2026-03-26T12:10:04-05:00 2025-01-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2024-02-01 840743432 CLINICA CAMPESINA FAMILY HEALTH SERVICES CLIN 3036504460 1735 SOUTH PUBLIC ROAD LAFAYETTE CO 80026 BRIAN J JOHNSTON CHIEF FINANCIAL OFFICER 3036504460 2026-03-26 1 1 STEPHANIE MCCARTHY P01805699 3149254300 2026-03-18 2024 2025-03-06 01:10:19Z CLINICA FAMILY HEALTH SIMON G SMITH 1735 SOUTH PUBLIC ROAD LAFAYETTE CO 80026 157128760 0 X WWW.CLINICA.ORG X 1977 CO PROVIDE HIGH-QUALITY, CULTURALLY APPROPRIATE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE. 15 15 1137 16 0 0 22088602 105817934 45443387 48383233 282514 346952 625032 247583 68439535 154795702 7404 42374909 0 0 54479911 57907113 0 0 435914 21661748 24247266 76149063 124529288 -7709528 30266414 48425519 99358231 19163574 29426243 29261945 69931988 X CLINICA'S MISSION IS TO BE THE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE PROVIDER OF CHOICE FOR LOW INCOME AND OTHER UNDERSERVED PEOPLE IN IN SOUTH BOULDER, BROOMFIELD, GILPIN, AND WEST ADAMS COUNTIES. (CONTINUED ON SCHEDULE O)OUR CARE SHALL BE CULTURALLY APPROPRIATE AND PREVENTION FOCUSED.OUR VISION FOR THE FUTURE IS THAT EVERY LOW INCOME AND OTHER UNDERSERVED PERSON IN SOUTH BOULDER, BROOMFIELD, GILPIN, AND WEST ADAMS COUNTIES WILL HAVE ACCESS TO HIGH QUALITY, PREVENTATIVE MEDICAL AND DENTAL CARE WHICH IS INTEGRATED WITH BEHAVIORAL HEALTH CARE. 0 0 104005443 42374909 48383233 FOR CALENDAR YEAR 2024, CLINICA FAMILY HEALTH & WELLNESS PROVIDED CARE TO OVER 64,000 PATIENTS IN THE FOLLOWING SERVICE CATEGORIES: 180,327 MEDICAL VISITS, 157,848 MENTAL HEALTH VISITS, 38,533 DENTAL VISITS, 30,641 CASE MANAGEMENT VISITS, 11,483 SUBSTANCE USE DISORDER VISITS, AND 2,609 REGISTERED DIETICIAN VISITS. 104005443 1 1 0 1 0 0 0 0 1 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 97 0 1 1137 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X BRIAN JOHNSTON 3036504460 1735 S PUBLIC ROAD LAFAYETTE CO 80026 ELLA PADILLA CHAIR 1.00 0.00 X X 0 0 0 JEFF ZAYACH VICE CHAIR 1.00 0.00 X X 0 0 0 MATTHEW ANTUSH TREASURER 1.00 0.00 X X 0 0 0 HEATHER ELKINS SECRETARY 1.00 0.10 X X 0 0 0 ELLEN BURNES IMMEDIATE PAST CHAIR 1.00 0.00 X X 0 0 0 INEZ BUGGS DIRECTOR 0.50 0.00 X 0 0 0 MICHAEL CALCOTE DIRECTOR 0.50 0.00 X 0 0 0 LIZANDRO GONZALEZ DIRECTOR 0.50 0.00 X 0 0 0 W DOUGLAS JONES DIRECTOR 0.50 0.00 X 0 0 0 CAROLINA FLORES MANROSS DIRECTOR 0.50 0.00 X 0 0 0 CHERLYN MARRIOTT DIRECTOR 0.50 0.00 X 0 0 0 MAYRA MARTINEZ DIRECTOR 0.50 0.00 X 0 0 0 HEIDY ORDONEZ DIRECTOR 0.50 0.00 X 0 0 0 POLLY SWARTZFAGER DIRECTOR 0.50 0.00 X 0 0 0 DALE VARNER DIRECTOR 0.50 0.00 X 0 0 0 SIMON SMITH PRESIDENT & CEO 39.00 1.00 X 261086 0 20010 BRIAN JOHNSTON CHIEF FINANCIAL OFFICER 39.00 1.00 X 141590 0 31592 KAREN FUNK - CHIEF MEDICAL OFFICER (THROUGH DECEMBER 2024) 40.00 0.00 X 308484 0 25899 AN NGUYEN CHIEF DENTAL OFFICER 40.00 0.00 X 235007 0 13784 LISA WINKLER CHIEF MEDICAL OFFICER 40.00 0.00 X 267322 0 25226 PHILIP KEPPELER PHYSICIAN 36.00 0.00 X 309212 0 33471 CARLIE FIELD PHYSICIAN 33.00 0.00 X 263226 0 2683 BREANNA TOMLIN PHYSICIAN 32.00 0.00 X 263056 0 14044 ANGELA FRYER PHYSICIAN (THROUGH NOVEMBER 