2013-11-08T09:58:51-06:00 2012-12-31 STOCKMAN KAST RYAN & CO LLP 102 N CASCADE AVENUE SUITE 400 COLORADO SPRINGS CO 80903 990 2012-01-01 840617567 PEAK VISTA COMMUNITY HEALTH CENTERS % PEAK VISTA CHC PEAK 7193446450 340 PRINTERS PARKWAY Suite COLORADO SPRINGS CO 80910 JEN KNELLINGER 7193446450 2013-11-04 true DOREEN B MERZ 7196301186 2012 2016-02-25 16:41:14Z JEN KNELLINGER 340 PRINTERS PARKWAY COLORADO SPRINGS CO 80910 50726648 false X www.peakvista.org X 1971 CO Peak Vista Community Health Centers' mission is to provide exceptional healthcare for people facing access barriers. See Schedule O for continuation. 13 13 716 258 -28562 -28562 15126906 15157938 32214814 34216332 -43810 -34976 262093 1152563 47560003 50491857 0 0 0 0 30363421 32811954 0 10376 376589 15319700 16117896 45683121 48940226 1876882 1551631 35314170 45267856 7397527 15145317 27916643 30122539 X TO PROVIDE EXCEPTIONAL HEALTHCARE FOR PEOPLE FACING ACCESS BARRIERS, SERVING MORE THAN 66,000 PEOPLE LIVING IN THE PIKES PEAK REGION (which is 1 out of every 10 people) through 21 centers. CONTINUED ON SCHEDULE O. true false 34608124 29527165 Primary Care: Peak Vista served 61,159 medical patients with 208,783 visits in 2012. Additionally, through our primary care program, Peak Vista provided care coordination for 36,497 visits, provided 11,944 visits for support services, 15,507 patient visits to our Convenient Care Center, 15,194 visits associated with our Behavioral Health Services, and 3,917 visits through our Volunteer Specialty Care Center. CONTINUED ON SCHEDULE O. 3441462 2938065 Dental: Peak Vista served 12,541 dental patients in 2012 with 26,321 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. 2964095 127544 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 1,393 patients though 7,152 visits in 2012. Our homeless services are located adjacent to community partners to better serve the homeless population. 828750 MEDICAID ELECTRONIC RECORD 67105 MEDICAL RECORD COPIES 265830 PRESCRIPTION AGREEMENT FEES 1642997 OTHER 2804682 41013681 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 132 0 716 true true true false false false false false false false false false X 13 13 false false true 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 1.0 1.0 X X 0 0 0 Vincent Yorke 1.0 X X Pam Taylor 1.0 X X Steve Scott 1.0 X X Cindy Ellis 1.0 X Robert Wilson 1.0 1.0 X Diane Bignell 1.0 X Casey Corey 1.0 X Bob Duran 1.0 X George Guerrero 1.0 X Donna Johnson 1.0 X Victoria Stone 1.0 X Pam McManus 40.0 1.0 X 185754 22104 BJ Scott 1.0 40.0 X 147823 16271 Michael Welch 40.0 X 194253 22284 Fitzwater Bradach 40.0 X 14768 Buckland Kandace 40.0 X 88614 4895 Tom Plamondon 40.0 X 136532 5461 Darvi Rahaman 40.0 X 179679 21861 Scott Robinson 40.0 X 190520 14674 Amir Salek 40.0 X 175880 21709 Peter Liehr 40.0 X 249559 24656 Jeff McCutcheon 40.0 X 240994 24314 Dallas Thompson 40.0 X 230884 23909 Svetlana Tsirkin 40.0 X 215180 23281 Greg Unruh 40.0 X 180040 17400 Barbara Divish 40.0 X 167163 16942 Brenda Walker 40.0 X 166199 21322 Michael Reisig 40.0 X 164256 21244 Marsha Alger 40.0 X 135413 5416 Paul Dube 40.0 X 179607 13847 Amy Clauss 40.0 X 179379 20497 Seufer Sonia 40.0 X 171459 17872 Mihir Patel 40.0 X 169206 12434 Thomas Henderson 40.0 X 166569 21337 Sara Martin 40.0 X 164969 16854 Debra Garcia 40.0 X 164969 16797 Deepak Honaganahalli 40.0 X 164969 10236 Luna Erin 40.0 X 162196 14075 4586834 0 451692 40 false true false MOUNTAIN VIEW MEDICAL GROUP PO BOX 36140 COLORADO SPRINGS CO 80936 HOSPITALIST SERVICES 514955 MEDICAL CENTER OF COLORADO SPRINGS 11150 ACADEMY PARK LOOP STE 104 COLORADO SPRINGS CO 80910 DENTISTRY SERVICES 509536 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LABORATORY SERVICES 