2025-11-21T10:31:28-06:00 2025-01-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2024-02-01 841071822 UNCOMPAHGRE COMBINED CLINICS UNCO 9703274233 PO BOX 280 NORWOOD CO 81423 CHARLES PORTH CEO 9703274233 2025-11-20 1 1 STEPHANIE MCCARTHY P01805699 3149254300 2025-11-19 2024 2025-03-06 01:10:19Z UNCOMPAHGRE MEDICAL CENTER CHARLES PORTH PO BOX 280 NORWOOD CO 81423 6428379 0 X WWW.UMCLINIC.ORG X 1987 CO TO PROVIDE THE BEST HEALTHCARE, AND ACCESS TO THAT CARE, FOR ALL IN THE COMMUNITIES WE SERVE. 11 11 48 14 0 0 2798922 2157958 3855726 4243398 9773 20213 4094 6810 6668515 6428379 227105 162010 0 0 3079595 3176990 0 0 0 2771539 2881842 6078239 6220842 590276 207537 3709994 3934732 411116 405707 3298878 3529025 TO PROVIDE QUALITY, COST-EFFECTIVE, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO THE COMMUNITY. 0 0 4405053 162010 4243398 UNCOMPAHGRE COMBINED CLINICS (UCC) IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDES BASIC FACILITIES AND SERVICES FOR THE DIAGNOSIS AND TREATMENT OF INDIVIDUALS REQUIRING OUTPATIENT AND EMERGENCY CARE TO THE SAN MIGUEL RIVER BASIN AREA. AS ONE OF ONLY A FEW FQHCS ON THE WESTERN SLOPE, UCC IS DEDICATED TO ENSURING THAT ALL PATIENTS RECEIVE QUALITY HEALTHCARE REGARDLESS OF THEIR ABILITY TO PAY. SERVICES INCLUDE PRIMARY AND PREVENTATIVE HEALTH, DENTAL, BEHAVIORIAL HEALTH, AND PHARMACY. THERE WERE A TOTAL OF 6,961 HEALTH, 1,629 DENTAL, AND 1,061 BEHAVIORAL HEALTH ENCOUNTERS DURING THE YEAR. UCC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. UNREIMBURSED CHARGES FOR SLIDING FEE DISCOUNTS AND CHARITY CARE WAS $160,649 FOR THE YEAR. 4405053 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 1 48 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X PATRICIA LIPPERT 9703274233 PO BOX 280 NORWOOD CO 81423 DR KELLEY PRINCE CMO 40.00 X 264340 0 28666 DR ANDREW BAKER MEDICAL PROVIDER 40.00 X 184087 0 18591 CHARLES PORTH CEO 40.00 X 184087 0 4403 MARCO LUKER PHARMACIST 40.00 X 137016 0 3400 BETH ROBIN RICHARDS PHYSICIANS ASSISTANT 40.00 X 119829 0 9568 SCOTT HUNTER LICENSED NURSE PRACTITIONER 40.00 X 109980 0 8661 EMILY HAIGHT PRESIDENT 2.00 X X 0 0 0 ANDREW KAUFFMANN VICE PRESIDENT 2.00 X X 0 0 0 BRAD HEWITT TREASURER 2.00 X X 0 0 0 DAVID LANIER JONES SECRETARY 2.00 X X 0 0 0 RANDALL CRAWFORD DIRECTOR (THROUGH JUNE 10, 2024) 2.00 X 0 0 0 JESSE DUDLEY DIRECTOR 2.00 X 0 0 0 GALENA GLEASON DIRECTOR 2.00 X 0 0 0 GEORGE HIDY DIRECTOR 2.00 X 0 0 0 ANDREA HILL DIRECTOR 2.00 X 0 0 0 KRIS HOLSTROM DIRECTOR (THROUGH JAN. 14, 2025) 2.00 X 0 0 0 ANNIE JOHNSON DIRECTOR 2.00 X 0 0 0 GEORGE LEWIS DIRECTOR 2.00 X 0 0 0 RHONDA OLIVER DIRECTOR (THROUGH JAN. 22, 2025) 2.00 X 0 0 0 KELLY TRUELOCK DIRECTOR 2.00 X 0 0 0 999339 0 73289 6 0 1 0 DATA MARSHALL 740 C CONFERENCE DR 25 GOODLETTSVILLE TN 37072 