PEAK VISTA COMMUNITY HEALTH CENTERS: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
PEAK VISTA COMMUNITY HEALTH CENTERS (EIN 84-0617567)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201433189349308123
Schema version
2013v3.1
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)
Return2014-11-14T17:19:50-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1STOCKMAN KAST RYAN & CO LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1102 N CASCADE AVENUE SUITE 400AddressLine1
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840617567EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PEAK VISTA COMMUNITY HEALTH CENTERSBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% PEAK VISTA CHCInCareOfNm
Business Name ControlPEAKBusinessNameControlTxt
Phone7193446450PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1340 PRINTERS PARKWAYAddressLine1
Address Line2SuiteAddressLine2
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80910ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVE SCOTTPersonNm
Person TitleCHAIRPersonTitleTxt
Phone7196306450PhoneNum
Signature2014-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOREEN B MERZPreparerPersonNm
PTINP00841439PTIN
Phone7196306450PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVE SCOTTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1340 PRINTERS PARKWAYAddressLine1
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80910ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$55,809,617GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.peakvista.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionPeak Vista Community Health Center's mission is to provide exceptional healthcare for people facing access See Schedule O for continuation.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee798TotalEmployeeCnt
Total Volunteers120TotalVolunteersCnt
Total Gross UBI-$15,441TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$15,441NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$15,157,938PYContributionsGrantsAmt
CY Contributions Grants$14,554,680CYContributionsGrantsAmt
PY Program Service Revenue$34,216,332PYProgramServiceRevenueAmt
CY Program Service Revenue$38,004,782CYProgramServiceRevenueAmt
PY Investment Income-$34,976PYInvestmentIncomeAmt
CY Investment Income$15,370CYInvestmentIncomeAmt
PY Other Revenue$1,152,563PYOtherRevenueAmt
CY Other Revenue$3,010,057CYOtherRevenueAmt
PY Total Revenue$50,491,857PYTotalRevenueAmt
CY Total Revenue$55,584,889CYTotalRevenueAmt
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$32,811,954PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$35,893,359CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$10,376PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$10,376CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$449,977CYTotalFundraisingExpenseAmt
PY Other Expenses$16,117,896PYOtherExpensesAmt
CY Other Expenses$17,839,616CYOtherExpensesAmt
PY Total Expenses$48,940,226PYTotalExpensesAmt
CY Total Expenses$53,743,351CYTotalExpensesAmt
PY Revenues Less Expenses$1,551,631PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,841,538CYRevenuesLessExpensesAmt
Total Assets BOY$45,267,856TotalAssetsBOYAmt
Total Assets EOY$53,920,607TotalAssetsEOYAmt
Total Liabilities BOY$15,145,317TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,883,430TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$30,122,539NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$32,037,177NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE EXCEPTIONAL Healthcare for people facing access BARRIERS, SERVING MORE THAN 70,000 PEOPLE LIVING IN THE PIKES PEAK REGION (WHICH IS 1 OUT OF EVERY 10 PEOPLE) THROUGH 21 CENTERS. CONTINUED ON SCHEDULE O.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$40,063,489ExpenseAmt
Revenue$34,837,023RevenueAmt
DescPrimary Care: Peak Vista served 66,617 medical patients with 232,783 visits in 2013. Additionally, through our primary care program, Peak Vista provided care coordination for 38,479 visits, provided 1,995 visits for support services, 15,727 patient visits to our Convenient Care Center, 16,683 visits associated with our Behavioral Health Services, and 4,230 visits through our Volunteer Specialty Care Center. CONTINUED ON SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,758,380ExpenseAmt
Revenue$2,922,738RevenueAmt
DescDental: Peak Vista served 13,633 dental patients in 2013 with 29,119 visits. Dental visits have grown as our Family Health Centers and the Ronald McDonald Care Mobile have each experienced continued increase in demand for dental services, and we introduced dental hygienist services into our Pediatric Health Center.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$762,169ExpenseAmt
Revenue$133,386RevenueAmt
DescThe homeless program provides primary care, dental care, and/or behavioral health care. However, to be served in this program, the patient MUST MEET the homeless criteria. Peak Vista served 1,936 patients though 5,654 visits in 2013. Our homeless services are located adjacent to community partners to better serve the homeless population.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

RevenueRevenueAmtDescDesc
$191,175MEDICAID ELECTRONIC RECORD
