SALUD FAMILY HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SALUD FAMILY HEALTH (EIN 84-0613540)
Tax period
2012-06-01 to 2013-05-31
Filed
2013-09-10
IRS object ID
201302539349300410
Schema version
2012v2.1
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)
Timestamp2013-09-10T09:15:58-05:00Timestamp
Tax Period End Date2013-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1370 INTERLOCKEN BLVD SUITE 500AddressLine1
CityBROOMFIELDCity
StateCOState
ZIP Code80021ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840613540EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PLAN DE SALUD DEL VALLE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPLANNameControl
Phone3038990004Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1203 SOUTH ROLLIE AVENUEAddressLine1
CityFORT LUPTONCity
StateCOState
ZIP Code80621ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN SANTISTEVANName
TitleEXEC VP FINANCE/INFO TECHTitle
Phone3038990004Phone
Date Signed2013-09-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameV E SHOUP CPAName
PTINP00220967PTIN
Phone3034668822Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTANLEY J BRASHERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1203 SOUTH ROLLIE AVENUEAddressLine1
CityFORT LUPTONCity
StateCOState
ZIP Code80621ZIPCode
FieldValueIRS element (for citing)
Gross Receipts47261788GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SALUDCLINIC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionCOMMUNITY HEALTH SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees621TotalNbrEmployees
Total Nbr Volunteers5TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year16605899ContributionsGrantsPriorYear
Contributions Grants Current Year17538488ContributionsGrantsCurrentYear
Program Service Revenue Prior Year30658480ProgramServiceRevenuePriorYear
Program Service Revenue CY29668758ProgramServiceRevenueCY
Investment Income Prior Year50213InvestmentIncomePriorYear
Investment Income Current Year24764InvestmentIncomeCurrentYear
Other Revenue Prior Year13506OtherRevenuePriorYear
Other Revenue Current Year15806OtherRevenueCurrentYear
Total Revenue Prior Year47328098TotalRevenuePriorYear
Total Revenue Current Year47247816TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year30794906SalariesEtcPriorYear
Salaries Etc Current Year32070465SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year41243TotalFundrsngExpCurrentYear
Other Expense Prior Year13443759OtherExpensePriorYear
Other Expenses Current Year14108936OtherExpensesCurrentYear
Total Expenses Prior Year44238665TotalExpensesPriorYear
Total Expenses Current Year46179401TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3089433RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1068415RevenuesLessExpensesCY
Total Assets BOY62210725TotalAssetsBOY
Total Assets EOY62290900TotalAssetsEOY
Total Liabilities BOY20804804TotalLiabilitiesBOY
Total Liabilities EOY19816564TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY41405921NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY42474336NetAssetsOrFundBalancesEOY
Mission DescriptionPRIMARY HEALTH CARE SERVICES TO MEDICAL AND DENTAL UNDERSERVED POPULATIONS AND THE COMMUNITY WITHIN THE SIX COUNTIES IN NORTH - CENTRAL COLORADO. ESTIMATE OVER 290,000 VISITS ANNUALLY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense39847060Expense
Revenue29693522Revenue
DescriptionPROVIDE HEALTH CARE SERVICES TO MEDICAID, MEDICARE, CHP+ AND OTHER PATIENTS IN RURAL COMMUNITIES.Description
Total Program Service Expense39847060TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees621NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCOStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN SANTISTEVANNamePerson
Telephone Number3038926401TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1203 SOUTH ROLLIE AVENUEAddressLine1
CityFORT LUPTONCity
StateCOState
ZIP Code80621ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CAROLINE SWIETER
CHAIRMAN1.00XX000
JESUS TIJERINA
TREASURER1.00XX000
CONSUELO CHAVEZ
DIRECTOR1.00X000
MANUEL GALLEGOS
DIRECTOR1.00X000
LINDA HUGHES
DIRECTOR1.00X000
COLLEEN LAEGER
VICE CHAIRMAN1.00XX000
RICHARD OLMEDO
SECRETARY1.00XX000
MICHAEL MARTINEZ
DIRECTOR1.00X000
VICTORIA MEDINA
DIRECTOR1.00X000
JODI TRAYLER
DIRECTOR1.00X000
STANLEY J BRASHER
PRESIDENT/CEO40.00X20644000
JOHN D SANTISTEVAN
EXEC VICE PRESIDENT/CFO40.00X13740700
VIRGILIO LICONA
ASSOCIATE MEDICAL DIRECTOR40.0020135900X
LAYNE BRACY
PHYSICIAN40.0016712000X
ELIAS HERNANDEZ
PHYSICIAN40.0019035100X
HANS ELZINGA
PHYSICIAN40.0020288900X
PRADEEP DHAR
PHYSICIAN40.0016447000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1270036TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K46NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY PHYSICIANS INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 460578AddressLine1
CityGLENDALECity
StateCOState
ZIP Code80246ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCONTRACT DOCTORSDescriptionOfServices
Compensation269917Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants17538488GovernmentGrants