2024) 40.00 0.00 X 249872 0 25983 ERIN INGLIS PHYSICIAN 32.00 0.00 X 243844 0 27663 2542699 0 220355 82 0 1 0 STREAMLINE HEALTHCARE SOLUTIONS LLC 1301 W 22ND ST OAK BROOK IL 60523 ELECTRONIC HEALTH RECORD 257991 RELIAS LEARNING LLC 1010 SYNC ST MORRISVILLE NC 27560 LEARNING MANAGEMENT SYSTEM 167084 LUMA HEALTH INC 101 MONTGOMERY ST SAN FRANSISCO CA 94104 TELEMEDICINE PLATFORM 158673 FOLEY & LARDNER LLP 777 E WISCONSIN AVE MILWAUKEE WI 53202 LEGAL SERVICES 134535 HSS SECURITY LLC 990 S BROADWAY ST STE 420 DENVER CO 80209 SECURITY 114119 5 27259480 15867465 62690989 2655300 105817934 PATIENT SERVICE REV. 621498 26032561 26032561 CAPITATION REV. 621498 18439711 18439711 PHARMACY REVENUE 456110 3910961 3910961 48383233 337036 337036 14831 0 14831 14831 14831 2184624 158350 2185328 147730 -704 10620 9916 9916 OTHER REVENUE 900099 232752 232752 232752 154795702 48383233 0 594535 42370106 42370106 4803 4803 1281873 170052 1111821 47173593 39599276 7312959 261358 508243 425145 80295 2803 5275900 4376202 870890 28808 3667504 3013723 633972 19809 352060 109871 238690 3499 158625 49504 107545 1576 11484 11484 20411 7560 12665 186 2675832 1378042 1282678 15112 203100 63354 137731 2015 1979054 949278 1013156 16620 3499017 1377554 2112433 9030 4102458 1249160 2824694 28604 113751 35498 77120 1133 14559 4544 9871 144 616897 258231 357963 703 1534306 728958 804401 947 466502 144255 318131 4116 MEDICAL SUPPLIES 7429726 7337383 65716 26627 EDUCATION 376476 124121 248656 3699 EQUIP RENTAL & REPAIRS 273052 87297 183956 1799 DUES & SUBSCRIPTIONS 192038 59907 130224 1907 227918 70135 152364 5419 124529288 104005443 20087931 435914 2091795 4229159 250937 865830 2943144 4929976 8768450 10232970 12469400 40968 53561 565377 2179539 84748904 22581584 15951763 62167320 10038582 273994 5343685 4387300 48425519 99358231 6295867 9630386 31900 1031076 4732275 218354 6326409 9597551 6509398 4216601 19163574 29426243 X 28669267 69054388 592678 877600 29261945 69931988 48425519 99358231 X 30266414 13027 10390602 X X 0 1 X 1 1 1 X 21921691 35190999 25237490 22088602 105817934 210256716 21921691 35190999 25237490 22088602 105817934 210256716 210256716 172410 187038 183076 283394 351867 1177785 630436 1463270 747975 625032 232752 3699465 215133966 210284375 0.97730 0.96180 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 630,436. 2021 AMOUNT: $ 1,463,270. 2022 AMOUNT: $ 747,975. 2023 AMOUNT: $ 625,032. 2024 AMOUNT: $ 232,752. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 11484 11484 111495619 111507103 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 9423 12641 11491 11484 45039 250000 250000 250000 250000 1000000 1500000 0 1 X 16325186 16325186 56547558 14150544 42397014 10162463 8431040 1731423 1713697 1713697 62167320 MONEY MARKET 8410309 C U.S. TREASURIES 891611 C CORPORATE BONDS 70740 C INTEREST IN NET ASSETS OF COMMUNITY FIRST FOUNDATION 665922 C 10038582 OPERATING LEASE LIABILITY 4216601 4216601 X 126937180 13027 3122827 10918068 14053922 112883258 1730 41910714 41912444 154795702 86352502 3122827 1072223 4195050 82157452 1730 42370106 42371836 124529288 PART IV, LINE 2B: ESCROW AND CUSTODIAL