$81,468MEDICAL RECORD COPIES
$2,571,934PRESCRIPTION AGREEMENT FEES
$292,703OTHER
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$3,137,280TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$44,584,038TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document104IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee798EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPEAK VISTA CHCPersonNm
Phone7196306450PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1340 PRINTERS PARKWAYAddressLine1
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80910ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Jen Knellinger
Chairperson1.01.0Yes (X)Yes (X)$0$0$0
Cindy Ellis
Vice Chair1.0Yes (X)Yes (X)$0$0$0
Robert Wilson
Treasurer1.0Yes (X)Yes (X)$0$0$0
Donna Johnson
Secretary1.0Yes (X)Yes (X)$0$0$0
Ted Borden
Director1.0Yes (X)$0$0$0
Vincent Yorke
Director1.0Yes (X)$0$0$0
Pam Taylor
director1.0Yes (X)$0$0$0
Matt Carpenter
Director1.0Yes (X)$0$0$0
Casey Corey
Director1.0Yes (X)$0$0$0
Bob Duran
Director1.0Yes (X)$0$0$0
Tim Coutts
Director1.0Yes (X)$0$0$0
Steve Scott
Director1.0Yes (X)$0$0$0
Victoria Stone
Director1.0Yes (X)$0$0$0
Pam McManus
CEO / President40.01.0Yes (X)$197,466$15,662
BJ Scott
Foundation Exec Director1.040.0Yes (X)$151,997$10,717
Bradach Fitzwater
cheif financial officer40.0Yes (X)$117,540$13,999
Kandace Buckland
Cheif Operating Officer40.0Yes (X)$127,464$14,230
Michael Welch
Chief Medical & Dental Officer40.0Yes (X)$193,180$18,293
Darvi Rahaman
VP of Medical40.0$182,916$21,971Yes (X)
Scott Robinson
VP of Medical40.0$207,353$15,493Yes (X)
Amir Salek
VP of Medical40.0$176,616$22,558Yes (X)
Peter Liehr
Physician40.0$246,505$25,126Yes (X)
Jeff McCutcheon
OB Gyn Physician40.0$235,008$23,487Yes (X)
Dallas Thompson
OB Gyn Physician40.0$233,404$24,829Yes (X)
Svetlana Tsirkin
Physician40.0$240,304$25,105Yes (X)
Barbara Divish
Physician40.0$168,011$17,450Yes (X)
Brenda Walker
Physician40.0$168,032$22,214Yes (X)
Michael Reisig
Physician40.0$164,811$22,086Yes (X)
Paul Dube
Physician40.0$175,984$14,249Yes (X)
Amy Clauss
Physician32.0$187,657$22,919Yes (X)
Debra Garcia
Physician40.0$178,931$17,448Yes (X)
Norman Farrar
Dentist8.0$187,292$6,659Yes (X)
Paul Cump
Physician40.0$176,401$17,323Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,716,872TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$371,818TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K51IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
GE JOHNSON
25 N CASCADE AVE STE 400COLORADO SPRINGSCO80903CONSTRUCTION$3,174,882
LABORATORY CORPORATION OF AMERICA
PO BOX 12140BURLINGTONNC27216LABORATORY SERVICES$536,321
MOUNTAIN VIEW MEDICAL GROUP
PO BOX 36140COLORADO SPRINGSCO80936HOSPITALIST SERVICES$450,163
KENNEDY CONTRACTING
5275 BANCROFT HEIGHTSCOLORADO SPRINGSCO80903HOUSEKEEPING SERVICE$415,630
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Federated Campaigns$115,678FederatedCampaignsAmt
Related Organizations$3,187,603RelatedOrganizationsAmt
Government Grants$5,447,490GovernmentGrantsAmt
All Other Contributions$5,803,909AllOtherContributionsAmt
Noncash Contributions$4,513,697NoncashContributionsAmt
Total Contributions$14,554,680TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID621400$26,031,941$26,031,941
PATIENT FEES621400$5,879,007$5,879,007
TOBACCO REVENUE621400$2,668,771$2,668,771
COLORADO INDIGENT CARE621400$1,063,263$1,063,263
CCCC MEMBERSHIP621400$1,147,318$1,147,318

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,214,482TotalRevenueColumnAmt
Related Or Exempt Func Income$1,214,482RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$38,004,782TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,223TotalRevenueColumnAmt
Exclusion$15,223ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$147TotalRevenueColumnAmt
Unrelated Business Revenue$147UnrelatedBusinessRevenueAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$390,207RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$224,728RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$165,479RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$165,480TotalRevenueColumnAmt
Related Or Exempt Func Income$181,068RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$15,588UnrelatedBusinessRevenueAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID ELECTRONIC RECORD900099$191,175$191,175
MEDICAL RECORD COPIES900099$81,468$81,468
PRESCRIPTION AGREEMENT FEES900099$2,571,934$2,571,934
FieldValueIRS element (for citing)
Other Revenue Total$2,844,577OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,584,889TotalRevenueColumnAmt
Related Or Exempt Func Income$41,030,427RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$15,441UnrelatedBusinessRevenueAmt
Exclusion$15,223ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,103,831TotalAmt
Program Services$2,669,138ProgramServicesAmt
Management And General$403,950ManagementAndGeneralAmt
Fundraising$30,743FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$26,901,080TotalAmt
Program Services$23,116,680ProgramServicesAmt
Management And General$3,519,196ManagementAndGeneralAmt
Fundraising$265,204FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$562,510TotalAmt
Program Services$484,377ProgramServicesAmt
