Civic Intelligence

Aspire Medical Services and Education

EIN 84-1393680 • 501(c)3 • Pagosa Springs, CO

Profile

We strengthen individuals and families by providing prenatal care, pregnancy testing, life-skills training, ultrasound, sti testing and treatment, and parenting classes - all in a caring and safe environment.

PO Box 5437Pagosa Springs, CO 81147

www.aspirepagosa.org

Siviq Scores

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

Liabilities / Assets

49th percentile

0.01x

Higher debt load relative to assets than 49% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

59th percentile

0.04x

Higher debt load relative to revenue than 59% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

51st percentile

4.8%

Higher net margin than 51% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

67th percentile

$48,308

Higher top officer pay than 67% of similar nonprofits.

Top officer pay equals 15.8% of source-year revenue.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

45th percentile

1.1%

Faster asset growth than 45% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

23rd percentile

-13%

Faster revenue growth than 23% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Assets

Up

$921,168

Up $9,775 (+1.1%) from 2023

Liabilities

Down

$11,764

Down $4,736 (-29%) from 2023

Net Assets

Up

$909,404

Up $14,511 (+1.6%) from 2023

Revenue

Down

$305,437

Down $45,966 (-13%) from 2023

Expenses

Down

$290,926

Down $16,749 (-5.4%) from 2023

Net Income

Down

$14,511

Down $29,217 (-67%) from 2023

Trend Graphs

Balance Sheet Trend

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

$1.0M$500K$0Assets 2010: $233,845Liabilities 2010: $5,7722010Assets 2011: $260,003Liabilities 2011: $4,5062011Assets 2012: $555,058Liabilities 2012: $1,311Net Assets 2012: $553,7472012Assets 2013: $589,572Liabilities 2013: $1,545Net Assets 2013: $588,0272013Assets 2014: $597,477Liabilities 2014: $2,991Net Assets 2014: $594,4862014Assets 2015: $586,805Liabilities 2015: $4,238Net Assets 2015: $582,5672015Assets 2016: $642,630Liabilities 2016: $4,231Net Assets 2016: $638,3992016Assets 2017: $611,183Liabilities 2017: $4,423Net Assets 2017: $606,7602017Assets 2018: $590,242Liabilities 2018: $3,271Net Assets 2018: $586,9712018Assets 2019: $594,579Liabilities 2019: $4,075Net Assets 2019: $590,5042019Assets 2020: $686,722Liabilities 2020: $33,355Net Assets 2020: $653,3672020Assets 2021: $830,909Liabilities 2021: $11,007Net Assets 2021: $819,9022021Assets 2022: $864,042Liabilities 2022: $12,883Net Assets 2022: $851,1592022Assets 2023: $911,393Liabilities 2023: $16,500Net Assets 2023: $894,8932023Assets 2024: $921,168Liabilities 2024: $11,764Net Assets 2024: $909,4042024

Highlighted filing

2024

Assets$921,168
Liabilities$11,764
Net Assets$909,404

Operations Trend

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

$600K$400K$200K$0-$200KRevenue 2010: $161,009Expenses 2010: $169,722Net Income 2010: -$8,7132010Revenue 2011: $185,689Expenses 2011: $158,265Net Income 2011: $27,4242011Revenue 2012: $583,080Expenses 2012: $284,830Net Income 2012: $298,2502012Revenue 2013: $200,466Expenses 2013: $166,186Net Income 2013: $34,2802013Revenue 2014: $163,826Expenses 2014: $157,367Net Income 2014: $6,4592014Revenue 2015: $202,758Expenses 2015: $214,677Net Income 2015: -$11,9192015Revenue 2016: $302,237Expenses 2016: $246,405Net Income 2016: $55,8322016Revenue 2017: $241,854Expenses 2017: $273,493Net Income 2017: -$31,6392017Revenue 2018: $237,326Expenses 2018: $257,115Net Income 2018: -$19,7892018Revenue 2019: $231,740Expenses 2019: $228,207Net Income 2019: $3,5332019Revenue 2020: $289,618Expenses 2020: $226,755Net Income 2020: $62,8632020Revenue 2021: $417,507Expenses 2021: $250,973Net Income 2021: $166,5342021Revenue 2022: $304,911Expenses 2022: $273,654Net Income 2022: $31,2572022Revenue 2023: $351,403Expenses 2023: $307,675Net Income 2023: $43,7282023Revenue 2024: $305,437Expenses 2024: $290,926Net Income 2024: $14,5112024

