Civic Intelligence

Keene Clinic

EIN 84-1571531 • 501(c)3 • Keenesburg, CO

Profile

The mission of our organization is to provide high quality primary health care to rural northeastern Colorado. We are committed to deliver primary health care with concern, care, and compassion. We acknowledge and respond to the needs of our community. We will deliver health care that encompasses the physical, emotional and spiritual well-being of everyone. To fulfill this mission, we will provide healing, preventive and maintenance health care services. We will be a link and gate keeper to services outside the rural area into the urban areas. We will preserve the dignity of each individual regardless of race, creed, age, gender, or social status. We will strive to achieve and maintain standards of excellence in all aspects of health care delivery. We will operate in a responsible manner that reflects a mindful concern for the financial, social, and medical aspects of our community.

PO Box 559Keenesburg, CO 80643

n/A

Siviq Scores

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

Liabilities / Assets

40th percentile

0.00x

Higher debt load relative to assets than 40% of similar nonprofits.

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

Liabilities / Revenue

39th percentile

0.00x

Higher debt load relative to revenue than 39% of similar nonprofits.

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

Net Margin

27th percentile

-7.5%

Higher net margin than 27% of similar nonprofits.

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

Top Officer Pay

95th percentile

$164,928

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 23.3% of source-year revenue.

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

Asset Growth

23rd percentile

-8.7%

Faster asset growth than 23% of similar nonprofits.

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

Revenue Growth

33rd percentile

-4.2%

Faster revenue growth than 33% of similar nonprofits.

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

Balance Sheet
Liabilities / Assets40th percentile

Assets

Down

$554,896

Down $52,753 (-8.7%) from 2023

Liabilities

Up

$1,811

Up $48 (+2.7%) from 2023

Net Assets

Down

$553,085

Down $52,801 (-8.7%) from 2023

Operations
Liabilities / Revenue39th percentileNet Margin27th percentile

Revenue

Down

$706,719

Down $30,773 (-4.2%) from 2023

Expenses

Up

$759,520

Up $27,714 (+3.8%) from 2023

Net Income

Down

-$52,801

Down $58,487 (-1029%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth23rd percentile

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

$800K$600K$400K$200K$0Assets 2010: $44,722Liabilities 2010: $22,855Net Assets 2010: $21,8672010Assets 2011: $51,681Liabilities 2011: $34,556Net Assets 2011: $17,1252011Assets 2012: $85,767Liabilities 2012: $13,469Net Assets 2012: $72,2982012Assets 2013: $346,267Liabilities 2013: $4,083Net Assets 2013: $342,1842013Assets 2014: $340,513Liabilities 2014: $1,891Net Assets 2014: $338,6222014Assets 2015: $468,331Liabilities 2015: $5,215Net Assets 2015: $463,1162015Assets 2016: $436,924Liabilities 2016: $3,695Net Assets 2016: $433,2292016Assets 2017: $491,517Liabilities 2017: $1,660Net Assets 2017: $489,8572017Assets 2018: $471,208Liabilities 2018: $4,612Net Assets 2018: $466,5962018Assets 2019: $476,089Liabilities 2019: $5,054Net Assets 2019: $471,0352019Assets 2020: $479,000Liabilities 2020: $4,782Net Assets 2020: $474,2182020Assets 2021: $551,211Liabilities 2021: $9,607Net Assets 2021: $541,6042021Assets 2022: $602,086Liabilities 2022: $1,886Net Assets 2022: $600,2002022Assets 2023: $607,649Liabilities 2023: $1,763Net Assets 2023: $605,8862023Assets 2024: $554,896Liabilities 2024: $1,811Net Assets 2024: $553,0852024