Management And General$72,514ManagementAndGeneralAmt
Fundraising$5,619FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,120,419TotalAmt
Program Services$2,633,616ProgramServicesAmt
Management And General$459,559ManagementAndGeneralAmt
Fundraising$27,244FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,205,519TotalAmt
Program Services$1,899,170ProgramServicesAmt
Management And General$284,317ManagementAndGeneralAmt
Fundraising$22,032FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$43,161TotalAmt
Program Services$11,506ProgramServicesAmt
Management And General$31,655ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$60,200TotalAmt
Management And General$60,200ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$6,120TotalAmt
Management And General$6,120ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$10,376TotalAmt
Fundraising$10,376FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,542,932TotalAmt
Program Services$1,242,331ProgramServicesAmt
Management And General$298,460ManagementAndGeneralAmt
Fundraising$2,141FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,061,034TotalAmt
Program Services$2,782,832ProgramServicesAmt
Management And General$1,203,583ManagementAndGeneralAmt
Fundraising$74,619FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,223,937TotalAmt
Program Services$540,360ProgramServicesAmt
Management And General$683,577ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$105,048TotalAmt
Program Services$36,563ProgramServicesAmt
Management And General$67,411ManagementAndGeneralAmt
Fundraising$1,074FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$20,285TotalAmt
Program Services$16,732ProgramServicesAmt
Management And General$3,499ManagementAndGeneralAmt
Fundraising$54FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$253,915TotalAmt
Program Services$209,440ProgramServicesAmt
Management And General$43,797ManagementAndGeneralAmt
Fundraising$678FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,437,398TotalAmt
Program Services$841,140ProgramServicesAmt
Management And General$596,258ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$168,384TotalAmt
Program Services$138,891ProgramServicesAmt
Management And General$29,044ManagementAndGeneralAmt
Fundraising$449FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PHARMACEUTICALS$2,261,053$2,253,112$7,941
MAINTENANCE & REPAIRS$1,188,146$654,789$533,357
OTHER PERSONNEL$457,036$159,077$293,288$4,671
CONTRIBUTED SUPPLIES$4,999,619$4,894,284$105,335

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,348TotalAmt
Management And General$6,275ManagementAndGeneralAmt
Fundraising$5,073FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$53,743,351TotalAmt
Program Services$44,584,038ProgramServicesAmt
Management And General$8,709,336ManagementAndGeneralAmt
Fundraising$449,977FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,870BOYAmt
EOY$11,270EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,543,460BOYAmt
EOY$16,651,693EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$599,780BOYAmt
EOY$595,882EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,623,068BOYAmt
EOY$2,859,677EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$331,159BOYAmt
EOY$321,574EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$421,349BOYAmt
EOY$1,775,612EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$40,074,921LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,626,749LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,691,507BOYAmt
EOY$29,448,172EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,047,663BOYAmt
EOY$2,256,727EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$45,267,856BOYAmt
EOY$53,920,607EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,065,692BOYAmt
EOY$4,774,592EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,962BOYAmt
EOY$82,794EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,071,663BOYAmt
EOY$17,026,044EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,145,317BOYAmt
EOY$21,883,430EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,751,124BOYAmt
EOY$30,725,980EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$371,415BOYAmt
EOY$1,311,197EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,122,539BOYAmt
EOY$32,037,177EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$45,267,856BOYAmt
EOY$53,920,607EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,841,538ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$73,100OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$6,120FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$6,120FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$54,797,791FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$54,803,911FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
FieldValueIRS element (for citing)
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$15,594CurrentYearMinus3Amt
Current Year Minus2$3,737CurrentYearMinus2Amt
Current Year Minus1$2,820CurrentYearMinus1Amt
Current Year$6,120CurrentYearAmt
Total$28,271TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Contributions$51,623ContributionsAmt
End Year Balance$71,623EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$20,000ContributionsAmt
End Year Balance$20,000EndYearBalanceAmt
