Civic Intelligence

Southwest Colorado Mental Health Center Inc

EIN 84-0506701 • 501(c)3 • Durango, CO

Profile

Axis health system will make a meaningful difference in the health of southwest colorado residents by integrating all aspects of healthcare and treating the whole person.

150 Mercury Village DrDurango, CO 81301

axishealthsystem.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

58th percentile

0.33x

Higher debt load relative to assets than 58% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

58th percentile

0.45x

Higher debt load relative to revenue than 58% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

64th percentile

11%

Higher net margin than 64% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

46th percentile

$336,121

Higher top officer pay than 46% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

24th percentile

-0.6%

Faster asset growth than 24% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

49th percentile

8.2%

Faster revenue growth than 49% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Down

$75,517,652

Down $463,157 (-0.6%) from 2023

Liabilities

Down

$24,549,376

Down $308,308 (-1.2%) from 2023

Net Assets

Down

$50,968,276

Down $154,849 (-0.3%) from 2023

Revenue

Up

$53,995,866

Up $4,074,229 (+8.2%) from 2023

Expenses

Down

$48,232,420

Down $651,018 (-1.3%) from 2023

Net Income

Up

$5,763,446

Up $4,725,247 (+455%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2010: $9,024,741Liabilities 2010: $2,273,038Net Assets 2010: $6,751,7032010Assets 2011: $10,608,425Liabilities 2011: $2,796,623Net Assets 2011: $7,811,8022011Assets 2012: $11,854,501Liabilities 2012: $3,516,160Net Assets 2012: $8,338,3412012Assets 2013: $11,926,143Liabilities 2013: $3,317,954Net Assets 2013: $8,608,1892013Assets 2014: $13,762,835Liabilities 2014: $3,782,754Net Assets 2014: $9,980,0812014Assets 2015: $16,278,945Liabilities 2015: $3,736,070Net Assets 2015: $12,542,8752015Assets 2016: $20,511,839Liabilities 2016: $6,179,479Net Assets 2016: $14,332,3602016Assets 2017: $23,816,093Liabilities 2017: $6,973,544Net Assets 2017: $16,842,5492017Assets 2018: $24,798,415Liabilities 2018: $6,924,573Net Assets 2018: $17,873,8422018Assets 2019: $26,371,030Liabilities 2019: $7,574,495Net Assets 2019: $18,796,5352019Assets 2020: $31,699,870Liabilities 2020: $9,727,612Net Assets 2020: $21,972,2582020Assets 2021: $33,509,490Liabilities 2021: $7,145,488Net Assets 2021: $26,364,0022021Assets 2022: $35,093,588Liabilities 2022: $4,503,671Net Assets 2022: $30,589,9172022Assets 2023: $75,980,809Liabilities 2023: $24,857,684Net Assets 2023: $51,123,1252023Assets 2024: $75,517,652Liabilities 2024: $24,549,376Net Assets 2024: $50,968,2762024

Highlighted filing

2024

Assets$75,517,652
Liabilities$24,549,376
Net Assets$50,968,276

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0Expenses 2010: $7,698,6112010Revenue 2011: $9,409,497Expenses 2011: $8,355,558Net Income 2011: $1,053,9392011Expenses 2012: $8,634,0512012Expenses 2013: $9,760,5432013Revenue 2014: $13,203,814Expenses 2014: $11,838,224Net Income 2014: $1,365,5902014Revenue 2015: $16,461,190Expenses 2015: $13,897,661Net Income 2015: $2,563,5292015Revenue 2016: $19,041,592Expenses 2016: $17,091,270Net Income 2016: $1,950,3222016Revenue 2017: $21,346,463Expenses 2017: $19,120,380Net Income 2017: $2,226,0832017Revenue 2018: $21,526,432Expenses 2018: $20,740,411Net Income 2018: $786,0212018Revenue 2019: $23,062,579Expenses 2019: $22,140,239Net Income 2019: $922,3402019Revenue 2020: $25,589,707Expenses 2020: $22,146,851Net Income 2020: $3,442,8562020Revenue 2021: $29,458,621Expenses 2021: $26,109,416Net Income 2021: $3,349,2052021Revenue 2022: $34,725,676Expenses 2022: $29,409,889Net Income 2022: $5,315,7872022Revenue 2023: $49,921,637Expenses 2023: $48,883,438Net Income 2023: $1,038,1992023Revenue 2024: $53,995,866Expenses 2024: $48,232,420Net Income 2024: $5,763,4462024

