MARILLAC CLINIC INC: Form 990, tax year 2025
View the entire original 990 at ProPublica ↗
- Organization
- MARILLAC CLINIC INC (EIN 84-1085822)
- Tax period
- 2025-01-01 to 2025-12-31
- Filed
- 2026-09-24
- IRS object ID
- 202642679349300749
- Schema version
- 2025v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-09-24T16:57:17-05:00 | ReturnTs |
| Tax Period End | 2025-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 WASHINGTON AVENUE SUITE 1800 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2025-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 841085822 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARILLAC CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARI | BusinessNameControlTxt |
| Phone | 9702001600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 526 29 12 RD | AddressLine1Txt |
| City | GRAND JUNCTION | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81504 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL BECKER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9702001600 | PhoneNum |
| Signature | 2026-09-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEPHANIE MCCARTHY | PreparerPersonNm |
| PTIN | P01805699 | PTIN |
| Phone | 3149254300 | PhoneNum |
| Preparation | 2026-09-21 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2025 | TaxYr |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRIMEHEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LATA RAMACHANDRAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 526 29 1/2 RD | AddressLine1Txt |
| City | GRAND JUNCTION | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81504 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,915,687 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PRIMEHEALTHPLUS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE A WIDE SCOPE OF PRIMARY HEALTH CARE SERVICES TO ALL MESA AND SURROUNDING COUNTY RESIDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 186 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,261,282 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,123,661 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,393,117 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,574,010 | CYProgramServiceRevenueAmt |
| PY Investment Income | $276,965 | PYInvestmentIncomeAmt |
| CY Investment Income | $85,907 | CYInvestmentIncomeAmt |
| PY Other Revenue | $71,575 | PYOtherRevenueAmt |
| CY Other Revenue | $85,590 | CYOtherRevenueAmt |
| PY Total Revenue | $21,002,939 | PYTotalRevenueAmt |
| CY Total Revenue | $23,869,168 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $986,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,063,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,902,750 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,460,644 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $618,145 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,347,834 | PYOtherExpensesAmt |
| CY Other Expenses | $9,419,530 | CYOtherExpensesAmt |
| PY Total Expenses | $19,236,584 | PYTotalExpensesAmt |
| CY Total Expenses | $22,943,174 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,766,355 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $925,994 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $29,301,064 | TotalAssetsBOYAmt |
| Total Assets EOY | $25,669,203 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,845,075 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,659,597 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,455,989 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,009,606 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PRIMEHEALTH+ PROVIDES A WIDE SCOPE OF PRIMARY HEALTH CARE SERVICES TO ALL MESA AND SURROUNDING COUNTY RESIDENTS REGARDLESS OF INCOME OR INSURANCE STATUS. THE ORGANIZATION'S VISION IS THAT MESA COUNTY AND THE SURROUNDING COUNTIES ARE COMMUNITIES [CONTINUED ON SCHEDULE O]WHERE EVERY RESIDENT HAS ACCESS TO QUALITY HEALTH CARE COMBINED WITH THE ORGANIZATION'S CORE VALUES - COLLABORATION, COMPASSION, EXCELLENCE, INCLUSIVENESS, INTEGRITY, AND STEWARDSHIP. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $19,415,650 | ExpenseAmt |
| Grant | $1,063,000 | GrantAmt |
| Revenue | $15,574,010 | RevenueAmt |