FieldValueIRS element (for citing)
CY Minus2 Yr Endwmt FundCYMinus2YrEndwmtFundGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,474,443OtherCostOrOtherBasisAmt
Book Value$2,474,443BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$28,753,147OtherCostOrOtherBasisAmt
Depreciation$5,001,162DepreciationAmt
Book Value$23,751,985BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,751,213OtherCostOrOtherBasisAmt
Depreciation$5,625,587DepreciationAmt
Book Value$2,125,626BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,096,118OtherCostOrOtherBasisAmt
Book Value$1,096,118BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,448,172TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$56,684,774TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$802,057DonatedServicesAndUseFcltsAmt
Other Revenue$297,828OtherRevenueAmt
Revenue Not Reported$1,099,885RevenueNotReportedAmt
Revenue Subtotal$55,584,889RevenueSubtotalAmt
Total Revenue Per Form990$55,584,889TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$54,770,136TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$802,057DonatedServicesUseFcltsAmt
Other Expenses Included$224,728OtherExpensesIncludedAmt
Expenses Not Reported$1,026,785ExpensesNotReportedAmt
Expenses Subtotal$53,743,351ExpensesSubtotalAmt
Total Expenses Per Form990$53,743,351TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4Endowment funds are used to support the operations of Peak Vista Community Health Center. SCHEDULE D, PART X, LINE 2 THE ORGANIZATION BELIEVES THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2DRENTAL EXPENSES - NETTED FOR 990 PRESENTATION: $224,728 CHANGE IN NET ASSETS OF FOUNDATION: $73,100
SCHEDULE D, PART XII, LINE 2DRENTAL EXPENSES - NETTED FOR 990 PRESENTATION: $224,728

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmt
Pam McManus
CEO / President$197,466$396$15,266$213,128
BJ Scott
Foundation Exec Director$147,664$0$10,717$162,714$4,333
Darvi Rahaman
VP of Medical$182,916$6,478$15,493$204,887
Scott Robinson
VP of Medical$207,353$0$15,493$222,846
Amir Salek
VP of Medical$176,616$7,065$15,493$199,174
Peter Liehr
Physician$246,505$9,860$15,266$271,631
Jeff McCutcheon
OB Gyn Physician$235,008$9,400$14,087$258,495
Dallas Thompson
OB Gyn Physician$233,404$9,336$15,493$258,233
Svetlana Tsirkin
Physician$240,304$9,612$15,493$265,409
Barbara Divish
Physician$168,011$6,721$10,729$185,461
Brenda Walker
Physician$168,032$6,721$15,493$190,246
Michael Reisig
Physician$164,811$6,593$15,493$186,897
Paul Dube
Physician$175,984$3,520$10,729$190,233
Amy Clauss
Physician$187,657$7,506$15,413$210,576
Mihir Patel
Physician$170,206$6,808$14,867$191,881
Thomas Henderson
Physician$166,917$6,677$14,315$187,909
Sara Martin
Physician$168,089$6,724$10,266$185,079
Debra Garcia
Physician$178,931$6,731$10,717$196,379
Deepak Honaganahalli
Physician$168,382$6,735$5,860$180,977
Erin Luna
Physician$160,712$4,821$15,413$180,946
Michael Welch
Chief Medical & Dental Officer$193,180$7,723$10,570$211,473
Norman Farrar
Dentist$187,292$6,659$0$193,951
Paul Cump
Physician$176,401$1,830$15,493$193,724
Jennifer Pharris
Physician$174,895$2,578$15,343$192,816
Phillip Shriver
Physician$174,735$4,347$15,266$194,348
Thomas Weber
Director Physician$174,439$1,831$849$177,119
Minta Mathew
Physician$171,568$5,310$5,860$182,738
Heather Welfare
Physician$163,967$6,559$15,493$186,019
Autumn Orser
Physician$152,737$1,282$6,980$160,999
Vernesha Montgomery
Physician$150,481$2,204$5,860$158,545

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 3FormAndLineReferenceDesc
ExplanationDetermination of the CEO's salary at Peak Vista Community Health Centers is determined by making salary comparisons of similar positions at community health centers and other similar agencies in the state, Federal Region VIII, nation, and a survey of Mountain States salaries. From this analysis, a proposal is made to the Board of Directors and the proposal is accepted by them or adjustments are made as appropriate based on merit and budget constraints.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COLORADO HEALTH FACILITIES AUTHORITY
A8407529322012-11-20$9,100,000See Part VIfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
B8407529322013-12-12$8,300,000See Part VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$345,619$0$8,379,000$0$0$0$129,705$0$0$4,360,436$3,926,571$425,8642013Yes (true)falseYes (true)Yes (true)
B$0$0$8,150,304$0$0$0$149,696$0$0$498,203$0$7,652,101falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalse
Bfalsefalsefalsefalse0falsefalsefalse

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalsefalsefalsefalse0falsefalse
0
BfalseYes (true)falsefalsefalsefalsefalsefalse0falsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd
A
B

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I line A column FDescription of purpose: The bonds were used to construct new facilities, buy medical and office equipment, and remodel buildings. The new facility was constructed on vacant land at 350 Lyckman Dr. in Fountain, Colorado. The medical equipment purchased from these bonds was used for patient care. The remodeling was done at a building at 3205 North Academy Blvd for administrative and supporting services and related office equipment.
