Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
ASPENPOINTE INC |
421600485 | 10 | Yes | 0 | 0 | |
|
Total 1
|
0 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 1,732,801 | 1,042,208 | 486,606 | 664,555 | 226,605 | 4,152,775 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 50,605,168 | 53,781,259 | 59,788,695 | 63,159,164 | 64,694,833 | 292,029,119 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | 0 | |||||
| 6 | Total. Add lines 1 through 5 | 52,337,969 | 54,823,467 | 60,275,301 | 63,823,719 | 64,921,438 | 296,181,894 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 296,181,894 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 52,337,969 | 54,823,467 | 60,275,301 | 63,823,719 | 64,921,438 | 296,181,894 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 3,754,311 | 3,953,930 | 4,054,574 | 4,022,729 | 4,164,557 | 19,950,101 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 3,754,311 | 3,953,930 | 4,054,574 | 4,022,729 | 4,164,557 | 19,950,101 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 0 | |||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 56,092,280 | 58,777,397 | 64,329,875 | 67,846,448 | 69,085,995 | 316,131,995 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | 0 | |||
| 2 | Recoveries of prior-year distributions | 2 | 0 | |||
| 3 | Other gross income (see instructions) | 3 | 0 | |||
| 4 | Add lines 1 through 3 | 4 | 0 | |||
| 5 | Depreciation and depletion | 5 | 0 | |||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | 0 | |||
| 7 | Other expenses (see instructions) | 7 | 0 | |||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | 0 | |||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | 0 | |||
| b | Average monthly cash balances | 1b | 0 | |||
| c | Fair market value of other non-exempt-use assets | 1c | 0 | |||
| d | Total (add lines 1a, 1b, and 1c) | 1d | 0 | |||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): 0 |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | 0 | |||
| 3 | Subtract line 2 from line 1d | 3 | 0 | |||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | 0 | |||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | 0 | |||
| 6 | Multiply line 5 by .035 | 6 | 0 | |||
| 7 | Recoveries of prior-year distributions | 7 | 0 | |||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | 0 | |||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | 0 | |||
| 2 | Enter 85% of line 1 | 2 | 0 | |||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | 0 | |||
| 4 | Enter greater of line 2 or line 3 | 4 | 0 | |||
| 5 | Income tax imposed in prior year | 5 | 0 | |||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | 0 | |||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 0 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
0 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 0 | |
| 4 Amounts paid to acquire exempt-use assets | 0 | |
| 5 Qualified set-aside amounts (prior IRS approval required) | 0 | |
| 6 Other distributions (describe in Part VI). See instructions | 0 | |
| 7Total annual distributions. Add lines 1 through 6. | 0 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
0 | |
| 9 Distributable amount for 2019 from Section C, line 6 | 0 | |
| 10 Line 8 amount divided by Line 9 amount | 0 % | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | 0 | |||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
0 | |||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015.......0 | ||||
| c From 2016.......0 | ||||
| d From 2017.......0 | ||||
| e From 2018.......0 | ||||
| fTotal of lines 3a through e | 0 | |||