| Desc | PRIMEHEALTH+ PROVIDES PRIMARY AND PREVENTIVE HEALTH CARE SERVICES FOR ALL MESA, MONTROSE AND SURROUNDING COUNTY'S LOW-MIDDLE INCOME, UNINSURED AND UNDERINSURED POPULATION, BIRTH TO END OF LIFE. PRIMEHEALTH+ OPENED ITS DOORS ON MAY 2, 1988 AND HAS GROWN SUBSTANTIALLY IN SIZE AND SCOPE WHILE CONSTANTLY SEARCHING FOR AND ADOPTING PROMISING AND INNOVATIVE APPROACHES TO HEALTH CARE. THE HEALTH CARE NEEDS OF THE MEDICALLY UNDERSERVED POPULATION ARE MORE COMPLEX, CHRONIC, AND POPULATION-BASED THAN THE LARGER POPULATION. OUR HEALTH SERVICES ARE DESIGNED TO ADDRESS THESE NEEDS THROUGH A MULTI-DISCIPLINARY TEAM MEMBER APPROACH. OUR TEAMS PROVIDE SEAMLESS, PATIENT-CENTERED CARE, WITH THE PATIENT'S GOALS, CULTURAL BELIEFS AND CHOICES GUIDING HIS OR HER CARE. PRIMEHEALTH+ PATIENTS ARE EMPANELLED TO INDIVIDUAL PROVIDERS TO ASSURE BOTH CONTINUITY OF CARE AND WARM, TRUSTING RELATIONSHIPS. A WELCOMING TEAM OF ELIGIBILITY SPECIALISTS ENROLL PATIENTS IN PRIMEHEALTH+ AND DETERMINES THEIR ELIGIBILITY FOR OUR SLIDING FEE SCALE (SFS), WHICH IS UPDATED ANNUALLY TO ALIGN WITH FEDERAL POVERTY GUIDELINES. THE SFS TAKES INTO ACCOUNT THE PATIENT'S INCOME AND HOUSEHOLD SIZE. DISCOUNTED SERVICES ARE AN IMPORTANT PART OF OUR MISSION AND VISION FOR HEALTH CARE THAT IS AFFORDABLE AND ACCESSIBLE TO ALL.PRIMARY MEDICAL CARE INCLUDES SCREENINGS AND OTHER PREVENTIVE SERVICES SUCH AS CANCER SCREENINGS, WELL-CHILD VISITS, ACUTE CARE, CHILD AND ADULT IMMUNIZATIONS, AND CHRONIC DISEASE MANAGEMENT WHICH IS PROVIDED DIRECTLY BY PRIMEHEALTH+ PHYSICIANS AND NURSE PRACTITIONERS/PHYSICIAN ASSISTANTS. THIS SCOPE OF CARE ALSO INCLUDES WOMEN'S HEALTH SERVICES SUCH AS PRENATAL CARE, LABOR AND DELIVERY AND POST-PARTUM. LABORATORY AND IMAGING SERVICES ARE PROVIDED ON SITE AND BY REFERRAL PARTNERS. PRIMEHEALTH+ ALSO PROVDES ACCESS TO AFFORDABLE PHARMACEUTICALS FOR QUALIFYING PATIENTS.BEHAVIORAL CARE IS INTEGRATED WITH MEDICAL CARE. AS NEEDED, THE PATIENT'S MEDICAL APPOINTMENT IS ENHANCED WITH A SHORT VISIT (CALLED A "BRIEF INTERVENTION") FROM A BEHAVIORAL HEALTH PROVIDER FOR ASSISTANCE WITH PROBLEM-SOLVING, CRISIS COUNSELING, SELF-CARE TIPS & COMMUNITY RESOURCES. THIS INTEGRATED CARE APPROACH REMOVES STIGMA AND/OR BARRIERS TO SEEKING HELP, AND IS VERY EFFECTIVE IN HELPING LOW INCOME, VULNERABLE PATIENTS TO BE SUCCESSFUL IN REDUCING STRESS, DEPRESSION AND ANXIETY WHILE TEACHING THEM TO MANAGE THEIR CHRONIC DISEASES AND IMPROVE THEIR HEALTH. CASE MANAGERS AND HEALTH COACHES FURTHER ENHANCE OUR PATIENT CARE THROUGH INDIVIDUALIZED PLANNING AND RESOURCES.DENTAL CARE HELPS THOUSANDS OF PATIENTS TO IMPROVE THEIR QUALITY OF LIFE BY ALLEVIATING PAIN, BUILDING LIFE-LONG HABITS OF GOOD ORAL HEALTH AND PROVIDING THOROUGH DIAGNOSTICS, TREATMENT AND FOLLOW-UP CARE FOR A WIDE RANGE OF DENTAL CONDITIONS. OUR DENTAL TEAMS PROVIDE EXAMINATIONS, X-RAYS, PREVENTIVE CLEANINGS, FILLINGS, CROWNS, BRIDGES, EXTRACTIONS, ROOT CANALS & DENTURES. A FULL TIME PEDIATRIC DENTIST CARES FOR OUR YOUNGEST PATIENTS. WE WORK ON BUILDING TRUST, WHICH LEADS TO COMPREHENSIVE, LONG TERM CARE DESIGNED TO IMPROVE DENTAL HEALTH.REFERRAL SPECIALISTS THROUGHOUT THE COMMUNITY ACCEPT PRIMEHEALTH+ PATIENTS; MOST HONOR OUR SLIDING FEE SCALE.ACCESSIBILITY TO PRIMEHEALTH+ IS INCREASED BY OUR PRESENCE IN SIX DIFFERENT CLINIC LOCATIONS WHERE LOW INCOME AND VULNERABLE POPULATIONS RESIDE AND/OR RECEIVE SERVICES.1. PRIMEHEALTH+/MAIN: 526 29 1/2 RD IN THE CENTER OF THE CITY2. PRIMEHEALTH+/COUNTY: 520 29 1/2 ROAD, CO-LOCATED WITH MESA COUNTY PUBLIC HEALTH3. PRIMEHEALTH+/PRIMARY CARE PARTNERS: 3150 N 12TH STREET, CO-LOCATED WITHIN WESTERN COLORADO PEDIATRIC ASSOCIATES4. PRIMEHEALTH+/GRAND VALLEY CATHOLIC OUTREACH: 302 PITKIN AVENUE, CO-LOCATED IN A DAY CENTER FOR PERSONS WHO ARE HOMELESS5. WARRIOR WELLNESS CENTER: 550 WARRIOR WAY STE WC, A SCHOOL BASED HEALTH CENTER CO-LOCATED WITHIN CENTRAL HIGH SCHOOL6. TIGER WELLNESS CENTER: 1400 N 5TH ST, SUITES A116-A123, A SCHOOL BASED HEALTH CENTER CO-LOCATED WITHIN GRAND JUNCTION HIGH SCHOOL7. PRIMEHEALTH+/MONTROSE, 87 MERCHANT DRIVE, MONTROSE, COIN ADDITION TO THESE ESTABLISHED CLINIC SITES, PRIMEHEALTH+ CONDUCTS OUTREACH CLINICS AND EVENTS THROUGHOUT THE YEAR IN COORDINATION WITH MESA COUNTY VALLEY SCHOOL DISTRICT #51, AND EVENING CLINICS AT LOCAL ORCHARDS, COMMERCIAL PRODUCE GARDENS & VINEYARDS IN ORDER TO SERVE MIGRANT WORKERS AND THEIR FAMILIES. AT PRIMEHEALTH+, WE EMBRACE THE OPPORTUNITY TO PROVIDE CULTURALLY FRIENDLY CARE TO OUR PATIENTS. WE ARE COMMITTED TO BI-LINGUAL STAFFING, CULTURAL COMPETENCE TRAINING, BI-LINGUAL SIGNAGE AND WRITTEN MATERIALS, AND INTERPRETATION/TRANSLATION IN SPANISH AND OTHER LANGUAGES. BY CONTINUALLY ASSESSING COMMUNITY NEED AND WORKING CLOSELY WITH HEALTH, HUMAN SERVICE, EDUCATIONAL AND GOVERNMENT PARTNERS, PRIMEHEALTH+ SEEKS TO GENUINELY UNDERSTAND AND ADDRESS THE DYNAMIC, CHANGING HEALTH CARE NEEDS WITHIN MESA AND THE SURROUNDING