Civic Intelligence

Keene Clinic

990 • Fiscal year 2017 • EIN 84-1571531

Jan 01, 2017 to Dec 31, 2017 • Filed on Jun 18, 2018

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

33rd percentile

0.00x

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

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Liabilities / Revenue

30th percentile

0.00x

Higher debt load relative to revenue than 30% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Net Margin

64th percentile

9.5%

Higher net margin than 64% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Top Officer Pay

94th percentile

$150,927

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 25.4% of source-year revenue.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Asset Growth

69th percentile

12%

Faster asset growth than 69% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Revenue Growth

47th percentile

3.4%

Faster revenue growth than 47% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets33rd percentile

Assets

Up

$491,517

Up $54,593 (+12%) from 2016

Net Assets

Up

$489,857

Up $56,628 (+13%) from 2016

Liabilities

Down

$1,660

Down $2,035 (-55%) from 2016

Revenue And Expenses
Liabilities / Revenue30th percentileNet Margin64th percentile

Revenue

Up

$593,196

Up $19,568 (+3.4%) from 2016

Expenses

Down

$536,568

Down $66,947 (-11%) from 2016

Net Income

Up

$56,628

Up $86,515 (+289%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth69th 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

2017

Assets$491,517
Liabilities$1,660
Net Assets$489,857
Open 2017 Filing

Operations Trend

Revenue Growth47th 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

2017

Revenue$593,196
Expenses$536,568
Net Income$56,628
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Jun 18, 2018
Return Version
2017v2.2
Gross Receipts
$593,196
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$225,255$250,542▲ $25,287
Land, Buildings, and Equipment, Net$203,291$231,130▲ $27,839
Accounts Receivable$8,378$9,845▲ $1,467
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$436,924$491,517▲ $54,593
Other Assets Total-$0-
Liabilities
Other Liabilities$3,695$1,660▼ $2,035
Total Liabilities$3,695$1,660▼ $2,035
Net Assets / Fund Balance
Unrestricted Net Assets$333,229$389,857▲ $56,628
Temporarily Rstr Net Assets$100,000$100,000→ $0
Total Net Assets Fund Balance$433,229$489,857▲ $56,628
Total Liabilities and Net Assets / Fund Balance$436,924$491,517▲ $54,593

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$211,321$25,987$237,308
Land$18,389-$18,389
Leasehold Improvements$1,174$5,863$7,037
Equipment$246$4,492$4,738
Compensation and Service Providers
Top Officer Pay94th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Ben Martinez-AndujoCEOFT$150,927$150,927
Kristina KitzmanSecretaryFT$40,440$40,440

