SOUTHWEST COLORADO MENTAL HEALTH CENTER INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHWEST COLORADO MENTAL HEALTH CENTER INC (EIN 84-0506701)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-05
- IRS object ID
- 202601259349301140
- Schema version
- 2024v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-05T10:42:33+00:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 South Tejon Suite 800 | AddressLine1Txt |
| City | Colorado Springs | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 809039848 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840506701 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHWEST COLORADO MENTAL HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 9703352222 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 MERCURY VILLAGE DR | AddressLine1Txt |
| City | DURANGO | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RYAN PIERCE | PersonNm |
| Person Title | VP OF FINANCE | PersonTitleTxt |
| Phone | 9703352222 | PhoneNum |
| Signature | 2026-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Adam R Smith | PreparerPersonNm |
| PTIN | P00958966 | PTIN |
| Phone | 7194714290 | PhoneNum |
| Preparation | 2026-05-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AXIS HEALTH SYSTEM | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHELLY BURKE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 MERCURY VILLAGE DR | AddressLine1Txt |
| City | DURANGO | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $49,879,461 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | AXISHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | AXIS HEALTH SYSTEM (AHS) IS THE DESIGNATED COMMUNITY MENTAL HEALTH CENTER, AND A LICENSED SUBSTANCE USE PROVIDER AND A HRSA COMMUNITY HEALTH CENTERS (FQHC) PROVIDING INTEGRATED PRIMARY CARE INCLUDING ORAL HEALTH CARE. AHS OFFERS A WIDE VARIETY AND RANGE OF BEHAVIORAL HEALTH AND INTEGRATED PRIMARY CARE AND ORAL HEALTH SERVICES TO ASSIST PEOPLE IN MANAGING THEIR HEALTH AND HEALTH OUTCOMES IN SOUTHWEST COLORADO. ESSENTIAL BEHAVIORAL HEALTH SERVICES INCLUDE: SCREENINGS, INDIVIDUAL, GROUP AND FAMILY THERAPEUTIC SERVICES, COMMUNITY RESOURCE COORDINATION, OUTREACH, SHORT-TERM RESIDENTIAL CRISIS STABILIZATION, PSYCHIATRY, 24/7 CRISIS ASSESSMENT SERVICES, VOCATIONAL SERVICES, SUBSTANCE USE DISORDER SERVICES, AND DUAL DIAGNOSIS SERVICES FOR PATIENTS WITH COOCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. PRIMARY CARE INTEGRATION INCLUDES BEHAVIORAL AND ORAL HEALTH ACROSS ALL AGES USING POPULATION BASED SCREENING INCLUDING SCREENING FOR SOCIAL DETERMINANTS OF HEALTH, DEPRESSION AND ANXIETY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 617 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,147,881 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,305,461 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $46,402,092 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $46,475,007 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,334,397 | PYInvestmentIncomeAmt |
| CY Investment Income | $847,281 | CYInvestmentIncomeAmt |
| PY Other Revenue | $111,496 | PYOtherRevenueAmt |
| CY Other Revenue | $249,407 | CYOtherRevenueAmt |
| PY Total Revenue | $53,995,866 | PYTotalRevenueAmt |
| CY Total Revenue | $49,877,156 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,612,290 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,861,812 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,620,130 | PYOtherExpensesAmt |
| CY Other Expenses | $14,398,534 | CYOtherExpensesAmt |
| PY Total Expenses | $48,232,420 | PYTotalExpensesAmt |
| CY Total Expenses | $51,260,346 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,763,446 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,383,190 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $75,517,652 | TotalAssetsBOYAmt |
