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Nonprofiteer
← CLINICA CAMPESINA FAMILY HEALTH SERVICES

Form 990 for tax year 2022

Filed by CLINICA CAMPESINA FAMILY HEALTH SERVICES.

Totals

Total revenue
$68,397,192
Total expenses
$72,513,007
Contributions and grants received
$25,237,490
Grants paid
$8,268
Program service revenue
$42,228,773
Investment income
$182,954
Other revenue
$747,975
Total assets, end of year
$56,549,715
Total liabilities, end of year
$19,610,196
Net assets or fund balances, end of year
$36,939,519
Program services expenses (Part IX)
$56,981,961
Management and general expenses
$15,154,746
Fundraising expenses
$376,300
Program service expenses (Part III)
$56,981,961

Program services were 78.6% 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.

  • 1e · Government grants (contributions)

    $24,834,758

  • 1f · All other contributions, gifts and grants

    $402,732

  • 1g · Noncash contributions included above

    $3,521,051

  • 2a · Program service revenue: PATIENT SERVICE REV.

    total $38,736,929 · related or exempt $38,736,929

  • 2b · Program service revenue: PHARMACY REVENUE

    total $3,491,844 · related or exempt $3,491,844

  • 3 · Investment income

    total $183,076 · excluded $183,076

  • 7b · Less cost or other basis and sales expenses

    other assets $122

  • 7c · Gain or loss

    other assets -$122

  • 7d · Net gain or loss

    total -$122 · excluded -$122

  • 11a · Other revenue: OTHER REVENUE

    total $747,975 · excluded $747,975

  • 11e · Other revenue, total

    $747,975

Functional expenses

Part IX, the statement of functional expenses.

  • 2 · Grants to domestic individuals

    total $8,268 · program services $8,268

  • 5 · Compensation of officers, directors and key employees

    total $1,119,169 · program services $198,569 · management and general $920,600

  • 7 · Other salaries and wages

    total $42,266,265 · program services $35,519,459 · management and general $6,476,732 · fundraising $270,074

  • 8 · Pension plan contributions

    total $631,794 · program services $526,372 · management and general $101,679 · fundraising $3,743

  • 9 · Other employee benefits

    total $3,463,436 · program services $2,932,526 · management and general $509,992 · fundraising $20,918

  • 10 · Payroll taxes

    total $3,247,555 · program services $2,644,349 · management and general $584,526 · fundraising $18,680

  • 11b · Fees: legal

    total $43,462 · program services $8,779 · management and general $33,399 · fundraising $1,284

  • 11c · Fees: accounting

    total $182,388 · program services $36,841 · management and general $140,158 · fundraising $5,389

  • 11g · Fees: other

    total $3,362,146 · program services $2,431,789 · management and general $917,492 · fundraising $12,865

  • 12 · Advertising and promotion

    total $138,430 · program services $22,953 · management and general $113,604 · fundraising $1,873

  • 13 · Office expenses

    total $1,565,746 · program services $1,040,462 · management and general $515,748 · fundraising $9,536

  • 14 · Information technology

    total $2,066,505 · program services $313,640 · management and general $1,737,737 · fundraising $15,128

  • 16 · Occupancy

    total $3,204,122 · program services $1,922,331 · management and general $1,280,721 · fundraising $1,070

  • 17 · Travel

    total $115,319 · program services $74,609 · management and general $40,396 · fundraising $314

  • 19 · Conferences, conventions and meetings

    total $71,707 · program services $46,393 · management and general $25,119 · fundraising $195

  • 20 · Interest

    total $358,820 · program services $205,354 · management and general $153,466

  • 22 · Depreciation, depletion and amortization

    total $1,335,377 · program services $881,349 · management and general $454,028

  • 23 · Insurance

    total $254,749 · program services $120,253 · management and general $132,163 · fundraising $2,333

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $7,445,811 · program services $7,445,811

  • 24b · Other expenses: EDUCATION

    total $648,769 · program services $351,317 · management and general $294,956 · fundraising $2,496

  • 24c · Other expenses: EQUIP RENTAL & REPAIRS

    total $588,917 · program services $180,263 · management and general $405,760 · fundraising $2,894

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $195,767 · program services $39,543 · management and general $150,439 · fundraising $5,785

  • 24e · All other expenses

    total $198,485 · program services $30,731 · management and general $166,031 · fundraising $1,723

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $3,417,997 · end of year $1,455,568

  • 2 · Savings and temporary cash investments

    beginning of year $15,342,404 · end of year $12,560,637

  • 3 · Pledges and grants receivable

    beginning of year $1,011,352 · end of year $580,771

  • 4 · Accounts receivable

    beginning of year $6,459,865 · end of year $6,426,827

  • 7 · Other notes and loans receivable

    beginning of year $12,469,400 · end of year $12,469,400

  • 8 · Inventories for sale or use

    beginning of year $34,074 · end of year $46,830

  • 9 · Prepaid expenses and deferred charges

    beginning of year $605,161 · end of year $777,173

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

    $32,125,738

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

    $16,466,236

  • 10c · Land, buildings and equipment, net

    beginning of year $15,375,606 · end of year $15,659,502

  • 15 · Other assets

    beginning of year $118,827 · end of year $6,573,007

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,176,179 · end of year $4,456,673

  • 19 · Deferred revenue

    beginning of year $392,125 · end of year $31,900

  • 23 · Secured mortgages and notes payable

    beginning of year $6,414,434 · end of year $13,157,935

  • 25 · Other liabilities

    beginning of year $1,434,428 · end of year $1,963,688

  • 27 · Net assets without donor restrictions

    beginning of year $39,776,171 · end of year $36,856,545

  • 28 · Net assets with donor restrictions

    beginning of year $641,349 · end of year $82,974

Mission and programs · 2022

Mission

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.