Highlighted filing

2024

Revenue$53,995,866
Expenses$48,232,420
Net Income$5,763,446

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$75.5$24.5$51.0$54.0$48.2$5.76
2023Detailed filing. Detailed filing data is available for this year.$76.0$24.9$51.1$49.9$48.9$1.04
2022Detailed filing. Detailed filing data is available for this year.$35.1$4.50$30.6$34.7$29.4$5.32
2021Detailed filing. Detailed filing data is available for this year.$33.5$7.15$26.4$29.5$26.1$3.35
2020Detailed filing. Detailed filing data is available for this year.$31.7$9.73$22.0$25.6$22.1$3.44
2019Detailed filing. Detailed filing data is available for this year.$26.4$7.57$18.8$23.1$22.1$0.92
2018Detailed filing. Detailed filing data is available for this year.$24.8$6.92$17.9$21.5$20.7$0.79
2017Detailed filing. Detailed filing data is available for this year.$23.8$6.97$16.8$21.3$19.1$2.23
2016Detailed filing. Detailed filing data is available for this year.$20.5$6.18$14.3$19.0$17.1$1.95
2015Detailed filing. Detailed filing data is available for this year.$16.3$3.74$12.5$16.5$13.9$2.56
2014Detailed filing. Detailed filing data is available for this year.$13.8$3.78$9.98$13.2$11.8$1.37
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.9$3.32$8.61$9.76
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.9$3.52$8.34$8.63
2011Summary only. Only limited summary data is available for this year.$10.6$2.80$7.81$9.41$8.36$1.05
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.02$2.27$6.75$7.70
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 9, 2025
Return Version
2023v6.0
Gross Receipts
$57,560,961
Mission and Program Overview

Mission

Axis health system will make a meaningful difference in the health of southwest colorado residents by integrating all aspects of healthcare and treating the whole person.

Axis health system (ahs) is the designated community mental health center, and a licensed substance use provider and a hrsa community health centers (fqhc) providing integrated primary care including oral health care. Ahs offers a wide variety and range of behavioral health and integrated primary care and oral health services to assist people in managing their health and health outcomes in southwest colorado. Essential behavioral health services include: screenings, individual, group and family therapeutic services, community resource coordination, outreach, short-term residential crisis stabilization, psychiatry, 24/7 crisis assessment services, vocational services, substance use disorder services, and dual diagnosis services for patients with cooccurring mental health and substance use disorders. Primary care integration includes behavioral and oral health across all ages using population based screening including screening for social determinants of health, depression and anxiety.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$19,934,478$27,127,660▲ $7,193,182
Other Notes and Loans Receivable, Net$19,719,150$19,792,768▲ $73,618
Savings and Temporary Cash Investments$522,343$7,983,264▲ $7,460,921
Accounts Receivable$5,254,074$7,638,528▲ $2,384,454
Investments in Publicly Traded Securities$540,973$6,745,473▲ $6,204,500
Investments Other Securities$8,147,096$1,322,946▼ $6,824,150
Cash and Non-Interest-Bearing Accounts$15,474,776$643,217▼ $14,831,559
Prepaid Expenses and Deferred Charges$466,227$383,168▼ $83,059
Inventories for Sale or Use$0$358,327▲ $358,327
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0--
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$75,980,809$75,517,652▼ $463,157
Other Assets Total$5,921,692$3,522,301▼ $2,399,391
Liabilities
Mortgage Notes Payable Secured by Investment Property$20,093,526$17,267,392▼ $2,826,134
Accounts Payable and Accrued Expenses$3,755,834$3,732,243▼ $23,591
Other Liabilities$936,319$3,538,741▲ $2,602,422
Deferred Revenue$72,005$11,000▼ $61,005
Total Liabilities$24,857,684$24,549,376▼ $308,308
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$50,668,125$50,513,276▼ $154,849
Net Assets With Donor Restrictions$455,000$455,000→ $0
Total Net Assets Fund Balance$51,123,125$50,968,276▼ $154,849
Total Liabilities and Net Assets / Fund Balance$75,980,809$75,517,652▼ $463,157

