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COLORADO PEDIATRIC COLLABORATIVE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COLORADO PEDIATRIC COLLABORATIVE (EIN 30-0678460)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-15
IRS object ID
201731359349306133
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-15T12:48:21-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN461497033PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EKS&H LLLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17979 E TUFTS AVENUE SUITE 400AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP802372521ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN300678460EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COLORADO PEDIATRIC COLLABORATIVEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOLOBusinessNameControlTxt
Phone7207776861PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113123 EAST 16TH AVEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80045ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEFF HARRINGTONPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7207776861PhoneNum
Signature2017-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDORI J EGGETTPreparerPersonNm
PTINP00645252PTIN
Phone3037409400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address208.42.238.132IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-15IPDt
IP Tm12:47:36IPTm
IP TimezoneMDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id32670C0CEFF2FC58E69BA761D48BD58B9C8D5F0BAtSubmissionCreationDeviceId
At Submission Filing Device Id2CD2F342D9A56895E935F8A0E7A9027FDFDBA7CBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEFF HARRINGTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line113123 EAST 16TH AVEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80045ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$612,001GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCOLORADOPEDIATRIC.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE QUALITY AND COORDINATION OF CARE FOR CHILDREN IN COLORADOActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$225,000PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,456,974PYProgramServiceRevenueAmt
CY Program Service Revenue$612,001CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,681,974PYTotalRevenueAmt
CY Total Revenue$612,001CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$775,271PYOtherExpensesAmt
CY Other Expenses$1,017,032CYOtherExpensesAmt
PY Total Expenses$775,271PYTotalExpensesAmt
CY Total Expenses$1,017,032CYTotalExpensesAmt
PY Revenues Less Expenses$906,703PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$405,031CYRevenuesLessExpensesAmt
Total Assets BOY$2,181,318TotalAssetsBOYAmt
Total Assets EOY$1,831,457TotalAssetsEOYAmt
Total Liabilities BOY$68,157TotalLiabilitiesBOYAmt
Total Liabilities EOY$123,327TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,113,161NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,708,130NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE QUALITY AND COORDINATION OF CARE FOR CHILDREN IN COLORADOMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$921,071ExpenseAmt
Revenue$612,001RevenueAmt
DescCPC FOCUSES ON SUPPORTING PRACTICES WITH ACHIEVING THE TRIPLE AIM, A CONCEPT DEVELOPED BY THE INSTITUTE FOR HEALTHCARE IMPROVEMENT. THE GOAL OF THE TRIPLE AIM IS TO IMPROVE THE HEALTH OF THE POPULATION, TO ENHANCE THE PATIENT EXPERIENCE OF CARE (INCLUDING QUALITY, ACCESS, AND RELIABILITY), AND TO REDUCE/CONTROL THE PER CAPITA COST OF CARE. DURING 2016, CPC CONTINUED TO PROMOTE PROGRESSIVE QUALITY AND CARE COORDINATION INITIATIVES WHICH INCLUDE: IMMUNIZATIONS, ASTHMA, AND CHILDHOOD OBESITY. THE INITIATIVES ARE BASED ON A TESTED MODEL AND CORE MODEL COMPONENTS THAT CPC HAS USED TO DEMONSTRATE IMPROVEMENTS IN POPULATION MANAGEMENT AND HEALTH. NONETHELESS, CPC'S ROBUST CLINICAL INITIATIVES HAVE HELPED PAVED THE WAY FOR TRANSITIONING PAYER REIMBURSEMENT FROM A FEE-FOR-SERVICE MODEL TO ONE THAT FOCUSES ON QUALITY AND IMPROVED HEALTH OUTCOMES FOR PATIENTS AND THEIR FAMILIES.CPC HAS BEEN DILIGENTLY WORKING ON ADVANCING THE HEALTHY LIVING INITIATIVE. EARLY 2016, CPC SUCCESSFULLY LAUNCHED THE HEALTHY LIVING REGISTRY. DATA GENERATED IN THE REGISTRY IS USED TO IDENTIFY