Activities or mission (Part I)

PROVIDE HIGH-QUALITY, CULTURALLY APPROPRIATE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE.

  • FOR THE FISCAL YEAR ENDED JANUARY 31, 2023, CLINICA PROVIDED 185,945 MEDICAL VISITS, 38,090 DENTAL VISITS, 30,722 BEHAVIORAL HEALTH VISITS, 2,570 REGISTERED DIETICIAN VISITS, AND 30,677 CASE MANAGEMENT VISITS.

    Expenses $56,981,961 · Grants $8,268 · Revenue $42,228,773

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Philip Keppeler

    PHYSICIAN

    Total calculated
    $337,548
    From this org
    $301,446
    From related orgs
    $0
    Other
    $36,102
    Hours/week
    38

    Schedule J breakdown matched by us

    Base
    $301,446
    Bonus
    $0
    Other
    $0
    Deferred
    $6,723
    Nontaxable benefits
    $29,379
    Filer's total
    $337,548
  • Karen Funk

    CHIEF MEDICAL OFFICER

    Total calculated
    $322,965
    From this org
    $295,372
    From related orgs
    $0
    Other
    $27,593
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $295,372
    Bonus
    $0
    Other
    $0
    Deferred
    $6,349
    Nontaxable benefits
    $21,244
    Filer's total
    $322,965
  • Lisa Winkler

    PHYSICIAN

    Total calculated
    $293,602
    From this org
    $258,927
    From related orgs
    $0
    Other
    $34,675
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $258,927
    Bonus
    $0
    Other
    $0
    Deferred
    $5,750
    Nontaxable benefits
    $28,925
    Filer's total
    $293,602
  • Angela Fryer

    PHYSICIAN

    Total calculated
    $281,448
    From this org
    $251,280
    From related orgs
    $0
    Other
    $30,168
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $251,280
    Bonus
    $0
    Other
    $0
    Deferred
    $5,520
    Nontaxable benefits
    $24,648
    Filer's total
    $281,448
  • Simon Smith

    PRESIDENT & CEO

    Total calculated
    $286,388
    From this org
    $265,749
    From related orgs
    $0
    Other
    $20,639
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $245,749
    Bonus
    $20,000
    Other
    $0
    Deferred
    $5,312
    Nontaxable benefits
    $15,327
    Filer's total
    $286,388
  • Alex Bulkacz

    PHYSICIAN

    Total calculated
    $272,866
    From this org
    $250,906
    From related orgs
    $0
    Other
    $21,960
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $250,906
    Bonus
    $0
    Other
    $0
    Deferred
    $5,261
    Nontaxable benefits
    $16,699
    Filer's total
    $272,866
  • Breanna Tomlin

    PHYSICIAN

    Total calculated
    $258,298
    From this org
    $242,207
    From related orgs
    $0
    Other
    $16,091
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $242,207
    Bonus
    $0
    Other
    $0
    Deferred
    $5,192
    Nontaxable benefits
    $10,899
    Filer's total
    $258,298
  • An Nguyen

    CHIEF DENTAL OFFICER

    Total calculated
    $247,844
    From this org
    $231,764
    From related orgs
    $0
    Other
    $16,080
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $231,764
    Bonus
    $0
    Other
    $0
    Deferred
    $4,983
    Nontaxable benefits
    $11,097
    Filer's total
    $247,844
  • Brian Johnston

    CFO

    Total calculated
    $165,855
    From this org
    $132,097
    From related orgs
    $0
    Other
    $33,758
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $132,097
    Bonus
    $0
    Other
    $0
    Deferred
    $3,134
    Nontaxable benefits
    $30,624
    Filer's total
    $165,855
  • Ella Padilla

    CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Jeff Zayach

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Matthew Antush

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Heather Elkins

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 0.1 related
  • Inez Buggs

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Lizandro Gonzalez

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Edson Hernandez

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • W Douglas Jones

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Carolina Flores Manross

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Cherlyn Marriott

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Mayra Martinez

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Heidy Ordonez

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

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

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.

  • CLINICA HOLDING COMPANY

    501(C)(3) · PROPERTY HOLDING · CO · controlled entity

    Directly controlled by CLINICA CAMPESINA FAMILY HEALTH SERVICES

Provenance

Return type
form_990
Tax year
2022
Filed
25 July 2023
IRS schema version
2022v5.0
Source object
202322079349301202

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