Board Members and Trustees

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

Revenue Composition

Contributions and Grants
$49,607
Program Service Revenue
$543,390
Investment Income
$199
Other Revenue
$0
All Other Contributions
$26,057
Change in Net Assets
$56,628
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$403,010
Other Expenses$133,558
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$191,367--$191,367
Other Salaries and Wages$126,353--$126,353
Other Employee Benefits$42,841--$42,841
Fees for Services Accounting$28,384$690-$29,074
Payroll Taxes$24,959--$24,959
Pension Plan Contributions$17,490--$17,490
Occupancy-$16,089-$16,089
Insurance-$12,121-$12,121
Conferences and Meetings-$11,966-$11,966
Office Expenses-$9,548-$9,548
Depreciation Depletion-$7,199-$7,199
Advertising-$1,555-$1,555
Other Expenses$1,082$805-$805
All Other Expenses$445--$445
Total Functional Expenses$476,595$59,973$0$536,568
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Dinner & Polka Dance$23,550---
Total Events$23,550---
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$1,336
IRA payable$324
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Backup withholding compliance
Yes
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
2018-06-18
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 80537-0312
Preparer
Rose E Melville CPA
Phone
9706696704
Raw XML AppendixShowing 400 of 404 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/BOYAmt08378
IRS990/AccountsReceivableGrp/EOYAmt09845
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/ManagementAndGeneralAmt01555
IRS990/AdvertisingGrp/TotalAmt01555
IRS990/AllAffiliatesIncludedInd0false
IRS990/AllOtherContributionsAmt026057
IRS990/AllOtherExpensesGrp/ProgramServicesAmt0445
IRS990/AllOtherExpensesGrp/TotalAmt0445
IRS990/AnnualDisclosureCoveredPrsnInd0false
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/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt0225255
IRS990/CashNonInterestBearingGrp/EOYAmt0250542
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt0191367
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt0191367
IRS990/CompDisqualPersonsGrp/TotalAmt00
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt011966
IRS990/ConferencesMeetingsGrp/TotalAmt011966
IRS990/ConflictOfInterestPolicyInd0false
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/ContriRptFundraisingEventAmt023550
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt049607
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt0199
IRS990/CYOtherExpensesAmt0133558
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt0543390
IRS990/CYRevenuesLessExpensesAmt056628
IRS990/CYSalariesCompEmpBnftPaidAmt0403010
IRS990/CYTotalExpensesAmt0536568
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0593196
IRS990/DAFExcessBusinessHoldingsInd0false
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt07199
IRS990/DepreciationDepletionGrp/TotalAmt07199
IRS990/Desc0Performed over 10,642 procedures, serving over 2,076 patients.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DistributionToDonorInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt08
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/EscrowAccountInd0false
IRS990/ExpenseAmt0476595
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt0690
IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt028384
IRS990/FeesForServicesAccountingGrp/TotalAmt029074
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/AverageHoursPerWeekRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt10.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt20.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt30.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt448.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt50.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt636.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/PersonNm0Glenn Bell
IRS990/Form990PartVIISectionAGrp/PersonNm1Ruth Pelton-Roby
IRS990/Form990PartVIISectionAGrp/PersonNm2Sharon Conner
IRS990/Form990PartVIISectionAGrp/PersonNm3Peggy Manino
IRS990/Form990PartVIISectionAGrp/PersonNm4Ben Martinez-Andujo
IRS990/Form990PartVIISectionAGrp/PersonNm5Sharon Hepner
IRS990/Form990PartVIISectionAGrp/PersonNm6Kristina Kitzman
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt4150927
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt640440
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/TitleTxt0Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt1Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt2Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt3Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt4CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt5Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt6Secretary
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/Form990TFiledInd0false
IRS990/FormationYr02000
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0true
IRS990/FundraisingAmt023550
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt07
IRS990/GrantAmt020000
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt00
IRS990/GrantsToDomesticOrgsGrp/TotalAmt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0593196
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt00
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt07
IRS990/IndivRcvdGreaterThan100KCnt01
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/TotalAmt00
IRS990/InsuranceGrp/ManagementAndGeneralAmt012121
IRS990/InsuranceGrp/TotalAmt012121
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InterestGrp/TotalAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt0199
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0199
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/InvestTaxExemptBondsInd0false
IRS990/IRPDocumentCnt02
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt036342
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0203291