ACCOUNT LIABILITY: CLINICA CAMPESINA ACTS AS A CUSTODIAN BY HOLDING FUNDS ON BEHALF OF THEIR CLIENTS. THE FUNDS ARE RECORDED IN CASH AND AN OFFSETTING LIABILITY ACCOUNT SINCE CLINICA CAMPESINA DOES NOT HAVE OWNERSHIP OF THESE FUNDS. THE BALANCE WAS TRANSFERRED TO CLINICA CAMPESINA FROM MENTAL HEALTH PARTNERS DUE TO MERGER EFFECTIVE OCTOBER 11, 2024. PART X, LINE 2: THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE 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 GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX PROVISIONS. THE APPLICATION OF THIS STANDARD HAS NO EFFECT ON THE ORGANIZATION'S 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: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 15,522. HOLDING COMPANY REVENUE NOT INCLUDED 11,085,420. NET ASSETS RELEASED FROM RESTRICTION 521,126. ELIMINATIONS TO CONSOLIDATE FINANCIAL STATEMENTS -704,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: ASSETS TRANSFERRED DUE TO MERGER OF RELATED ORG. 27,259,480. CONTRIBUTIONS WITH DONOR RESTRICTIONS 87,308. MHP NET ASSETS WITH RESTRICTIONS 718,740. CAPITAL CONTRIBUTIONS 1,258,915. MENTAL HEALTH PARTNERS MERGER ADJUSTMENT AMOUNT 12,586,271. PART XII, LINE 2D - OTHER ADJUSTMENTS: HOLDING COMPANY EXPENSES NOT INCLUDED 1,072,223. PART XII, LINE 4B - OTHER ADJUSTMENTS: DEBT FORGIVENESS DUE TO MERGER OF RELATED ORG. 29,783,835. MENTAL HEALTH PARTNERS MERGER ADJUSTMENT AMOUNT 12,586,271. 0 CLINICA HOLDING COMPANY 1735 SOUTH PUBLIC ROAD LAFAYETTE CO 80026 823052286 501(C)(3) 29783835 0 N/A N/A CONTRIBUTION OF ASSETS DUE TO MERGER MENTAL HEALTH CENTER OF BOULDER COUNTY 1455 DIXON AVE LAFAYETTE CO 80026 840520493 501(C)(3) 12586271 0 N/A N/A CONTRIBUTION OF ASSETS DUE TO ACQUISTION 1 0 X X X X X 0 0 0 0 0 0 0 0 0 PHILIP KEPPELER PHYSICIAN 309212 0 0 0 0 0 2794 0 30677 0 342683 0 0 0 KAREN FUNK - CHIEF MEDICAL OFFICER (THROUGH DECEMBER 2024) 308484 0 0 0 0 0 2624 0 23275 0 334383 0 0 0 LISA WINKLER CHIEF MEDICAL OFFICER 267322 0 0 0 0 0 2373 0 22853 0 292548 0 0 0 SIMON SMITH PRESIDENT & CEO 261086 0 0 0 0 0 2374 0 17636 0 281096 0 0 0 BREANNA TOMLIN PHYSICIAN 263056 0 0 0 0 0 2291 0 11753 0 277100 0 0 0 ANGELA FRYER PHYSICIAN (THROUGH NOVEMBER 2024) 249872 0 0 0 0 0 2351 0 23632 0 275855 0 0 0 ERIN INGLIS PHYSICIAN 243844 0 0 0 0 0 2201 0 25462 0 271507 0 0 0 CARLIE FIELD PHYSICIAN 263226 0 0 0 0 0 2198 0 485 0 265909 0 0 0 AN NGUYEN CHIEF DENTAL OFFICER 235007 0 0 0 0 0 2128 0 11656 0 248791 0 0 0 BRIAN JOHNSTON CHIEF FINANCIAL OFFICER 141590 0 0 0 0 0 1365 0 30227 0 173182 0 0 0 A COLORADO HEALTH FACILITIES AUTHORITY 840752932 2021-05-28 10915000 REFUND PRIOR EXEMPT DEBT 0 0 0 A 2046865 10915000 196099 949 10717952 2021 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 1 A 1 X 1 31927 FAIR MARKET VALUE X 72 2655300 FAIR MARKET VALUE X MERGER ASSETS 1 66036699 BOOK 0 0 1 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTORS IS REPORTED IN PART I. FORM 990, PART VI, SECTION A, LINE 1A THE GOVERNING BOARD OF DIRECTORS SHALL HAVE THE POWER TO DESIGNATE AND APPOINT ONE OR MORE COMMITTEES, EACH OF WHICH SHALL CONSIST OF TWO OR MORE DIRECTORS, WHICH COMMITTEES SHALL