SALUD FAMILY HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SALUD FAMILY HEALTH (EIN 84-0613540)
Tax period
2011-06-01 to 2012-05-31
Filed
2012-10-15
IRS object ID
201202899349301225
Schema version
2011v1.2
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)
Timestamp2012-10-15T15:22:12-05:00Timestamp
Tax Period End Date2012-05-31TaxPeriodEndDate

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 Date2011-06-01TaxPeriodBeginDate

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 Signed2012-10-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameV E SHOUP CPAName
PTINP00220967PTIN
Phone3034668822Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts47369820GrossReceipts
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 Employees605TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year19170489ContributionsGrantsPriorYear
Contributions Grants Current Year16605899ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27650529ProgramServiceRevenuePriorYear
Program Service Revenue CY30658480ProgramServiceRevenueCY
Investment Income Prior Year49826InvestmentIncomePriorYear
Investment Income Current Year50213InvestmentIncomeCurrentYear
Other Revenue Prior Year13408OtherRevenuePriorYear
Other Revenue Current Year13506OtherRevenueCurrentYear
Total Revenue Prior Year46884252TotalRevenuePriorYear
Total Revenue Current Year47328098TotalRevenueCurrentYear
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 Year30626008SalariesEtcPriorYear
Salaries Etc Current Year30794906SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year33887TotalFundrsngExpCurrentYear
Other Expense Prior Year13118926OtherExpensePriorYear
Other Expenses Current Year13443759OtherExpensesCurrentYear
Total Expenses Prior Year43744934TotalExpensesPriorYear
Total Expenses Current Year44238665TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3139318RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3089433RevenuesLessExpensesCY
Total Assets BOY59823499TotalAssetsBOY
Total Assets EOY62210725TotalAssetsEOY
Total Liabilities BOY21507011TotalLiabilitiesBOY
Total Liabilities EOY20804804TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY38316488NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY41405921NetAssetsOrFundBalancesEOY
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
Expense38269762Expense
Revenue30708693Revenue
DescriptionPROVIDE HEALTH CARE SERVICES TO MEDICAID, MEDICARE, CHP+ AND OTHER PATIENTS IN RURAL COMMUNITIES.Description
Total Program Service Expense38269762TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109636NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees605NumberOfEmployees
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 (16 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/CEO40.00X20600000
VIRGILIO LICONA
ASSOCIATE MEDICAL DIRECTOR40.0018375000X
JACQUES LEBLANC
PHYSICIAN40.0018500000X
ELIAS HERNANDEZ
PHYSICIAN40.0019200000X
HANS ELZINGA
PHYSICIAN40.0020000000X
ALINE C HANSEN-GUZMAN
PHYSICIAN40.0017200000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1138750TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K52NumberIndividualsGT100K
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
Compensation212793Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants16605899GovernmentGrants
Noncash Contributions2351880NoncashContributions
Total Contributions16605899TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID6214001570722915707229
PATIENT PAY62140040151534015153
CHILD HEALTH PROGRAM62140031944213194421
PHARMACY REVENUE62140025760452576045
PRIVATE INSURANCE62140020672772067277

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column3098355TotalRevenueColumn
Related Or Exempt Function Income3098355RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue30658480TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column31135TotalRevenueColumn
Related Or Exempt Function Income31135RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real13506Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real13506Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column13506TotalRevenueColumn
Exclusion$13,506ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other60800Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other41722Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other19078Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column19078TotalRevenueColumn
Related Or Exempt Function Income19078RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column47328098TotalRevenueColumn
Related Or Exempt Function Income30708693RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$13,506ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total206000Total
Management And General206000ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total23589998Total
Program Services21324872ProgramServices
Management And General2241816ManagementAndGeneral
Fundraising23310Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6998908Total
Program Services6272089ProgramServices
Management And General719966ManagementAndGeneral
Fundraising6853Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total243954Total
Program Services21689ProgramServices
Management And General222265ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total543131Total
Program Services449894ProgramServices
Management And General93237ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total235308Total
Program Services148071ProgramServices
Management And General86368ManagementAndGeneral
Fundraising869Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total331979Total
Program Services146803ProgramServices
Management And General185176ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total514034Total
Program Services112515ProgramServices
Management And General401519ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1923787Total
Program Services1453526ProgramServices
Management And General470261ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total168455Total
Program Services147420ProgramServices
Management And General21035ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES34933503393004981612185
CONSULTANTS & CONTRACT29363982638911297487
REPAIRS & MAINTENANCE14428821301109141773
EQUIPMENT598778132876465902