| g Applied to underdistributions of prior years | 0 | |||
| h Applied to 2019 distributable amount | 0 | |||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | 0 | |||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ 0 | ||||
| a Applied to underdistributions of prior years | 0 | |||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | 0 | |||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
0 | |||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
0 | |||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
0 | |||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015.....0 | ||||
| b Excess from 2016.....0 | ||||
| c Excess from 2017.....0 | ||||
| d Excess from 2018.....0 | ||||
| e Excess from 2019.....0 | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part I, Line 12 | This Group Return includes the following organizations, exempt under section 509(a)(2): -AspenPointe Health Services EIN: 84-0602716 -AspenPointe Employment EIN: 84-1191609 -AspenPointe Enterprises EIN: 32-0098858 -Aspenpointe Health Network EIN: 20-4048014 -AspenPointe Foundation EIN: 84-0893577 As Well as the following organizations, exempt under section 509(a)(3) as Type II Supporting Organizations: -Aspenpointe Youth Directions EIN: 84-0681414 -Aspenpointe Properties EIN: 84-1119153 |
| Schedule A, Part IV, Section C, Line 1 | HOW CONTROL/MANAGEMENT OF THE SUPPORTING ORGANIZATION IS VESTED IN THE SAME PERSONS THAT CONTROL/MANAGE THE SUPPORTED ORGANIZATION: ALL BOARD MEMBERS OF THE TWO SUPPORTING ORGANIZATIONS; ASPENPOINTE YOUTH DIRECTIONS (EIN 84-0681414) AND ASPENPOINTE PROPERTIES (EIN 84-119153) SERVE AS BOARD MEMBERS OR OFFICERS OF THE SUPPORTED ORGANIZATION, ASPENPOINTE, INC. (EIN 42-1600485). FURTHER, THE SUPPORTED ORGANIZATION, ASPENPOINTE, INC. (EIN 42-1600485) IS THE SOLE MEMBER OF BOTH SUPPORTED ORGANIZATIONS; APPROVES THE APPOINTMENT OF ALL SUPPORTING ORGANIZATION BOARD MEMBERS; AND APPROVES ALL CHANGES TO THE SUPPORTING ORGANIZATIONS' BYLAWS. THE MANAGEMENT OF THE SUPPORTED ORGANIZATION, ASPENPOINTE, INC., INCLUDING THE CEO, CFO, AND COO ALL PROVIDE THE DAY-TO-DAY MANAGMENT OF THE SUPPORTED ORGANIZATIONS. ALL OF THIS SUPPORTS CONTROL BY THE SUPPORTED ORGANIZATION, BUT DOESN'T TECHNICALLY MEET THE MAJORITY OF EACH BOARD TO ANSWER "YES" FOR SCHEDULE A, PART IV, SECTION C, LINE 1. |
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Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 1, QUESTION H(C) | ENTITIES INCLUDED IN GROUP RETURN: THE ASPENPOINTE INC. GROUP RETURN IS A GROUP OF SUBSIDIARY ORGANIZATIONS OF ASPENPOINTE INC. UNDER GROUP EXEMPTION #9701. THE FOLLOWING ENTITIES ARE INCLUDED IN THIS GROUP RETURN: -ASPENPOINTE HEALTH NETWORK EIN: 20-4048014 -ASPENPOINTE ENTERPRISES EIN: 32-0098858 -ASPENPOINTE HEALTH SERVICES EIN: 84-0602716 -ASPENPOINTE YOUTH DIRECTIONS EIN: 84-0681414 -ASPENPOINTE FOUNDATION EIN: 84-0893577 -ASPENPOINTE PROPERTIES EIN: 84-1119153 -ASPENPOINTE EMPLOYMENT EIN: 84-1191609 -AspenPointe Telecare LLC EIN: 20-2788182 -ASPENPOINTE GROUP RETURN EIN: 90-0528134 |