458123 KENNEDY CONTRACTING 5275 BANCROFT HEIGHTS COLORADO SPRINGS CO 80906 HOUSEKEEPING SERVICE 293849 4 112915 3064699 5256451 6723873 4296173 15157938 MEDICARE/MEDICAID 621400 22982604 22982604 PATIENT FEES 621400 5414034 5414034 TOBACCO REVENUE 621400 3221254 3221254 COLORADO INDIGENT CARE 621400 1133028 1133028 RCCO REVENUE 621400 736171 736171 729241 729241 34216332 5957 5957 0 0 184736 193858 -9122 0 -9121 19441 -28562 40933 -40933 -40933 -40933 0 0 0 MEDICAID ELECTRONIC RECORD 900099 828750 828750 MEDICAL RECORD COPIES 900099 67104 67104 PRESCRIPTION AGREEMENT FEES 900099 265830 265830 1161684 50491857 35397457 -28562 -34976 0 0 0 0 4135559 3550021 551523 34015 0 23280879 19956137 3133298 191444 501992 431562 66300 4130 2871054 2404626 442898 23530 2022470 1738716 267116 16638 0 55107 7215 47892 56100 56100 2820 2820 10376 10376 0 1709382 1466506 223511 19365 0 3935020 2808569 1065051 61400 0 0 1389883 876279 512604 1000 87699 31513 54921 1265 0 17902 14651 3214 37 194723 159360 34955 408 0 1161284 786217 375067 81610 66789 14650 171 PHARMACEUTICALS 1167712 1160035 7677 MAINTENANCE & REPAIRS 928980 645610 283220 150 OTHER PERSONNEL 481895 173159 301787 6949 CONTRIBUTED SUPPLIES 4839248 4736716 102532 8531 2820 5711 48940226 41013681 7549956 376589 10570 9870 8207719 11543460 479336 599780 1285614 2623068 0 0 0 0 0 0 320967 331159 444404 421349 36612714 8921207 23355018 27691507 0 0 0 0 0 0 0 0 1210542 2047663 35314170 45267856 2844976 6410449 0 0 109453 7962 4443098 8726906 0 0 0 0 0 0 0 0 0 0 7397527 15145317 X 26324472 29751124 1592171 371415 0 0 27916643 30122539 35314170 45267856 X 1551631 654265 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2820 2820 49943806 49946626 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 3290 15594 3737 2820 25441 250000 250000 250000 250000 1000000 1500000 3290 3290 20000 20000 1.00000 false true true 0 2124443 2124443 0 24647556 4059625 20587931 7383199 4861582 2521617 2457516 2457516 27691507 0 0 X 52100034 719121 889056 1608177 50491857 50491857 49894138 719121 234791 953912 48940226 48940226 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: $193,858 LOSS ON DISPOSAL - REPORTED AS EXPENSE IN AUDIT: $ 40,933 CHANGE IN NET ASSETS OF FOUNDATION: $654,266 SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSES - NETTED FOR 990 PRESENTATION: $193,858 LOSS ON DISPOSAL - REPORTED AS CONTRA-REVENUE ON 990: $ 40,933 X X X false false false false false false false false false Pam McManus 185754 7430 14674 207858 BJ Scott 147823 6073 10198 164094 Michael Welch 188753 1500 4000 7610 14674 216537 Darvi Rahaman 179679 7187 14674 201540 Scott Robinson 190520 14674 205194 Amir Salek 175880 7035 14674 197589 Peter Liehr 249559 9982 14674 274215 Jeff McCutcheon 240994 9640 14674 265308 Dallas Thompson 230884 9235 14674 254793 Svetlana Tsirkin 215180 8607 14674 238461 Greg Unruh 180040 7202 10198 197440 Barbara Divish 167163 6687 10255 184105 Brenda Walker 166199 6648 14674 187521 Michael Reisig 164256 6570 14674 185500 Paul Dube 179607 3592 10255 193454 Amy Clauss 179379 5823 14674 199876 Seufer Sonia 171459 5546 12326 189331 Mihir Patel 169206 6768 5666 181640 Thomas Henderson 166569 6663 14674 187906 Sara Martin 164969 6599 10255 181823 Debra Garcia 164969 6599 10198 181766 Deepak Honaganahalli 164969 4570 5666 175205 Luna Erin 162196 575 13500 176271 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 A 0 0 8379000 0 0 0 91993 0 0 4360436 3926571 0 true false true true A false false false false 0 false false false A false true false false false 0 false false false 0 false false A Part I line A column F 0 Description of purpose: The bonds were used to buy medical equipment, remodel and refinance buildings. The