HAVE SUCH AUTHORITY AS DELEGATED BY THE BOARD, EXCEPT THAT NO SUCH COMMITTEE SHALL HAVE THE AUTHORITY TO AMEND, ALTER OR REPEAL THE BYLAWS; ELECT, APPOINT OR REMOVE ANY OFFICER OR DIRECTOR OF THE CORPORATION; AMEND THE ARTICLES OF INCORPORATION; RESTATE THE ARTICLES OF INCORPORATION; ADOPT A PLAN OF MERGER OR ADOPT A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION; AUTHORIZE THE SALE, LEASE, EXCHANGE, OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION; AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKE PROCEEDINGS THEREFOR; ADOPT A PLAN FOR THE DISTRIBUTION OF ASSETS OF THE CORPORATION; AND/OR AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD OF DIRECTORS WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED, OR REPEALED BY SUCH COMMITTEE. THE EXECUTIVE COMMITTEE IS ELECTED AT THE BIENNIAL MEETING BY THE BOARD OF DIRECTORS AND INCLUDES THE CHAIR, VICE-CHAIR, IMMEDIATE PAST-CHAIR, TREASURER, AND SECRETARY. THIS COMMITTEE IS RESPONSIBLE FOR CONDUCTING THE MONTHLY MEETINGS OF THE BOARD OF DIRECTORS AND SHOULD BE AVAILABLE TO CONSULT WITH THE CEO OR EXECUTIVE STAFF AS NEEDED AND TO EXECUTE CONTRACTS AND AGREEMENTS AS NEEDED. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR REVIEW OF OPERATIONAL, PROGRAMMATIC, AND FINANCIAL MATTERS, ISSUES THAT NEED PRELIMINARY DISCUSSION BEFORE CONSIDERATION BY THE BOARD OF DIRECTORS, ROUTINE MATTERS NOT REQUIRING FULL BOARD OF DIRECTORS DISPOSITION, AND TO ADDRESS SPECIFIC QUESTIONS REFERRED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE IMPLEMENTS A PROCESS FOR ASSESSING THE PERFORMANCE OF THE CEO. THE EXECUTIVE COMMITTEE SHALL CONVENE AND MEET REGULARLY OR UPON THE CALL OF THE CHAIR OR A MAJORITY OF THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY THE ORGANIZATIONS INDEPENDENT CPA WITH INFORMATION PROVIDED BY MANAGEMENT. MANAGEMENT PROVIDES THE FORM 990 AND 990 EDUCATIONAL MATERIALS VIA EMAIL TO ALL DIRECTORS PRIOR TO FILING FORM 990. THE FINANCE COMMITTEE REVIEWS THE FORM 990 AT THE COMMITTEE MEETING NEAREST THE FILING DATE - EITHER BEFORE OR AFTER. THIS REVIEW INCLUDE OPPORTUNITIES FOR DIRECTORS TO ASK QUESTIONS OF MANAGEMENT REGARDING THE FORM 990 AND ITS CONTENTS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS, VOTING COMMITTEE MEMBERS, AND OFFICERS. EACH INDIVIDUAL IS REQUIRED TO DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST AND IS GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS. AFTER SUCH DISCLOSURE, THE INDIVIDUAL DOES NOT PARTICIPATE IN THE REMAINDER OF THE PROCESS, INCLUDING DISCUSSIONS AND VOTES. IF IT IS UNCLEAR WHETHER A CONFLICT EXISTS, THE REMAINING BOARD OR COMMITTEE MEMBERS MAKE THE DETERMINATION. THE CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE TRANSACTION. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT IDENTIFIED, THE BOARD OR COMMITTEE VOTES ON WHETHER TO ENTER THE TRANSACTION. IF THE BOARD OR A COMMITEE BELIEVES A PERSON HAS FAILED TO DISCLOSE A CONFLICT, THE INDIVIDUAL IS GIVEN AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE. IF THE BOARD OR COMMITTEE DETERMINES THAT A FAILURE HAS OCCURRED, APPROPRIATE DISCIPLINARY ACTION IS TAKEN. DELIBERATIONS AND DECISIONS MADE ARE DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS' COMPENSATION COMMITTEE DETERMINES THE COMPENSATION OF THE CEO USING AN ANALYSIS OF MARKET SALARIES COMPILED BY THE CHIEF HR OFFICER, USING INFORMATION AVAILABLE FROM THE EMPLOYERS COUNCIL, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, COMMUNITY HEALTH ASSOCIATION OF MOUNTAIN/PLAINS STATES, AND THE COLORADO COMMUNITY HEALTH NETWORK. THE DISCUSSION/DELIBERATION IS DOCUMENTED IN THE BOARD'S COMPENSATION COMMITTEE NOTES AND NOTED IN THE BOARD'S MEETING MINUTES. A PAYROLL NOTE DOCUMENTS THE FINAL DECISION AND IS APPROVED BY THE MEMBERS OF THE BOARD'S COMPENSATION COMMITTEE. THE COMPENSATION OF OTHER OFFICERS IS EVALUATED USING AN ANALYSIS OF MARKET SALARIES COMPILED BY THE CHIEF HR OFFICER, USING INFORMATION AVAILABLE FROM THE EMPLOYERS COUNCIL, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, COMMUNITY HEALTH ASSOCIATION OF MOUNTAIN/PLAINS STATES AND THE COLORADO COMMUNITY HEALTH NETWORK. THE CEO DETERMINES ANY COMPENSATION ADJUSTMENTS AND THE DECISION IS DOCUMENTED IN A PAYROLL NOTE APPROVED BY THE CEO. IN ADDITION, THE ORGANIZATION PERIODICALLY USES AN EXTERNAL COMPENSATION CONSULTANT TO DETERMINE COMPENSATION OF THE CEO, OFFICERS, KEY EMPLOYEES, AND CERTAIN OTHER EMPLOYEES OF THE ORGANIZATION. THE CONSULTANT REVIEWS THE ORGANIZATION'S STRATEGIC OBJECTIVES, RELEVANT POLICIES AND PROCEDURES AND CURRENT COMPENSATION DOCUMENTATION. THE CONSULTANT USES SURVEYS AND OTHER INFORMATION TO DEVELOP UP-TO-DATE MARKET INFORMATION BASED ON THE DETAILED JOB DESCRIPTIONS PROVIDED BY THE ORGANIZATION. THE CONSULTANT WORKS WITH LEADERSHIP TO DEVELOP BASE COMPENSATION SALARY RANGES INCLUDING COST ANALYSIS FOR PROPOSED PAY ADJUSTMENTS TO THOSE SALARIES FALLING OUTSIDE THE RANGE. THE PROCESSES DESCRIBED HERE WERE LAST COMPLETED IN 2025. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FINANCIAL INFORMATION INCLUDING FORM 990 AS WELL AS OUR ANNUAL AUDIT AND FINANCIAL STATEMENTS ARE ALSO MADE AVAILABLE THROUGH THE GUIDESTAR.ORG WEBSITE. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 15,522. CHANGE IN NET ASSETS FROM CONSOLIDATION 10,375,080. FORM 990 PART XII LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. CFHW COMMUNITY SERVICES LLC 1735 S PUBLIC ROAD LAFAYETTE CO 80026 334386584 FORMED TO PROVIDE HEALTH CARE SERVICES TO RESIDENTS OF THE COMMUNITY CO 0 0 CLINICA CAMPESINA FAMILY HEALTH SERVICES CLINICA HOLDING COMPANY 1735 SOUTH PUBLIC ROAD LAFAYETTE CO 80026 823052286 PROPERTY HOLDING CO 501(C)(3) LINE 12A, I CLINICA CAMPESINA FAMILY HEALTH SERVICES 1 FRONT RANGE HEALTH PARTNERS 9101 HARLAN ST WESTMINSTER CO 80031 201326684 MEDICAID CONTRACT HOLDER CO 501(C)(3) LINE 12A, I N/A 0 FRANK & MARION KREITH CHARITABLE REMAINDER TRUST 1455 DIXON AVE STE 300 LAFAYETTE CO 80026 841333319 CHARITABLE REMAINDER TRUST CO N/A T 443861 1.00000 0 0 1 1 0 1 0 0 0 0 1 1 1 0 1 1 1 1 1 1 CLINICA HOLDING COMPANY J 704000 FAIR MARKET VALUE CLINICA HOLDING COMPANY B 29783835 BOOK VALUE CLINICA HOLDING COMPANY C 27259480 BOOK VALUE FRANK & MARION KREITH CHARITABLE REMAINDER TRUST R 3750 FAIR MARKET VALUE