Civic Intelligence

Keene Clinic

990 • Fiscal year 2016 • EIN 84-1571531

Jan 01, 2016 to Dec 31, 2016 • Filed on May 31, 2017

Organization ProfileN/A
PO Box 559Keenesburg, CO 80643

(303) 732-4268

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

37th percentile

0.01x

Higher debt load relative to assets than 37% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Liabilities / Revenue

33rd percentile

0.01x

Higher debt load relative to revenue than 33% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Net Margin

28th percentile

-5.2%

Higher net margin than 28% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Top Officer Pay

94th percentile

$151,215

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 26.4% of source-year revenue.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Asset Growth

21st percentile

-6.7%

Faster asset growth than 21% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Revenue Growth

16th percentile

-21%

Faster revenue growth than 16% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets37th percentile

Assets

Down

$436,924

Down $31,407 (-6.7%) from 2015

Net Assets

Down

$433,229

Down $29,887 (-6.5%) from 2015

Liabilities

Down

$3,695

Down $1,520 (-29%) from 2015

Revenue And Expenses
Liabilities / Revenue33rd percentileNet Margin28th percentile

Revenue

Down

$573,628

Down $151,467 (-21%) from 2015

Expenses

Up

$603,515

Up $2,914 (+0.5%) from 2015

Net Income

Down

-$29,887

Down $154,381 (-124%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth21st percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2016

Assets$436,924
Liabilities$3,695
Net Assets$433,229
Open 2016 Filing

Operations Trend

Revenue Growth16th percentile

Revenue, expenses, and net income across loaded years, with this 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

2016

Revenue$573,628
Expenses$603,515
Net Income-$29,887
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
May 31, 2017
Return Version
2016v3.0
Gross Receipts
$573,628
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
Cash and Non-Interest-Bearing Accounts$257,616$225,255▼ $32,361
Land, Buildings, and Equipment, Net$210,415$203,291▼ $7,124
Accounts Receivable$300$8,378▲ $8,078
Savings and Temporary Cash Investments-$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$468,331$436,924▼ $31,407
Other Assets Total-$0-
Liabilities
Other Liabilities$5,215$3,695▼ $1,520
Total Liabilities$5,215$3,695▼ $1,520
Net Assets / Fund Balance
Unrestricted Net Assets$363,116$333,229▼ $29,887
Temporarily Rstr Net Assets$100,000$100,000→ $0
Total Net Assets Fund Balance$463,116$433,229▼ $29,887
Total Liabilities and Net Assets / Fund Balance$468,331$436,924▼ $31,407

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$181,827$20,443$202,270
Land$18,389-$18,389
Leasehold Improvements$2,581$4,456$7,037
Equipment$494$4,244$4,738
Compensation and Service Providers
Top Officer Pay94th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Ben Martinez-AndujoCEOFT$151,215$151,215
Kristina KitzmanSecretaryPT$38,204$38,204
Sharon HepnerTrusteePT$2,856$2,856

Board Members and Trustees

NameTitle
Glenn BellTrustee
Peggy ManinoTrustee
Ruth Pelton-RobyTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$19,500
Program Service Revenue
$554,025
Investment Income
$103
Other Revenue
$0
All Other Contributions
$19,500
Change in Net Assets
$-29,887
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$433,690
Other Expenses$169,825
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$192,275--$192,275
Other Salaries and Wages$168,085--$168,085
Other Employee Benefits$36,582--$36,582
Fees for Services Accounting$28,956$465-$29,421
Payroll Taxes$26,652--$26,652
Occupancy-$19,863-$19,863
Conferences and Meetings-$13,021-$13,021
Office Expenses-$12,546-$12,546
Pension Plan Contributions$10,096--$10,096
Depreciation Depletion-$7,124-$7,124
Insurance-$6,333-$6,333
Other Expenses$5,075--$5,075
Advertising-$1,659-$1,659
All Other Expenses-$538-$538
Total Functional Expenses$541,966$61,549$0$603,515
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$2,186
IRA payable$1,509
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Backup withholding compliance
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
2017-05-31
Discuss with paid preparer
Yes

Organization Details

Formed
2000
Legal Domicile
Co
Voting Board Members
6
Independent Board Members
7
Employees
11

Preparer

Firm
Rose E Melville CPA
Address
PO BOX 7312, LOVELAND, CO 80537-0312
Preparer
Rose E Melville CPA
Phone
9706696704
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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/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt0137
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0180115
IRS990/PYProgramServiceRevenueAmt0607065
IRS990/PYRevenuesLessExpensesAmt0124494
IRS990/PYSalariesCompEmpBnftPaidAmt0420486
IRS990/PYTotalExpensesAmt0600601
IRS990/PYTotalRevenueAmt0725095
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-29887
IRS990/RegularMonitoringEnfrcInd0false
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
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/BuildingsGrp/BookValueAmt0181827
IRS990ScheduleD/BuildingsGrp/DepreciationAmt020443
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0202270
IRS990ScheduleD/EquipmentGrp/BookValueAmt0494
IRS990ScheduleD/EquipmentGrp/DepreciationAmt04244
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt04738
IRS990ScheduleD/LandGrp/BookValueAmt018389
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt018389
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt02581
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt04456
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt07037
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt01509
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt12186
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0IRA payable
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Payroll Taxes
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0203291
IRS990ScheduleD/TotalLiabilityAmt03695
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990ScheduleJ/RebuttablePresumptionProcInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0151215
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Ben Martinez-Andujo
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0151215
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990/ScheduleORequiredInd0false
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/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt0100000
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt0100000
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0468331
IRS990/TotalAssetsEOYAmt0436924
IRS990/TotalAssetsGrp/BOYAmt0468331
IRS990/TotalAssetsGrp/EOYAmt0436924
IRS990/TotalCompGreaterThan150KInd0true
IRS990/TotalContributionsAmt019500
IRS990/TotalEmployeeCnt011
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt061549
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0541966
IRS990/TotalFunctionalExpensesGrp/TotalAmt0603515
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt05215
IRS990/TotalLiabilitiesEOYAmt03695
IRS990/TotalLiabilitiesGrp/BOYAmt05215
IRS990/TotalLiabilitiesGrp/EOYAmt03695
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0463116
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0433229
IRS990/TotalProgramServiceExpensesAmt0541966
IRS990/TotalProgramServiceRevenueAmt0554025
IRS990/TotalReportableCompFromOrgAmt0192275
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0554128
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0573628
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0468331
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0436924
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0363116
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0333229
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Ben Martinez-Andujo
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-05-31
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/PreparerFirmName/BusinessNameLine1Txt0ROSE E MELVILLE CPA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 7312
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0LOVELAND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0805370312
ReturnHeader/PreparerPersonGrp/PhoneNum09706696704
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Rose E Melville CPA
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02017-05-31T07:10:51-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$436,924
Liabilities
$3,695
Net assets
$433,229
Revenue
$573,628
Expenses
$603,515
Net income
-$29,887
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
2016Detailed filing. Detailed filing data is available for this year.$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
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2016 filings • 501(c)3 • $500k-$1M nonprofits