COUNTIES.AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), PRIMEHEALTH+ HAS A COMPREHENSIVE QUALITY MANAGEMENT PLAN DESIGNED TO CREATE A CULTURE OF CONTINUOUS QUALITY IMPROVEMENT. ACROSS THE ORGANIZATION, THE PLAN ADDRESSES QUALITY IMPROVEMENT AND QUALITY ASSURANCE, PATIENT SAFETY, RISK MANAGEMENT, POLICIES AND PROCEDURES, PATIENT SATISFACTION AND PATIENT PRIVACY. EACH YEAR, 20-30 QUALITY METRICS ARE TRACKED IN ORDER TO DRIVE CLINICAL IMPROVEMENT AND FINANCIAL SUSTAINABILITY. ELECTRONIC MEDICAL AND DENTAL RECORDS, ALONG WITH DATA ANALYTICS TOOLS, PROVIDE DATA-RICH REPORTING THAT OUR LEADERS, PROVIDERS AND TEAMS UTILIZE FOR QUALITY IMPROVEMENT. RISK-STRATIFICATION ALLOWS US TO IDENTIFY AND CONCENTRATE CERTAIN SERVICES ON OUR PATIENTS WITH THE MOST SERIOUS/COMPLEX HEALTH NEEDS. ROBUST DEPRESSION SCREENING AND OTHER MENTAL HEALTH/SUBSTANCE ABUSE QUESTIONNAIRES IMPROVE OUR ABILITY TO IDENTIFY INDIVIDUALS WITH HIDDEN RISKS/PROBLEMS SO THAT WE CAN ADDRESS THROUGH TREATMENT.PATIENT SATISFACTION IS AN IMPORTANT MEASURE OF PRIMEHEALTH+'S SUCCESS. IN 2017 PRIMEHEALTH+ GAINED INITIAL RECOGNITION AS A PATIENT CENTERED MEDICAL HOME (PCMH) BY THE NATIONAL COUNCIL ON QUALITY ASSURANCE. | Desc |
| Total Program Service Expenses | $19,415,650 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 186 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DANIEL BECKER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9702001625 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 526 29 1/2 RD | AddressLine1Txt |
| City | GRAND JUNCTION | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81504 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DAN PRINSTER | ||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CLAY MARSHALL | ||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MIKE STAHL | ||||||||
| TREASURER (THROUGH FEB 2025) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NATHAN FYOCK | ||||||||
| TREASURER (AS OF FEB 2025) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LISA COX | ||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHELLY DACKONISH | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH GERADI | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY HANNAH | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOANNA LITTLE | ||||||||
| PAST CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MIKE LUEDTKE | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHELSEA MASON | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM ROSS WILLIAMS | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN WILLIAMS | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARCI YOSEPH | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LATA K RAMACHANDRAN | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 5.00 | Yes (X) | $322,586 | $0 | $28,251 | ||
| THOMAS J LAVERY | ||||||||
| CHIEF DENTAL OFFICER | 40.00 | 0.00 | Yes (X) | $242,889 | $0 | $21,875 | ||
| DAVID DREITLEIN - CHIEF | ||||||||
| MEDICAL OFFICER (THROUGH JUN 2025) | 40.00 | 0.00 | Yes (X) | $171,896 | $0 | $21,420 | ||
| CRYSTAL OWENS | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | Yes (X) | $69,813 | $0 | $665 | ||
| DANIEL BECKER | ||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $152,283 | $0 | $11,096 | ||
| KRISTY A SCHMIDT | ||||||||
| CHIEF DEVELOPMENT OFFICER | 40.00 | 0.00 | Yes (X) | $113,594 | $0 | $26,924 | ||
| TRISHIA SHAW | ||||||||
| FINANCE DIRECTOR | 40.00 | 0.00 | Yes (X) | $113,829 | $0 | $17,815 | ||
| JEREMY CARROLL | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHRYN W HART | ||||||||
| DENTIST | 40.00 | 0.00 | $262,531 | $0 | $37,847 | Yes (X) | ||
| JENNIFER STROH | ||||||||
| MEDICAL DOCTOR | 40.00 | 0.00 | $208,615 | $0 | $25,655 | Yes (X) | ||
| ALISON LLEWELYN | ||||||||
| DENTIST | 40.00 | 0.00 | $193,529 | $0 | $16,263 | Yes (X) | ||
| KAITLYN DELANCEY | ||||||||
| DENTIST | 40.00 | 0.00 | $171,556 | $0 | $19,716 | Yes (X) | ||
| QUINN MEEHAN | ||||||||
| DENTIST | 40.00 | 0.00 | $162,626 | $0 | $20,499 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,185,747 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $248,026 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NUVEM RX | |||||
| 315 MADISON AVE STE 1804 | NEW YORK | NY | 10017 | PHARMACY SERVICES | $226,556 |
| FREEDOM ADVISING LLC | |||||
| 12817 6100 RD | MONTROSE | CO | 81403 | CONSULTING SERVICES | $224,153 |
| AMN HEALTHCARE | |||||
| PO BOX 281923 | ATLANTA | GA | 30384 | LOCUM PROVIDER SERVICE | $130,402 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $69,515 | FundraisingAmt |
