2023-04-11T09:13:59-05:00 2022-05-31 410746749 CLIFTONLARSONALLEN LLP 8390 EAST CRESCENT PARKWAY SUITE 300 GREENWOOD VILLAGE CO 80111 990 2021-06-01 840613540 SALUD FAMILY HEALTH SALU 3032895147 203 SOUTH ROLLIE AVENUE FORT LUPTON CO 80621 DAVID MADSEN CHIEF FINANCIAL OFFICER 3032895147 2023-04-07 1 DAVID MADSEN XXX-XX-XXXX BECKY DETTMANN CPA P01408585 3037795710 2023-04-07 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z JOHN SANTISTEVAN 203 SOUTH ROLLIE AVENUE FORT LUPTON CO 80621 104985059 0 X WWW.SALUDCLINIC.ORG X 1971 CO COMMUNITY HEALTH SERVICES. 11 11 843 11 0 0 27274017 31925385 60362791 73011214 15672 6650 40659 41810 87693139 104985059 10794000 10217000 0 0 50592888 54352980 0 0 70969 31925181 34910844 93312069 99480824 -5618930 5504235 81638412 84737500 21837985 19432838 59800427 65304662 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. [CONTINUED ON SCHEDULE O]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 74301477 10217000 73011214 PROVIDE HEALTH CARE SERVICES TO MEDICAID, MEDICARE, CHP+ AND OTHER PATIENTS IN RURAL COMMUNITIES. SALUD HAD 268,630 VISITS IN THE FISCAL YEAR ENDED 5/31/2022. 74301477 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 20 0 1 843 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X MARYEL BARRON 3032895147 203 SOUTH ROLLIE AVENUE FORT LUPTON CO 80621 JESUS TIJERINA CHAIR 1.00 X X 0 0 0 COLLEEN LAEGER VICE 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 CYNTHIA DENARDO DIRECTOR 1.00 X 0 0 0 JOYLYNN GALLEGOS DIRECTOR 1.00 X 0 0 0 ARACELI NIELSEN 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 JOHN SANTISTEVAN CEO 40.00 X 356459 0 31488 DAVID MADSEN CFO 40.00 X 135739 0 35902 ETHAN KERNS CHIEF DENTAL OFFICER 40.00 X 173353 0 25583 KANDANCE BUCKLAND COO (THRU 03-22) 40.00 X 167079 0 17747 TILLMAN FARLEY CHIEF MEDICAL OFFICER 40.00 X 341900 0 0 LAURA SCHWARTZ COO (AS OF 03-22) 40.00 X 92670 0 24753 HANS ELZINGA PHYSICIAN 40.00 X 238068 0 38195 ALINE HANSEN-GUZMAN PHYSICIAN 40.00 X 238348 0 31766 MICHAEL ALLEN PHYSICIAN 40.00 X 214674 0 26732 MAUREEN FLEMING PHYSICIAN 40.00 X 205583 0 17454 PRADEEP DHAR PHYSICIAN 40.00 X 224537 0 28586 2388410 0 278206 90 0 1 0 THE MEDCOR GROUP 725 TOWN AND COUNTRY RD SUITE 300 ORANGE CA 92868 OUTSOURCED BILLING 1618846 ECLINICAL WORKS LLC PO BOX 847950 BOSTON MA 02284 E.H.R. SUPPORT 952749 SIRIUS COMPUTER SOLUTIONS PO BOX 202289 DALLAS TX 75320 IT SYSTEMS SUPPORT 914875 UNIVERSITY PHYSICIANS INC PO BOX 110247 AURORA CO 80042 CONTRACT DOCTORS 806109 TOP NOTCH CLEANING SERVICES 2824 EAGLE CIRCLE ERIE CO 80516 CLEANING SERVICES 509640 46 31366654 558731 2499507 31925385 PATIENT FEES 621400 60507459 60507459 PHARMACY REVENUE 621400 12787444 12787444 GAIN ON JOINT VENTURES 523000 -283689 -283689 73011214 6650 6650 41810 0 41810 41810 41810 104985059 73011214 0 48460 10217000 10217000 1480740 1480740 41425355 37609856 3765820 49679 1862188 1703716 154955 3517 6332410 5711769 608849 11792 3252287 2897056 349250 5981 434311 434311 110377 110377 9359384 3492482 5866902 151315 45847 105468 897910 897910 571933 571933 1334539 1334539 