Highlighted filing

2024

Assets$554,896
Liabilities$1,811
Net Assets$553,085
Open 2024 Filing

Operations Trend

Revenue Growth33rd percentile

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

$1.0M$500K$0-$500KExpenses 2010: $435,3182010Expenses 2011: $464,2042011Revenue 2012: $490,649Expenses 2012: $438,813Net Income 2012: $51,8362012Revenue 2013: $721,091Expenses 2013: $451,206Net Income 2013: $269,8852013Revenue 2014: $531,765Expenses 2014: $535,508Net Income 2014: -$3,7432014Revenue 2015: $725,095Expenses 2015: $600,601Net Income 2015: $124,4942015Revenue 2016: $573,628Expenses 2016: $603,515Net Income 2016: -$29,8872016Revenue 2017: $593,196Expenses 2017: $536,568Net Income 2017: $56,6282017Revenue 2018: $617,194Expenses 2018: $618,840Net Income 2018: -$1,6462018Revenue 2019: $607,925Expenses 2019: $603,486Net Income 2019: $4,4392019Revenue 2020: $567,662Expenses 2020: $564,479Net Income 2020: $3,1832020Revenue 2021: $650,499Expenses 2021: $583,113Net Income 2021: $67,3862021Revenue 2022: $790,766Expenses 2022: $732,171Net Income 2022: $58,5952022Revenue 2023: $737,492Expenses 2023: $731,806Net Income 2023: $5,6862023Revenue 2024: $706,719Expenses 2024: $759,520Net Income 2024: -$52,8012024

Highlighted filing

2024

Revenue$706,719
Expenses$759,520
Net Income-$52,801
Open 2024 Filing

Filings

Most recent year

2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$554,896
Liabilities
$1,811
Net assets
$553,085
Revenue
$706,719
Expenses
$759,520
Net income
-$52,801
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.55$0.02$5.53$7.07$7.60$0.53
2023Summary only. Only limited summary data is available for this year.$6.08$0.02$6.06$7.37$7.32$0.06
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.02$0.02$6.00$7.91$7.32$0.59
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.51$0.10$5.42$6.50$5.83$0.67
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.79$0.05$4.74$5.68$5.64$0.03
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.76$0.05$4.71$6.08$6.03$0.04
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.71$0.05$4.67$6.17$6.19$0.02
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.92$0.02$4.90$5.93$5.37$0.57
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.37$0.04$4.33$5.74$6.04$0.30
2015Detailed filing. Detailed filing data is available for this year.$4.68$0.05$4.63$7.25$6.01$1.24
2014Summary only. Only limited summary data is available for this year.$3.41$0.02$3.39$5.32$5.36$0.04
2013Detailed filing. Detailed filing data is available for this year.$3.46$0.04$3.42$7.21$4.51$2.70
2012Summary only. Only limited summary data is available for this year.$0.86$0.13$0.72$4.91$4.39$0.52
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.52$0.35$0.17$4.64
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.45$0.23$0.22$4.35
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2020 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
May 17, 2021
Return Version
2020v4.0
Gross Receipts
$567,662
Mission and Program Overview

Mission

The mission of our organization is to provide high quality primary health care to rural northeastern Colorado. We are committed to deliver primary health care with concern, care, and compassion. We acknowledge and respond to the needs of our community. We will deliver health care that encompasses the physical, emotional and spiritual well-being of everyone. To fulfill this mission, we will provide healing, preventive and maintenance health care services. We will be a link and gate keeper to services outside the rural area into the urban areas. We will preserve the dignity of each individual regardless of race, creed, age, gender, or social status. We will strive to achieve and maintain standards of excellence in all aspects of health care delivery. We will operate in a responsible manner that reflects a mindful concern for the financial, social, and medical aspects of our community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$364,129$348,125▼ $16,004
Cash and Non-Interest-Bearing Accounts$111,960$130,875▲ $18,915
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$476,089$479,000▲ $2,911
Other Assets Total-$0-
Liabilities
Other Liabilities$5,054$4,782▼ $272
Total Liabilities$5,054$4,782▼ $272
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$423,028$429,717▲ $6,689
Net Assets With Donor Restrictions$48,007$44,501▼ $3,506
Total Net Assets Fund Balance$471,035$474,218▲ $3,183
Total Liabilities and Net Assets / Fund Balance$476,089$479,000▲ $2,911

