Civic Intelligence

Keene Clinic

990 • Fiscal year 2021 • EIN 84-1571531

Jan 01, 2021 to Dec 31, 2021 • Filed on Jun 08, 2022

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

47th percentile

0.02x

Higher debt load relative to assets than 47% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Liabilities / Revenue

44th percentile

0.01x

Higher debt load relative to revenue than 44% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Net Margin

47th percentile

10%

Higher net margin than 47% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Top Officer Pay

94th percentile

$145,600

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 22.4% of source-year revenue.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Asset Growth

59th percentile

15%

Faster asset growth than 59% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2020 to 2021

Revenue Growth

51st percentile

15%

Faster revenue growth than 51% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / Assets47th percentile

Assets

Up

$551,211

Up $72,211 (+15%) from 2020

Net Assets

Up

$541,604

Up $67,386 (+14%) from 2020

Liabilities

Up

$9,607

Up $4,825 (+101%) from 2020

Revenue And Expenses
Liabilities / Revenue44th percentileNet Margin47th percentile

Revenue

Up

$650,499

Up $82,837 (+15%) from 2020

Expenses

Up

$583,113

Up $18,634 (+3.3%) from 2020

Net Income

Up

$67,386

Up $64,203 (+2017%) from 2020

Historical Trend

Balance Sheet Trend

Asset Growth59th 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

2021

Assets$551,211
Liabilities$9,607
Net Assets$541,604
Open 2021 Filing

Operations Trend

Revenue Growth51st 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

2021

Revenue$650,499
Expenses$583,113
Net Income$67,386
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Jun 8, 2022
Return Version
2021v4.0
Gross Receipts
$650,499
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$348,125$332,121▼ $16,004
Cash and Non-Interest-Bearing Accounts$130,875$219,090▲ $88,215
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$479,000$551,211▲ $72,211
Other Assets Total-$0-
Liabilities
Other Liabilities$4,782$9,607▲ $4,825
Total Liabilities$4,782$9,607▲ $4,825
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$429,717$541,604▲ $111,887
Net Assets With Donor Restrictions$44,501--
Total Net Assets Fund Balance$474,218$541,604▲ $67,386
Total Liabilities and Net Assets / Fund Balance$479,000$551,211▲ $72,211

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$299,479$62,075$361,554
Equipment$14,253$22,736$36,989
Land$18,389-$18,389
Leasehold Improvements-$7,037$7,037
Compensation and Service Providers
Top Officer Pay94th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Ben Martinez-AndujoCEOFT$145,600$145,600
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
$9,504
Program Service Revenue
$640,815
Investment Income
$180
Other Revenue
$0
All Other Contributions
$9,504
Change in Net Assets
$67,386
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$378,764
Other Expenses$204,349
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$189,280--$189,280
Other Salaries and Wages$147,892--$147,892
Insurance$49,787$7,996-$57,783
Fees for Services Accounting$34,311$600-$34,911
Payroll Taxes$26,394--$26,394
Office Expenses-$24,513-$24,513
Occupancy-$17,847-$17,847
Depreciation Depletion-$16,004-$16,004
Other Employee Benefits$15,198--$15,198
Conferences and Meetings-$11,462-$11,462
Advertising-$1,913-$1,913
All Other Expenses$699$739-$1,438
Other Expenses$6,674$1,119-$1,119
Total Functional Expenses$489,460$93,653$0$583,113
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$9,607
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
2022-06-08
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
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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/ProgramServiceRevenueGrp/Desc0Healthcare Clinic
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0640815
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0640815
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt031305
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt071
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0203115
IRS990/PYProgramServiceRevenueAmt0536286
IRS990/PYRevenuesLessExpensesAmt03183
IRS990/PYSalariesCompEmpBnftPaidAmt0361364
IRS990/PYTotalExpensesAmt0564479
IRS990/PYTotalRevenueAmt0567662
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt067386
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/BookValueAmt0299479
IRS990ScheduleD/BuildingsGrp/DepreciationAmt062075
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0361554
IRS990ScheduleD/EquipmentGrp/BookValueAmt014253
IRS990ScheduleD/EquipmentGrp/DepreciationAmt022736
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt036989
IRS990ScheduleD/LandGrp/BookValueAmt018389
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt018389
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt07037
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt07037
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt09607
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Payroll Taxes
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0332121
IRS990ScheduleD/TotalLiabilityAmt09607
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/TotalAssetsBOYAmt0479000
IRS990/TotalAssetsEOYAmt0551211
IRS990/TotalAssetsGrp/BOYAmt0479000
IRS990/TotalAssetsGrp/EOYAmt0551211
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt09504
IRS990/TotalEmployeeCnt08
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt093653
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0489460
IRS990/TotalFunctionalExpensesGrp/TotalAmt0583113
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt04782
IRS990/TotalLiabilitiesEOYAmt09607
IRS990/TotalLiabilitiesGrp/BOYAmt04782
IRS990/TotalLiabilitiesGrp/EOYAmt09607
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0474218
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0541604
IRS990/TotalProgramServiceExpensesAmt0489460
IRS990/TotalProgramServiceRevenueAmt0640815
IRS990/TotalReportableCompFromOrgAmt0189280
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0640995
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0650499
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0479000
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0551211
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/SignatureDt02022-06-08
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/PreparerFirmEIN0811650591
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/ReturnTs02022-06-08T12:38:17-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0Ben
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0Martinez-Andujo
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$551,211
Liabilities
$9,607
Net assets
$541,604
Revenue
$650,499
Expenses
$583,113
Net income
$67,386
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
2021Detailed filing. Detailed filing data is available for this year.$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