Noncash Contributions1847910NoncashContributions
Total Contributions17538488TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID6214001593422415934224
PATIENT PAY62140040119564011956
PHARMACY REVENUE62140026843502684350
PRIVATE INSURANCE62140016651781665178
CHILD HEALTH PROGRAM62140011534021153402

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column4219648TotalRevenueColumn
Related Or Exempt Function Income4219648RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue29668758TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column38736TotalRevenueColumn
Related Or Exempt Function Income38736RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real15806Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real15806Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column15806TotalRevenueColumn
Exclusion$15,806ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other13972Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-13972Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-13972TotalRevenueColumn
Related Or Exempt Function Income-13972RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column47247816TotalRevenueColumn
Related Or Exempt Function Income29693522RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$15,806ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total343847Total
Management And General343847ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total23510076Total
Program Services21038860ProgramServices
Management And General2446074ManagementAndGeneral
Fundraising25142Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8216542Total
Program Services7449770ProgramServices
Management And General758475ManagementAndGeneral
Fundraising8297Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total292354Total
Program Services17667ProgramServices
Management And General274687ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total477042Total
Program Services387901ProgramServices
Management And General89141ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total255934Total
Program Services178229ProgramServices
Management And General77496ManagementAndGeneral
Fundraising209Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total435219Total
Program Services161665ProgramServices
Management And General272857ManagementAndGeneral
Fundraising697Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total314089Total
Program Services108892ProgramServices
Management And General205197ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1978010Total
Program Services1496778ProgramServices
Management And General481232ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total294354Total
Program Services257560ProgramServices
Management And General36794ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES35266663481177394915998
CONSULTANTS & CONTRACT32057772804394401383
REPAIRS & MAINTENANCE12812081179034102174
TELEPHONE666469541814124655

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1381814Total
Program Services743319ProgramServices
Management And General637595ManagementAndGeneral
Fundraising900Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total46179401Total
Program Services39847060ProgramServices
Management And General6291098ManagementAndGeneral
Fundraising41243Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3804902BOY
EOY4496425EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12440675BOY
EOY13554683EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2310299BOY
EOY1838180EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY927070BOY
EOY844376EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY45000BOY
EOY30639EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis54921815LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13523460LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY42513860BOY
EOY41398355EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY168919BOY
EOY128242EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY62210725BOY
EOY62290900EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4527301BOY
EOY4436729EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY722503BOY
EOY299835EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY15555000BOY
EOY15080000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20804804BOY
EOY19816564EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY41405921BOY
EOY42474336EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41405921BOY
EOY42474336EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62210725BOY
EOY62290900EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1068415ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22992127CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22702971CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22833697CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19886375CurrentTaxYearMinus1Year
Current Tax Year20470634CurrentTaxYear
Total108885804Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22992127CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22702971CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22833697CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19886375CurrentTaxYearMinus1Year