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$22,194,038$3,816,830$26,010,868
Other Land Buildings$1,814,357$1,090,053$2,904,410
Equipment$1,014,980$1,753,731$2,768,711
Land$2,104,285-$2,104,285
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Shelly BurkeCEOFT$297,232$38,889$336,121
Anita KumarMedical Director of PsychiatryFT$281,354$24,580$305,934
Jill S RimmeyPhysicianFT$223,818$25,501$249,319
Aaron MontanoPsychiatristPT$214,810$31,995$246,805
Shelly SpaldingCOOFT$199,043$35,280$234,323
Alex ConradCAOFT$167,048$54,602$221,650
Pamela SharrattChief Strategy OfficerFT$185,423$31,036$216,459
Amanda BrownDentistFT$169,954$39,580$209,534
Shay DenningChief Legal OfficerFT$167,479$34,326$201,805
Summer DamicoDentistFT$167,204$22,218$189,422
Ryan PierceVP of FinanceFT$137,812$19,358$157,170

Board Members and Trustees

NameTitle
Paul NazarykPresident
Chuck ForthVice President/treasurer
Alexandrea DurhamBoard Member
Frances Perrin-deeganBoard Member
Gus WestermanBoard Member
John AlbrightBoard Member
Kent CurtisBoard Member
Mandy MillerBoard Member
Marissa MarquezBoard Member
Robert JuskevichBoard Member
Robert YearoutBoard Member
Karen SheekSecretary
Robert McnuttTreasurer Ending January 2024

Highest Paid Contractors

ContractorServicesLocationCompensation
CPa Medical Billing LLCMedical Billing100 South Shore Drive, East Haven, CT 06512$408,361
Animas Janitorial LLCJanitorial10 Town Plz 157, Durango, CO 81301$248,472
CRC Janitorial ServicesJanitorialPO Box 118, Durango, CO 81302$163,935
Revenue and Support

Revenue Composition

Contributions and Grants
$5,147,881
Program Service Revenue
$46,402,092
Investment Income
$2,334,397
Other Revenue
$111,496
All Other Contributions
$140,650
Change in Net Assets
$5,763,446

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Real Estate Commercial1$3,135,221Other - BOOK VALUE
Total Noncash Contributions1$3,135,221-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$34,612,290
Other Expenses$13,620,130
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$21,626,865$4,993,852$0$26,620,717
Other Employee Benefits$3,059,830$706,544$0$3,766,374
Occupancy$2,541,178$952,801$0$3,493,979
Payroll Taxes$1,832,548$423,153$0$2,255,701
Fees for Services Other$792,673$678,504$0$1,471,177
Information Technology$857,892$571,650$0$1,429,542
Current Officers, Directors, Trustees, and Key Employees$833,675$192,504$0$1,026,179
Depreciation Depletion$728,588$223,001$0$951,589
Pension Plan Contributions$766,359$176,960$0$943,319
Insurance$550,965$24,097$0$575,062
Advertising$410,062$122,486$0$532,548
All Other Expenses$399,401$98,262$0$497,663
Travel$0$333,868$0$333,868
Office Expenses$251,324$75,071$0$326,395
Conferences and Meetings$0$310,070$0$310,070
Other Expenses$90,102$77,125$0$167,227
Fees for Services Accounting$0$152,871$0$152,871
Interest$66,103$19,745$0$85,848
Fees for Services Legal$0$9,209$0$9,209
Fees for Services Lobbying$0$7,802$0$7,802
Total Functional Expenses$37,897,786$10,334,634$0$48,232,420
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Right of Use Assets$3,538,741
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION

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, Line 1A Delegate broad authority to A committee

The executive committee shall consist of the president, the vice president, the secretary, and the treasurer. The executive committee may be delegated the authority to act on behalf of the entire board in specific circumstances, only between board meetings and consistent with established board direction. Such authorization must be granted by a vote of the board at a regular or special meeting in advance of the action required. The executive committee will report all actions taken to the full board which will be voted on as accepted in the minutes.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The form 990 is prepared by the audit firm based on the audited financials and schedules prepared by axis health system accounting staff. The approved form 990 is reviewed by the budget and finance committee of the board of directors, presented to the board of directors, approved and signed by the vp of finance. The form 990 is filed by the established deadline each year.