IRS990/LandBldgEquipBasisNetGrp/EOYAmt0231130
IRS990/LandBldgEquipCostOrOtherBssAmt0267472
IRS990/LegalDomicileStateCd0CO
IRS990/LicensedMoreThanOneStateInd0false
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/NetAssetsOrFundBalancesBOYAmt0433229
IRS990/NetAssetsOrFundBalancesEOYAmt0489857
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt00
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/ManagementAndGeneralAmt016089
IRS990/OccupancyGrp/TotalAmt016089
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt09548
IRS990/OfficeExpensesGrp/TotalAmt09548
IRS990/OfficerMailingAddressInd0false
IRS990/OnBehalfOfIssuerInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OrgFiledInLieuOfForm1041Ind0false
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt042841
IRS990/OtherEmployeeBenefitsGrp/TotalAmt042841
IRS990/OtherExpensesGrp/Desc0Supplies
IRS990/OtherExpensesGrp/Desc1Lab Charges
IRS990/OtherExpensesGrp/Desc2Pharmacy
IRS990/OtherExpensesGrp/Desc3Community Contributions
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0805
IRS990/OtherExpensesGrp/ProgramServicesAmt039028
IRS990/OtherExpensesGrp/ProgramServicesAmt14646
IRS990/OtherExpensesGrp/ProgramServicesAmt21082
IRS990/OtherExpensesGrp/TotalAmt039028
IRS990/OtherExpensesGrp/TotalAmt14646
IRS990/OtherExpensesGrp/TotalAmt21082
IRS990/OtherExpensesGrp/TotalAmt3805
IRS990/OtherLiabilitiesGrp/BOYAmt03695
IRS990/OtherLiabilitiesGrp/EOYAmt01660
IRS990/OtherRevenueMiscGrp/Desc0Miscellaneous
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0126353
IRS990/OtherSalariesAndWagesGrp/TotalAmt0126353
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ProgramServicesAmt024959
IRS990/PayrollTaxesGrp/TotalAmt024959
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt017490
IRS990/PensionPlanContributionsGrp/TotalAmt017490
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0621110
IRS990/ProgramServiceRevenueGrp/Desc0Healthcare Clinic
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0543390
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0543390
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt019500
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt0103
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0169825
IRS990/PYProgramServiceRevenueAmt0554025
IRS990/PYRevenuesLessExpensesAmt0-29887
IRS990/PYSalariesCompEmpBnftPaidAmt0433690
IRS990/PYTotalExpensesAmt0603515
IRS990/PYTotalRevenueAmt0573628
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt056628
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/ScheduleBRequiredInd0true
IRS990ScheduleD/BuildingsGrp/BookValueAmt0211321
IRS990ScheduleD/BuildingsGrp/DepreciationAmt025987
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0237308
IRS990ScheduleD/EquipmentGrp/BookValueAmt0246
IRS990ScheduleD/EquipmentGrp/DepreciationAmt04492
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt04738
IRS990ScheduleD/LandGrp/BookValueAmt018389
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt018389
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt01174
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt05863
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt07037
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0324
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt11336
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0IRA payable
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Payroll Taxes
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0231130
IRS990ScheduleD/TotalLiabilityAmt01660
IRS990ScheduleG/AgrmtProfFundraisingActyInd0false
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt023550
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt023550
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0Dinner & Polka Dance
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt023550
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt023550
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990ScheduleJ/RebuttablePresumptionProcInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0150927
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Ben Martinez-Andujo
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0150927
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/TotalAssetsBOYAmt0436924
IRS990/TotalAssetsEOYAmt0491517
IRS990/TotalAssetsGrp/BOYAmt0436924
IRS990/TotalAssetsGrp/EOYAmt0491517
IRS990/TotalCompGreaterThan150KInd0true
IRS990/TotalContributionsAmt049607
IRS990/TotalEmployeeCnt08
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt059973
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0476595
IRS990/TotalFunctionalExpensesGrp/TotalAmt0536568
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt03695
IRS990/TotalLiabilitiesEOYAmt01660
IRS990/TotalLiabilitiesGrp/BOYAmt03695
IRS990/TotalLiabilitiesGrp/EOYAmt01660
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0433229
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0489857
IRS990/TotalProgramServiceExpensesAmt0476595
IRS990/TotalProgramServiceRevenueAmt0543390
IRS990/TotalReportableCompFromOrgAmt0191367
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0543589
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0593196
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0436924
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0491517
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0333229
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0389857
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Ben Martinez-Andujo
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-06-18
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/ReturnTs02018-06-18T12:33:38-07:00

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$491,517
Liabilities
$1,660
Net assets
$489,857
Revenue
$593,196
Expenses
$536,568
Net income
$56,628
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
2017Detailed filing. Detailed filing data is available for this year.$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