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$309,032$52,522$361,554
Equipment$20,704$16,285$36,989
Land$18,389-$18,389
Leasehold Improvements-$7,037$7,037
Compensation and Service Providers
Top Officer Pay95th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Ben Martinez-AndujoCEOFT$148,400$148,400
Kristina KitzmanTreasurerFT$43,680$43,680

Board Members and Trustees

NameTitle
Glenn BellDirector
Janet HuckDirector
Peggy ManinoDirector
Sharon HepnerDirector
Ruth Pelton-RobySecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$31,305
Program Service Revenue
$536,286
Investment Income
$71
Other Revenue
$0
All Other Contributions
$31,305
Change in Net Assets
$3,183
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$361,364
Other Expenses$203,115
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$192,080--$192,080
Other Salaries and Wages$135,028--$135,028
Insurance$53,543$11,724-$65,267
Fees for Services Accounting$30,962$610-$31,572
Payroll Taxes$24,938--$24,938
Office Expenses-$22,402-$22,402
Occupancy-$17,955-$17,955
Depreciation Depletion-$16,004-$16,004
Conferences and Meetings-$11,588-$11,588
Other Employee Benefits$9,318--$9,318
All Other Expenses$920$1,033-$1,953
Other Expenses$7,268$1,774-$1,774
Advertising-$1,694-$1,694
Total Functional Expenses$473,019$91,460$0$564,479
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Payroll Taxes$4,781
Rounding$1
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B: Form 990 Review Process

“No review was or will be conducted.”

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

“No documents available to the public.”

Filing and Contact Details

Filer

Filer Name
Keene Clinic
EIN
84-1571531
Phone
3037324268
Address
PO Box 559, Keenesburg, CO 80643

Signing Officer

Name
Ben Martinez-Andujo
Title
President
Signed
2021-05-17
Discuss with paid preparer
Yes

Organization Details

Formed
2000
Legal Domicile
Co
Voting Board Members
7
Independent Board Members
7
Employees
8

Preparer

Firm
Rose E Melville CPA
Address
PO BOX 7312, LOVELAND, CO 80537
Preparer
Rose E Melville CPA
Phone
9706696704
Raw XML Appendix390 raw XML fields

