAmt |
| CY Investment Income | $22,612 | CYInvestmentIncomeAmt |
| PY Other Revenue | $281,597 | PYOtherRevenueAmt |
| CY Other Revenue | $330,690 | CYOtherRevenueAmt |
| PY Total Revenue | $38,430,104 | PYTotalRevenueAmt |
| CY Total Revenue | $47,648,429 | 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 | $12,368,286 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,985,498 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $3,000 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $49,377 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,107,775 | PYOtherExpensesAmt |
| CY Other Expenses | $27,476,902 | CYOtherExpensesAmt |
| PY Total Expenses | $34,479,061 | PYTotalExpensesAmt |
| CY Total Expenses | $43,462,400 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,951,043 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,186,029 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $26,126,901 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,791,982 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,885,177 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,364,229 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,241,724 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,427,753 | NetAssetsOrFundBalancesEOYAmt |
| 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 | $36,158,570 | ExpenseAmt |
| Revenue | $42,817,974 | 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 2017, THE PACE PROGRAM PROVIDED 5,940 MEMBER MONTHS OF SERVICE TO 546 INDIVIDUAL PARTICIPANTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,058,585 | ExpenseAmt |
| Revenue | $3,841,226 | 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 TWELVE CLIENTS WERE SERVED BY THIS PROGRAM IN 2017. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $608,351 | RevenueAmt |
| Desc | SUPPORTIVE SERVICES PROVIDED FOR RMOLTC AND VARIOUS OTHER PROGRAM SUPPORTIVE SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $41,217,155 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 234 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 416 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | MARCIA MITCHELL | 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 (28 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 | 2.00 | 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 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DANNIS SCHANEL | ||||||||
| BOARD MEMBER AT LARGE (PART YEAR) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVE KAST | ||||||||
| BOARD MEMBER AT LARGE (PART YEAR) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ED SMITH | ||||||||
| BOARD VICE-CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN BEAVERS | ||||||||
| BOARD MEMBER AT LARGE | 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 | 2.00 | 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 | |
| SCOTT BOND | ||||||||
| BOARD MEMBER AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHAWN THOMPSON | ||||||||
| 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 (PART YEAR) | 38.00 | Yes (X) | $138,786 | $0 | $21,273 | 2.00 | ||
| LOUIE LARIMER | ||||||||
| PRESIDENT & CEO (PART YEAR) | 38.00 | Yes (X) | $85,153 | $0 | $0 | 2.00 | ||
| NATHAN OLSON | ||||||||
| PRESIDENT & CEO (PART YEAR) | 40.00 | Yes (X) | $18,319 | $0 | $0 | |||
| DAVID RICHMAN | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $212,167 | $0 | $32,191 | |||
| TAMRIN APAYDIN | ||||||||
| CHIEF FINANCIAL OFFICER | 38.00 | Yes (X) | $138,034 | $0 | $27,546 | 2.00 | ||
| WANDA JONES | ||||||||
| VP OPERATIONS | 40.00 | Yes (X) | $97,076 | $0 | $21,714 | |||
| JUSTIN LEWIS | ||||||||
| VP ORGANIZATIONAL DEVELOPMENT | 40.00 | Yes (X) | $110,890 | $0 | $25,140 | |||
| KIM GINTER | ||||||||
| VP HR | 40.00 | Yes (X) | $82,627 | $0 | $3,120 | |||
| MARCIA MITCHELL | ||||||||
| VP ACCOUNTING | 40.00 | Yes (X) | $97,112 | $0 | $14,115 | |||
| SCOT SICKBERT | ||||||||
| PACE PHYSICIAN | 40.00 | $220,561 | $0 | $29,729 | Yes (X) | |||
| MARK WESSELMAN | ||||||||
| PACE PHYSICIAN | 40.00 | $203,966 | $0 | $22,237 | Yes (X) | |||
| VALERIE ANDERS | ||||||||
| PACE EXECUTIVE DIRECTOR | 40.00 | $116,194 | $0 | $15,417 | Yes (X) | |||
| REBECCA JOHNSON | ||||||||
| PACE PHYSICAL THERAPIST | 40.00 | $103,682 | $0 | $4,732 | Yes (X) | |||
| ARLETTE KENNEDY | ||||||||
| PACE PHYSICAL THERAPIST | 40.00 | $102,860 | $0 | $1,226 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,727,427 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $218,440 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | 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 | $5,910,845 |
| PENROSE ST FRANCIS | |||||
| PO BOX 910506 | DENVER | CO | 802910506 | INPATIENT/OUTPATIENT/ER | $2,215,446 |
| MEMORIAL HEALTH SYSTEM | |||||
| 1400 E BOULDER STREET | COLORADO SPRINGS | CO | 809095533 | INPATIENT/OUTPATIENT/ER | $2,149,187 |
| SUNNY VISTA LIVING CENTER | |||||
| 2445 E CACHE LA POUDRE STREET | COLORADO SPRINGS | CO | 80909 | SKILLED NURSING FACILITY | $1,049,086 |
| PREMIER MEDICAL CORPORATION | |||||
| 5055 48TH AVENUE | DENVER | CO | 80216 | OXYGEN SERVICES | $588,720 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 46 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $576 | FederatedCampaignsAmt |
| Fundraising | $16,859 | FundraisingAmt |
