2014-11-14T17:19:50-06:00 2013-12-31 STOCKMAN KAST RYAN & CO LLP 102 N CASCADE AVENUE SUITE 400 COLORADO SPRINGS CO 80903 990 2013-01-01 840617567 PEAK VISTA COMMUNITY HEALTH CENTERS % PEAK VISTA CHC PEAK 7193446450 340 PRINTERS PARKWAY Suite COLORADO SPRINGS CO 80910 STEVE SCOTT CHAIR 7196306450 2014-11-15 true DOREEN B MERZ P00841439 7196306450 2013 2015-11-30 17:44:51Z STEVE SCOTT 340 PRINTERS PARKWAY COLORADO SPRINGS CO 80910 55809617 false X www.peakvista.org X 1971 CO Peak Vista Community Health Center's mission is to provide exceptional healthcare for people facing access See Schedule O for continuation. 13 13 798 120 -15441 -15441 15157938 14554680 34216332 38004782 -34976 15370 1152563 3010057 50491857 55584889 0 0 0 0 32811954 35893359 10376 10376 449977 16117896 17839616 48940226 53743351 1551631 1841538 45267856 53920607 15145317 21883430 30122539 32037177 X TO 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. true false 40063489 34837023 Primary 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. 3758380 2922738 Dental: 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. 762169 133386 The 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. 191175 MEDICAID ELECTRONIC RECORD 81468 MEDICAL RECORD COPIES 2571934 PRESCRIPTION AGREEMENT FEES 292703 OTHER 3137280 44584038 true true false true false false false false false true true false false false false true false true false false false false false false false false false false false true true false false false false false false false false false false true false false false false true true true false false true 104 0 798 true true true false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false X PEAK VISTA CHC 7196306450 340 PRINTERS PARKWAY COLORADO SPRINGS CO 80910 Jen Knellinger Chairperson 1.0 1.0 X X 0 0 0 Cindy Ellis Vice Chair 1.0 X X 0 0 0 Robert Wilson Treasurer 1.0 X X 0 0 0 Donna Johnson Secretary 1.0 X X 0 0 0 Ted Borden Director 1.0 X 0 0 0 Vincent Yorke Director 1.0 X 0 0 0 Pam Taylor director 1.0 X 0 0 0 Matt Carpenter Director 1.0 X 0 0 0 Casey Corey Director 1.0 X 0 0 0 Bob Duran Director 1.0 X 0 0 0 Tim Coutts Director 1.0 X 0 0 0 Steve Scott Director 1.0 X 0 0 0 Victoria Stone Director 1.0 X 0 0 0 Pam McManus CEO / President 40.0 1.0 X 197466 15662 BJ Scott Foundation Exec Director 1.0 40.0 X 151997 10717 Bradach Fitzwater cheif financial officer 40.0 X 117540 13999 Kandace Buckland Cheif Operating Officer 40.0 X 127464 14230 Michael Welch Chief Medical & Dental Officer 40.0 X 193180 18293 Darvi Rahaman VP of Medical 40.0 X 182916 21971 Scott Robinson VP of Medical 40.0 X 207353 15493 Amir Salek VP of Medical 40.0 X 176616 22558 Peter Liehr Physician 40.0 X 246505 25126 Jeff McCutcheon OB Gyn Physician 40.0 X 235008 23487 Dallas Thompson OB Gyn Physician 40.0 X 233404 24829 Svetlana Tsirkin Physician 40.0 X 240304 25105 Barbara Divish Physician 40.0 X 168011 17450 Brenda Walker Physician 40.0 X 168032 22214 Michael Reisig Physician 40.0 X 164811 22086 Paul Dube Physician 40.0 X 175984 14249 Amy Clauss Physician 32.0 X 187657 22919 Debra Garcia Physician 40.0 X 178931 17448 Norman Farrar Dentist 8.0 X 187292 6659 Paul Cump Physician 40.0 X 176401 17323 3716872 0 371818 51 false true false GE JOHNSON 25 N CASCADE AVE STE 400 COLORADO SPRINGS CO 80903 CONSTRUCTION 3174882 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LABORATORY SERVICES 536321 MOUNTAIN VIEW MEDICAL GROUP PO BOX 36140 COLORADO SPRINGS CO 80936 HOSPITALIST SERVICES 450163 KENNEDY CONTRACTING 5275 BANCROFT HEIGHTS COLORADO SPRINGS CO 80903 HOUSEKEEPING SERVICE 415630 4 115678 3187603 5447490 5803909 4513697 14554680 MEDICARE/MEDICAID 621400 26031941 26031941 PATIENT FEES 621400 5879007 5879007 TOBACCO REVENUE 621400 2668771 2668771 COLORADO INDIGENT CARE 621400 1063263 1063263 CCCC MEMBERSHIP 621400 1147318 1147318 1214482 1214482 38004782 15223 15223 147 147 0 390207 224728 165479 0 165480 181068 -15588 0 0 0 0 MEDICAID ELECTRONIC RECORD 900099 191175 191175 MEDICAL RECORD COPIES 900099 81468 81468 PRESCRIPTION AGREEMENT FEES 900099 2571934 2571934 2844577 55584889 41030427 -15441 15223 0 0 0 0 3103831 2669138 403950 30743 0 26901080 23116680 3519196 265204 562510 484377 72514 5619 3120419 2633616 459559 27244 2205519 1899170 284317 22032 0 43161 11506 31655 60200 60200 6120 6120 10376 10376 0 1542932 1242331 298460 2141 0 4061034 2782832 1203583 74619 0 0 1223937 540360 683577 105048 36563 67411 1074 0 20285 16732 3499 54 253915 209440 43797 678 0 1437398 841140 596258 168384 138891 29044 449 PHARMACEUTICALS 2261053 2253112 7941 MAINTENANCE & REPAIRS 1188146 654789 533357 OTHER PERSONNEL 457036 159077 293288 4671 CONTRIBUTED SUPPLIES 4999619 4894284 105335 11348 6275 5073 53743351 44584038 8709336 449977 9870 11270 11543460 16651693 599780 595882 2623068 2859677 