Current Tax Year20470634CurrentTaxYear
Total108885804Total
FieldValueIRS element (for citing)
Public Support Total170108885804PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years175155CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years156014CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years63234CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year63719CurrentTaxYearMinus1Year
Current Tax Year40570CurrentTaxYear
Total498692Total
FieldValueIRS element (for citing)
Total Support109384496TotalSupport
Gross Receipts From Admissions Etc140296381GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99540PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99220PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4138348OtherCostOrOtherBasis
Book Value4138348BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis43676035OtherCostOrOtherBasis
Depreciation8360765Depreciation
Book Value35315270BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis331829OtherCostOrOtherBasis
Depreciation280970Depreciation
Book Value50859BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6726278OtherCostOrOtherBasis
Depreciation4840293Depreciation
Book Value1885985BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis49325OtherCostOrOtherBasis
Depreciation41432Depreciation
Book Value7893BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings41398355TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt50869961TotRevenueEtcAuditedFinclStmt
Other Revenues3622145OtherRevenues
Revenue Not Rptd F9903622145RevenueNotRptdF990
Revenue Subtotal47247816RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99047247816TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt49801546TotExpensesEtcAuditedFinclStmt
Other Expenses Included3622145OtherExpensesIncluded
Expenses Not Rptd F9903622145ExpensesNotRptdF990
Expenses Subtotal46179401ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99046179401TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 2D - OTHER ADJUSTMENTS:IN-KIND CONTRIBUTIONS
PART XII, LINE 2D - OTHER ADJUSTMENTS:IN-KIND
PART XII, LINE 2D - OTHER: IN-KIND CONTRIBUTIONS: 3,622,145 PART XIII, LINE 2D - OTHER: IN-KIND: 3,622,145

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STANLEY J BRASHER
PRESIDENT/CEO206440000000000206440000
VIRGILIO LICONA
ASSOCIATE MEDICAL DIRECTOR201359000000000201359000
LAYNE BRACY
PHYSICIAN167120000000000167120000
ELIAS HERNANDEZ
PHYSICIAN190351000000000190351000
HANS ELZINGA
PHYSICIAN202889000000000202889000
PRADEEP DHAR
PHYSICIAN164470000000000164470000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COLORADO HEALTH FACILITIES AUTHORITY
A840752932NC15163C12010-12-169770000REFINANCE AND NEW FACILITIES000
COLORADO HEALTH FACILITIES AUTHORITY
B840752932NC15163C22010-12-166340000REFINANCE AND NEW FACILITIES000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A0000
B0000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000000
B0000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
KEY BANK
A0000015.00000000000000000
KEY BANK
B0000015.00000000000000000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F9901847910NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY SALUD'S CERTIFIED PUBLIC ACCOUNTING FIRM AND REVIEWED BY SALUD'S DIRECTOR OF ACCOUNTING AND FINANCE. THE FORM 990 IS THEN REVIEWED BY THE CHIEF EXECUTIVE OFFICER OF SALUD AND THEN PRESENTED TO THE BOARD OF DIRECTORS AT THEIR MONTHLY BOARD MEETING FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CSALUD DOES HAVE A FORMAL COMPLIANCE POLICY ADMINISTERED BY THE SALUD COMPLIANCE COMMITTEE. THE COMPLIANCE PROGRAM IS PRESENTED TO ALL NEW STAFF MEMBERS DURING NEW EMPLOYEE ORIENTATION. IN ADDITION, THE COMPLIANCE PROGRAM IS PRESENTED BY THE CHIEF EXECUTIVE OFFICER OF SALUD AT THEIR QUARTERLY STAFF MEETINGS TO ALL EMPLOYEES. SALUD COMPLIANCE PROGRAM DETAILS THE VARIOUS METHODS EMPLOYEES CAN REPORT AN ISSUE THEY CONSIDER TO BE NON-COMPLIANT. ANY REPORTED INSTANCES ARE REVIEWED AND APPROPRIATE ACTION TAKEN BY THE COMPLIANCE COMMITTEE. IN ADDITION, AN ANNUAL COMPLIANCE REPORT IS PREPARED AND PRESENTED TO SALUD'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15SALUD'S COMPENSATION FOR THE CEO AND OTHER KEY EMPLOYEES ARE DETERMINED AS FOLLOWS: ON AN ANNUAL BASIS THE DIRECTOR OF HUMAN RESOURCES WILL OBTAIN WAGE INFORMATION FROM SEVERAL RELEVANT SOURCES WITHIN THE HEALTH INDUSTRY. THE WAGE LEVELS ARE THEN COMPARED TO THE WAGES BEING PAID TO ASSURE THEY ARE WITHIN RELATIVE COMPARABLE RANGE. THE CEO'S WAGE INFORMATION IS PRESENTED TO SALUD'S BOARD OF DIRECTORS FOR REVIEW DURING THEIR ANNUAL EVALUATION. THE CEO OF SALUD REVIEWS ALL OTHER TOP MANAGEMENT WAGE COMPARISONS.
FORM 990, PART VI, SECTION C, LINE 19SALUD'S WEBSITE PROVIDES THE CONTACT INFORMATION THAT THE PUBLIC MAY REQUEST COPIES OF SALUD'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS.
FORM 990, PART XII, LINE 2CTHE AUDIT COMMITTEE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.