| Total Assets EOY | $71,435,182 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,549,376 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,561,172 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $50,968,276 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $48,874,010 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To make a meaningful difference through healthcare innovation and caring for the whole person. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Desc | BEHAVIORAL HEALTH OUTPATIENT SERVICES - BEHAVORIAL HEALTH CARE SERVICES INCLUDE SPECIALTY EXPERTISE FOR THE TREATMENT OF SERIOUS, EMOTIONAL DISTURBANCES OF CHILDHOOD AND SERIOUS MENTAL ILLNESS IN ADULTS. EVIDENCED BASED PRACTICES AND PROMISING PRACTICES ARE UTILIZED TO ENSURE MAXIMUM EFFECTIVENESS OF THE CARE DELIVERY AND INCLUDE: DIALECTICAL BEHAVIORAL THERAPY, PARENT CHILD INTERACTION THERAPIES AND INTEGRATED DUAL DIAGNOSIS THERAPY. PSYCHIATRIC SERVICES INCLUDING MEDICATION MANAGEMENT ARE ALSO PROVIDED. SERVICE DELIVERY MODALITIES INCLUDE INDIVIDUAL, FAMILY AND GROUP THERAPY, AS WELL AS CASE MANAGEMENT SERVICES PROVIDING A FULL CONTINUUM OF BEHAVIORAL HEALTH CARE. A TOTAL OF 96,880 BEHAVIORAL HEALTH OUTPATIENT SERVICE HOURS WERE PROVIDED IN FISCAL YEAR 2024. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEGRATED PRIMARY CARE - COMPREHENSIVE PRIMARY CARE IS AVAILABLE AT AHS'S INTEGRATED CLINICS. BEHAVIORAL HEALTH SERVICES AND ORAL HEALTH SERVICES ARE PART OF THE COMPREHENSIVE CARE CONTINUUM AT THESE COMMUNITY HEALTH CENTER CLINICS. A TOTAL OF 29,761 INTEGRATED SERVICE HOURS WERE PROVIDED TO PATIENTS IN FISCAL YEAR 2024. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ACUTE TREATMENT UNIT - A RESIDENTIAL PROGRAM PROVIDING SHORT-TERM PSYCHIATRIC CARE AND STABILIZATION. IT IS THE ONLY PSYCHIATRIC RESIDENTIAL RESOURCE AVAILABLE IN THE ENTIRE SOUTHWEST REGION OF COLORADO. THE ATU PROVIDED 1,248 BED DAYS TO 226 RESIDENTS OF THE REGION IN FISCAL YEAR 2024. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 49 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 617 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | 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 | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9703352222 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 Mercury Village Dr | AddressLine1Txt |
| City | DURANGO | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| CHUCK FORTH | |||||||||
| TREASURER/VICE PRESIDENT | 3.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FRANCES DEEGAN | |||||||||
| BOARD MEMBER/SECRETARY | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KAREN SHEEK | |||||||||
| SECRETARY/BOARD MEMBER | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KENT CURTIS | |||||||||
| BOARD MEMBER/TREASURER | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PAUL NAZARYK | |||||||||
| PRESIDENT | 3.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ALEXANDRA VAN SICKLE | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| AMANDA MILLER | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JOHN ALBRIGHT | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| MARISSA MARQUEZ | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT JUSKEVICH | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT YEAROUT | |||||||||
| BOARD MEMBER (THROUGH 3/25) | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| RONALD BORREGO | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM WESTERMAN | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| RYAN PIERCE | |||||||||
| VP OF FINANCE | 40.0 | 0.0 | Yes (X) | $137,100 | $0 | $11,471 | |||
| SHELLY BURKE | |||||||||
| Chief Executive Officer (CEO) | 40.0 | 0.0 | Yes (X) | $313,796 | $0 | $38,486 | |||
| ALEX CONRAD | |||||||||
| Chief Administrative Officer (CAO) | 40.0 | 0.0 | $171,665 | $0 | $30,834 | Yes (X) | |||
| BRIAN ENSIGN | |||||||||
| VP of Behavioral Health | 40.0 | 0.0 | $138,954 | $0 | $28,920 | Yes (X) | |||
| CHARLES SOUTHCOTTE | |||||||||
| VP of Business Technology | 40.0 | 0.0 | $150,596 | $0 | $32,358 | Yes (X) | |||
| CHRISTINA SQUIRES | |||||||||
| VP of People Strategy | 40.0 | 0.0 | $138,389 | $0 | $14,583 | Yes (X) | |||
| FREDI PROCHODA | |||||||||
| Medical Director of Psychiatry | 40.0 | 0.0 | $192,207 | $0 | $11,233 | Yes (X) | |||
| JILL RIMMEY | |||||||||
| Medical Director of Primary Care | 40.0 | 0.0 | $231,544 | $0 | $25,732 | Yes (X) | |||