| Government Grants | $5,933,838 | GovernmentGrantsAmt |
| All Other Contributions | $2,120,308 | AllOtherContributionsAmt |
| Noncash Contributions | $96,909 | NoncashContributionsAmt |
| Total Contributions | $8,123,661 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $15,574,010 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,574,010 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,574,010 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,949 | TotalRevenueColumnAmt |
| Exclusion | $90,949 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,042 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$5,042 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,042 | TotalRevenueColumnAmt |
| Exclusion | -$5,042 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $17,546 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $69,515 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $41,477 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$23,931 | TotalRevenueColumnAmt |
| Exclusion | -$23,931 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $109,521 | TotalRevenueColumnAmt |
| Exclusion | $109,521 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $109,521 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,869,168 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,574,010 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $171,497 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,063,000 | TotalAmt |
| Program Services | $1,063,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,331,363 | TotalAmt |
| Program Services | $351,923 | ProgramServicesAmt |
| Management And General | $709,750 | ManagementAndGeneralAmt |
| Fundraising | $269,690 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,874,821 | TotalAmt |
| Program Services | $8,767,903 | ProgramServicesAmt |
| Fundraising | $106,918 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,673 | TotalAmt |
| Program Services | $317,623 | ProgramServicesAmt |
| Fundraising | $1,050 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,089,252 | TotalAmt |
| Program Services | $1,073,089 | ProgramServicesAmt |
| Fundraising | $16,163 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $846,535 | TotalAmt |
| Program Services | $799,224 | ProgramServicesAmt |
| Management And General | $17,009 | ManagementAndGeneralAmt |
| Fundraising | $30,302 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,116 | TotalAmt |
| Management And General | $153,116 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,021 | TotalAmt |
| Management And General | $108,021 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,242,718 | TotalAmt |
| Program Services | $1,352,751 | ProgramServicesAmt |
| Management And General | $855,243 | ManagementAndGeneralAmt |
| Fundraising | $34,724 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,441 | TotalAmt |
| Program Services | $3,089 | ProgramServicesAmt |
| Management And General | $16,543 | ManagementAndGeneralAmt |
| Fundraising | $69,809 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,322 | TotalAmt |
| Program Services | $101,720 | ProgramServicesAmt |
| Management And General | $129,928 | ManagementAndGeneralAmt |
| Fundraising | $6,674 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,077,506 | TotalAmt |
| Program Services | $688,669 | ProgramServicesAmt |
| Management And General | $381,133 | ManagementAndGeneralAmt |
| Fundraising | $7,704 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $701,971 | TotalAmt |
| Program Services | $582,887 | ProgramServicesAmt |
| Management And General | $96,617 | ManagementAndGeneralAmt |
| Fundraising | $22,467 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,612 | TotalAmt |
| Program Services | $28,129 | ProgramServicesAmt |
| Management And General | $21,081 | ManagementAndGeneralAmt |
| Fundraising | $402 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,707 | TotalAmt |
| Program Services | $51,253 | ProgramServicesAmt |
| Management And General | $5,041 | ManagementAndGeneralAmt |
| Fundraising | $413 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,144 | TotalAmt |
| Management And General | $258,144 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,586 | TotalAmt |
| Program Services | $457,394 | ProgramServicesAmt |
| Management And General | $4,164 | ManagementAndGeneralAmt |
| Fundraising | $1,028 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $227,061 | TotalAmt |
| Program Services | $191,962 | ProgramServicesAmt |
| Management And General | $28,148 | ManagementAndGeneralAmt |
