2022-04-13T16:23:09-05:00 2021-05-31 410746749 CLIFTONLARSONALLEN LLP 8390 EAST CRESCENT PARKWAY SUITE 300 GREENWOOD VILLAGE CO 80111 990 2020-06-01 840613540 SALUD FAMILY HEALTH INC SALU 3032895147 203 SOUTH ROLLIE AVENUE FORT LUPTON CO 80621 DAVID MADSEN CHIEF FINANCIAL OFFICER 3032895147 2022-04-11 1 DAVID MADSEN XXX-XX-XXXX SARAH HINTZ P00492291 3037795710 2022-04-11 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z X JOHN SANTISTEVAN 203 SOUTH ROLLIE AVENUE FORT LUPTON CO 80621 87693139 0 X WWW.SALUDCLINIC.ORG X 1971 CO COMMUNITY HEALTH SERVICES 11 11 809 11 0 0 20868426 27274017 67565799 60362791 85184 15672 49749 40659 88569158 87693139 12848000 10794000 0 0 52375051 50592888 0 0 69139 33360240 31925181 98583291 93312069 -10014133 -5618930 77267243 81638412 22641886 21837985 54625357 59800427 X SALUD IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), OPERATING 13 CLINIC LOCATIONS, 11 SCHOOL SITES AND A MOBILE UNIT. WE PROVIDE MEDICAL, DENTAL, PHARMACY AND BEHAVIORAL HEALTH CARE SERVICES TO KEEP YOU AND YOUR FAMILY HEALTHY.WE FOCUS ON LOW-INCOME, MEDICALLY UNDERSERVED POPULATIONS AS WELL AS THE MIGRANT AND SEASONAL FARMWORKER POPULATION. SALUD ACCEPTS MEDICAID, MEDICARE, CHP+, AND MOST PRIVATE INSURANCE PLANS. WE OFFER A SLIDING FEE SCALE BASED ON FAMILY SIZE AND INCOME. INSURANCE ENROLLMENT ASSISTANCE IS AVAILABLE.SALUD REMAINS COMMITTED TO PROVIDING CARE TO ALL COMMUNITY MEMBERS REGARDLESS OF FINANCES, INSURANCE COVERAGE, OR ABILITY TO PAY. 0 0 79394197 10794000 60362791 PROVIDE HEALTH CARE SERVICES TO MEDICAID, MEDICARE, CHP+ AND OTHER PATIENTS IN RURAL COMMUNITIES. SALUD HAD 305,959 VISITS IN THE FISCAL YEAR ENDED 5/31/2021. IN FISCAL YEAR 2021, SALUD COMMITTED SIGNIFICANT RESOURCES IN VACCINATING INDIVIDUALS FOR COVID IN EACH OF THE COMMUNITIES WE SERVE. 79394197 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 16 0 1 809 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X DAVID MADSEN 3038926401 203 SOUTH ROLLIE AVENUE FORT LUPTON CO 80621 COLLEEN LAEGER VICE CHAIR 1.00 X X 0 0 0 JESUS TIJERINA CHAIR 1.00 X X 0 0 0 MICHAEL MARTINEZ SECRETARY 1.00 X X 0 0 0 LINDA HUGHES TREASURER 1.00 X X 0 0 0 JOYLYNN GALLEGOS DIRECTOR 1.00 X 0 0 0 ARACELI NIELSON DIRECTOR 1.00 X 0 0 0 ALDO PARRA DIRECTOR 1.00 X 0 0 0 CHANTAL ROBAR DIRECTOR 1.00 X 0 0 0 JODI TRAYLER DIRECTOR 1.00 X 0 0 0 VICTORIA VENGLEY DIRECTOR 1.00 X 0 0 0 CYNTHIA DENARDO DIRECTOR 1.00 X 0 0 0 TILLMAN FARLEY CHIEF MEDICAL OFFICER 40.00 X 338000 0 0 JOHN SANTISTEVAN PRESIDENT & CEO 40.00 X 303790 0 28855 ETHAN KERNS CHIEF DENTAL OFFICER 40.00 X 158416 0 27199 KANDACE BUCKLAND CHIEF OPERATING OFFICER 40.00 X 161284 0 17359 DAVID MADSEN CFO 40.00 X 128595 0 35845 DR HANS ELZINGA PHYSICIAN 40.00 X 214675 0 36999 DR ALINE HANSEN-GUZMAN PHYSICIAN 40.00 X 223574 0 31463 DR MAUREEN FLEMING PHYSICIAN 30.00 X 224547 0 20665 DR MICHAEL ALLEN PHYSICIAN 40.00 X 211774 0 33968 DR LANDREY FAGAN PHYSICIAN 40.00 X 225605 0 27189 2190260 0 259542 88 0 1 0 THE MEDCOR GROUP 725 TOWN AND COUNTRY RD SUITE 300 ORANGE CA 92868 OUTSOURCED BILLING 1318692 UNIVERSITY PHYSICIANS INC PO BOX 110247 AURORA CO 80042 CONTRACT DOCTORS 885013 SIRIUS COMPUTER SOLUTIONS 6300 S SYRACUSE WAY 725 CENTENNIAL CO 80111 IT SYSTEMS SUPPORT 774887 ECLINICAL WORKS PO BOX 847950 BOSTON MA 02284 E.H.R. SUPPORT 628557 TOP NOTCH CLEANING SERVICES 2824 EAGLE CIRCLE ERIE CO 80516 CLEANING SERVICES 469860 5 25801941 1472076 3563638 27274017 PATIENT FEES 621400 48204385 48204385 PHARMACY REVENUE 621400 11266816 