MEDICAL BILLING 117750 JOHNSON FINANCIAL SERVICES 607 S 7TH ST GRAND JUNCTION CO 81501 ACCOUNTING SERVICES 110991 2 1964749 193209 2157958 PATIENT REVENUE 624100 2260195 2260195 PHARMACY REVENUE 624100 1983203 1983203 4243398 20213 20213 MISC. REVENUE 900099 6810 6810 6810 6428379 4243398 0 27023 1361 1361 160649 160649 489784 355157 134627 2113712 1519809 593903 18325 13880 4445 341583 255226 86357 213586 159588 53998 11478 3563 7915 404987 125705 279282 125139 38842 86297 26078 10449 15629 122131 85518 36613 212413 93558 118855 125278 27365 97913 32663 13087 19576 126 119 7 202776 101388 101388 27408 10982 16426 CLINICAL LAB EXPENSE 1482023 1387849 94174 TRAINING & EDUCATION 48137 19288 28849 DUES & SUBSCRIPTIONS 37542 15042 22500 LICENSES & DUES 12995 5207 7788 10668 1421 9247 6220842 4405053 1815789 0 951800 1599039 129870 14128 204880 8785 424661 264032 49343 50728 36754 42884 3407377 1905184 1598736 1502193 313950 452943 3709994 3934732 299404 336487 111712 69220 411116 405707 X 3298878 3529025 3298878 3529025 3709994 3934732 207537 22610 0 X X 0 1 X 1 1 1 X 2780249 2230693 1991398 2798922 2157958 11959220 2780249 2230693 1991398 2798922 2157958 11959220 11959220 9602 2746 2250 9773 20213 44584 562 769 4094 6810 12235 12016039 15595037 0.99530 0.99690 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISC INCOME - 2021 AMOUNT: $ 562. 2022 AMOUNT: $ 769. 2023 AMOUNT: $ 4,094. 2024 AMOUNT: $ 6,810. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 0 1 904 904 0 PART II-B, LINE 1: UCC PAYS DUES TO COLORADO COMMUNITY HEALTH NETWORK AND NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THESE ORGANIZATIONS LOBBY ON BEHALF OF UCC TO IMPROVE REIMBURSEMENT RATES AND OTHER ISSUES SPECIFIC TO OUR REGION AND STATE. THE AMOUNT REPORTED ON PART II-B, LINE 1I REPRESENTS THE AMOUNT OF UCC DUES SPENT ON LOBBYING. 42500 42500 2094682 1200542 894140 1270195 704642 565553 1502193 X 6305926 22610 -145063 -122453 6428379 0 6428379 6075779 0 6075779 145063 145063 6220842 PART X, LINE 2: THE ORGANIZATION HAS PREVIOUSLY RECEIVED NOTICE OF EXEMPTION OF INCOME TAX FROM THE INTERNAL REVENUE SERVICE UNDER SECTION 501(C)(3) OF THE FEDERAL INTERNAL REVENUE CODE. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX PROVISIONS. THE IMPLEMENTATION OF THE ACCOUNTING STANDARDS REGARDING UNCERTAIN TAX PROVISIONS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHARITY CARE -145,063. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHARITY CARE 145,063. 