| Fundraising | $6,951 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $3,369,982 | $3,369,709 | $218 | $55 |
| MINOR EQUIPMENT | $192,665 | $145,628 | $35,697 | $11,340 |
| EMPLOYEE RELATIONS | $81,302 | $28,905 | $48,247 | $4,150 |
| DUES & SUBSCRIPTIONS | $59,023 | $22,728 | $35,811 | $484 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,353 | TotalAmt |
| Program Services | $18,064 | ProgramServicesAmt |
| Management And General | $5,468 | ManagementAndGeneralAmt |
| Fundraising | $27,821 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,943,174 | TotalAmt |
| Program Services | $19,415,650 | ProgramServicesAmt |
| Management And General | $2,909,379 | ManagementAndGeneralAmt |
| Fundraising | $618,145 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,565,988 | BOYAmt |
| EOY | $1,807,032 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,970,648 | BOYAmt |
| EOY | $548,124 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $599,985 | BOYAmt |
| EOY | $333,435 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,776,158 | BOYAmt |
| EOY | $2,370,118 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,317 | BOYAmt |
| EOY | $454,275 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,834,516 | BOYAmt |
| EOY | $15,763,718 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,511,230 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,947,586 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,382,707 | BOYAmt |
| EOY | $2,563,644 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,821 | BOYAmt |
| EOY | $22,852 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,970,924 | BOYAmt |
| EOY | $1,806,005 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,301,064 | BOYAmt |
| EOY | $25,669,203 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,603,673 | BOYAmt |
| EOY | $2,178,287 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,944,626 | BOYAmt |
| EOY | $9,668,722 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $296,776 | BOYAmt |
| EOY | $1,812,588 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,845,075 | BOYAmt |
| EOY | $13,659,597 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,914,644 | BOYAmt |
| EOY | $11,482,304 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $541,345 | BOYAmt |
| EOY | $527,302 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,455,989 | BOYAmt |
| EOY | $12,009,606 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,301,064 | BOYAmt |
| EOY | $25,669,203 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $925,994 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,372,377 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,135,752 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,397,363 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,555,394 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,261,282 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,123,661 | CurrentTaxYearAmt |
| Total | $31,473,452 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,528,445 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,268,538 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,848,244 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,393,117 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,574,010 | CurrentTaxYearAmt |
| Total | $55,612,354 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,664,197 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,665,901 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,403,638 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,654,399 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,697,671 | CurrentTaxYearAmt |
| Total | $87,085,806 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $325,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,305 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,121,569 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $188,813 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $690,190 | CurrentTaxYearAmt |
| Total | $2,347,877 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $325,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,305 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,121,569 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $188,813 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $690,190 | CurrentTaxYearAmt |
| Total | $2,347,877 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $84,737,929 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,602 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,431 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $220,092 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $276,965 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $90,949 | CurrentTaxYearAmt |
