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Nonprofiteer
← AXIS HEALTH SYSTEM QALICB INC

Form 990 for tax year 2023

Filed by AXIS HEALTH SYSTEM QALICB INC.

This return was superseded by a later amendment. matched by us It is kept because history is preserved rather than replaced.

What the amendment changed

Compared with the latest return for 2023 , filed 7 May 2025. matched by us Only the return's totals, a 990-PF's accounting method and the names listed in Part VII (Part VIII on a 990-PF) are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Total revenue
$0 changed to $260,284
Total expenses
$45,174 changed to $935,129
Program service revenue
$0 changed to $260,284
Total assets, end of year
$29,206,250 changed to $28,748,367
Total liabilities, end of year
$27,240,613 changed to $27,457,575
Net assets or fund balances, end of year
$1,965,637 changed to $1,290,792
Program services expenses
$45,174 changed to $860,052
Management and general expenses
$0 changed to $75,077
Program service expenses (Part III)
$45,174 changed to $860,052

Listed under a different title

  • Alex Conrad: BOARD CHAIR then PRESIDENT
  • Arnold Salazar: DIRECTOR then BOARD MEMBER
  • Shak Powers: DIRECTOR then BOARD MEMBER

Totals

Total revenue
$0
Total expenses
$45,174
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$29,206,250
Total liabilities, end of year
$27,240,613
Net assets or fund balances, end of year
$1,965,637
Program services expenses (Part IX)
$45,174
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$45,174

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Functional expenses

Part IX, the statement of functional expenses.

  • 20 · Interest

    total $9,013 · program services $9,013

  • 22 · Depreciation, depletion and amortization

    total $36,161 · program services $36,161

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    end of year $69,188

  • 2 · Savings and temporary cash investments

    end of year $10,592,570

  • 10a · Land, buildings and equipment: cost or other basis

    $18,544,492

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $18,544,492

  • 17 · Accounts payable and accrued expenses

    end of year $4,585

  • 23 · Secured mortgages and notes payable

    end of year $27,162,410

  • 25 · Other liabilities

    beginning of year $0 · end of year $73,618

  • 27 · Net assets without donor restrictions

    end of year $1,965,637

  • 28 · Net assets with donor restrictions

    end of year $0

Mission and programs · 2023

Mission

TO BE A SUPPORTING ORGANIZATION OF SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC., A COLORADO NONPROFIT CORPORATION, DBA AXIS HEALTH SYSTEM.

Activities or mission (Part I)

AXIS HEALTH SYSTEM QALICB, INC. (QALICB), IS A SUPPORTING ORGANIZATION OF SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC., A COLORADO NONPROFIT CORPORATION, DBA AXIS HEALTH SYSTEM (AXIS). QALICB WAS FORMED SOLELY AND EXCLUSIVELY TO SUPPORT AXIS IN SECURING FUNDING FROM THE FEDERAL NEW MARKETS TAX CREDIT PROGRAM TO FINANCE THE ACQUISITION OF A NEW FACILITY IN DURANGO, CO.

  • TO SUPPORT AXIS HEALTH SYSTEM IN SECURING FUNDING FROM THE FEDERAL NEW MARKETS TAX CREDIT PROGRAM TO FINANCE THE ACQUISITION OF A NEW FACILITY IN DURANGO, CO.

    Expenses $45,174

As filed on the 2023 return.

Listed in Part VII

  • Alex Conrad

    BOARD CHAIR

    Total calculated
    $205,175
    From this org
    $0
    From related orgs
    $164,761
    Other
    $40,414
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $164,625 related
    Bonus
    $0
    Other
    $0 + $136 related
    Deferred
    $0 + $10,055 related
    Nontaxable benefits
    $0 + $30,359 related
    Filer's total
    $0 + $205,175 related

  • Doyle Forrestal

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Shak Powers

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Arnold Salazar

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Ryan Pierce

    VP OF FINANCE

    Total calculated
    $131,706
    From this org
    $0
    From related orgs
    $105,540
    Other
    $26,166
    Hours/week
    1 + 40 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE COMPENSATION PAID TO THE BOARD CHAIR IS PAID BY AXIS HEALTH SYSTEM, THE SUPPORTED ORGANIZATION, FOR HIS SERVICES AS CFO OF AXIS HEALTH SYSTEM. AXIS HEALTH SYSTEM USES THE FOLLOWING TO DETERMINE COMPENSATION FOR ITS OFFICERS: 1) COMPENSATION COMMITTEE, 2) COMPENSATION STUDY/SURVEY, AND 3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B
AXIS HEALTH SYSTEM'S OFFICERS PARTICIPATE IN A DEFERRED COMPENSATION PLAN UNDER THE PROVISIONS OF CODE SECTION 457(F). THE PLAN RUNS ON A THREE YEAR CYCLE. DURING THE FISCAL YEAR ENDED JUNE 30, 2023, AXIS HEALTH SYSTEM CONTRIBUTED $5,000 TO ALEX CONRAD. NO PLAN FUNDS WERE PAID OUT DURING THE FISCAL YEAR ENDED JUNE 30, 2023.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
8 May 2024
IRS schema version
2023v5.0
Source object
202441309349300234

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