Highlighted filing

2024

Revenue$305,437
Expenses$290,926
Net Income$14,511

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$9.21$0.12$9.09$3.05$2.91$0.15
2023Detailed filing. Detailed filing data is available for this year.$9.11$0.17$8.95$3.51$3.08$0.44
2022Detailed filing. Detailed filing data is available for this year.$8.64$0.13$8.51$3.05$2.74$0.31
2021Detailed filing. Detailed filing data is available for this year.$8.31$0.11$8.20$4.18$2.51$1.67
2020Detailed filing. Detailed filing data is available for this year.$6.87$0.33$6.53$2.90$2.27$0.63
2019Detailed filing. Detailed filing data is available for this year.$5.95$0.04$5.91$2.32$2.28$0.04
2018Detailed filing. Detailed filing data is available for this year.$5.90$0.03$5.87$2.37$2.57$0.20
2017Detailed filing. Detailed filing data is available for this year.$6.11$0.04$6.07$2.42$2.73$0.32
2016Detailed filing. Detailed filing data is available for this year.$6.43$0.04$6.38$3.02$2.46$0.56
2015Detailed filing. Detailed filing data is available for this year.$5.87$0.04$5.83$2.03$2.15$0.12
2014Detailed filing. Detailed filing data is available for this year.$5.97$0.03$5.94$1.64$1.57$0.06
2013Detailed filing. Detailed filing data is available for this year.$5.90$0.02$5.88$2.00$1.66$0.34
2012Summary only. Only limited summary data is available for this year.$5.55$0.01$5.54$5.83$2.85$2.98
2011Summary only. Only limited summary data is available for this year.$2.60$0.05$1.86$1.58$0.27
2010Summary only. Only limited summary data is available for this year.$2.34$0.06$1.61$1.70$0.09
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Aug 12, 2025
Return Version
2024v5.2
Gross Receipts
$337,994
Mission and Program Overview

Mission

We strengthen individuals and families by providing prenatal care, pregnancy testing, life-skills training, ultrasound, sti testing and treatment, and parenting classes - all in a caring and safe environment.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$501,959$497,790▼ $4,169
Savings and Temporary Cash Investments$236,026$246,676▲ $10,650
Cash and Non-Interest-Bearing Accounts$148,260$150,860▲ $2,600
Inventories for Sale or Use$25,148$25,842▲ $694
Total Assets$911,393$921,168▲ $9,775
Liabilities
Accounts Payable and Accrued Expenses$16,500$11,764▼ $4,736
Total Liabilities$16,500$11,764▼ $4,736
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$894,893$909,404▲ $14,511
Total Net Assets Fund Balance$894,893$909,404▲ $14,511
Total Liabilities and Net Assets / Fund Balance$911,393$921,168▲ $9,775

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$413,000--
Other Land Buildings$20,471$9,653-
Land$67,000--
Equipment$-2,681$52,367-
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nicole CottsExecutive DirectorFT$45,574$2,734$48,308
Marcy MitchellFormer Executive Director-$20,769$1,246$22,015

Board Members and Trustees

NameTitle
Gary FranklinPresident
Renee SmithVice President
Tim WightmanMember
Crystal JohnsonSecretary
Nathan ThomasTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$232,898
Program Service Revenue
$28,895
Investment Income
$10,650
Other Revenue
$32,994
All Other Contributions
$196,716
Change in Net Assets
$14,511
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$198,365
Other Expenses$92,561
Total Fundraising Expense$21,695
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$104,740$2,267-$107,007
Current Officers, Directors, Trustees, and Key Employees$28,340$19,036$18,967$66,343
Payroll Taxes$14,922$2,325$2,131$19,378
Occupancy-$19,286-$19,286
Insurance$8,129$2,190-$10,319
Other Expenses$8,152--$8,152
Fees for Services Other$2,704$2,653-$5,357
Depreciation Depletion-$4,169-$4,169
Pension Plan Contributions$2,830$577$597$4,004
Information Technology-$3,591-$3,591
Office Expenses-$2,580-$2,580
Other Employee Benefits-$1,633-$1,633
Payments to Affiliates-$623-$623
Conferences and Meetings$82--$82
Advertising$57--$57
Total Functional Expenses$208,301$60,930$21,695$290,926
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$64,836
Fundraising Direct Expenses$32,557
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Walkathon$18,276$18,276$5,064$13,212
Banquet$37,580$6,815-$6,815
Total Events$64,085$33,320$29,295$4,025
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990 governing body review Part VI line 11

The executive director and treasurer review the 990. The 990 is filed after all issues and questions are resolved and the 990 is signed.