Form 990, Part VI, Line 12C Conflict of interest policy

All staff sign a conflict of interest statement as part of their initial orientation. A reminder notice regarding the tenets of the conflict of interest policy is shared with all staff annually, with guidance on notifying axis health system of any change in status. The staff are expected to raise any potential conflict of interest issues for assessment by the ceo or designee. The board of directors has a conflict of interest policy and a related section (section 10) in the board bylaws that is reviewed annually with current board members. At each board meeting, members are asked to raise any real or perceived conflict of interest issues for assessment and resolution by the board.

Form 990, Part VI, Line 19 Required documents available to the public

Governing documents, conflict of interest policies, and financial statements are available from the organization upon request.

Form 990, Part VIII, Line 2F Other Program Service Revenue

OTHER - Total Revenue: 1187663, Related or Exempt Function Revenue: 1187663, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
Southwest Colorado Mental Health Center Inc
EIN
84-0506701
Phone
9703352222
Address
150 MERCURY VILLAGE DR, DURANGO, CO 81301
Doing Business As
Axis Health System

Signing Officer

Name
Ryan Pierce
Title
VP of Finance
Phone
9703352222
Signed
2025-05-09
Discuss with paid preparer
Yes

Organization Details

Formed
1960
Legal Domicile
Co
Voting Board Members
12
Independent Board Members
12
Employees
585
Volunteers
13

Preparer

Firm
Forvis Mazars LLP
Address
111 South Tejon Suite 800, Colorado Springs, CO 80903-9848
Preparer
Adam R Smith
Phone
7194714290
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 OTHER CHANGES IN NET ASSETS

During the organization's fiscal year ending june 30, 2024, the assets and liabilities of uncompahgre mental health services, inc., a colorado nonprofit corporation which axis health system was the sole member of, were transferred to axis. An inherent contribution of $5,007,231 was recognized as a result of the transfer and is included as an other change in net assets on part xi, line 9.

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Loss on investment in subsidiary - -6018118; change in fair value of interest rate swap - -3462;

Form 990, Part XII, Line 2C COMMITTEE RESPONSIBLE FOR OVERSIGHT OF AUDIT

The board of directors assumes the responsibilty for selecting the independent auditors. They are also responsible for ensuring the audit is complete. The 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 ceo directs/delegates this function to the cfo. This process has not changed from prior years.

Financial Statement Notes

Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS

Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0AXIS HEALTH SYSTEM (AHS) IS THE DESIGNATED COMMUNITY MENTAL HEALTH CENTER, AND A LICENSED SUBSTANCE USE PROVIDER AND A HRSA COMMUNITY HEALTH CENTERS (FQHC) PROVIDING INTEGRATED PRIMARY CARE INCLUDING ORAL HEALTH CARE. AHS OFFERS A WIDE VARIETY AND RANGE OF BEHAVIORAL HEALTH AND INTEGRATED PRIMARY CARE AND ORAL HEALTH SERVICES TO ASSIST PEOPLE IN MANAGING THEIR HEALTH AND HEALTH OUTCOMES IN SOUTHWEST COLORADO. ESSENTIAL BEHAVIORAL HEALTH SERVICES INCLUDE: SCREENINGS, INDIVIDUAL, GROUP AND FAMILY THERAPEUTIC SERVICES, COMMUNITY RESOURCE COORDINATION, OUTREACH, SHORT-TERM RESIDENTIAL CRISIS STABILIZATION, PSYCHIATRY, 24/7 CRISIS ASSESSMENT SERVICES, VOCATIONAL SERVICES, SUBSTANCE USE DISORDER SERVICES, AND DUAL DIAGNOSIS SERVICES FOR PATIENTS WITH COOCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. PRIMARY CARE INTEGRATION INCLUDES BEHAVIORAL AND ORAL HEALTH ACROSS ALL AGES USING POPULATION BASED SCREENING INCLUDING SCREENING FOR SOCIAL DETERMINANTS OF HEALTH, DEPRESSION AND ANXIETY.
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