| LINCOLN PEHRSON | |||||||||
| VP of Operations | 40.0 | 0.0 | $147,847 | $0 | $29,198 | Yes (X) | |||
| PAMELA SHARRATT | |||||||||
| Chief Strategy Officer (CSO) | 10.0 | 0.0 | $57,926 | $0 | $3,476 | Yes (X) | |||
| SARADA LEAVENWORTH | |||||||||
| VP of Population Health | 40.0 | 0.0 | $138,954 | $0 | $31,873 | Yes (X) | |||
| SHAY DENNING | |||||||||
| Chief Legal Officer (CLO) General Counsel | 40.0 | 0.0 | $172,223 | $0 | $30,272 | Yes (X) | |||
| SHELLY SPALDING | |||||||||
| Chief Clinical Officer (CCO) | 40.0 | 0.0 | $195,659 | $0 | $26,367 | Yes (X) | |||
| STEPHANIE ALLRED | |||||||||
| VP of Integrated Health | 40.0 | 0.0 | $159,620 | $0 | $28,886 | Yes (X) | |||
| AARON MONTANO | |||||||||
| Psychiatrist | 32.0 | 0.0 | $225,045 | $0 | $28,794 | Yes (X) | |||
| AMANDA BROWN | |||||||||
| Dentist | 40.0 | 0.0 | $179,218 | $0 | $30,955 | Yes (X) | |||
| KATIE BARON | |||||||||
| Dentist | 40.0 | 0.0 | $155,527 | $0 | $27,706 | Yes (X) | |||
| LYNETTE MOORE | |||||||||
| Psychiatric Nurse Practitioner | 40.0 | 0.0 | $162,942 | $0 | $20,553 | Yes (X) | |||
| MONICA RODGERS | |||||||||
| Physician | 40.0 | 0.0 | $204,300 | $0 | $30,837 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,273,512 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $482,534 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 52 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| NUNN CONSTRUCTION INC | ||||||
| 925 ELKTON DRIVE | COLORADO SPRINGS | CO | 80907 | REMODEL MERCURY BUILDING / DIH | $5,081,172 | |
| NEXTGEN HEALTHCARE | ||||||
| PO BOX 511449 | LOS ANGELES | CA | 90051 | E.H.R. IMPLEMENTATION & SUBSCRIPTIONS | $1,228,081 | STE 600 |
| ANIMAS JANITORIAL LLC | ||||||
| 10 TOWN PLAZA 157 | DURANGO | CO | 81301 | JANITORIAL SERVICES | $381,519 | |
| QUALIFACTS SYSTEMS INC | ||||||
| 315 DAEDERICK | NASHVILLE | TN | 37238 | E.H.R. CARELOGIC (BEHAVIORAL HEALTH) | $353,675 | STE 2300 |
| CPA MEDICAL BILLING LLC | ||||||
| 100 SOUTH SHORE DRIVE | EAST HAVEN | CT | 06512 | THIRD PARTY MEDICAL / DENTAL BILLING SERVICES | $345,546 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $2,305,461 | AllOtherContributionsAmt |
| Total Contributions | $2,305,461 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID PAYMENTS | 623990 | $22,916,458 | $22,916,458 |
| GOVT AGENCIES FEES AND CONTRACTS | 623990 | $14,808,107 | $14,808,107 |
| PATIENT SERVICE REVENUE | 623990 | $2,212,842 | $2,212,842 |
| PHARMACY INCOME | 623990 | $1,003,695 | $1,003,695 |
| JAIL SERVICE INCOME | 623990 | $3,923,611 | $3,923,611 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,610,294 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,610,294 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $46,475,007 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $664,356 | TotalRevenueColumnAmt |
| Exclusion | $664,356 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $249,407 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $249,407 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $249,407 | TotalRevenueColumnAmt |
| Exclusion | $249,407 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $185,230 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,305 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $182,925 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $182,925 | TotalRevenueColumnAmt |
| Exclusion | $182,925 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,877,156 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $46,475,007 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,096,688 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,100,721 | TotalAmt |
| Program Services | $894,234 | ProgramServicesAmt |
| Management And General | $206,487 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,319,502 | TotalAmt |
| Program Services | $23,006,970 | ProgramServicesAmt |
| Management And General | $5,312,532 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,162,968 | TotalAmt |
| Program Services | $944,804 | ProgramServicesAmt |
| Management And General | $218,164 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,825,590 | TotalAmt |