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

Path#Value
IRS990/AccountantCompileOrReviewInd0false
IRS990/AccountsReceivableGrp/EOYAmt00
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0The mission of our organization is to provide high quality primary health care to rural northeastern Colorado. We are committed to deliver primary health care with concern, care, and compassion. We acknowledge and respond to the needs of our community. We will deliver health care that encompasses the physical, emotional and spiritual well-being of everyone. To fulfill this mission, we will provide healing, preventive and maintenance health care services. We will be a link and gate keeper to services outside the rural area into the urban areas. We will preserve the dignity of each individual regardless of race, creed, age, gender, or social status. We will strive to achieve and maintain standards of excellence in all aspects of health care delivery. We will operate in a responsible manner that reflects a mindful concern for the financial, social, and medical aspects of our community.
IRS990/AdvertisingGrp/ManagementAndGeneralAmt01694
IRS990/AdvertisingGrp/TotalAmt01694
IRS990/AllOtherContributionsAmt031305
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt01033
IRS990/AllOtherExpensesGrp/ProgramServicesAmt0920
IRS990/AllOtherExpensesGrp/TotalAmt01953
IRS990/BackupWthldComplianceInd0true
IRS990/BenefitsToMembersGrp/TotalAmt00
IRS990/BooksInCareOfDetail/PersonNm0Keene Clinic
IRS990/BooksInCareOfDetail/PhoneNum03037324268
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0190 S Main St
IRS990/BooksInCareOfDetail/USAddress/CityNm0Keenesburg
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CO
IRS990/BooksInCareOfDetail/USAddress/ZIPCd080643
IRS990/BusinessRlnWith35CtrlEntInd0false
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt0111960
IRS990/CashNonInterestBearingGrp/EOYAmt0130875
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt0192080
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt0192080
IRS990/CompDisqualPersonsGrp/TotalAmt00
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt011588
IRS990/ConferencesMeetingsGrp/TotalAmt011588
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt031305
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt071
IRS990/CYOtherExpensesAmt0203115
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt0536286
IRS990/CYRevenuesLessExpensesAmt03183
IRS990/CYSalariesCompEmpBnftPaidAmt0361364
IRS990/CYTotalExpensesAmt0564479
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0567662
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt016004
IRS990/DepreciationDepletionGrp/TotalAmt016004
IRS990/Desc0Performed over 15,798 procedures, serving over 5,253 patients.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRestrictionNetAssetsGrp/BOYAmt048007
IRS990/DonorRestrictionNetAssetsGrp/EOYAmt044501
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt08
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt0473019
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt0610
IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt030962
IRS990/FeesForServicesAccountingGrp/TotalAmt031572
IRS990/FeesForServicesLegalGrp/TotalAmt00
IRS990/FeesForServicesLobbyingGrp/TotalAmt00
IRS990/FeesForServicesManagementGrp/TotalAmt00
IRS990/FeesForServicesOtherGrp/TotalAmt00
IRS990/FeesForServicesProfFundraising/TotalAmt00
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt00
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignGrantsGrp/TotalAmt00
IRS990/ForeignOfficeInd0false
IRS990/Form1098CFiledInd0false
IRS990/Form8282FiledCnt00
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form8899Filedind0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt10.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt20.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt30.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt40.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt50.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt60.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt048.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt140.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt20.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt30.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt40.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt50.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt60.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/PersonNm0Ben Martinez-Andujo
IRS990/Form990PartVIISectionAGrp/PersonNm1Kristina Kitzman
IRS990/Form990PartVIISectionAGrp/PersonNm2Sharon Hepner
IRS990/Form990PartVIISectionAGrp/PersonNm3Glenn Bell
IRS990/Form990PartVIISectionAGrp/PersonNm4Ruth Pelton-Roby
IRS990/Form990PartVIISectionAGrp/PersonNm5Janet Huck
IRS990/Form990PartVIISectionAGrp/PersonNm6Peggy Manino
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt0148400
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt143680
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/TitleTxt0CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt2Director
IRS990/Form990PartVIISectionAGrp/TitleTxt3Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr02000
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt07
IRS990/GrantAmt016876
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt00
IRS990/GrantsToDomesticOrgsGrp/TotalAmt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0567662
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt00
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt07
IRS990/IndivRcvdGreaterThan100KCnt01
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/TotalAmt00
IRS990/InsuranceGrp/ManagementAndGeneralAmt011724
IRS990/InsuranceGrp/ProgramServicesAmt053543
IRS990/InsuranceGrp/TotalAmt065267
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InterestGrp/TotalAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt071
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt071
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt02
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt075844
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0364129
IRS990/LandBldgEquipBasisNetGrp/EOYAmt0348125
IRS990/LandBldgEquipCostOrOtherBssAmt0423969
IRS990/LegalDomicileStateCd0CO
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0false
IRS990/MinutesOfGoverningBodyInd0false