medical equipment purchased from these bonds was used for patient care. The remodeling was done at a building at 3207 and 3205 North Academy for clinical space, enrollment services, pharmacy and well child waiting, and the refinancing was done for a building and equipment loan at Printers Parkway, South Union, Wasatch, and International Circle which includes clinical and administrative services. X 38073 COST X 5 4127124 SEE PART II X BUILDING 1 127736 FMV X other 1 3240 FMV 0 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 2012 Peak Vista Community Health Centers accomplishments include: Patient Growth - Peak Vista served the largest number of patients in our history in 2012 serving over 66,000 patients, serving 1 in 10 people in the Pikes Peak Region. In 2012 Peak Vista averaged 1,050 patient visits per day (in 2006, the daily average was 600). Opening of the Falcon Peak School Based Health Center - Peak Vista's innovative partnerships with local school districts allowed us to open a new school based health center in Falcon, located at Falcon elementary school in District 49, which serves all children attending District 49 and their siblings. Opening / Expansion of the Mountain Family School Based Health Center in Cripple Creek - Together with our partners Cripple Creek-Victor School District RE-1, the Teller County Health Department, the Aspen Mine Center and community funders, we opened an expanded School Based Health Center - The Mountain Health Center - at Cresson Elementary School in Cripple Creek which serves all children attending RE-1 and their siblings. Lane Family Senior Health Center Capital Campaign - Together with our partner, UCCS, and community benefactors, Peak Vista completed the Lane Family Senior Center fundraising campaign and began construction during 2012. Academy - Together, with our major partners Penrose-St.Francis Health Services and the Colorado Health Foundation, we completed our major purchase of the former Penrose Community Hospital that will house our Convenient Care Center (which provided evening hour and weekend appointments), Developmental Disabilities Health Center, and two expanded Family Health Centers. 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 A, LINE 4 The Bylaws for the organization were amended and restated January 2012. Key changes included adding specific responsibilities for the Board of Directors, clarifing terms, revising definitions of Compensation of Board and Operations Officers, adding a section on removal of operations officers, deleting sections on surety bonds, adding information on the authority of the executive committee and revising the indemnification article. FORM 990, PART VI, SECTION B, LINE 11 The entire Form 990 is brought to the Finance Committee of the Board of Directors. It is reviewed in detail and any changes can be made. The Finance Committee then takes a summary to the full board along with a recommendation to accept. The full board accepts the updated Form 990 through a motion. 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 VP of Finance, VP of Operations, VP of Medical and Dental, CEO and the Assistant VP of Workforce Development, and the proposal is accepted by them or adjustments are made as appropriate based on budget constraints. The CEOs 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 2012. PEAK VISTA COMMUNTIY HEALTH CENTERS FDN 340 PRINTERS PARKWAY COLORADO SPRINGS CO 80910 203640104 FUNDRAISING CO 501(C)(3) 11C See Part VI true false false true false false false false false false false false false false false false false false false false PEAK VISTA COMMUNITY HEALTH CENTERS FDN C 3064699 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.