2024-05-09T07:47:28-05:00 2023-06-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2022-07-01 840850552 UNCOMPAHGRE MENTAL HEALTH SERVICES INC UNCO 9703352222 150 MERCURY VILLAGE DR DURANGO CO 81301 RYAN PIERCE VP OF FINANCE 9703352222 2024-05-08 1 RYAN PIERCE 999009999 1 WENDY R COOLEY CPA P01523804 4023302660 2024-05-08 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z X RYAN PIERCE 150 MERCURY VILLAGE DR DURANGO CO 81301 168121 0 X N/A X 1981 CO UNCOMPAHGRE MENTAL HEALTH SERVICES INC. (UMHS) IS A WHOLLY OWNED SUBSIDIARY OF AXIS HEALTH SYSTEM. THE PURPOSE OF UMHS IS TO BE A REAL ESTATE HOLDING COMPANY FOR AXIS HEALTH SYSTEM. BOTH ENTITIES ARE NOT-FOR-PROFIT. 12 12 0 12 0 0 0 0 168084 168084 -3302 37 29 0 164811 168121 0 0 0 0 0 0 0 0 0 98680 86053 98680 86053 66131 82068 5253054 4967900 7577 7577 5245477 4960323 TO PROVIDE RENTAL SPACE TO AFFILIATE EXEMPT ORGANIZATION. 0 0 86053 168084 ORGANIZATION OWNS AND RENTS REAL ESTATE AND BUILDINGS TO AN AFFILIATE, WHO IS ALSO AN EXEMPT ORGANIZATION. 86053 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X THE ORGANIZATION 9703352222 150 MERCURY VILLAGE DR DURANGO CO 81301 SHELLY BURKE AXIS HEALTH CEO 1.00 40.00 X 0 290460 39985 RYAN PIERCE AXIS HEALTH VP OF FINANCE 1.00 40.00 X 0 105540 26166 JOHN ALBRIGHT PRESIDENT 3.00 3.00 X X 0 0 0 CHUCK FORTH VICE PRESIDENT 3.00 3.00 X X 0 0 0 ROBERT MCNUTT TREASURER 2.00 2.00 X X 0 0 0 KAREN SHEEK SECRETARY 2.00 2.00 X X 0 0 0 ALEXANDREA DURHAM BOARD MEMBER 1.00 1.00 X 0 0 0 FRANCES PERRIN-DEEGAN BOARD MEMBER 1.00 1.00 X 0 0 0 GUS WESTERMAN BOARD MEMBER 1.00 1.00 X 0 0 0 PAUL NAZARYK BOARD MEMBER 2.00 2.00 X 0 0 0 MANDY MILLER BOARD MEMBER 1.00 1.00 X 0 0 0 MARISSA TALAMANTE BOARD MEMBER 1.00 1.00 X 0 0 0 ROBERT JUSKEVICH BOARD MEMBER 1.00 1.00 X 0 0 0 ROBERT YEAROUT BOARD MEMBER 1.00 1.00 X 0 0 0 0 396000 66151 0 0 1 0 0 RENTAL INCOME 531120 168084 168084 168084 37 37 168121 168084 0 37 86045 86045 MISCELLANEOUS EXPENSE 8 8 86053 86053 0 0 1484936 1657955 63679 63708 8255 3320 3307310 64393 3696184 3242917 5253054 4967900 7577 7577 7577 7577 X 5245477 4960323 0 0 5245477 4960323 5253054 4967900 X 82068 -367222 X X 0 1 X 1 0 491170 491170 2816140 64393 2751747 3242917 LEASE DEPOSIT 7577 7577 X PART X, LINE 2: THE ORGANIZATION ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES. THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2023, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS ACCRUED. 0 0 0 SHELLY BURKE AXIS HEALTH CEO 0 264295 0 25613 0 552 0 13744 0 26241 0 330445 0 0 PART I, LINE 3 THE COMPENSATION OF THE CEO IS PAID BY AXIS HEALTH SYSTEM (AXIS), THE ORGANIZATION'S SOLE MEMBER. AXIS 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. FORM 990, PART VI, SECTION A, LINE 6 AXIS HEALTH SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CEO AND VP OF FINANCE FOR AXIS HEALTH SYSTEM, THE SOLE MEMBER, AND A COMPLETED DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND OFFICERS ARE COVERED BY THE POLICY. DETERMINATIONS ARE MADE AT THE BOARD LEVEL WITH THE ASSISTANCE OF GENERAL COUNSEL. ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD. IF A CONFLICT IS FOUND IT WILL BE CURED BY RECUSAL. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS ARE COMPENSATED BY AXIS HEALTH SYSTEM, THE SOLE MEMBER OF UNCOMPAHGRE MENTAL HEALTH SERVICES, INC. AXIS HEALTH SYSTEM'S COMPENSATION POLICY IS AS FOLLOWS: COMPENSATION FOR ALL JOB CLASSIFICATIONS, INCLUDING EXECUTIVE MANAGEMENT, IS REVIEWED PERIODICALLY USING INDEPENDENT RESOURCES. COMPENSATION INFORMATION IS ALSO OBTAINED FROM ALL COMMUNITY MENTAL HEALTH CENTERS AND FQHCS IN THE STATE TO ENSURE A VALID ASSESSMENT IS MADE. IN ADDITION, THE CEO COMPENSATION IS SUBJECT TO ADDITIONAL ANNUAL REVIEW BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: FMV ADJUSTMENT DUE TO MERGER -367,222. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS OF THE SOLE MEMBER OF THE ORGANIZATION ASSUMES THE RESPONSIBILTY FOR SELECTING THE INDEPENDENT AUDITORS. THEY ARE ALSO RESPONSIBLE FOR ENSURING THE AUDIT IS COMPLETE. THE SOLE MEMBER'S BOARD DIRECTS THE CEO TO ENSURE TIMELY COMPLETION OF THE FINANCIAL STATEMENTS FOR REGULAR BOARD REVIEW AND THE PERFORMANCE OF THE ANNUAL AUDIT OF ITS FINANCIAL STATEMENTS. THE SOLE MEMBER'S CEO DIRECTS/DELEGATES THIS FUNCTION TO THE CFO. AXIS HEALTH SYSTEM QALICB INC 150 MERCURY VILLAGE DRIVE DURANGO CO 81301 921690774 SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12A, I N/A 0 AXIS HEALTH SYSTEM 150 MERCURY VILLAGE DRIVE DURANGO CO 81301 840506701 MENTAL HEALTH CARE CO 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0