PATIENTS AT AN UNHEALTHY WEIGHT OR THOSE WHO MAY BE AT RISK OF DEVELOPING AN UNHEALTHY WEIGHT.ADDITIONALLY, CPC DEVELOPED AND IMPLEMENTED A PROVIDER SURVEY IN EARLY 2016. CPC HAD APPROXIMATELY 50 PROVIDERS COMPLETE THE SURVEY. CPC ASKED SURVEY PARTICIPANTS TO CHOOSE THE POSITION THEY THOUGHT WOULD BETTER HELP PROVIDERS AND THEIR PRACTICE SUPPORT CHILDREN AND THEIR FAMILIES BUILD HEALTHY LIFESTYLES. APPROXIMATELY 70% OF RESPONDENTS INDICATED THEY THOUGHT A REGISTERED DIETICIAN WOULD BETTER SUPPORT THEIR EFFORTS OVER A PATIENT NAVIGATOR. THROUGH THE HELP OF CLINICAL EXPERTS, CPC HAS DEVELOPED A PATIENT SURVEY THAT WILL BE ADMINISTERED IN THE 5 PILOT SITES. THE PURPOSE OF THE SURVEY IS TO ASSESS PATIENT/FAMILY SATISFACTION AND IDENTIFY GAPS IN CARE FROM PATIENTS WITH A BODY MASS INDEX (BMI) IN THE 85TH PERCENTILE OR HIGHER. IN ORDER TO VALIDATE THE TOOL AND THE DATA GENERATED FROM THE SURVEY, CPC APPLIED ANALYTIC RESOURCES TO IDENTIFY THE SAMPLE SIZE NEEDED. APPROXIMATELY 105 SURVEYS OF FAMILIES WITH OVERWEIGHT/OBESE KIDS, PRE AND POST WILL PROVIDE 90% POWER TO DETECT A DIFFERENCE OF 20% (E.G. AN INCREASE FROM 20% TO 40%) IN THE FREQUENCY OF FAMILIES WHO RESPOND YES TO SELECT QUESTIONS (CHI SQUARE TEST). AS OF JULY 2016, CPC HAS IDENTIFIED A REGISTERED DIETICIAN TO DEVELOP AND IMPLEMENT A 4-WEEK CURRICULUM IN THE PILOT SITES. IN ORDER FOR THE INTERVENTION TO BE SUCCESSFUL, IT IS IMPERATIVE THAT THE REGISTERED DIETICIAN HAVE EXPERIENCE FACILITATING IN A GROUP SETTING, WORKING WITH CHILDREN AND FAMILIES, AND CAN APPLY MOTIVATIONAL INTERVIEWING AND BEHAVIOR MODIFICATION TECHNIQUES TO ADDRESS THE CHALLENGES ASSOCIATED WITH AN UNHEALTHY LIFESTYLE.Desc
Total Program Service Expenses$921,071TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEFFERY HARRINGTONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7207776361PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113123 E 16TH AVENUE BOX 010AddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80045ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ANDREW BAUER MD
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
JEFFREY HARRINGTON
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
ROBERT KING MD
BOARD MEMBER1.00Yes (X)$0$0$0
MICHAEL NARKEWICZ MD
BOARD MEMBER1.00Yes (X)$0$0$0
R HOLBROOK STAPP MD
BOARD MEMBER1.00Yes (X)$0$0$0
STEPHANIE STEVENS MD
BOARD MEMBER1.00Yes (X)$0$0$0
GIL PERI
VICE CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL COLORADOBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line113123 EAST 16TH AVENUEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80045ZIPCd
FieldValueIRS element (for citing)
ServicesMGMT & DATABASE DEVELOPMENTServicesDesc
Compensation$479,682CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescACO REVENUEDesc
Business624100BusinessCd
Total Revenue Column$612,001TotalRevenueColumnAmt
Related Or Exempt Func Income$612,001RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$612,001TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$612,001TotalRevenueColumnAmt
Related Or Exempt Func Income$612,001RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$371,827TotalAmt
Program Services$302,838ProgramServicesAmt
Management And General$68,989ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$21,388TotalAmt
Management And General$21,388ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$611,863TotalAmt
Program Services$611,863ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,738TotalAmt
Program Services$2,738ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$780TotalAmt
Program Services$780ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,565TotalAmt
Program Services$2,565ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,293TotalAmt
Management And General$3,293ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescGENERAL & ADMINDesc
Total$2,578TotalAmt
Program Services$287ProgramServicesAmt
Management And General$2,291ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,017,032TotalAmt
Program Services$921,071ProgramServicesAmt
Management And General$95,961ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,624,872BOYAmt
EOY$1,828,438EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$553,427BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,019BOYAmt