| All Other Contributions | $10,141 | AllOtherContributionsAmt |
| Total Contributions | $27,576 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HEALTH CARE SERVICES | 623990 | $46,750,291 | $46,750,291 |
| RMOLTC | 561110 | $517,260 | $517,260 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $47,267,551 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,612 | TotalRevenueColumnAmt |
| Exclusion | $22,612 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $376,019 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $173,807 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $202,212 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $202,212 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $149,653 | UnrelatedBusinessRevenueAmt |
| Exclusion | $52,559 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $55,350 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $16,859 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $36,206 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,144 | TotalRevenueColumnAmt |
| Exclusion | $19,144 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $15,190 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $21,058 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,868 | TotalRevenueColumnAmt |
| Exclusion | -$5,868 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CATERING | Desc |
| Business | 722320 | BusinessCd |
| Total Revenue Column | $16,044 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $16,044 | UnrelatedBusinessRevenueAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $99,158 | TotalRevenueColumnAmt |
| Exclusion | $99,158 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $115,202 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,648,429 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,267,551 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $165,697 | UnrelatedBusinessRevenueAmt |
| Exclusion | $187,605 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,125,264 | TotalAmt |
| Program Services | $766,432 | ProgramServicesAmt |
| Management And General | $358,832 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,372,144 | TotalAmt |
| Program Services | $11,580,958 | ProgramServicesAmt |
| Management And General | $760,431 | ManagementAndGeneralAmt |
| Fundraising | $30,755 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274,295 | TotalAmt |
| Program Services | $253,859 | ProgramServicesAmt |
| Management And General | $19,963 | ManagementAndGeneralAmt |
| Fundraising | $473 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,211,341 | TotalAmt |
| Program Services | $1,129,522 | ProgramServicesAmt |
| Management And General | $78,890 | ManagementAndGeneralAmt |
| Fundraising | $2,929 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,002,454 | TotalAmt |
| Program Services | $936,013 | ProgramServicesAmt |
| Management And General | $64,111 | ManagementAndGeneralAmt |
| Fundraising | $2,330 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,038 | TotalAmt |
| Program Services | $31,296 | ProgramServicesAmt |
| Management And General | $13,742 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,702 | TotalAmt |
| Management And General | $41,702 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,255 | TotalAmt |
| Program Services | $383,452 | ProgramServicesAmt |
| Management And General | $101,444 | ManagementAndGeneralAmt |
| Fundraising | $2,359 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,394 | TotalAmt |
| Program Services | $258,369 | ProgramServicesAmt |
| Management And General | $4,822 | ManagementAndGeneralAmt |
| Fundraising | $203 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,076 | TotalAmt |
| Program Services | $65,501 | ProgramServicesAmt |
| Management And General | $35,164 | ManagementAndGeneralAmt |
| Fundraising | $411 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $620,881 | TotalAmt |
| Program Services | $528,357 | ProgramServicesAmt |
| Management And General | $88,771 | ManagementAndGeneralAmt |
| Fundraising | $3,753 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $761,074 | TotalAmt |
| Program Services | $682,555 | ProgramServicesAmt |
| Management And General | $75,553 | ManagementAndGeneralAmt |
| Fundraising | $2,966 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,701 | TotalAmt |
| Program Services | $109,311 | ProgramServicesAmt |
| Management And General | $11,390 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,704 | TotalAmt |
| Program Services | $44,022 | ProgramServicesAmt |
| Management And General | $17,682 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,552 | TotalAmt |
| Program Services | $112,412 | ProgramServicesAmt |
| Management And General | $65,140 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $725,439 | TotalAmt |
| Program Services | $459,615 | ProgramServicesAmt |
| Management And General | $265,824 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,364 | TotalAmt |
| Program Services | $263,813 | ProgramServicesAmt |
| Management And General | $56,551 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| CLIENT HEALTH CARE SERV | $21,938,467 | $21,938,467 | ||
| VEHICLE AND EQUIPMENT | $628,546 | $572,718 | $55,828 | |
| GROCERIES | $332,124 | $327,309 | $4,815 | |
