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COLORADO PEDIATRIC COLLABORATIVE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
COLORADO PEDIATRIC COLLABORATIVE (EIN 30-0678460)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-06-03
IRS object ID
201611559349300116
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-06-03T10:42:18-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-06-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDORI J EGGETTPreparerPersonNm
PTINP00645252PTIN
Phone3037409400PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
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$1,681,974GrossReceiptsAmt
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 Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$225,000CYContributionsGrantsAmt
PY Program Service Revenue$1,045,888PYProgramServiceRevenueAmt
CY Program Service Revenue$1,456,974CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,045,888PYTotalRevenueAmt
CY Total Revenue$1,681,974CYTotalRevenueAmt
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$663,240PYOtherExpensesAmt
CY Other Expenses$775,271CYOtherExpensesAmt
PY Total Expenses$663,240PYTotalExpensesAmt
CY Total Expenses$775,271CYTotalExpensesAmt
PY Revenues Less Expenses$382,648PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$906,703CYRevenuesLessExpensesAmt
Total Assets BOY$1,256,270TotalAssetsBOYAmt
Total Assets EOY$2,181,318TotalAssetsEOYAmt
Total Liabilities BOY$49,812TotalLiabilitiesBOYAmt
Total Liabilities EOY$68,157TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,206,458NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,113,161NetAssetsOrFundBalancesEOYAmt
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$647,193ExpenseAmt
Revenue$1,456,974RevenueAmt
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 2015, 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.Desc
Total Program Service Expenses$647,193TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building 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 Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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 Line1CYNTHIA MARTINEZBusinessNameLine1Txt
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 (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JOAN BOTHNER MD
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
ANDREW BAUER MD
VICE 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
BOARD MEMBER1.00Yes (X)$0$0$0
LISA WEATHERBEE
BOARD MEMBER1.00Yes (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 (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PHYSICIAN HEALTH PARTNERSLLC
1125 17TH STDENVERCO80202MGMT SERVICES$390,434
CHILDREN'S HOSPITAL COLORADO
13123 EAST 16TH AVENUEAURORACO80045MGMT & DATABASE DEVELOPMENT$212,365
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$225,000AllOtherContributionsAmt
Total Contributions$225,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescACO REVENUEDesc
Business624100BusinessCd
Total Revenue Column$1,456,974TotalRevenueColumnAmt
Related Or Exempt Func Income$1,456,974RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,456,974TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,681,974TotalRevenueColumnAmt
Related Or Exempt Func Income$1,456,974RelatedOrExemptFuncIncomeAmt
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$550,422TotalAmt
Program Services$440,385ProgramServicesAmt
Management And General$110,037ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,499TotalAmt
Management And General$14,499ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$188,872TotalAmt
Program Services$188,872ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,324TotalAmt
Program Services$1,324ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,857TotalAmt
Program Services$9,857ProgramServicesAmt

Insurance InsuranceGrp

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

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescGENERAL & ADMINDesc
Total$7,004TotalAmt
Program Services$6,755ProgramServicesAmt
Management And General$249ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$775,271TotalAmt
Program Services$647,193ProgramServicesAmt
Management And General$128,078ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,185,326BOYAmt
EOY$1,624,872EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$67,860BOYAmt
EOY$553,427EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,084BOYAmt
EOY$3,019EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,256,270BOYAmt
EOY$2,181,318EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,812BOYAmt
EOY$68,157EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,812BOYAmt
EOY$68,157EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,041,111BOYAmt
EOY$1,938,161EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$165,347BOYAmt
EOY$175,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,206,458BOYAmt
EOY$2,113,161EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,256,270BOYAmt
EOY$2,181,318EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$906,703ReconcilationRevenueExpnssAmt
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$703,273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,500,000CurrentTaxYearMinus3YearsAmt
Current Tax Year$225,000CurrentTaxYearAmt
Total$2,428,273TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$344,917CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,045,888CurrentTaxYearMinus1YearAmt
Current Tax Year$1,456,974CurrentTaxYearAmt
Total$2,847,779TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$703,273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,500,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$344,917CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,045,888CurrentTaxYearMinus1YearAmt
Current Tax Year$1,681,974CurrentTaxYearAmt
Total$5,276,052TotalAmt

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$5,276,052PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$703,273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,500,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$344,917CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,045,888CurrentTaxYearMinus1YearAmt
Current Tax Year$1,681,974CurrentTaxYearAmt
Total$5,276,052TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,681,974TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,681,974RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,681,974TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$775,271TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$775,271ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$775,271TotalExpensesPerForm990Amt

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, 2015 AND 2014. 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, 2015 AND 2014ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2JOAN BOTHNER - BUSINESS RELATIONSHIP ANDREW 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 LISA WEATHERBEE - BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6ACCORDING TO THE BYLAWS OF COLORADO PEDIATRIC COLLABORATIVE, THE ENTITY HAS THREE MEMBERS: THE CHILDREN'S HOSPITAL ASSOCIATION, A COLORADO NONPROFIT CORPORATION, COLORADO PEDIATRIC PARTNERS, LLC, A COLORADO LIMITED LIABILITY CAMPANY, AND PHYSICIAN HEALTH PARTNERS, LLC, A COLORADO LIMITED LIABILITY CAMPANY. EFFECTIVE 12/31/2015 PHYSICIAN HEALTH PARTNERS, LLC IS NO LONGER A MEMBER OF COLORADO PEDIATRIC COLLABORATIVE.
FORM 990, PART VI, SECTION A, LINE 7AACCORDING TO THE ORGANIZATION'S BYLAWS, THE CHILDREN'S HOSPITAL ASSOCIATION SHALL APPOINT FOUR DIRECTORS, COLORADO PEDIATRIC PARTNERS, LLC SHALL APPOINT FOUR DIRECTORS, AND PHYSICIAN HEALTH PARTNERS SHALL APPOINT 1 DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 11THE RETURN IS REVIEWED BY THE TREASURER AND FINANCE COMMITTEE. AN ELECTRONIC COPY OF THE RETURN IS THEN SENT TO EACH BOARD MEMBER, BY EMAIL, FOR THEIR REVIEW BEFORE THE RETURN IS FILED.
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 11GCONSULTING EXPENSE: PROGRAM SERVICE EXPENSES 9,406. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,406. PHYSICIAN LEAD FEES : PROGRAM SERVICE EXPENSES 16,089. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,089. DEVELOPMENT EXPENSES : PROGRAM SERVICE EXPENSES 52,377. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,377. SHARED SAVINGS PAYMENTS : PROGRAM SERVICE EXPENSES 111,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,000.

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