| Program Services | $3,107,937 | ProgramServicesAmt |
| Management And General | $717,653 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,453,031 | TotalAmt |
| Program Services | $1,992,860 | ProgramServicesAmt |
| Management And General | $460,171 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,040 | TotalAmt |
| Management And General | $62,040 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,870 | TotalAmt |
| Management And General | $198,870 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,546 | TotalAmt |
| Management And General | $3,546 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,101 | TotalAmt |
| Program Services | $291,546 | ProgramServicesAmt |
| Management And General | $249,555 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $410,752 | TotalAmt |
| Program Services | $316,279 | ProgramServicesAmt |
| Management And General | $94,473 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896,613 | TotalAmt |
| Program Services | $690,392 | ProgramServicesAmt |
| Management And General | $206,221 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,145,049 | TotalAmt |
| Program Services | $1,287,280 | ProgramServicesAmt |
| Management And General | $857,769 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,496,927 | TotalAmt |
| Program Services | $2,543,322 | ProgramServicesAmt |
| Management And General | $953,605 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,916 | TotalAmt |
| Management And General | $352,916 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,950 | TotalAmt |
| Management And General | $225,950 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,299 | TotalAmt |
| Program Services | $7,930 | ProgramServicesAmt |
| Management And General | $2,369 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,326,700 | TotalAmt |
| Program Services | $1,015,793 | ProgramServicesAmt |
| Management And General | $310,907 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $647,005 | TotalAmt |
| Program Services | $619,893 | ProgramServicesAmt |
| Management And General | $27,112 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,778,606 | $2,778,606 | |
| MINOR EQUIPMENT | $618,570 | $502,531 | $116,039 |
| DUES, PUBLICATIONS & LICENSES | $213,400 | $116,891 | $96,509 |
| OTHER | $470,190 | $377,350 | $92,840 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,260,346 | TotalAmt |
| Program Services | $40,494,618 | ProgramServicesAmt |
| Management And General | $10,765,728 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $643,217 | BOYAmt |
| EOY | $303,321 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,983,264 | BOYAmt |
| EOY | $6,610,818 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,638,528 | BOYAmt |
| EOY | $7,010,390 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,792,768 | BOYAmt |
| EOY | $19,719,150 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $358,327 | BOYAmt |
| EOY | $406,085 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,168 | BOYAmt |
| EOY | $264,433 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $33,113,768 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,396,582 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,127,660 | BOYAmt |
| EOY | $25,717,186 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,745,473 | BOYAmt |
| EOY | $6,951,883 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,322,946 | BOYAmt |
| EOY | $605,921 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,522,301 | BOYAmt |
| EOY | $3,845,995 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,517,652 | BOYAmt |
| EOY | $71,435,182 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,732,243 | BOYAmt |
| EOY | $3,915,098 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,267,392 | BOYAmt |
| EOY | $14,761,597 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,538,741 | BOYAmt |
| EOY | $3,884,477 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,549,376 | BOYAmt |
| EOY | $22,561,172 | 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 | $50,513,276 | BOYAmt |
| EOY | $48,419,010 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $455,000 | BOYAmt |