| STAFF DEVELOPMENT | $219,570 | $182,952 | $35,135 | $1,483 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $632,015 | TotalAmt |
| Program Services | $590,222 | ProgramServicesAmt |
| Management And General | $40,078 | ManagementAndGeneralAmt |
| Fundraising | $1,715 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,462,400 | TotalAmt |
| Program Services | $41,217,155 | ProgramServicesAmt |
| Management And General | $2,195,868 | ManagementAndGeneralAmt |
| Fundraising | $49,377 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,781,636 | BOYAmt |
| EOY | $10,637,202 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,923 | BOYAmt |
| EOY | $41,230 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,966,219 | BOYAmt |
| EOY | $5,809,923 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $389,780 | BOYAmt |
| EOY | $351,106 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,061,286 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,108,765 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,925,677 | BOYAmt |
| EOY | $14,952,521 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,666 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,126,901 | BOYAmt |
| EOY | $31,791,982 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,669,503 | BOYAmt |
| EOY | $4,209,890 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,473 | BOYAmt |
| EOY | $46,805 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,069,088 | BOYAmt |
| EOY | $6,755,426 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,115,113 | BOYAmt |
| EOY | $3,352,108 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,885,177 | BOYAmt |
| EOY | $14,364,229 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,241,724 | BOYAmt |
| EOY | $17,427,753 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,241,724 | BOYAmt |
| EOY | $17,427,753 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,126,901 | BOYAmt |
| EOY | $31,791,982 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,186,029 | 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $275,315 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $75,747 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $195,825 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $153,969 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,576 | CurrentTaxYearAmt |
| Total | $728,432 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,181,815 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,331,889 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,951,019 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,188,871 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,267,551 | CurrentTaxYearAmt |
| Total | $150,921,145 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,457,130 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,407,636 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,146,844 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,342,840 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,295,127 | CurrentTaxYearAmt |
| Total | $151,649,577 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $151,649,577 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $172,578 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $320,978 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $326,897 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $341,525 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $398,631 | CurrentTaxYearAmt |
| Total | $1,560,609 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $28,516 | CurrentTaxYearMinus1YearAmt |
| Total | $28,516 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $172,578 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $320,978 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $326,897 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $370,041 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $398,631 | CurrentTaxYearAmt |
| Total | $1,589,125 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,777 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,693 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $56,089 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,832 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,276 | CurrentTaxYearAmt |
| Total | $167,667 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $3,753 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,066 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $120,081 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $99,158 | CurrentTaxYearAmt |
| Total | $225,058 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,650,485 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,790,060 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,531,896 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,852,794 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,806,192 | CurrentTaxYearAmt |
| Total | $153,631,427 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98710 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98560 | PublicSupportPY509Pct |
