2024-05-14T13:57:29-05:00 2023-12-31 201766527 WAUGH & GOODWIN LLP 1365 GARDEN OF THE GODS STE 150 COLORADO SPRINGS CO 80907 990 2023-01-01 882326702 COLORADO SAFETY NET COLLABORATIVE COLO 3035703894 8300 ALCOTT STREET STE 300 WESTMINSTER CO 800314030 BETTE J KLEINMAN BOARD CHAIR 3035703894 2024-05-14 1 BETTE KLEINMAN 999009999 0 JILL J GOODWIN CPA P00450838 7195909777 2024-05-14 0 AAL1 IAL1 2023 2023-04-26 12:10:37Z BETTE J KLEINMAN 8300 ALCOTT STREET STE 300 WESTMINSTER CO 800314030 138886 0 X WWW.COSAFETYNET.ORG X 2022 CO THE COLORADO SAFETY NET COLLABORATIVE (CSNC) INITIATED WORK IN 2019 ON BEHALF OF COMMUNITY-BASED CLINICS THAT SERVE PREDOMINANTLY PEOPLE WHO ARE UNINSURED, UNDERINSURED OR USE MEDICAID AND ARE NOT FEDERALLY QUALIFIED HEALTH CENTERS NOR RURAL HEALTH CENTERS. THE PURPOSE OF THE WORK IS TO PROVIDE TECHNICAL ASSISTANCE FOR COMMUNITY-BASED CLINICS AS WELL AS ADVOCATE FOR THE PEOPLE THEY SERVE. WHILE THE WORK BEGAN, ONE OF THE MEMBER CLINICS SERVED AS A FISCAL SPONSOR FOR THE ORGANIZATION. AFTER 5 YEARS OF OPERATION AND AN UNDERSTANDING THAT THE EFFORT WAS SUSTAINABLE THROUGH MEMBERSHIP DUES AND GRANTS, CSNC BECAME AN INDEPENDENT ENTITY ON MAY 16, 2022 AND SEPARATED FROM THE MEMBER CLINIC JULY 1, 2023. 5 5 0 5 0 0 0 131951 0 6935 0 0 0 0 0 138886 0 55000 0 0 0 50000 0 0 3235 0 140063 0 245063 0 -106177 0 583516 0 0 0 583516 X CSNC IS A COLLECTION OF HEALTH CENTERS WHO SERVE PEOPLE IN A SAFE AND WELCOMING WAY. OUR COLLABORATIVE SPECIALIZES IN CARING FOR THOSE THAT ARE UNINSURED, UNDER-INSURED AND ON MEDICAID WITH HEALTH CARE AND OTHER SERVICES THAT HELP PEOPLE GET AND STAY HEALTHY. OUR SERVICES ALSO REDUCE PRESSURE ON COLORADO'S EMERGENCY ROOMS ESPECIALLY DURING THE COVID-19 PANDEMIC. 0 0 227707 55000 6935 THE ORGANIZATION SUPPORTS SAFETY NET CLINICS IN THEIR EFFORTS TO PROVIDE SERVICES TO THE UNINSURED AND PEOPLE ON MEDICAID. THE PROGRAM WORK RELATES TO GETTING THESE CLINICS ACCESS TO FREE AND REDUCED COST SERVICES FROM VARIOUS VENDORS, SUCH AS LABORATORY SERVICES, PRESCRIPTION DRUGS AND EQUIPMENT/SUPPLIES AND GETTING THEM TO THE PATIENTS. 227707 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 X THE ORGANIZATION 3035703894 8300 ALCOTT STREET STE 300 WESTMINSTER CO 800314030 BEBE KLEINMAN BOARD CHAIR 5.00 X X 0 0 0 MICHELLE HUBBARD SECRETARY/TREASURER 2.00 X X 0 0 0 ALOK SARWAL BOARD MEMBER 2.00 X 0 0 0 MICHELLE VACHA BOARD MEMBER 2.00 X 0 0 0 MEREDITH HINTZE BOARD MEMBER 2.00 X 0 0 0 PHYLLIS ALBRITTON MANAGING CONSULTANT 20.00 X X 50000 0 0 50000 0 0 0 0 0 0 0 31950 100001 131951 PROGRAM REVENUE 900099 6935 6935 6935 138886 6935 0 0 X 55000 55000 50000 45000 2500 2500 5336 5336 103681 103681 14720 13250 735 735 7958 7958 4218 2818 1400 OTHER ADMINISTRATIVE CO 4092 4092 BANK CHARGES 48 48 BUSINESS LICENSES 10 10 245063 227707 14121 3235 583516 0 583516 0 0 X 258820 324696 0 583516 0 583516 X -106177 689693 X 0 0 0 X 131951 131951 6935 6935 138886 138886 138886 138886 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 HOPELIGHT MEDICAL CLINIC 1351 COLLYER ST LONGMONT CO 80501 464657471 501(C)(3) 11000 0 CLINIC GRANT ARDAS PLLC 12702 W VIRGINIA AVE LAKEWOOD CO 80228 454195348 11000 0 CLINIC GRANT EVERY CHILD PEDIATRICS 9197 GRANT STREET SUITE 100 THORNTON CO 80229 841321485 501(C)(3) 11000 0 CLINIC GRANT DOCTORS CARE 609 WEST LITTLETON BOULEVARD STE 100 LITTLETON CO 80120 841150815 501(C)(3) 11000 0 CLINIC GRANT THE PIC PLACE 87 MERCHANT DRIVE MONTROSE CO 81401 470891200 501(C)(3) 11000 0 CLINIC GRANT 4 1 FORM 990, SCHEDULE I, PART III THE COLLABORATIVE RECEIVED A SIGNIFICANT GRANT TO ASSIST CLINICS TO BEGIN TAKING PRIVATE INSURANCE THAT SUPPORTS UNDOCUMENTED COLORADO RESIDENTS. THE FUNDS OFFSET THE COSTS OF ADMINISTRATIVE TRANSITIONS TO BECOME PRIVATE INSURANCE PROVIDERS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD RECEIVES A DRAFT OF THE 990 AND HAS AN OPPORTUNITY TO REVIEW THE RETURN PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BEFORE BOARD OR COMMITTEE ACTION ON AN AGREEMENT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, A DIRECTOR OR COMMITTEE MEMBER HAVING A CONFLICT OF INTEREST AND WHO IS IN ATTENDANCE AT THE MEETING SHALL DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS COMPARATIVE COMPENSATION FOR SIMILAR ORGANIZATIONS WHEN DETERMINING COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 IS AVAILABLE UPON REQUEST FROM THE ORGANIZATION DURING NORMAL BUSINESS HOURS. FORM 990, PART IX, LINE 11G PROGRAM SUPPORT CONSULTANTS & PARTNERS: PROGRAM SERVICE EXPENSES 103,681. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,681. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS FROM CLINICA COLORADO 689,693.