| EOY | $455,000 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,968,276 | BOYAmt |
| EOY | $48,874,010 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,517,652 | BOYAmt |
| EOY | $71,435,182 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,383,190 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $9,302 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$720,378 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $1,005,983 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,578,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $321,166 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,147,881 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,305,461 | CurrentTaxYearAmt |
| Total | $12,358,959 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,199,475 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $30,610,783 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $49,233,989 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46,402,092 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $46,475,007 | CurrentTaxYearAmt |
| Total | $200,921,346 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,205,458 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,189,251 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $49,555,155 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $51,549,973 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $48,780,468 | CurrentTaxYearAmt |
| Total | $213,280,305 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $627,699 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $632,113 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $246,341 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $1,506,153 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $627,699 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $632,113 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $246,341 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $1,506,153 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $211,774,152 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $141,672 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $146,148 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $278,065 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $624,235 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $913,763 | CurrentTaxYearAmt |
| Total | $2,103,883 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $141,672 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $146,148 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $278,065 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $624,235 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $913,763 | CurrentTaxYearAmt |
| Total | $2,103,883 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $58,075 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $73,736 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $94,596 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $57,890 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $284,297 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,405,205 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,409,135 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $49,927,816 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $52,232,098 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,694,231 | CurrentTaxYearAmt |
| Total | $215,668,485 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98194 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96911 | PublicSupportPY509Pct |
| Investment Income CY | 0.01 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $3,546 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $3,546 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $51,256,800 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $51,260,346 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
| Affiliated Group Total | $0 | AffiliatedGroupTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $4,554 | CurrentYearMinus3Amt |
| Current Year Minus2 | $6,542 | CurrentYearMinus2Amt |
| Current Year Minus1 | $7,802 | CurrentYearMinus1Amt |