Part I line B column FThe bonds were used to construct new facilities, buy medical and office equipment, and remodel buildings. The new facility was constructed on vacant land at 350 Lyckman Dr. in Fountain, Colorado. The medical equipment purchased from these bonds was used for patient care. The remodeling was done at a building at 3205 North Academy Blvd for administrative and supporting services and related office equipment.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$120,219NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$4,040,237NoncashContributionsRptF990Amt
Method Of Determining RevenuesSEE PART IIMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Vacant land1$350,000FMV- appraisal
Yes (X)other1$3,240FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE M, PART I, LINE 20DISCOUNT REPLACEMENT COST
SCHEDULE M, PART I, COLUMN BTHESE AMOUNTS REPRESENT NUMBER OF CONTRIBUTORS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1Our niche in the Pikes Peak region's healthcare marketplace is as a non-profit multi-specialty provider of integrated medical, dental, and behavioral health primary care services, mostly for working families. In this role, Peak Vista has endeavored to serve populations that are under or uninsured as well as those on public programs. Partnerships are a significant component of Peak Vista's ability to successfully meet its mission. We frequently collaborate with organizations of similar mission to better serve our mutual populations.
FORM 990, PART III, LINE 1Peak Vista offers numerous ancillary services and programs to benefit our patients to include: First Visitor which provides information to parents before and after the baby is born with trained volunteers making home visits designed to connect parents with community resources and early childhood materials. Health education supports patients with management of chronic diseases such as diabetes, high blood pressure, obesity, and asthma. A full service on-site laboratory and pharmacy provide easy access to testing and medications. Second Sight Vision Services help patients with vision impairment, giving them the tools they need to better accomplish daily activities. Well Child Waiting Areas (3) welcome little ones into a secure and child-friendly environment so that patients can attend appointments worry free.
FORM 990, PART III, LINE 22013 Peak Vista Community Health Centers' accomplishments include: Patient Growth - Peak Vista served the largest number of patients in our history in 2013 serving over 70,000 patients, serving 1 in 10 people in the Pikes Peak Region. In 2013 Peak Vista averaged 1,150 patient visits per day (in 2006, the daily average was 600). Fountain Ground Breaking - Peak Vista broke ground and began construction of the new Health Center at Fountain. Upon completion, the 14,000 square foot facility will replace the existing location that Peak Vista has occupied since 2005. Thanks to the generous support of Fountain-Fort Carson School District 8, the local community, and private donors and a variety of foundations, the facility will significantly increase capacity for medical and dental patients in the Fountain community. Affordable Care Act - Through funding from Health Resources and Services Administration (HRSA) and Connect for Health Colorado, Peak Vista has been able to hire, and train ongoing programs to provide assistance to patient in navigating the various nuances of healthcare changes. In addition, 40 existing staff were cross-trained to provide valuable information to residents of the Pikes Peak region through community outreach and education programs. Academy Phase I Completion - Peak Vista completed the first phase of its renovation of the former Penrose Community Hospital. The facility now houses our Convenient Care Center, two family health centers, the Developmental Disabilities Health Center, and a new pharmacy, enrollment services area, and a laboratory. Waitlist Reduction - After the economic downturn in 2008, demand for Peak Vista's services surged far past our capacity to serve, causing a waitlist to grow for our services to a peak of 9,000 people looking for access to primary care in the Pikes Peak region. Through a concerted effort well under way prior to 2013 that involved opening additional clinics, hiring additional providers, adjusting appointment times and extending health center hours, Peak Vista was able to successfully eliminate the waitlist in 2013. Merger Agreement - The Organization entered into a Plan Of Merger with Plains Medical Center, Inc. (Plains), a Colorado nonprofit corporation, on December 3, 2013. Plains is a Federally Qualified Health Center serving eastern Colorado with clinics in Limon, Flagler, Strasburg, and Kiowa.
