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← COMMUNITY HEALTH ASSOCIATION OF MOUNTAIN PLAINS STATES

Form 990 for tax year 2023

Filed by COMMUNITY HEALTH ASSOCIATION OF MOUNTAIN PLAINS STATES.

Totals

Total revenue
$975,746
Total expenses
$903,102
Contributions and grants received
$717,030
Grants paid
$7,480
Program service revenue
$194,984
Investment income
$59,029
Other revenue
$4,703
Total assets, end of year
$1,673,495
Total liabilities, end of year
$136,488
Net assets or fund balances, end of year
$1,537,007
Program services expenses (Part IX)
$767,110
Management and general expenses
$120,487
Fundraising expenses
$15,505
Program service expenses (Part III)
$767,110

Program services were 84.9% 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)

    $717,030

  • 2a · Program service revenue: DUES

    total $117,080 · related or exempt $117,080

  • 2b · Program service revenue: FALL CONFERENCE

    total $40,310 · related or exempt $40,310

  • 2c · Program service revenue: TRAINING AND CONSULTING

    total $33,354 · related or exempt $33,354

  • 2d · Program service revenue: SALARY SURVEY

    total $4,240 · related or exempt $4,240

  • 3 · Investment income

    total $59,029 · excluded $59,029

  • 11a · Other revenue: OTHER INCOME

    total $4,703 · related or exempt $4,703

  • 11e · Other revenue, total

    $4,703

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $5,930 · program services $5,930

  • 2 · Grants to domestic individuals

    total $1,550 · program services $1,550

  • 5 · Compensation of officers, directors and key employees

    total $197,148 · program services $185,779 · management and general $7,741 · fundraising $3,628

  • 7 · Other salaries and wages

    total $333,190 · program services $313,981 · management and general $13,083 · fundraising $6,126

  • 8 · Pension plan contributions

    total $13,580 · program services $12,540 · management and general $523 · fundraising $517

  • 9 · Other employee benefits

    total $49,245 · program services $45,588 · management and general $1,899 · fundraising $1,758

  • 10 · Payroll taxes

    total $39,389 · program services $36,659 · management and general $1,527 · fundraising $1,203

  • 11g · Fees: other

    total $82,682 · program services $14,167 · management and general $68,515

  • 13 · Office expenses

    total $8,213 · program services $7,801 · management and general $267 · fundraising $145

  • 14 · Information technology

    total $21,133 · program services $19,668 · management and general $819 · fundraising $646

  • 16 · Occupancy

    total $46,854 · program services $43,606 · management and general $1,816 · fundraising $1,432

  • 17 · Travel

    total $18,125 · program services $18,125

  • 19 · Conferences, conventions and meetings

    total $50,764 · program services $49,500 · management and general $1,264

  • 22 · Depreciation, depletion and amortization

    total $1,970 · program services $1,830 · management and general $124 · fundraising $16

  • 23 · Insurance

    total $4,453 · management and general $4,453

  • 24a · Other expenses: DUES & SUBSCRIPTIONS

    total $13,449 · program services $1,360 · management and general $12,089

  • 24b · Other expenses: REGISTRATIONS

    total $5,267 · program services $5,267

  • 24c · Other expenses: GIFTS

    total $5,059 · management and general $5,059

  • 24d · Other expenses: OTHER

    total $4,048 · program services $3,759 · management and general $255 · fundraising $34

  • 24e · All other expenses

    total $1,053 · management and general $1,053

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $178,456 · end of year $285,438

  • 3 · Pledges and grants receivable

    beginning of year $16,978 · end of year $24,910

  • 4 · Accounts receivable

    beginning of year $585 · end of year $643

  • 9 · Prepaid expenses and deferred charges

    beginning of year $12,784 · end of year $16,366

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

    $13,794

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

    $5,419

  • 10c · Land, buildings and equipment, net

    beginning of year $10,346 · end of year $8,375

  • 11 · Investments: publicly traded securities

    beginning of year $1,388,982 · end of year $1,335,322

  • 15 · Other assets

    beginning of year $2,436 · end of year $2,441

  • 17 · Accounts payable and accrued expenses

    beginning of year $117,991 · end of year $115,958

  • 19 · Deferred revenue

    beginning of year $17,823 · end of year $12,016

  • 24 · Unsecured notes and loans payable

    beginning of year $10,390 · end of year $8,514

  • 27 · Net assets without donor restrictions

    beginning of year $1,464,363 · end of year $1,537,007

Mission and programs · 2023

Mission

THE MISSION OF CHAMPS IS TO PROVIDE OPPORTUNITIES FOR EDUCATION AND TRAINING, NETWORKING, AND WORKFORCE DEVELOPMENT SO THAT REGION VIII COMMUNITY HEALTH CENTERS CAN BETTER SERVE THEIR PATIENTS AND COMMUNITIES.

  • THE MISSION OF CHAMPS IS TO PROVIDE OPPORTUNITIES FOR EDUCATION AND TRAINING, NETWORKING, AND WORKFORCE DEVELOPMENT SO THAT REGION VIII (CO, MT, ND, SD, UT, WY) COMMUNITY HEALTH CENTERS CAN BETTER SERVE THEIR PATIENTS AND COMMUNITIES. THE VISION OF CHAMPS IS THAT ALL PATIENTS AND COMMUNITIES BENEFIT FROM THE IMPACT OF THE RESOURCES THAT CHAMPS PROVIDES TO COMMUNITY HEALTH CENTERS.

    Expenses $767,110 · Grants $7,480 · Revenue $194,984

As filed on the 2023 return.

Listed in Part VII

  • John Santistevan

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Maria Clemons CPA

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    1

  • Keith Horwood MD

    PAST PRESIDE

    Total calculated
    $0
    Hours/week
    1

  • Tim Trithart

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Colette Mild

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Chastity Dolbec RN

    CLINICAL REP

    Total calculated
    $0
    Hours/week
    1

  • Julie Hulstein

    EXECUTIVE DI

    Total calculated
    $197,148
    From this org
    $188,748
    From related orgs
    $0
    Other
    $8,400
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $188,748
    Bonus
    not reported
    Other
    not reported
    Deferred
    $8,400
    Nontaxable benefits
    not reported
    Filer's total
    $197,148

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 · Written employment contract
  • 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.

Provenance

Return type
form_990
Tax year
2023
Filed
18 December 2024
IRS schema version
2023v5.0
Source object
202433549349300823

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