EOY$3,019EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,181,318BOYAmt
EOY$1,831,457EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$68,157BOYAmt
EOY$123,327EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,157BOYAmt
EOY$123,327EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,938,161BOYAmt
EOY$1,636,906EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$175,000BOYAmt
EOY$71,224EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,113,161BOYAmt
EOY$1,708,130EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,181,318BOYAmt
EOY$1,831,457EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$405,031ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,500,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$225,000CurrentTaxYearMinus1YearAmt
Total$1,725,000TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$344,917CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,045,888CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,456,974CurrentTaxYearMinus1YearAmt
Current Tax Year$612,001CurrentTaxYearAmt
Total$3,459,780TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,500,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$344,917CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,045,888CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,681,974CurrentTaxYearMinus1YearAmt
Current Tax Year$612,001CurrentTaxYearAmt
Total$5,184,780TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$5,184,780PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,500,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$344,917CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,045,888CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,681,974CurrentTaxYearMinus1YearAmt
Current Tax Year$612,001CurrentTaxYearAmt
Total$5,184,780TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$612,001TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$612,001RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$612,001TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,017,032TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,017,032ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,017,032TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISIONS FOR INCOME TAXES ARE MADE FOR FEDERAL, STATE, OR LOCAL TAXES. 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. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS ARE RECORDED IN THE PERIOD ASSESSED AS GENERAL AND ADMINISTRATIVE EXPENSE. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF DECEMBER 31, 2016 AND 2015ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2ANDREW BAUER - BUSINESS RELATIONSHIP JEFFERY HARRINGTON - BUSINESS RELATIONSHIP ROBERT KING - BUSINESS RELATIONSHIP MICHAEL NARKEWICZ - BUSINESS RELATIONSHIP R. HOLBROOK STAPP - BUSINESS RELATIONSHIP STEPHANIE STEVENS - BUSINESS RELATIONSHIP GIL PERI - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6ACCORDING TO THE BYLAWS OF COLORADO PEDIATRIC COLLABORATIVE, THE ENTITY HAS TWO MEMBERS: THE CHILDREN'S HOSPITAL ASSOCIATION, A COLORADO NONPROFIT CORPORATION, AND COLORADO PEDIATRIC PARTNERS, LLC, A COLORADO LIMITED LIABILITY COMPANY.
FORM 990, PART VI, SECTION A, LINE 7AACCORDING TO THE ORGANIZATION'S BYLAWS, THE CHILDREN'S HOSPITAL ASSOCIATION SHALL APPOINT FOUR DIRECTORS, AND COLORADO PEDIATRIC PARTNERS, LLC SHALL APPOINT FOUR DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE RETURN IS REVIEWED BY THE TREASURER AND FINANCE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12COLORADO PEDIATRIC COLLABORATIVE DOES NOT HAVE A CONFLICT OF INTEREST POLICY. HOWEVER, THE ORGANIZATION CONSISTENTLY MONITORS AND PROVIDES COMPLIANCE POLICY THROUGH REGULAR DISCLOSURES AT BOARD MEETINGS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPHYSICIAN LEAD FEES: PROGRAM SERVICE EXPENSES 16,849. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,849. DEVELOPMENT EXPENSES: PROGRAM SERVICE EXPENSES 107,855. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 107,855. SHARED SAVINGS PAYMENTS: PROGRAM SERVICE EXPENSES 478,049. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 478,049. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 9,110. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,110.

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