1 CHARITY CARE 229 160649 0 N/A N/A PART I, LINE 2: UMC PROVIDES SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS WHOSE INCOME IS LESS THAN OR EQUAL TO 200% OF THE CURRENT FEDERAL POVERTY LEVEL (BASED ON FAMILY SIZE AND INCOME) ARE ELIGIBLE AND ENCOURAGED TO OBTAIN SERVICES ON A SLIDING FEE SCALE. X X X 0 0 0 0 0 0 0 0 0 DR KELLEY PRINCE CMO 251851 0 12489 0 0 0 5792 0 22874 0 293006 0 0 0 DR ANDREW BAKER MEDICAL PROVIDER 181985 0 2102 0 0 0 0 0 18591 0 202678 0 0 0 CHARLES PORTH CEO 177744 0 6343 0 0 0 2683 0 1720 0 188490 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH INFORMATION PROVIDED BY MANAGEMENT. A COPY OF THE 990 IS PROVIDED TO THE CEO AND BOARD TREASURER WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. THE 990 IS PRESENTED TO THE BOARD AT THE NOVEMBER MEETING BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C WHENEVER ANY MATTER COMES BEFORE A MEETING OF THE BOARD OF DIRECTORS THAT GIVES RISE TO A POTENTIAL CONFLICT OF INTEREST, THEN THE FOLLOWING PROCEDURES SHALL APPLY: A. THE AFFECTED DIRECTOR SHALL MAKE KNOWN THE CONFLICT IMMEDIATELY TO THE BOARD CHAIR. THE AFFECTED DIRECTOR SHALL MAKE KNOWN TO THE REMAINING DIRECTORS PRESENT DURING A BOARD MEETING, SHALL MAKE A FULL AND FAIR PRESENTATION REGARDING ALL THE FACTS AND CIRCUMSTANCES RELATING TO THE CONFLICT, SHALL, AFTER ANSWERING ANY QUESTIONS POSED BY THE OTHER DIRECTORS, WITHDRAW FROM THE MEETING FOR AS LONG AS THE MATTER IS UNDER CONSIDERATION, AND SHALL NEITHER BE PRESENT NOR CAST A VOTE. B. IF THE WITHDRAWAL OF THE AFFECTED DIRECTOR RESULTS IN THE ABSENCE OF A QUORUM, NO ACTION SHALL BE TAKEN ON THE MATTER IN QUESTION UNTIL A QUORUM OF DISINTERESTED DIRECTORS CAN BE ESTABLISHED. C. THE MINUTES OF A MEETING AT WHICH A CONFLICT OF INTEREST ARISES SHALL REFLECT THAT A DISCLOSURE WAS MADE, THE AFFECTED DIRECTOR'S WITHDRAWAL FROM THE MEETING AND ABSTENTION FROM VOTING, AND, IF ACTION IS TAKEN ON THE MATTER, THE CONTINUED PRESENCE OF A QUORUM. D. AS WITH ALL OTHER MATTERS COMING BEFORE THE BOARD OF DIRECTORS, THE DISINTERESTED DIRECTORS SHALL PASS UPON A MATTER THAT POSES A CONFLICT OF INTEREST FOR ANOTHER DIRECTOR IN A MANNER WHICH THEY REASONABLY AND IN GOOD FAITH BELIEVE TO BE IN THE BEST INTERESTS OF THE ORGANIZATION. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN UMC'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. E. IN THE EVENT THAT A CONFLICT OF INTEREST ARISES FOR AN EMPLOYEE, CONTRACTOR OR AGENT ACTING AS AN OWNER'S REPRESENTATIVE FOR UMC, A NEW STANDARDS OF CONDUCT FORM MUST BE FILLED OUT AND FILED WITH THE HR DEPARTMENT AND THE CEO MUST BE NOTIFIED. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD EVALUATES MANAGEMENT'S (CEO AND CFO) PERFORMANCE AND COMPENSATION ANNUALLY. SOURCES UTILIZED BY THE BOARD WHEN DETERMINING COMPENSATION INCLUDE COMPARISON WITH OTHER FQHC LISTED IN THE CHAMPS SALARY SURVEY. DOCUMENTATION OF THE DELIBERATION AND DECISION IS RECORDED IN THE BOARD MINUTES. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 UNCOMPAHGRE MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.