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← PUEBLO PRIMARY CARE QALICB

Form 990 for tax year 2023

Filed by PUEBLO PRIMARY CARE QALICB.

Totals

Total revenue
$85,072
Total expenses
$3,311,324
Contributions and grants received
$0
Grants paid
$981,449
Program service revenue
$63,015
Investment income
$10,752
Other revenue
$11,305
Total assets, end of year
$23,891,003
Total liabilities, end of year
$29,799,225
Net assets or fund balances, end of year
-$5,908,222
Program services expenses (Part IX)
$3,311,324
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$3,311,324

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.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: RENT INCOME

    total $63,015 · related or exempt $63,015

  • 3 · Investment income

    total $10,752 · excluded $10,752

  • 11a · Other revenue: MISC. INCOME

    total $11,305 · excluded $11,305

  • 11e · Other revenue, total

    $11,305

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $981,449 · program services $981,449

  • 11b · Fees: legal

    total $24,675 · program services $24,675

  • 11g · Fees: other

    total $335,916 · program services $335,916

  • 13 · Office expenses

    total $112 · program services $112

  • 20 · Interest

    total $372,183 · program services $372,183

  • 22 · Depreciation, depletion and amortization

    total $1,596,989 · program services $1,596,989

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $88,543 · end of year $402,144

  • 2 · Savings and temporary cash investments

    beginning of year $2,627,642 · end of year $840,768

  • 4 · Accounts receivable

    beginning of year $143,655

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

    $25,890,634

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

    $3,242,543

  • 10c · Land, buildings and equipment, net

    beginning of year $24,245,080 · end of year $22,648,091

  • 17 · Accounts payable and accrued expenses

    beginning of year $89,500 · end of year $29,313

  • 19 · Deferred revenue

    beginning of year -$362,610 · end of year -$290,088

  • 24 · Unsecured notes and loans payable

    beginning of year $30,060,000 · end of year $30,060,000

  • 27 · Net assets without donor restrictions

    beginning of year -$2,681,970 · end of year -$5,908,222

Mission and programs · 2023

Mission

TO SUPPORT PUEBLO COMMUNITY HEALTH CENTER.

  • PUEBLO PRIMARY CARE QALICB (PPC QALICB) WAS FORMED IN OCTOBER OF 2020 TO FACILITATE THE NEW MARKETS TAX CREDIT FINANCING FOR PUEBLO COMMUNITY HEALTH CENTER TO CONSTRUCT THE EAST SIDE CLINIC EXPANSION.

    Expenses $3,311,324 · Grants $981,449 · Revenue $63,015

As filed on the 2023 return.

Listed in Part VII

  • Donald Moore

    PRESIDENT

    Total calculated
    $269,746
    From this org
    $0
    From related orgs
    $215,878
    Other
    $53,868
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $214,878 related
    Bonus
    $0 + $1,000 related
    Other
    $0
    Deferred
    $0 + $12,953 related
    Nontaxable benefits
    $0 + $40,915 related
    Filer's total
    $0 + $269,746 related

  • Jay Richter

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • Michelle Hill

    SECRETARY AND TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Rebecca Goodman

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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
COMPENSATION FOR THE CEO IS PAID BY THE BOARD OF THE RELATED ORGANIZATION PUEBLO COMMUNITY HEALTH CENTER. THE BOARD OF PUEBLO COMMUNITY HEALTH CENTER PERFORMS A THOROUGH REVIEW TO DETERMINE SUITABLE COMPENSATION FOR THE CEO. AFTER APPROVAL BY THE BOARD IN EXECUTIVE SESSION, A WRITTEN CONTRACT IS PREPARED AND SIGNED. COMPARABILITY DATA CAN INCLUDE COLORADO COMMUNITY HEALTH NETWORK OR MOUNTAIN STATES EMPLOYER'S COUNCIL COMPENSATION SURVEYS OR FORMS 990 OF SIMILAR ORGANIZATIONS.

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

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
11 October 2024
IRS schema version
2023v5.1
Source object
202403189349311115

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