2025-10-23T13:24:23-05:00 2024-12-31 450250958 Eide Bailly LLP 4585 Coleman St Ste 200 Bismarck ND 58503 990 2024-01-01 262303349 Community Clinics at Memorial Regional Health COMM 9708249411 750 Hospital Loop Craig CO 81625 Kyle Miller President 9708249411 2025-10-22 1 1 Lisa Chaffee CPA P00193453 7012551091 2025-10-22 2024 2025-03-06 01:10:19Z Kyle Miller 750 Hospital Loop Craig CO 81625 578480 0 X N/A X 2008 CO To support the Memorial Hospital d/b/a Memorial Regional Health (MRH). 5 5 27 5 0 0 833650 16604 4187067 517451 5864 -54598 8895 0 5035476 479457 5330 39200 0 0 2544665 1076871 0 0 0 3674524 411697 6224519 1527768 -1189043 -1048311 904948 592775 7909229 1068973 -7004281 -476198 None 0 0 1472193 517451 Our EMS service became part of Community Clinics at MRH in January of 2019. They provide ambulatory services to Moffat County. In 2024, they performed 1,440 dispatches, 934 patient transports, and 9 Fire Assists. 39200 39200 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.). As of 1/1/2024, OHA became its own independent agency named ACTSS and transitioned away from CCMRH. In 2024, there was some activity that occurred while closing up the entity. 1511393 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 27 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 311684 38810 Denise Arola Chairperson 0.50 0.00 X 0 0 0 Kyle Miller President 0.50 40.00 X 0 281431 49323 Julie Hanna Secretary 0.50 40.00 X 0 81697 20844 Brittany Johnson Treasurer 0.50 40.00 X 0 248655 49042 Justin Doubrava EMS Manager 40.00 0.00 X 114441 0 33889 Gabe Heil EMT - Paramedica 40.00 0.00 X 114128 0 2165 228569 923467 194073 2 0 1 0 0 16555 49 16604 Ambulance 621400 517451 517451 517451 44425 99023 -54598 -54598 -54598 479457 517451 0 -54598 39200 39200 825270 817584 7686 30926 30638 288 161615 160110 1505 59060 58510 550 52891 52766 125 14444 14435 9 27349 27349 174 174 76 76 152576 152391 185 79962 76435 3527 Supplies 35868 35868 Repairs/Maintenance 27591 27591 Licenses/Dues/Fees 18224 15724 2500 Rental/Lease Equipment 1432 1432 1110 1110 1527768 1511393 16375 0 62399 67347 206988 0 273203 407472 56 1333 985630 869007 362302 116623 904948 592775 123144 46176 7786085 1022797 7909229 1068973 X 0 0 0 0 -7004281 -476198 -7004281 -476198 904948 592775 X -1048311 7733059 -156665 X 0 1 X 0 0 X X 1 Memorial Regional Health 840399209 6 1 39200 1472193 1 39200 1472193 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 985630 869007 116623 116623 Related Party Payable/Receivable 1022797 1022797 1 ACTSS (Advocates- Crisis Trauma & Survivor Services) 580 Pershing St Suite 300 Craig CO 81625 931801473 501(c)(3) 0 39200 FMV Lease Receivable Forgiven ACTSS was not financially stable therefore we forgave what they owed Community Clinics 1 0 Part I, Line 2: Open Heart Advocates (OHA), a program of the Community Clinics at Memorial Regional Health organization, negotiated an agreement to transfer the assets of OHA to ACTSS (Advocates- Crisis Trauma & Survivor Services) as of January 1, 2024. At this time there was a Lease Purchase Agreement to ACTSS for lease of premises at 724 Tucker St., Craig, CO. On October 30, 2024, the Community Clinics at Memorial Regional Health determined it was in the best interest of the community to make a contribution to ACTSS by fully satisfying all rental payments due under this Lease Purchase Agreement. X X 0 0 0 0 0 0 0 0 0 Jennifer Riley Board Member 0 257684 0 54000 0 0 0 8100 0 32013 0 351797 0 0 Kyle Miller President 0 235255 0 46176 0 0 0 7494 0 43134 0 332059 0 0 Brittany Johnson Treasurer 0 205810 0 42845 0 0 0 6635 0 43711 0 299001 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 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: Write-off of related party payable/receivable not paid due to the closure of Home Health & Hospice & Open Heart Advocates -156,665. Form 990, part XI, line 8: The Organization is reporting a prior period adjustment related to the closure of Home Health and Hospice from 2022. The adjustment is due to an incorrect breakout of net assets between Community Clinics and the related entity, Memorial Regional Health, in the condensed combining information of the Memorial Regional Health audited financial statements. 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 0 0 0 1 1 1 1 1 1