11266816 GAIN ON JOINT VENTURES 621400 891590 891590 60362791 15672 15672 40659 0 40659 40659 40659 87693139 60362791 0 56331 10794000 10794000 1241754 1241754 38929415 34930153 3965698 33564 1267100 1164985 101206 909 6326686 5688724 633524 4438 2827933 2519886 306081 1966 471220 471220 104701 104701 8363331 5182437 3180894 94567 8538 86029 839493 126783 684448 28262 397605 318320 79285 1158818 910254 248564 86333 42464 43869 219558 107850 111708 420572 62564 358008 2867264 2276113 591151 434177 409751 24426 MEDICAL SUPPLIES 12559679 12559679 REPAIRS & MAINTENANCE 2203951 1480520 723431 DUES & SUBSCRIPTIONS 719328 348508 370820 EQUIPMENT 417737 177064 240673 566847 285604 281243 93312069 79394197 13848733 69139 10314216 10661550 7173344 8487439 3502546 7469886 1816838 1825000 83381 164500 84842957 34566762 52702125 50276195 1674793 2566383 0 187459 77267243 81638412 7183891 8681376 1647666 300000 13810329 12856609 22641886 21837985 X 54625357 59661612 0 138815 54625357 59800427 77267243 81638412 X -5618930 10794000 X X 0 1 X 1 0 X 17827183 16758173 17309053 20868426 27274017 100036852 17827183 16758173 17309053 20868426 27274017 100036852 100036852 62364 138595 101952 116026 56331 475268 100000 18907 118907 100631027 319662367 0.99410 0.99310 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 100,000. 2019 AMOUNT: $ 18,907. 2020 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12624963 12624963 71571294 34566762 37004532 646700 646700 50276195 X 88129917 722382 -285604 436778 87693139 0 87693139 82954847 722382 722382 82232465 11079604 11079604 93312069 PART X, LINE 2: THE CORPORATION 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 CORPORATION IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE CORPORATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. THE CORPORATION 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 CORPORATION'S CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION 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: BAD DEBT EXPENSE -285,604. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHARITY CARE PROVIDED 10,794,000. BAD DEBT 285,604. 0 CHARITY CARE 25283 10794000 FMV CHARITY CARE TO UNINSURED PATIENTS PART I, LINE 2: THE CORPORATION HAS A POLICY OF PROVIDING CHARITY CARE TO UNINSURED PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS POLICY AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, OR WITHOUT CHARGE. HOWEVER, ALL PATIENTS ARE REQUESTED TO PAY A MINIMUM FEE FOR EACH VISIT, ALTHOUGH NO PATIENT IS DENIED SERVICES BECAUSE OF INABILITY TO PAY. AS THE CHARITY CARE GRANTS ARE IN THE FORM OF A SLIDING FEE OR NO FEE SERVICE, NO ADDTIONAL MONITORING AFTER THE CHARITY CARE IS GRANTED IS DEEMED NECESSARY. X X X X X 0 0 0 0 0 0 0 0 0 TILLMAN FARLEY CHIEF MEDICAL OFFICER 338000 0 0 0 0 0 0 0 0 0 338000 0 0 0 JOHN SANTISTEVAN PRESIDENT & CEO 302930 0 0 0 860 0 15363 0 13492 0 332645 0 0 0 DR ALINE HANSEN-GUZMAN PHYSICIAN 222714 0 0 0 860 0 12532 0 18931 0 255037 0 0 0 DR LANDREY FAGAN PHYSICIAN 224751 0 0 0 854 0 11800 0 15389 0 252794 0 0 0 DR HANS ELZINGA PHYSICIAN 210622 0 0 0 4053 0 12223 0 24776 0 251674 0 0 0 DR MICHAEL ALLEN PHYSICIAN 210914 0 0 0 860 0 12010 0 21958 0 245742 0 0 0 DR MAUREEN FLEMING PHYSICIAN 223687 0 0 0 860 0 12203 0 8462 0 245212 0 0 0 ETHAN KERNS CHIEF DENTAL OFFICER 157599 0 0 0 817 0 9156 0 18043 0 185615 0 0 0 KANDACE BUCKLAND CHIEF OPERATING OFFICER 160495 0 0 0 789 0 8617 0 8742 0 178643 0 0 0 DAVID MADSEN CFO 127897 0 0 0 698 0 6859 0 28986 0 164440 0 0 0 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 2020-04-24 12491750 REFUND SERIES 2010 BONDS 0 0 0 A 103789 12491750 158488 11833262 500000 2020 1 0 0 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 X 1 3563638 MARKET VALUE 0 0 0 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF THE CURRENT OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE IS AUTHORIZED TO FUNCTION ON BEHALF OF THE BOARD BETWEEN BOARD MEETINGS. ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE IN THE INTERIM ARE RATIFIED BY THE BOARD AT ITS SUBSEQUENT MEETING. THE EXECUTIVE COMMITTEE ALSO PERFORMS THE PLANNING AND EVALUATION FUNCTION FOR THE BOARD. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION FORMALLY CHANGED ITS NAME TO SALUD FAMILY HEALTH, INC. FORM 990, PART VI, SECTION B, LINE 11B BEFORE FILING THE 990, SALUD'S INDEPENDENT ACCOUNTING FIRM WHO HELPS PREPARE THE FORM 990 REVIEWS IS WITH THE BOARD OF DIRECTORS AND SENIOR MANAGEMENT AND ANSWERS ANY QUESTIONS THAT THEY MAY HAVE. FORM 990, PART VI, SECTION B, LINE 12C SALUD DOES HAVE A FORMAL COMPLIANCE POLICY ADMINISTERED BY THE SALUD COMPLIANCE COMMITTEE. THE COMPLIANCE PROGRAM IS PRESENTED TO ALL NEW STAFF MEMBERS DURING NEW EMPLOYEE ORIENTATION. IN ADDITION, EMPLOYEES ARE REQUIRED TO COMPLETE ANNUAL MANDATORY COMPLIANCE TRAINING. SALUD'S COMPLIANCE PROGRAM DETAILS THE VARIOUS METHODS EMPLOYEES CAN USE TO REPORT AN ISSUE THEY CONSIDER TO BE NON-COMPLIANT. ANY REPORTED INSTANCES ARE REVIEWED AND APPROPRIATE ACTION TAKEN BY THE COMPLIANCE COMMITTEE. IN ADDITION, AN ANNUAL COMPLIANCE REPORT IS PREPARED AND PRESENTED TO SALUD'S BOARD OF DIRECTORS. SALUD BOARD MEMBERS ARE BOUND BY THE CODE OF ETHICS ADOPTED BY THE BOARD IN REGARD TO CONFLICTS OF INTEREST OR THE APPEARANCE THEREOF. ON A YEARLY BASIS, EACH BOARD MEMBER SIGNS A NEW CONFLICT OF INTEREST STATEMENT. IF A BOARD MEMBER HAS A POTENTIAL CONFLICT, THEY INFORM THE CEO AND BOARD CHAIR. IF IT IS UNCLEAR WHETHER A CONFLICT EXISTS, THE BOARD CHAIR MAKES THE DETERMINATION. IF A BOARD MEMBER IS DEEMED TO HAVE A CONFLICT, THE SITUATION IS MONITORED BY THE BOARD CHAIR. FORM 990, PART VI, SECTION B, LINE 15A SALUD'S COMPENSATION FOR THE CEO IS DETERMINED AS FOLLOWS: ON AN ANNUAL BASIS, THE DIRECTOR OF HUMAN RESOURCES WILL OBTAIN WAGE INFORMATION FROM SEVERAL RELEVANT SOURCES WITHIN THE HEALTH INDUSTRY. THE CEO'S WAGE INFORMATION IS PRESENTED TO SALUD'S COMPENSATION COMMITTEE THAT CONSISTS OF FOUR INDEPENDENT DIRECTORS WHO THEN DELIBERATE AND APPROVE THE CEO'S SALARY. SALUD'S COMPENSATION FOR THE OTHER KEY EMPLOYEES IS DETERMINED AS FOLLOWS: ON AN ANNUAL BASIS, THE DIRECTOR OF HUMAN RESOURCES WILL OBTAIN WAGE INFORMATION FROM SEVERAL RELEVANT SOURCES WITHIN THE HEALTH INDUSTRY. THE WAGE LEVELS ARE THEN COMPARED TO THE WAGES BEING PAID TO ASSURE THEY ARE WITHIN RELATIVE COMPARABLE RANGE. THE CEO OF SALUD REVIEWS ALL OTHER TOP MANAGEMENT WAGE COMPARISONS. COMPENSATION WAS LAST REVIEWED AND ADJUSTED ON 5/31/21. FORM 990, PART VI, SECTION C, LINE 19 SALUD'S WEBSITE PROVIDES THE CONTACT INFORMATION WHERE THE PUBLIC MAY REQUEST COPIES OF SALUD'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, WHICH ARE THEN PROVIDED UPON REQUEST. FORM 990, PART XI, LINE 9: CHARITY CARE PROVIDED 10,794,000. FORM 990, PART XII, LINE 2C THE PROCESS FOR OVERSEEING AND SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. SALUD HEALTH CENTER LLC 1830 LAPORTE AVENUE FORT COLLINS CO 80521 474476465 LAND AND WAREHOUSES CO 450 2283269 PLAN DE SALUD DEL VALLE INC