| Current Year | $3,546 | CurrentYearAmt |
| Total | $22,444 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | $0 | CurrentYearMinus2Amt |
| Current Year Minus1 | $0 | CurrentYearMinus1Amt |
| Current Year | $0 | CurrentYearAmt |
| Total | $0 | TotalAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,104,285 | OtherCostOrOtherBasisAmt |
| Book Value | $2,104,285 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,951,357 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,511,702 | DepreciationAmt |
| Book Value | $21,439,655 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,852,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,989,998 | DepreciationAmt |
| Book Value | $862,731 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,205,397 | OtherCostOrOtherBasisAmt |
| Depreciation | $894,882 | DepreciationAmt |
| Book Value | $1,310,515 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,717,186 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RIGHT OF USE ASSETS | Desc |
| Book Value | $3,845,995 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,845,995 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| RIGHT OF USE ASSETS | $3,884,477 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,884,477 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHELLY BURKE | ||||||||||||||
| Chief Executive Officer (CEO) | $312,764 | $0 | $0 | $0 | $1,032 | $0 | $16,323 | $0 | $22,163 | $0 | $352,282 | $0 | $0 | $0 |
| ALEX CONRAD | ||||||||||||||
| Chief Administrative Officer (CAO) | $171,518 | $0 | $0 | $0 | $147 | $0 | $11,259 | $0 | $19,575 | $0 | $202,499 | $0 | $0 | $0 |
| SHAY DENNING | ||||||||||||||
| Chief Legal Officer (CLO) General Counsel | $172,069 | $0 | $0 | $0 | $154 | $0 | $10,704 | $0 | $19,568 | $0 | $202,495 | $0 | $0 | $0 |
| SHELLY SPALDING | ||||||||||||||
| Chief Clinical Officer (CCO) | $194,859 | $0 | $0 | $0 | $800 | $0 | $8,438 | $0 | $17,929 | $0 | $222,026 | $0 | $0 | $0 |
| STEPHANIE ALLRED | ||||||||||||||
| VP of Integrated Health | $159,428 | $0 | $0 | $0 | $192 | $0 | $9,998 | $0 | $18,888 | $0 | $188,506 | $0 | $0 | $0 |
| BRIAN ENSIGN | ||||||||||||||
| VP of Behavioral Health | $138,697 | $0 | $0 | $0 | $257 | $0 | $9,477 | $0 | $19,443 | $0 | $167,874 | $0 | $0 | $0 |
| SARADA LEAVENWORTH | ||||||||||||||
| VP of Population Health | $138,788 | $0 | $0 | $0 | $166 | $0 | $8,538 | $0 | $23,335 | $0 | $170,827 | $0 | $0 | $0 |
| LINCOLN PEHRSON | ||||||||||||||
| VP of Operations | $147,730 | $0 | $0 | $0 | $117 | $0 | $9,689 | $0 | $19,509 | $0 | $177,045 | $0 | $0 | $0 |
| CHARLES SOUTHCOTTE | ||||||||||||||
| VP of Business Technology | $149,705 | $0 | $0 | $0 | $891 | $0 | $8,941 | $0 | $23,417 | $0 | $182,954 | $0 | $0 | $0 |
| CHRISTINA SQUIRES | ||||||||||||||
| VP of People Strategy | $137,692 | $0 | $0 | $0 | $697 | $0 | $8,303 | $0 | $6,280 | $0 | $152,972 | $0 | $0 | $0 |
| FREDI PROCHODA | ||||||||||||||
| Medical Director of Psychiatry | $191,895 | $0 | $0 | $0 | $312 | $0 | $10,916 | $0 | $317 | $0 | $203,440 | $0 | $0 | $0 |
| JILL RIMMEY | ||||||||||||||
| Medical Director of Primary Care | $230,641 | $0 | $0 | $0 | $903 | $0 | $13,964 | $0 | $11,768 | $0 | $257,276 | $0 | $0 | $0 |
| KATIE BARON | ||||||||||||||
| Dentist | $155,415 | $0 | $0 | $0 | $112 | $0 | $10,030 | $0 | $17,676 | $0 | $183,233 | $0 | $0 | $0 |
| AMANDA BROWN | ||||||||||||||
| Dentist | $179,069 | $0 | $0 | $0 | $149 | $0 | $11,396 | $0 | $19,559 | $0 | $210,173 | $0 | $0 | $0 |
| AARON MONTANO | ||||||||||||||
| Psychiatrist | $224,851 | $0 | $0 | $0 | $194 | $0 | $13,789 | $0 | $15,005 | $0 | $253,839 | $0 | $0 | $0 |
| LYNETTE MOORE | ||||||||||||||
| Psychiatric Nurse Practitioner | $161,897 | $0 | $0 | $0 | $1,045 | $0 | $9,742 | $0 | $10,811 | $0 | $183,495 | $0 | $0 | $0 |
| MONICA RODGERS | ||||||||||||||
| Physician | $204,156 | $0 | $0 | $0 | $144 | $0 | $12,016 | $0 | $18,821 | $0 | $235,137 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 1a Health or social club dues or initiation fees | FormAndLineReferenceDesc |