| Investment Income CY | 0.01030 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01200 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2013 AMOUNT: $ 0. 2014 AMOUNT: $ 3,753. 2015 AMOUNT: $ 2,066. 2016 AMOUNT: $ 120,081. 2017 AMOUNT: $ 99,158. | ExplanationTxt |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $8,989 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $8,989 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $43,400,454 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $43,409,443 | 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 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | 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 | $10,244 | CurrentYearMinus1Amt |
| Current Year | $8,989 | CurrentYearAmt |
| Total | $29,233 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | 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 | $16,091,933 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,527,291 | DepreciationAmt |
| Book Value | $13,564,642 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,719,788 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,059,829 | DepreciationAmt |
| Book Value | $659,959 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $633,102 | OtherCostOrOtherBasisAmt |
| Depreciation | $521,645 | DepreciationAmt |
| Book Value | $111,457 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,952,521 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PACE MEDICAL LIABILITIES | Desc |
| Amt | $3,352,108 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,352,108 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $47,893,512 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $14,012 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $231,071 | OtherRevenueAmt |
| Revenue Not Reported | $245,083 | RevenueNotReportedAmt |
| Revenue Subtotal | $47,648,429 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $47,648,429 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $43,707,483 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $14,012 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $231,071 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $245,083 | ExpensesNotReportedAmt |
| Expenses Subtotal | $43,462,400 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $43,462,400 | 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, 2017 AND 2016. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS ARE RECORDED IN THE PERIOD ASSESSED AS GENERAL AND ADMINISTRATIVE EXPENSES. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF DECEMBER 31, 2017 AND 2016. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE 173,807. COST OF GOODS SOLD 21,058. FUNDRAISING EVENT EXPENSE 36,206. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE 173,807. FUNDRAISING EVENT EXPENSE 36,206. CAFE CART EXPENSES 21,058. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CHEF SHOWCASE | Event1Nm |
| Gross Receipts Event1 | $72,209 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $16,859 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $55,350 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $3,300 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $472 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $13,186 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $7,468 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $600 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $11,180 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $72,209 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $16,859 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $55,350 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $3,300 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $472 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $13,186 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $7,468 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $600 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $11,180 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $36,206 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $19,144 | 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 | Yes (1) | 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 (5 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 (PART YEAR) | $133,786 | $0 | $5,000 | $0 | $0 | $0 | $5,948 | $0 | $15,325 | $0 | $160,059 | $0 | $0 | $0 |
| DAVID RICHMAN | ||||||||||||||
| CHIEF MEDICAL OFFICER | $211,777 | $0 | $390 | $0 | $0 | $0 | $8,367 | $0 | $23,824 | $0 | $244,358 | $0 | $0 | $0 |
| TAMRIN APAYDIN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $137,736 | $0 | $298 | $0 | $0 | $0 | $6,007 | $0 | $21,539 | $0 | $165,580 | $0 | $0 | $0 |
| SCOT SICKBERT | ||||||||||||||
| PACE PHYSICIAN | $217,712 | $0 | $2,849 | $0 | $0 | $0 | $9,216 | $0 | $20,513 | $0 | $250,290 | $0 | $0 | $0 |
| MARK WESSELMAN | ||||||||||||||
| PACE PHYSICIAN | $203,966 | $0 | $0 | $0 | $0 | $0 | $6,690 | $0 | $15,547 | $0 | $226,203 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | IN 2017 THOMAS REITER RECEIVED A SEVERANCE PAYMENT OF $41,250 AND JUSTIN LEWIS RECEIVED A SEVERANCE PAYMENT OF $11,628. | ExplanationTxt |
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 | $0 | $112,106 | 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 |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCKY MOUNTAIN OPTIONS FOR LONG TERM CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $517,260 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |
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