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1011703Total
Program Services726983ProgramServices
Management And General284050ManagementAndGeneral
Fundraising670Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total44238665Total
Program Services38269762ProgramServices
Management And General5935016ManagementAndGeneral
Fundraising33887Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2263642BOY
EOY3804902EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10853752BOY
EOY12440675EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1505612BOY
EOY2310299EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY945599BOY
EOY927070EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY45000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis54134082LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11620222LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY37384635BOY
EOY42513860EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6870259BOY
EOY168919EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY59823499BOY
EOY62210725EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5115878BOY
EOY4527301EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY396133BOY
EOY722503EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY15995000BOY
EOY15555000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21507011BOY
EOY20804804EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY38316488BOY
EOY41405921EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38316488BOY
EOY41405921EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY59823499BOY
EOY62210725EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3089433ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years22651535CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22992127CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22702971CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22833697CurrentTaxYearMinus1Year
Current Tax Year19886375CurrentTaxYear
Total111066705Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22651535CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22992127CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22702971CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22833697CurrentTaxYearMinus1Year
Current Tax Year19886375CurrentTaxYear
Total111066705Total
FieldValueIRS element (for citing)
Public Support Total170111066705PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years410493CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years175155CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years156014CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year63234CurrentTaxYearMinus1Year
Current Tax Year63719CurrentTaxYear
Total868615Total
FieldValueIRS element (for citing)
Total Support111935320TotalSupport
Gross Receipts From Admissions Etc133547240GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99220PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98950PublicSupportPertcentPriorYear
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 Basis43266010OtherCostOrOtherBasis
Depreciation7072183Depreciation
Book Value36193827BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis331829OtherCostOrOtherBasis
Depreciation273925Depreciation
Book Value57904BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6348570OtherCostOrOtherBasis
Depreciation4234576Depreciation
Book Value2113994BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis49325OtherCostOrOtherBasis
Depreciation39538Depreciation
Book Value9787BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings42513860TotalOfBookValueLandBuildings
Total Revenue47328098TotalRevenue
Total Expenses44238665TotalExpenses
Excess Or Deficit For Year3089433ExcessOrDeficitForYear
Excess Or Deficit Per FS3089433ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt51602370TotRevenueEtcAuditedFinclStmt
Other Revenues4274272OtherRevenues
Revenue Not Rptd F9904274272RevenueNotRptdF990
Revenue Subtotal47328098RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99047328098TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt48512937TotExpensesEtcAuditedFinclStmt
Other Expenses Included4274272OtherExpensesIncluded
Expenses Not Rptd F9904274272ExpensesNotRptdF990
Expenses Subtotal44238665ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99044238665TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationPART XII, LINE 2D - OTHER: IN-KIND CONTRIBUTIONS: 4,274,272 PART XIII, LINE 2D - OTHER: IN-KIND: 4,274,272Explanation

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)

Base 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
206000000000000206000000
VIRGILIO LICONA
183750000000000183750000
JACQUES LEBLANC
185000000000000185000000
ELIAS HERNANDEZ
192000000000000192000000
HANS ELZINGA
200000000000000200000000
ALINE C HANSEN-GUZMAN
172000000000000172000000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COLORADO HEALTH FACILITIES AUTHORITY
840752932NC15163C12010-12-169770000REFINANCE AND NEW FACILITIES000
COLORADO HEALTH FACILITIES AUTHORITY
840752932NC15163C22010-12-166340000REFINANCE AND NEW FACILITIES000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Current RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0000
0000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000
00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
KEY BANK
0015.00000000000000000
KEY BANK
0015.00000000000000000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F9902351880NoncashContribsRptdF990
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.

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