102653 64696 37957 362728 218402 144326 389877 389877 2821419 3313 2818106 693993 155764 538229 MEDICAL SUPPLIES 13407282 10907775 2499507 REPAIRS & MAINTENANCE 2448303 725163 1723140 DUES & SUBSCRIPTIONS 1004094 358982 645112 EQUIPMENT 434243 189656 244587 386483 386483 99480824 74301477 25108378 70969 10661550 15600439 8487439 8620088 7469886 7534009 1825000 1689489 164500 534741 86337219 37388180 50276195 48949039 2566383 1809695 187459 0 81638412 84737500 8681376 7540534 300000 20000 12856609 11872304 21837985 19432838 X 59661612 65304662 138815 0 59800427 65304662 81638412 84737500 5504235 0 X X 0 1 X 1 1 1 X 16758173 17309053 20868426 27274017 31925385 114135054 16758173 17309053 20868426 27274017 31925385 114135054 114135054 138595 101952 116026 56331 48460 461364 100000 18907 118907 114715325 332929462 0.99490 0.99410 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 100,000. 2019 AMOUNT: $ 18,907. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12624963 12624963 72868674 37388180 35480494 843582 843582 48949039 X 95706975 938916 938916 94768059 10217000 10217000 104985059 90202740 938916 938916 89263824 10217000 10217000 99480824 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 4B - OTHER ADJUSTMENTS: CHARITY CARE PROVIDED 10,217,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHARITY CARE PROVIDED 10,217,000. 0 CHAIRTY CARE TO UNINSURED PATIENTS 13053 10217000 N/A N/A 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 JOHN SANTISTEVAN CEO 355167 0 352 0 940 0 17996 0 13492 0 387947 0 0 0 TILLMAN FARLEY CHIEF MEDICAL OFFICER 341900 0 0 0 0 0 0 0 0 0 341900 0 0 0 HANS ELZINGA PHYSICIAN 235999 0 0 0 2069 0 13467 0 24728 0 276263 0 0 0 ALINE HANSEN-GUZMAN PHYSICIAN 231324 0 0 0 7024 0 13241 0 18525 0 270114 0 0 0 PRADEEP DHAR PHYSICIAN 219333 0 0 0 5204 0 12281 0 16305 0 253123 0 0 0 MICHAEL ALLEN PHYSICIAN 209673 0 0 0 5001 0 11805 0 14927 0 241406 0 0 0 MAUREEN FLEMING PHYSICIAN 204821 0 0 0 762 0 10737 0 6717 0 223037 0 0 0 ETHAN KERNS CHIEF DENTAL OFFICER 172396 0 0 0 957 0 9852 0 15731 0 198936 0 0 0 KANDANCE BUCKLAND COO (THRU 03-22) 166160 0 0 0 919 0 9171 0 8576 0 184826 0 0 0 DAVID MADSEN CFO 134920 0 0 0 819 0 7207 0 28695 0 171641 0 0 0 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 2020-04-24 12491750 REFUND SERIES 2010 BONDS 0 0 0 A 1359933 12491750 158488 1178078 11034821 120363 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 2 2499507 MARKET VALUE 0 0 0 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTORS WAS USED IN PART I. FORM 990, PART VI, SECTION A, LINE 1A 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 B, LINE 11B THE FORM 990 WAS PREPARED BY THE ORGANIZATIONS INDEPENDENT CPA WITH INFORMATION PROVIDED BY MANAGEMENT. THE 990 IS REVIEWED BY THE ORGANIZATION'S BOARD MEMBERS AND SENIOR MANAGEMENT, ANY QUESTIONS OR COMMENTS ARE CLEARED BEFORE THE 990 IS FILED WITH THE IRS. 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 XII, LINE 2C THE PROCESS FOR OVERSIGHT AND SELECTION OF 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 0 2196741 SALUD FAMILY HEALTH