FORM 990, PART III, LINE 4ACONTINUED: A full line of ancillary services, all of which patients access in high volumes, compliment Peak Vista's primary care offerings. Health Education and care coordination supports patients with management of chronic diseases such as Diabetes, high blood pressure, obesity, and asthma. A full service laboratory, x-ray and pharmacy on site provide easy access to testing and medications. Second Sight Vision Services help patients with vision impairment, giving them the tools they need to better accomplish daily activities. Well Child Waiting Areas (3 locations) welcome young children into a secure and child friendly environment so that parents and other siblings can attend appointments without concern or distraction. First Visitor provides information to parents before and after a baby is born with trained volunteers making home visits designed to connect parents with community resources and early childhood materials.
FORM 990, PART III, LINE 4DPeak Vista Community Health Center's other services include: A school based health center in the Cripple Creek and Victor Mountain Health Center. Operation of the "Green" Ronald McDonald Care Mobile, providing pediatric patients with medical and dental services. Assumption of A grant-funded audiology program that provides free hearing aides to hearing-impaired seniors living in El Paso, Teller and Park Counties. The Reach Out and Read Program; a nationally acclaimed program that encourages reading by providing every Peak Vista patient from the age of six months to five years with a new, age-appropriate book to take home and keep when they visit our Pediatric Health Center and all our Family Health Centers for well-child check-ups.
FORM 990, PART VI, SECTION B, LINE 12CPeak Vista Community Health Centers' compliance plan and bylaws contain policies on conflict of interest. In order to ensure that conflicts of interest are disclosed, board members and leadership sign a disclosure statement when first appointed or employed and annually thereafter. Human Resources distribute the disclosure statements to leadership and the CEO's staff ensures that the statement is given to the Board of Directors. Any new board member or leadership staff is given education on the conflict of interest policy. If at any time during the year a potential conflict of interest arises, board members are required to inform those charged with approving the transaction of the conflict, disclose any material facts, and excuse themselves from voting.
FORM 990, PART VI, SECTION B, LINE 15Determination of salaries of highly compensated employees at Peak Vista Community Health Centers are determined by making salary comparisons of similar positions at community health centers and other similar agencies in the state, Federal Region VIII, national, and a survey of Mountain States salaries. From this analysis, a proposal is made to the Chief Financial Officer, Chief Operating Officer, Chief Medical and Dental Officer, CEO and the Vice President of Workforce Development, and the proposal is accepted by them or adjustments are made as appropriate based on budget constraints. The CEO's salary comparison is completed by external independent experts and reviewed and approved by the Board of Directors.
FORM 990, PART VI, SECTION C, LINE 19As a private not-for-profit, the documents are not open to the public. Peak Vista Community Health Centers does however produce an annual report for the public, showing key events and a financial summary.
FORM 990, PART XI, Line 9Other Changes in Net assets: Change in beneficial interest in Foundation Net Assets FORM 990, PART XII, LINE 2B PRIOR TO 2012, PEAK VISTA DID NOT CONSOLIDATE THE FOUNDATION'S FINANCIAL STATEMENTS, BUT DID RECOGNIZE ITS BENEFICIAL INTEREST IN THE NET ASSETS OF THE FOUNDATION THAT WERE RESTRICTED BY DONORS FOR PEAK VISTA.
FORM 990, PART XII, LINE 2CTHIS PROCESS DID NOT CHANGE IN 2013.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

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US Address USAddress

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Address Line1340 PRINTERS PARKWAYAddressLine1
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80910ZIPCode
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EIN203640104EIN
Primary ActivitiesFUNDRAISINGPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status11CPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1See PartVIIIBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PEAK VISTA COMMUNITY HEALTH CENTERS FDNBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$3,187,603InvolvedAmt
Method Of Amount Determinationcash transferMethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II line 1 column FFormAndLineReferenceDesc
ExplanationDirect controlling entity of Peak Vista Community Health Centers Foundation is the reporting entity, Peak Vista Community Health Center.ExplanationTxt

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