| Total | $595,039 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,602 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,431 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $220,092 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $276,965 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $90,949 | CurrentTaxYearAmt |
| Total | $595,039 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $12,043 | CurrentTaxYearMinus1YearAmt |
| Total | $12,043 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,624 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,352 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $40,098 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $59,532 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $109,521 | CurrentTaxYearAmt |
| Total | $246,127 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,676,423 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,697,684 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,663,828 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,002,939 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,898,141 | CurrentTaxYearAmt |
| Total | $87,939,015 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96360 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96310 | PublicSupportPY509Pct |
| Investment Income CY | 0.00680 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00680 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME - 2021 AMOUNT: $ 10,624. 2022 AMOUNT: $ 26,352. 2023 AMOUNT: $ 40,098. 2024 AMOUNT: $ 59,532. 2025 AMOUNT: $ 109,521. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Political Expenditures | $0 | PoliticalExpendituresAmt |
| Volunteer Hours | 0 | VolunteerHoursCnt |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,104 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,104 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1, LOBBYING ACTIVITIES: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAID MEMBERSHIP DUES TO THE COLORADO COMMUNITY HEALTH NETWORK, A PORTION OF WHICH WAS USED BY THE ASSOCIATION TO LOBBY ON BEHALF OF ITS MEMBERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $235,971 | OtherCostOrOtherBasisAmt |
| Book Value | $235,971 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,577,560 | OtherCostOrOtherBasisAmt |
| Depreciation | $154,903 | DepreciationAmt |
| Book Value | $1,422,657 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $462,553 | OtherCostOrOtherBasisAmt |
| Depreciation | $159,267 | DepreciationAmt |
| Book Value | $303,286 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,168,931 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,633,416 | DepreciationAmt |
| Book Value | $535,515 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,215 | OtherCostOrOtherBasisAmt |
| Book Value | $66,215 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,563,644 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RIGHT OF USE ASSET | Desc |
| Book Value | $1,806,005 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,806,005 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITY | Desc |
| Amt | $1,812,588 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,812,588 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $20,576,862 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $378,839 | OtherRevenueAmt |
| Revenue Not Reported | $378,839 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,198,023 | RevenueSubtotalAmt |
| Other Revenues Not Included | $3,671,145 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $3,671,145 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $23,869,168 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $22,243,244 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $363,070 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $363,070 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,880,174 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,063,000 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,063,000 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $22,943,174 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION HAS PREVIOUSLY RECEIVED NOTICE OF EXEMPTION OF INCOME TAX FROM THE INTERNAL REVENUE SERVICE UNDER SECTION 501(C)(3) OF THE FEDERAL INTERNAL REVENUE CODE. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX PROVISIONS. THE IMPLEMENTATION OF THE ACCOUNTING STANDARDS REGARDING UNCERTAIN TAX PROVISIONS HAD NO IMPACT ON THE ORGANIZATIONS CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | MARILLAC QALICB, INC. REVENUE 90,246. NET ASSETS RELEASED FROM RESTRICTION 288,593. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES RECLASSED TO REVENUE -41,477. SLIDING FEE ADJUSTMENT 1,063,000. CAPITAL CONTRIBUTION 2,375,072. CONTRIBUTIONS WITH RESTRICTIONS 274,550. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES RECLASSED TO REVENUE 41,477. MARILLAC QALICB, INC. EXPENSES 321,593. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | SLIDING FEE ADJUSTMENT 1,063,000. |
