Civic Intelligence

Keene Clinic

990 • Fiscal year 2018 • EIN 84-1571531

Jan 01, 2018 to Dec 31, 2018 • Filed on Jul 18, 2019

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

39th percentile

0.01x

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

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Liabilities / Revenue

36th percentile

0.01x

Higher debt load relative to revenue than 36% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Net Margin

39th percentile

-0.3%

Higher net margin than 39% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Top Officer Pay

94th percentile

$150,736

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 24.4% of source-year revenue.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Asset Growth

30th percentile

-4.1%

Faster asset growth than 30% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2018

Revenue Growth

50th percentile

4.0%

Faster revenue growth than 50% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2018

Assets

Down

$471,208

Down $20,309 (-4.1%) from 2017

Net Assets

Down

$466,596

Down $23,261 (-4.7%) from 2017

Liabilities

Up

$4,612

Up $2,952 (+178%) from 2017

Revenue

Up

$617,194

Up $23,998 (+4.0%) from 2017

Expenses

Up

$618,840

Up $82,272 (+15%) from 2017

Net Income

Down

-$1,646

Down $58,274 (-103%) from 2017

Historical Trend

Balance Sheet Trend

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

2018

Assets$471,208
Liabilities$4,612
Net Assets$466,596

Operations Trend

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

2018

Revenue$617,194
Expenses$618,840
Net Income-$1,646
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Jul 18, 2019
Return Version
2018v3.1
Gross Receipts
$617,194
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$231,130$352,964▲ $121,834
Cash and Non-Interest-Bearing Accounts$250,542$116,254▼ $134,288
Accounts Receivable$9,845$1,990▼ $7,855
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$491,517$471,208▼ $20,309
Other Assets Total-$0-
Liabilities
Other Liabilities$23,275$4,612▼ $18,663
Total Liabilities$23,275$4,612▼ $18,663
Net Assets / Fund Balance
Unrestricted Net Assets$368,242$366,596▼ $1,646
Temporarily Rstr Net Assets$100,000$100,000→ $0
Total Net Assets Fund Balance$468,242$466,596▼ $1,646
Total Liabilities and Net Assets / Fund Balance$491,517$471,208▼ $20,309

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$328,138$33,416$361,554
Land$18,389-$18,389
Equipment$6,437$5,473$11,910
Leasehold Improvements-$7,037$7,037
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Ben Martinez-AndujoCEOFT$150,736$150,736
Kristina KitzmanSecretaryFT$42,720$42,720

Board Members and Trustees

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

Revenue Composition

Contributions and Grants
$40,110
Program Service Revenue
$576,956
Investment Income
$128
Other Revenue
$0
All Other Contributions
$12,310
Change in Net Assets
$-1,646
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$475,856
Other Expenses$142,984
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$198,557--$198,557
Current Officers, Directors, Trustees, and Key Employees$193,456--$193,456
Other Employee Benefits$45,294--$45,294
Fees for Services Accounting$29,694$820-$30,514
Office Expenses$687$29,696-$30,383
Payroll Taxes$29,417--$29,417
Occupancy-$16,429-$16,429
Conferences and Meetings-$11,523-$11,523
Insurance-$10,460-$10,460
Depreciation Depletion-$9,584-$9,584
Pension Plan Contributions$9,132--$9,132
Advertising-$1,644-$1,644
Other Expenses$664--$664
All Other Expenses-$529-$529
Total Functional Expenses$538,155$80,685$0$618,840
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$27,800---
Total Events$27,800---
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$4,612
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
2019-07-18
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
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IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0621110
IRS990/ProgramServiceRevenueGrp/Desc0Healthcare Clinic
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0576956
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0576956
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt049607
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt0199
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0133558
IRS990/PYProgramServiceRevenueAmt0543390
IRS990/PYRevenuesLessExpensesAmt056628
IRS990/PYSalariesCompEmpBnftPaidAmt0403010
IRS990/PYTotalExpensesAmt0536568
IRS990/PYTotalRevenueAmt0593196
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-1646
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/BookValueAmt0328138
IRS990ScheduleD/BuildingsGrp/DepreciationAmt033416
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0361554
IRS990ScheduleD/EquipmentGrp/BookValueAmt06437
IRS990ScheduleD/EquipmentGrp/DepreciationAmt05473
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt011910
IRS990ScheduleD/LandGrp/BookValueAmt018389
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt018389
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt07037
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt07037
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt04612
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Payroll Taxes
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0352964
IRS990ScheduleD/TotalLiabilityAmt04612
IRS990ScheduleG/AgrmtProfFundraisingActyInd0false
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt027800
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt027800
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0Dinner & Polka Dance
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt027800
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt027800
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990ScheduleJ/RebuttablePresumptionProcInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0150736
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Ben Martinez-Andujo
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0150736
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/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt0100000
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt0100000
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0491517
IRS990/TotalAssetsEOYAmt0471208
IRS990/TotalAssetsGrp/BOYAmt0491517
IRS990/TotalAssetsGrp/EOYAmt0471208
IRS990/TotalCompGreaterThan150KInd0true
IRS990/TotalContributionsAmt040110
IRS990/TotalEmployeeCnt08
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt080685
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0538155
IRS990/TotalFunctionalExpensesGrp/TotalAmt0618840
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt023275
IRS990/TotalLiabilitiesEOYAmt04612
IRS990/TotalLiabilitiesGrp/BOYAmt023275
IRS990/TotalLiabilitiesGrp/EOYAmt04612
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0468242
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0466596
IRS990/TotalProgramServiceExpensesAmt0538155
IRS990/TotalProgramServiceRevenueAmt0576956
IRS990/TotalReportableCompFromOrgAmt0193456
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0577084
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0617194
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0491517
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0471208
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0368242
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0366596
IRS990/USAddress/AddressLine1Txt0PO Box 559
IRS990/USAddress/CityNm0Keenesburg
IRS990/USAddress/StateAbbreviationCd0CO
IRS990/USAddress/ZIPCd0806430559
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Ben Martinez-Andujo
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-07-18
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

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

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
2018Detailed filing. Detailed filing data is available for this year.$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