Conflict of interest policy compliance Part VI line 12C

Board memebers are required to review and sign the conflict of interest policy when becoming a board member.

CEO executive director top management comp Part VI line 15A

Board appointed committee reviews and analyzes information to determine compensation during the annual performance review. The board votes on the final decision with the committees input.

Other officer or key employee compensation Part VI line 15B

Executive director pay is determined by the board of directors. Key employee pay is determined by the executive director with board imput based on the annual budget which is approved by the board of directors.

Governing documents etc available to public Part VI line 19

Documents are made available upon request.

Filing and Contact Details

Filer

Filer Name
Aspire Medical Services and Education
EIN
84-1393680
In Care Of
% NATHAN THOMAS
Phone
9702645963
Address
PO BOX 5437, PAGOSA SPRINGS, CO 81147

Signing Officer

Name
Nathan Thomas
Title
Treasurer
Phone
9702645963
Signed
2025-08-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Gary Franklin
Formed
1998
Legal Domicile
Co
Voting Board Members
5
Independent Board Members
5
Employees
8
Volunteers
30

Preparer

Firm
Cornerstone Accounting
Address
2800 Cornerstone Dr B1 Unit 3, Pagosa Springs, CO 81147
Preparer
Nathan Thomas
Phone
9707318080
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IRS990/ProgSrvcAccomActy2Grp/Desc0MEDICAL SERVICES: OUR MEDICAL SERVICES INCLUDE FREE PREGNANCY TESTING, EARLY ULTRASOUND EXAMS, AFFORDABLE PRENATAL CARE (UP TO 36 WEEKS) PROVIDED BY OUR MEDICAL DOCTOR EVERY WEEK, WELL WOMAN EXAMS, STI/STD TESTING AND TREATMENT, AND CHILDBIRTH/PRENATAL EDUCATION IN A SAFE AND SUPPORTIVE ENVIRONMENT. IN 2024 WE PERFORMED 124 PREGNANCY TESTS, 120 ULTRASOUNDS, 32 STI TESTS, 245 PRENATAL CLINIC VISITS, 1 POSTPARTUM VISITS, AND 5 WELL WOMAN EXAMS. WE CONTINUTED TO PARTNERED WITH A LOCAL MENTAL HEALTH PRACTICE TO OFFER FREE MENTAL HEALTH SERVICES TO OUR CLIENTS. COUNSELORS MET WITH 56 UNIQUE CLIENTS FOR A TOAL OF 75 COUNSELING SESSIONS.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0MARCY MITCHELL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0FORMER EXECUTIVE DIRECTOR
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE EXECUTIVE DIRECTOR AND TREASURER REVIEW THE 990. THE 990 IS FILED AFTER ALL ISSUES AND QUESTIONS ARE RESOLVED AND THE 990 IS SIGNED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD MEMEBERS ARE REQUIRED TO REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY WHEN BECOMING A BOARD MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BOARD APPOINTED COMMITTEE REVIEWS AND ANALYZES INFORMATION TO DETERMINE COMPENSATION DURING THE ANNUAL PERFORMANCE REVIEW. THE BOARD VOTES ON THE FINAL DECISION WITH THE COMMITTEES INPUT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3EXECUTIVE DIRECTOR PAY IS DETERMINED BY THE BOARD OF DIRECTORS. KEY EMPLOYEE PAY IS DETERMINED BY THE EXECUTIVE DIRECTOR WITH BOARD IMPUT BASED ON THE ANNUAL BUDGET WHICH IS APPROVED BY THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Other officer or key employee compensation Part VI line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Governing documents etc available to public Part VI line 19
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