2024-10-03T13:57:12-05:00 2023-12-31 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2023-01-01 262303349 Community Clinics at Memorial Regional Health COMM 9708249411 750 Hospital Loop Craig CO 81625 Kyle Miller President 9708249411 2024-10-01 1 1 Lisa Chaffee CPA P00193453 7012551091 2024-10-01 2023 2024-10-15 13:58:12Z Kyle Miller 750 Hospital Loop Craig CO 81625 5035476 0 X N/A X 2008 CO To support the Memorial Hospital d/b/a Memorial Regional Health (MRH). 5 5 47 5 0 0 624225 833650 4579210 4187067 2474 5864 8812 8895 5214721 5035476 54815 5330 0 0 3449256 2544665 0 0 0 4176904 3674524 7680975 6224519 -2466254 -1189043 1648839 904948 8961733 7909229 -7312894 -7004281 X None 0 1 3583074 3039100 The Retail Pharmacy operation was moved back under Memorial Regional Health as of 9/1/2023. From January through August 2023, 24,772 prescriptions were sold. 1490031 990189 Our EMS service became part of Community Clinics at MRH in January of 2019. They provide ambulatory services to Moffat County. In 2023, they performed 1,535 dispatches, 1,005 patient transports, and 12 Fire Assists. 8164 0 Our Open Heart Advocates program provides help to community members dealing with domestic violence, sexual assault, etc. We have a shelter to provide temporary housing to those in need, and assist individuals with other needs (groceries, getting to appointments, counseling, etc.). In 2023, the Advocates Program had 23,561 domestic violence contacts, 10,498 sexual assault contacts, 7,592 crime victim contacts, and 1,740 shelter days. As of 1/1/2024, OHA became its own independent agency named ACTSS and transitioned away from CCMRH. 288407 5330 157778 The contract with Moffat County school district for their School Nurse and Health Techs ended in August 2023. There are a few left over expenses from HH&H due to contractual obligations. 288407 5330 157778 5369676 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 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 1 0 0 0 1 1 0 1 47 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 CO X Brittany Johnson 9708263161 750 Hospital Loop Craig CO 81625 Chris Jones Board Member 0.50 0.00 X 0 0 0 Scott Middleton Board Member 0.50 0.00 X 0 0 0 KC Hume Board Member 0.50 0.00 X 0 0 0 John Ponikvar Board Member 0.50 0.00 X 0 0 0 Jennifer Riley Board Member 0.50 40.00 X 0 323460 25672 Denise Arola Chairperson 0.50 0.00 X 0 0 0 Kyle Miller President 0.50 40.00 X 0 284994 34422 Julie Hanna Secretary 0.50 40.00 X 0 81493 13673 Brittany Johnson Treasurer 0.50 40.00 X 0 241096 35308 Justin Doubrava EMS Manager 40.00 0.00 X 117745 0 28870 Jeanie Kinchen Retail Pharmacist 40.00 0.00 X 101510 0 20676 Meghan Francone Exec. Dir. of OHA 40.00 0.00 X 104008 0 2797 323263 931043 161418 3 0 1 0 Cardinal Health Pharmacy 21377 Network Place Chicago IL 60673 Management services - Pharmacy 128206 1 757719 75931 833650 Pharmacy Revenue 456110 3039100 3039100 Ambulance 621400 990189 990189 Contract Revenue - Sch 900099 156215 156215 1563 1563 4187067 64 64 5800 0 5800 5800 5800 Restitution Revenue 900099 8895 8895 8895 5035476 4187067 0 14759 4559 4559 771 771 1886333 1353377 532956 59098 37753 21345 465030 361864 103166 134204 90504 43700 51043 51043 95 95 165692 158023 7669 6303 6303 44609 19091 25518 150630 107654 42976 13161 6403 6758 1270 10 1260 157358 155656 1702 98479 75163 23316 Medical Supplies 2844872 2844841 31 Bad Debt Expense 58046 58046 Client/Shelter Needs 32970 32970 Licenses/Dues/Fees 22247 18733 3514 27749 26185 1564 6224519 5369676 854843 0 519802 62399 106526 206988 324271 273203 217552 0 15099 56 1273920 911618 465589 362302 1648839 904948 406068 123144 71386 0 8484279 7786085 8961733 7909229 X 0 0 0 0 -7312894 -7004281 -7312894 -7004281 1648839 904948 X -1189043 1497656 X 0 1 X 0 0 X X 1 Memorial Regional Health 840399209 6 1 5330 5364346 1 5330 5364346 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Schedule A, Part I, line 12a, column (vi): The organization conducts direct charitable activities in furtherance of the purposes of Memorial Regional Health, such as operating, maintaining, or conducting healthcare facilities and services and other projects; promoting and facilitating the teaching and training of physicians, nurses and other persons engaged in the care of the sick and injured; operating emergency medical and ambulance services; operating and providing governance for community health centers; and providing crisis services for victims of domestic abuse and sexual assault. All activities are to promote the general health of the community. Schedule A, Part IV, Section A, Line 2: Memorial Regional Health, the supported organization, is not required to obtain recognition of its public charity status because it is a governmental entity. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 112000 15080 96920 1125420 896538 228882 36500 36500 362302 Related Party Payable/Receivable 7786085 7786085 X X 0 0 0 0 0 0 0 0 0 Jennifer Riley Board Member 0 258147 0 65313 0 0 0 0 0 26976 0 350436 0 0 Kyle Miller President 0 241444 0 43550 0 0 0 0 0 35726 0 320720 0 0 Brittany Johnson Treasurer 0 199296 0 41800 0 0 0 0 0 36611 0 277707 0 0 Part I, Line 3 The President is compensated by a related organization. The related organization uses one or more of the methods on line 3 to determine compensation. Form 990, Part III, line 3 The Open Heart Advocates activity transfered to their own independent 501(c)(3) entity on 12/31/23. The school nurse contract was not renewed effective 8/31/23. The Retail Pharmacy moved under Memorial Regional Health and was removed from the Organization on 9/1/2023. Form 990, Part VI, Section A, line 1a The President, Treasurer and Secretary are ex officio members of the board and have no voting rights. Form 990, Part VI, Section A, line 1a An Executive Committee may be appointed at the annual meeting or any regular or special meeting. Duties may include: authorizing distributions of the Corporation's assets; electing, appointing or removing an officer, amending Articles of Incorporation, adopting, amending or repealing Bylaws; approving sale, lease, exchange or other disposition of all, or substantially all of the Corporation's property; take any action specifically prescribed by the Board of Directors. Form 990, Part VI, Section A, line 7a Nominations for elected positions on the Board of Directors may be made by motion of a Director upon being seconded at a lawfully called meeting of the Board. The slate of nominations is presented by the Board of Directors for the review and approval of the Board of Trustees of MRH. Each Director will be appointed or re-appointed upon the majority approval of the Board of Trustees of MRH. Form 990, Part VI, Section A, line 7b The power to alter, amend, or repeal the bylaws or adopt new Articles of Incorporation is vested with the board of directors, with the review and approval by majority vote of the Board of Trustees of MRH. Form 990, Part VI, Section B, line 11b The Organization provides a copy of the Form 990 to the board prior to filing with the IRS. Form 990, Part VI, Section B, line 12c The Organization has a conflict of interest policy where officers and board members are required to disclose any potential conflicts on an annual basis and at the beginning of any meeting at which a topic related to the financial interest is to be discussed. After disclosure of all material facts the interested person shall leave the governing board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members decide if a conflict of interest exists. The Chairperson of the governing board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the governing board or committee shall determine whether the Organization can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest, the governing board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in the Organization's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination it shall make its decision as to whether to enter into the transaction or arrangement. Form 990, Part VI, Section B, line 15 Compensation is paid by a related organization. The related organization has processes in place to determine the appropriate compensation. Form 990, Part VI, Section C, line 19 The Organization does not make its governing documents or financial statements available to the public. Form 990, Part XI, line 9: Not paid due to the closure of Home Health and Hospice, Open Heart Advocates, the School Nurse Program and the Retail Pharmacy 1,497,656. Memorial Regional Health 750 Hospital Loop Craig CO 81625 840399209 Healthcare CO Line 6 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 1