| PART XI, LINE 4B | FOR FINANCIAL STATEMENT PURPOSES, 2,375,072 OF GRANTS WERE PRESENTED ON THE FINANCIALS AS CAPITAL CONTRIBUTIONS. THIS AMOUNT HAS BEEN INCLUDED WITH GRANT REVENUE IN THE FORM 990, PART VIII. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | EDESIA | Event1Nm |
| Gross Receipts Event1 | $87,061 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $69,515 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $17,546 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $7,396 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $6,390 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $27,691 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $87,061 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $69,515 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $17,546 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $7,396 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $6,390 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $27,691 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $41,477 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$23,931 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CHARITY CARE | GrantTypeTxt |
| Recipient | 1629 | RecipientCnt |
| Cash Grant | $1,063,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | N/A | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PRIMEHEALTH+ DOES NOT PROVIDE CASH ASSISTANCE TO INDIVIDUALS. RATHER THAN GIVING CASH OR NON-CASH ITEMS TO INDIVIDUALS, PRIMEHEALTH+ PROVIDES DISCOUNTS ON ITS SERVICES, IN THE FORM OF CHARITY CARE, TO INDIVIDUALS WHO MEET SPECIFIED ELIGIBILITY CRITERIA. PRIMEHEALTH+ DETERMINES ELIGIBILITY. ELIGIBILITY IS BASED ON THE NUMBER OF FAMILY MEMBERS AND THE TOTAL ACTUAL OR ESTIMATED HOUSEHOLD INCOME OF THE FAMILY USED IN CONJUNCTION WITH THE FPG (FEDERAL POVERTY GUIDELINES). ALL DISCOUNTS LISTED IN THIS POLICY ARE BASED ON THE HOUSEHOLD INCOME AND FAMILY SIZE, THE PATIENT OR FAMILY MUST MAKE A WRITTEN APPLICATION USING A STANDARD PRIMEHEALTH+ SLIDING FEE DISCOUNT PROGRAM APPLICATION FORM AND PROVIDE CERTAIN REQUIRED INFORMATION TO QUALIFY. ALL APPROVED APPLICATIONS FOR MH SLIDING FEE DISCOUNT PROGRAM ARE VALID FOR 1 YEAR AND MUST BE RENEWED AFTER 1 YEAR TO CONTINUE WITH UPDATED CURRENT FAMILY SIZE AND FAMILY INCOME AS DEFINED IN THIS POLICY. ALSO, IF ANY FAMILY SIZE OR FAMILY INCOME CHANGES WITHIN THE YEAR THE PATIENT IS ON THE MH SLIDING FEE DISCOUNT PROGRAM THEY ARE REQUIRED TO UPDATE THE APPLICATION AND COULD POSSIBLY MOVE TO A NEW DISCOUNT LEVEL OR MOVE OUT OF THE PROGRAM BECAUSE OF THIS CHANGE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LATA K RAMACHANDRAN | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $307,586 | $0 | $15,000 | $0 | $0 | $0 | $17,932 | $0 | $10,319 | $0 | $350,837 | $0 | $0 | $0 |
| KATHRYN W HART | ||||||||||||||
| DENTIST | $262,381 | $0 | $150 | $0 | $0 | $0 | $14,148 | $0 | $23,699 | $0 | $300,378 | $0 | $0 | $0 |
| THOMAS J LAVERY | ||||||||||||||
| CHIEF DENTAL OFFICER | $242,739 | $0 | $150 | $0 | $0 | $0 | $12,010 | $0 | $9,865 | $0 | $264,764 | $0 | $0 | $0 |
| JENNIFER STROH | ||||||||||||||
| MEDICAL DOCTOR | $205,000 | $0 | $3,615 | $0 | $0 | $0 | $10,342 | $0 | $15,313 | $0 | $234,270 | $0 | $0 | $0 |
| ALISON LLEWELYN | ||||||||||||||
| DENTIST | $188,379 | $0 | $5,150 | $0 | $0 | $0 | $6,882 | $0 | $9,381 | $0 | $209,792 | $0 | $0 | $0 |
| DAVID DREITLEIN - CHIEF | ||||||||||||||
| MEDICAL OFFICER (THROUGH JUN 2025) | $171,896 | $0 | $0 | $0 | $0 | $0 | $10,137 | $0 | $11,283 | $0 | $193,316 | $0 | $0 | $0 |
| KAITLYN DELANCEY | ||||||||||||||
| DENTIST | $171,074 | $0 | $482 | $0 | $0 | $0 | $9,791 | $0 | $9,925 | $0 | $191,272 | $0 | $0 | $0 |
| QUINN MEEHAN | ||||||||||||||
| DENTIST | $162,218 | $0 | $408 | $0 | $0 | $0 | $9,187 | $0 | $11,312 | $0 | $183,125 | $0 | $0 | $0 |
| DANIEL BECKER | ||||||||||||||