0 0 0 0 0 0 331159 321574 421349 1775612 40074921 10626749 27691507 29448172 0 0 0 0 0 0 0 0 2047663 2256727 45267856 53920607 6065692 4774592 0 0 7962 82794 9071663 17026044 0 0 0 0 0 0 0 0 0 0 15145317 21883430 X 29751124 30725980 371415 1311197 0 0 30122539 32037177 45267856 53920607 X 1841538 73100 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6120 6120 54797791 54803911 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 15594 3737 2820 6120 28271 250000 250000 250000 250000 1000000 1500000 20000 51623 71623 20000 20000 1.00000 false true true 0 2474443 2474443 0 28753147 5001162 23751985 7751213 5625587 2125626 1096118 1096118 29448172 0 0 X 56684774 802057 297828 1099885 55584889 55584889 54770136 802057 224728 1026785 53743351 53743351 SCHEDULE D, PART V, LINE 4 Endowment 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 2D RENTAL EXPENSES - NETTED FOR 990 PRESENTATION: $224,728 CHANGE IN NET ASSETS OF FOUNDATION: $73,100 SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSES - NETTED FOR 990 PRESENTATION: $224,728 X X X false false false false false false false false false Pam McManus CEO / President 197466 396 15266 213128 BJ Scott Foundation Exec Director 147664 4333 0 10717 162714 Darvi Rahaman VP of Medical 182916 6478 15493 204887 Scott Robinson VP of Medical 207353 0 15493 222846 Amir Salek VP of Medical 176616 7065 15493 199174 Peter Liehr Physician 246505 9860 15266 271631 Jeff McCutcheon OB Gyn Physician 235008 9400 14087 258495 Dallas Thompson OB Gyn Physician 233404 9336 15493 258233 Svetlana Tsirkin Physician 240304 9612 15493 265409 Barbara Divish Physician 168011 6721 10729 185461 Brenda Walker Physician 168032 6721 15493 190246 Michael Reisig Physician 164811 6593 15493 186897 Paul Dube Physician 175984 3520 10729 190233 Amy Clauss Physician 187657 7506 15413 210576 Mihir Patel Physician 170206 6808 14867 191881 Thomas Henderson Physician 166917 6677 14315 187909 Sara Martin Physician 168089 6724 10266 185079 Debra Garcia Physician 178931 6731 10717 196379 Deepak Honaganahalli Physician 168382 6735 5860 180977 Erin Luna Physician 160712 4821 15413 180946 Michael Welch Chief Medical & Dental Officer 193180 7723 10570 211473 Norman Farrar Dentist 187292 6659 0 193951 Paul Cump Physician 176401 1830 15493 193724 Jennifer Pharris Physician 174895 2578 15343 192816 Phillip Shriver Physician 174735 4347 15266 194348 Thomas Weber Director Physician 174439 1831 849 177119 Minta Mathew Physician 171568 5310 5860 182738 Heather Welfare Physician 163967 6559 15493 186019 Autumn Orser Physician 152737 1282 6980 160999 Vernesha Montgomery Physician 150481 2204 5860 158545 SCHEDULE J, PART I, LINE 3 Determination 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. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 2012-11-20 9100000 See Part VI false false false B COLORADO HEALTH FACILITIES AUTHORITY 840752932 2013-12-12 8300000 See Part VI false false false A 345619 0 8379000 0 0 0 129705 0 0 4360436 3926571 425864 2013 true false true true B 0 0 8150304 0 0 0 149696 0 0 498203 0 7652101 false false false true A false false false false 0 false false false B false false false false 0 false false false A false true false false false 0 false false false 0 false false B false true false false false 0 false false false 0 false false A B Part I line A column F Description 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 F 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. X 120219 COST X 4 4040237 SEE PART II X Vacant land 1 350000 FMV- appraisal X other 1 3240 FMV false true false SCHEDULE M, PART I, LINE 20 DISCOUNT REPLACEMENT COST SCHEDULE M, PART I, COLUMN B THESE AMOUNTS REPRESENT NUMBER OF CONTRIBUTORS. FORM 990, PART I, LINE 1 Our 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 1 Peak 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 2 2013 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 4A CONTINUED: 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 4D Peak 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 12C Peak 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 15 Determination 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 19 As 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 9 Other 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 2C THIS PROCESS DID NOT CHANGE IN 2013. PEAK VISTA COMMUNTIY HEALTH CENTERS FDN 340 PRINTERS PARKWAY COLORADO SPRINGS CO 80910 203640104 FUNDRAISING CO 501(C)(3) 11C See PartVIII true false false true false false false false false false false false false false false false false false false PEAK VISTA COMMUNITY HEALTH CENTERS FDN C 3187603 cash transfer Part II line 1 column F Direct controlling entity of Peak Vista Community Health Centers Foundation is the reporting entity, Peak Vista Community Health Center.