IRS990/MissionDesc0The mission of our organization is to provide high quality primary health care to rural northeastern Colorado. We are committed to deliver primary health care with concern, care, and compassion. We acknowledge and respond to the needs of our community. We will deliver health care that encompasses the physical, emotional and spiritual well-being of everyone. To fulfill this mission, we will provide healing, preventive and maintenance health care services. We will be a link and gate keeper to services outside the rural area into the urban areas. We will preserve the dignity of each individual regardless of race, creed, age, gender, or social status. We will strive to achieve and maintain standards of excellence in all aspects of health care delivery. We will operate in a responsible manner that reflects a mindful concern for the financial, social, and medical aspects of our community.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0471035
IRS990/NetAssetsOrFundBalancesEOYAmt0474218
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt00
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0423028
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0429717
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/ManagementAndGeneralAmt017955
IRS990/OccupancyGrp/TotalAmt017955
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt022402
IRS990/OfficeExpensesGrp/TotalAmt022402
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt09318
IRS990/OtherEmployeeBenefitsGrp/TotalAmt09318
IRS990/OtherExpensesGrp/Desc0Supplies
IRS990/OtherExpensesGrp/Desc1Lab Charges
IRS990/OtherExpensesGrp/Desc2Contract Labor
IRS990/OtherExpensesGrp/Desc3Dues & Subscriptions
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0580
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt16096
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt21774
IRS990/OtherExpensesGrp/ProgramServicesAmt018962
IRS990/OtherExpensesGrp/ProgramServicesAmt17268
IRS990/OtherExpensesGrp/TotalAmt019542
IRS990/OtherExpensesGrp/TotalAmt17268
IRS990/OtherExpensesGrp/TotalAmt26096
IRS990/OtherExpensesGrp/TotalAmt31774
IRS990/OtherLiabilitiesGrp/BOYAmt05054
IRS990/OtherLiabilitiesGrp/EOYAmt04782
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0135028
IRS990/OtherSalariesAndWagesGrp/TotalAmt0135028
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ProgramServicesAmt024938
IRS990/PayrollTaxesGrp/TotalAmt024938
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0621110
IRS990/ProgramServiceRevenueGrp/Desc0Healthcare Clinic
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0536286
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0536286
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0500
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt071
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0193256
IRS990/PYOtherRevenueAmt032062
IRS990/PYProgramServiceRevenueAmt0575292
IRS990/PYRevenuesLessExpensesAmt04439
IRS990/PYSalariesCompEmpBnftPaidAmt0410230
IRS990/PYTotalExpensesAmt0603486
IRS990/PYTotalRevenueAmt0607925
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt03183
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/HospitalInd0X
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/BuildingsGrp/BookValueAmt0309032
IRS990ScheduleD/BuildingsGrp/DepreciationAmt052522
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0361554
IRS990ScheduleD/EquipmentGrp/BookValueAmt020704
IRS990ScheduleD/EquipmentGrp/DepreciationAmt016285
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt036989
IRS990ScheduleD/LandGrp/BookValueAmt018389
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt018389
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt07037
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt07037
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt04781
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt11
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Payroll Taxes
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Rounding
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0348125
IRS990ScheduleD/TotalLiabilityAmt04782
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0No review was or will be conducted.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1No documents available to the public.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 11b: Form 990 Review Process
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0476089
IRS990/TotalAssetsEOYAmt0479000
IRS990/TotalAssetsGrp/BOYAmt0476089
IRS990/TotalAssetsGrp/EOYAmt0479000
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt031305
IRS990/TotalEmployeeCnt08
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt091460
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0473019
IRS990/TotalFunctionalExpensesGrp/TotalAmt0564479
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt05054
IRS990/TotalLiabilitiesEOYAmt04782
IRS990/TotalLiabilitiesGrp/BOYAmt05054
IRS990/TotalLiabilitiesGrp/EOYAmt04782
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0471035
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0474218
IRS990/TotalProgramServiceExpensesAmt0473019
IRS990/TotalProgramServiceRevenueAmt0536286
IRS990/TotalReportableCompFromOrgAmt0192080
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0536357
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0567662
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0476089
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0479000
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/USAddress/AddressLine1Txt0PO Box 559
IRS990/USAddress/CityNm0Keenesburg
IRS990/USAddress/StateAbbreviationCd0CO
IRS990/USAddress/ZIPCd0806430559
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/FederatedAssuranceLevelCd0FAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Ben Martinez-Andujo
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-05-17
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Keene Clinic
ReturnHeader/Filer/BusinessNameControlTxt0KEEN
ReturnHeader/Filer/EIN0841571531
ReturnHeader/Filer/PhoneNum03037324268
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO Box 559
ReturnHeader/Filer/USAddress/CityNm0Keenesburg
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CO
ReturnHeader/Filer/USAddress/ZIPCd080643
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0841571531
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0ROSE E MELVILLE CPA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 7312
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LOVELAND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd080537
ReturnHeader/PreparerPersonGrp/PhoneNum09706696704
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Rose E Melville CPA
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02021-05-17T13:00:08-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0Ben
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0Martinez-Andujo
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

Document Assets

No mirrored PDF or thumbnail assets are attached yet.