| Explanation | AXIS HEALTH SYSTEM PROVIDES REIMBURSEMENT TO ALL EMPLOYEES FOR HEALTH CLUB MEMBERSHIP OR OTHER PHYSICAL ACTIVITY EQUIPMENT. THE TOTAL REIMBURSEMENT IS LIMITED TO $250 PER EMPLOYEE PER YEAR. THIS IS A PROGRAM TO PROMOTE WELLNESS AMONG EMPLOYEES AT AXIS HEALTH SYSTEM AND THE REIMBURSEMENT IS INCLUDED IN THEIR TAXABLE WAGES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION | COMPENSATION FOR ALL JOB CLASSIFICATIONS, INCLUDING EXECUTIVE MANAGEMENT, IS REVIEWED PERIODICALLY USING INDEPENDENT RESOURCES. COMPENSATION INFORMATION IS ALSO OBTAINED FROM ALL COMMUNITY MENTAL HEALTH CENTERS AND FQHCS IN THE STATE TO ENSURE A VALID ASSESSMENT IS MADE. IN ADDITION, THE CEO COMPENSATION IS SUBJECT TO ADDITIONAL ANNUAL REVIEW BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE PRESIDENT, THE VICE PRESIDENT, THE SECRETARY, AND THE TREASURER, THE EXECUTIVE COMMITTEE MAY BE DELEGATED THE AUTHORITY TO ACT ON BEHALF OF THE ENTIRE BOARD IN SPECIFIC CIRCUMSTANCES, ONLY BETWEEN BOARD MEETINGS AND CONSISTENT WITH ESTABLISHED BOARD DIRECTION. SUCH AUTHORIZATION MUST BE GRANTED BY A VOTE OF THE BOARD AT A REGULAR OR SPECIAL MEETING IN ADVANCE OF THE ACTION REQUIRED. THE EXECUTIVE COMMITTEE WILL REPORT ALL ACTIONS TAKEN TO THE FULL BOARD WHICH WILL BE VOTED ON AS ACCEPTED IN THE MINUTES |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS PREPARED BY THE AUDIT FIRM BASED ON THE AUDITED FINANCIALS AND SCHEDULES PREPARED BY AXIS HEALTH SYSTEM ACCOUNTING STAFF. THE APPROVED FORM 990 IS REVIEWED BY THE BUDGET AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS, PRESENTED TO THE BOARD OF DIRECTORS, APPROVED AND SIGNED BY THE CEO THE FORM 990 IS FILED BY THE ESTABLISHED DEADLINE EACH YEAR. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ALL STAFF SIGN A CONFLICT OF INTEREST STATEMENT AS PART OF THEIR INITIAL ORIENTATION. A REMINDER NOTICE REGARDING THE TENETS OF THE CONFLICT OF INTEREST POLICY IS SHARED WITH ALL STAFF ANNUALLY, WITH GUIDANCE ON NOTIFYING AXIS HEALTH SYSTEM OF ANY CHANGE IN STATUS. THE STAFF ARE EXPECTED TO RAISE ANY POTENTIAL CONFLICT OF INTEREST ISSUES FOR ASSESSMENT BY THE CEO OR DESIGNEE. THE BOARD OF DIRECTORS HAS A CONFLICT OF INTEREST POLICY AND A RELATED SECTION (SECTION 10) IN THE BOARD BYLAWS THAT IS REVIEWED ANNUALLY WITH CURRENT BOARD MEMBERS. AT EACH BOARD MEETING, MEMBERS ARE ASKED TO RAISE ANY REAL OR PERCEIVED CONFLICT OF INTEREST ISSUES FOR ASSESSMENT AND RESOLUTION BY THE BOARD. |
| Form 990, Part VI, Line 19 Required documents available to the public | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE FROM THE ORGANIZATION UPON REQUEST. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | MISCELLANEOUS PROGRAM REVENUE - Total Revenue: 1610294, Related or Exempt Function Revenue: 1610294, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | LOSS ON INVESTMENT IN SUBSIDIARY - -720378; Total - -720378; |
| Form 990, Part XII, Line 2c COMMITTEE RESPONSIBLE FOR OVERSIGHT OF AUDIT | THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILTY FOR SELECTING THE INDEPENDENT AUDITORS. THEY ARE ALSO RESPONSIBLE FOR ENSURING THE AUDIT IS COMPLETE. THE BOARD DIRECTS THE CEO TO ENSURE TIMELY COMPLETION OF THE FINANCIAL STATEMENTS FOR REGULAR BOARD REVIEW AND THE PERFORMANCE OF THE ANNUAL AUDIT OF ITS FINANCIAL STATEMENTS. THE CEO DIRECTS/DELEGATES THIS FUNCTION TO THE CFO. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| AXIS HEALTH SYSTEM QALICB | |||||||||||
| 150 Mercury Village Dr | DURANGO | CO | 81301 | 921690774 | SUPPORTING ORGANIZATION | CO | 501(c)(3) | Type I | NA | false | |
| UNCOMPAHGRE MENTAL HEALTH SERVICES INC | |||||||||||
| 150 Mercury Village Dr | DURANGO | CO | 81301 | 840850552 | HOLDS REAL ESTATE | CO | 501(c)(2) | AXIS HEALTH SYSTEM | Yes (true) | ||
| COLORADO BEHAVIORAL HEALTHCARE SYSTEM INC | |||||||||||
| 303 E 17TH AVENUE | COLORADO SPRINGS | CO | 80203 | 841257714 | SUPPORT MENTAL HEALTH ORGANIZATIONS | CO | 501(c)(3) | Type I | NA | false | SUITE 910 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| AXIS HEALTH SYSTEM QALICB INC | ||
| K | $520,568 | BOOK VALUE |
| AXIS HEALTH SYSTEM QALICB INC | ||
| E | $138,219 | BOOK VALUE |
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