| CFO | $152,283 | $0 | $0 | $0 | $0 | $0 | $9,137 | $0 | $1,959 | $0 | $163,379 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $96,909 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN PART I. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE OF THE BOARD SHALL CONSIST OF AT LEAST THREE MEMBERS, ALL OF WHOM SHALL BE DIRECTORS, AND SHALL INCLUDE THE CHAIRPERSON OF THE BOARD, THE CEO, AND OTHERS AS DESIGNATED BY THE CHAIRPERSON, EXCEPT THAT EX OFFICIO DIRECTORS SHALL NOT MAKE UP A MAJORITY OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE INTERIM MEETINGS OF THE BOARD, PROVIDED THAT ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL NOT CONFLICT WITH THE ARTICLES OF INCORPORATION, THE BYLAWS, OR THE POLICIES OR EXPRESSED WISHES OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL REPORT ALL MATTERS ACTED UPON TO THE BOARD AT THE BOARD'S NEXT MEETING. |
| FORM 990, PART VI, SECTION A, LINE 3 | JEREMY CARROLL SERVED AS CHIEF OPERATING OFFICER THROUGH CONTRACT WITH FREEDOM ADVISING, LLC. FOR 2025, THEY WERE PAID $128,240 FOR HIS SERVICES AS CHIEF OPERATING OFFICER TO THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 4 | DURING THE YEAR, THE ORGANIZATION AMENDED AND RESTATED ITS BYLAWS. THE AMENDMENTS UPDATED THE BYLAWS TO REFLECT THE ORGANIZATION'S CURRENT DBA NAME, PRIMEHEALTH+, WHILE RETAINING THE LEGAL CORPORATE NAME MARILLAC CLINIC, INC. THE BYLAWS WERE ALSO REVISED TO CLARIFY THAT THE BOARD OF DIRECTORS MAY APPROVE OR DELEGATE TO THE CHIEF EXECUTIVE OFFICER THE AUTHORITY TO APPROVE DELINEATED MEDICAL STAFF PRIVILEGES. IN ADDITION, ARTICLE II WAS UPDATED TO STATE THAT THE ORGANIZATION WILL OPERATE THE CLINIC AND PROVIDE SERVICES IN A MANNER CONSISTENT WITH THE MISSION OF THE CLINIC. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ANNUAL IRS FORM 990 IS PREPARED BY CLIFTONLARSONALLEN (CLA), PRIMEHEALTH+'S INDEPENDENT ACCOUNTING FIRM. THE CHIEF FINANCIAL OFFICER (CFO) OF PRIMEHEALTH+ REVIEWS THE COMPLETED FORM, INCLUDING ALL FINANCIAL AND INFORMATIONAL DISCLOSURES, FOR ACCURACY AND COMPLETENESS. ONCE THE REVIEW IS COMPLETE, THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO SUBMISSION TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR, ALL EXECUTIVES, DIRECTORS, MANAGERS, AND BOARD MEMBERS OF THE ORGANIZATION ARE REQUIRED TO COMPLETE A NEW CONFLICT OF INTEREST (COI) DISCLOSURE FORM. A COPY OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS DISTRIBUTED ALONG WITH THE FORM TO ENSURE FULL UNDERSTANDING OF RESPONSIBILITIES AND EXPECTATIONS. IN THE EVENT OF A CHANGE IN CIRCUMSTANCES THAT COULD AFFECT A PREVIOUSLY SUBMITTED DISCLOSURE, INDIVIDUALS ARE REQUIRED TO NOTIFY THE ORGANIZATION AND SUBMIT AN UPDATED COI DISCLOSURE FORM REFLECTING THE NEW INFORMATION. ALL COMPLETED COI STATEMENTS ARE REVIEWED, AND ANY POTENTIAL CONFLICTS ARE EVALUATED AND ADDRESSED AT THE APPROPRIATE LEVEL, TYPICALLY BY THE BOARD CHAIR. AT THE START OF EACH BOARD AND BOARD COMMITTEE MEETING, MEMBERS IN ATTENDANCE ARE ASKED WHETHER THEY HAVE ANY CONFLICTS OF INTEREST TO DISCLOSE WITH RESPECT TO THE AGENDA ITEMS. IF AN ACTUAL CONFLICT IS IDENTIFIED, THE INDIVIDUAL INVOLVED IS EXCUSED FROM PARTICIPATING IN RELATED DISCUSSIONS AND DECISION-MAKING TO ENSURE IMPARTIALITY AND MAINTAIN INTEGRITY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION ESTABLISHES EMPLOYEE PAY SCALES IN PARTNERSHIP WITH OUTSIDE EMPLOYMENT COUNCIL, STATE PCA REPORTS TO ENSURE COMPENSATION REMAINS COMPETITIVE AND EQUITABLE. ALL EMPLOYEE COMPENSATION IS LIMITED TO THE ESTABLISHED PAY SCALES, AND NO EMPLOYEE IS PAID OUTSIDE THESE APPROVED RANGES. PAY SCALES ARE REVIEWED AND UPDATED FOR ALL POSITIONS EVERY TWO YEARS. THIS REVIEW PROCESS AND THE RESULTING UPDATED PAY SCALES ARE DOCUMENTED IN THE BOARD OF DIRECTORS' MEETING MINUTES. THE REVISED PAY SCALES ARE FORMALLY PRESENTED TO THE BOARD OF DIRECTORS AND MUST BE APPROVED PRIOR TO IMPLEMENTATION IN PAYROLL SYSTEMS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2026. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER -1,372,377. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARILLAC QALICB INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 526 29 1/2 RD | AddressLine1Txt |
| City | GRAND JUNCTION | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81501 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 994842127 | EIN |
| Primary Activities | SUPPORTING MARILLAC CLINIC INC | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARILLAC CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MARILLAC QALICB INC | ||
| K | $106,333 | ACTUAL |
| MARILLAC QALICB INC | ||
| I | $1,372,377 | ACTUAL |
Comments