| FORM 990, PART III, LINE 4A | Program Service accomplishments: While the State of Colorados new Regional Accountable Entity (RAE) structure did not officially start until Fiscal Year 2019, much of Fiscal Year 2018 was spent making the necessary changes to position AspenPointe for success in the forthcoming paradigm, in which behavioral health and physical health funds are managed by the same entity. Medicaid dollars account for more than 65 percent of our revenues, so the transition to a fee-for-service payment model versus the capitation system of years past was not taken lightly. That meant moving from a fixed amount payment per patient for our three-county region (El Paso, Teller, Park counties) to where we are paid specifically and only for services rendered. The previous payment system gave AspenPointe considerable flexibility in managing a patients care. The forthcoming payment model puts focus on operating more efficiently, with only medically necessary services and demonstrated outcomes. To begin with, we made sure key resources in Fiscal Year 2018 were devoted to our core mental health and substance misuse services and specialty areas so that our communitys most vulnerable individuals and families have minimal impact in this upcoming time of transition. We turned our collective attention to quality of care, patient experience and improvement in organization structure to ensure success in the years ahead. Professional Care: While our care and outcomes must be best in the business, so must our customer service ... to our patients, to our referral sources, and to the state of Colorado. We made a commitment to act and look professional at all times. That included everything from our email signatures and voicemail messages to our interactions with patients to our dress and appearance. Process Improvements: Our service delivery also needed streamlining. Our leadership team did a complete audit of every service and program to get a better understand of what we are doing well and where efficiencies are still needed. We looked for ways to increase productivity while not overshadowing quality. We homed in on utilization management, medical necessity, diagnoses, and improved documentation and treatment planning. Structure: In order to be prepared for the future, our structure also needed finetuning to ensure the right people had oversight of the right areas. As the aforementioned changes were planned and carried out, we had to continue business as usual, all while breaking in a new Electronic Health Record, creating new programs and adopting new processes. |
| Form 990, Part V, Line 2a | No Form W-3 is filed for the members of the AspenPointe Group because the employees of AspenPointe Group are compensated through a related organization, which is reimbursed by the the members of Aspenpointe Group for these employees' services. |
| FORM 990, PART VI, SECTION A, LINE 2 | RELATIONSHIPS AMONG BOARD MEMBERS: MICHAEL PATTINSON, KEVIN LIGHT, KELLY PHILLIPS-HENRY AND SUSAN SEILER HAVE A BUSINESS RELATIONSHIP AS THEY ARE DIRECTORS OF ASPENPOINTE MANAGEMENT, A RELATED ORGANIZATION TAXABLE AS A CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS: ASPENPOINTE, INC. IS THE SOLE MEMBER OF ALL OF THE SUBSIDIARY COMPANIES OF THE GROUP. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBER APPROVAL OF DECISIONS: ASPENPOINTE, INC. APPROVES THE APPOINTMENT OF ALL OF THE BOARD MEMBERS OF THE SUBSIDIARIES. |
| FORM 990, PART VI, SECTION A, LINE 7B | MEMBER APPROVAL OF CHANGES TO GOVERNING DOCUMENTS: ASPENPOINTE, INC. APPROVES ALL CHANGES TO SUBSIDIARY'S BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW PROCESS: THE FORM 990 RETURN IS PREPARED BY A THIRD PARTY AND GOES THROUGH A DETAILED REVIEW BY THE CONTROLLER AND CFO OF THE ORGANIZATION. ONCE REVIEWED, THE RETURN IS PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD WHERE THEY WILL CONDUCT A SECONDARY REVIEW AND RECOMMEND THE FILING OF THE 990 TO THE BOARD OF DIRECTORS. ONCE APPROVAL IS MADE, A FINAL COPY OF THE 990 WILL BE SENT TO THE BOARD VIA EMAIL AND THE 990 WILL BE ELECTRONICALLY FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY AND PROCESS: THE ORGANIZATION HAS A COMPREHENSIVE CORPORATE COMPLIANCE PROGRAM WHICH COVERS STAFF AND DIRECTORS. COMPLIANCE IS MONITORED THROUGH INTERNAL AUDITS OF BILLING, MEDICAL CHARTING, ACCOUNTING, AND THE COMPLIANCE PROGRAM ITSELF. THE ORGANIZATION EDUCATES STAFF ON COMPLIANCE ON AN ONGOING BASIS AND CONDUCTS AN ANNUAL ON-LINE QUESTIONNAIRE TO CONFIRM STAFF UNDERSTANDING OF THE PROGRAM. THE PROGRAM UTILIZES A HOTLINE FOR REPORTING OF SUSPECTED COMPLIANCE ISSUES. THE HOTLINE IS RUN BY A THIRD PARTY VENDOR AND OFFERS ANONYMITY TO THE REPORTER. THE STAFF IS EDUCATED ON THE HOTLINE'S USE AND ACCESS ON AN ONGOING BASIS AND THIS KNOWLEDGE IS AN IMPORTANT PART OF THE ANNUAL STAFF QUESTIONNAIRE. DESIGNATED PERSONNEL WORKING IN AREAS AFFECTING COMPLIANCE REPORT TO THE BOARD OF DIRECTORS' COMPLIANCE SUBCOMMITTEE ON A QUARTERLY BASIS. THE COMPLIANCE COMMITTEE REPORTS DIRECTLY TO THE BOARD. THE CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS AND TO ALL STAFF OF ALL COMPANIES. THE COMMITTEE OR THE BOARD MAY MAKE DETERMINATIONS OF WHETHER OR NOT AN ACTUAL CONFLICT OF INTEREST EXISTS. THE INDIVIDUAL WITH THE CONFLICT CANNOT PARTICIPATE IN THE DECISION MAKING PROCESS AND IS NOT PERMITTED TO VOTE ON THE PROPOSED TRANSACTION CREATING THE CONFLICT. THE SUBCOMMITTEE OR THE BOARD MAY INVESTIGATE ANY SUSPECTED FAILURES TO REPORT A CONFLICT AND MAY TAKE APPROPRIATE DISCIPLINARY ACTION OR CORRECTIVE ACTION. EACH YEAR THE BOARD OF DIRECTORS IS GIVEN A COMPLIANCE REPORT ON THE PREVIOUS YEAR'S COMPLIANCE PROGRAM. FOLLOWING THIS PRESENTATION, EACH BOARD MEMBER IS REQUIRED TO SIGN AN ACKNOWLEDGEMENT WHICH CONFIRMS THEIR UNDERSTANDING OF, AND AGREEMENT WITH, THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. THE INDIVIDUAL WITH THE CONFLICT CANNOT PARTICIPATE IN THE DECISION MAKING PROCESS AND IS NOT PERMITTED TO VOTE ON THE PROPOSED TRANSACTION CREATING THE CONFLICT. THE SUBCOMMITTEE OR THE BOARD MAY INVESTIGATE ANY SUSPECTED FAILURES TO REPORT A CONFLICT AND MAY TAKE APPROPRIATE DISCIPLINARY ACTION OR CORRECTIVE ACTION. EACH YEAR THE BOARD OF DIRECTORS IS GIVEN A COMPLIANCE REPORT ON THE PREVIOUS YEAR'S COMPLIANCE PROGRAM. FOLLOWING THIS PRESENTATION, EACH BOARD MEMBER IS REQUIRED TO SIGN AN ACKNOWLEDGEMENT WHICH CONFIRMS THEIR UNDERSTANDING OF, AND AGREEMENT WITH, THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | EXECUTIVE COMPENSATION: COMPENSATION IS PAID BY A RELATED ORGANIZATION, ASPENPOINTE INC. IN FEBRUARY 2016, ASPENPOINTE INC. ENGAGED THE HARLON GROUP, AN EXTERNAL COMPENSATION CONSULTING FIRM, TO COMPLETE A FORMAL REVIEW OF SENIOR LEADERSHIP POSITIONS INCLUDING CEO, COO, CFO, AND CHIEF MEDICAL OFFICER. THE RESULTS OF THE REVIEW WERE PROVIDED TO THE BOARD OF DIRECTORS FOR CONSIDERATION IN ESTABLISHING CEO OVERALL COMPENSATION PACKAGE. THEIR DECISION AND DELIBERATIONS WERE APPROPRIATELY DOCUMENTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII | BOARD AND OFFICER LISTING: THE GROUP RETURN INCLUDES THE FOLLOWING ENTITIES: -ASPENPOINTE EMPLOYMENT -ASPENPOINTE ENTERPRISES -ASPENPOINTE PROPERTIES -ASPENPOINTE YOUTH DIRECTIONS -ASPENPOINTE HEALTH NETWORK -ASPENPOINTE TELECARE LLC THE ABOVE ENTITIES HAVE A 3 PERSON BOARD COMPRISED OF THE PRESIDENT/CEO, COO AND CFO. -ASPENPOINTE HEALTH SERVICES -ASPENPOINTE FOUNDATION THE ABOVE ENTITIES HAVE A BOARD OF VOLUNTEER COMMUNITY MEMBERS. |
| FORM 990, PART XII, LINE 2B | CONSOLIDATED AUDITED FINANCIAL STATEMENTS: ALL MEMBERS OF THE GROUP WERE PART OF A CONSOLIDATED AUDIT. HOWEVER, BASED ON IRS INSTRUCTIONS FOR A GROUP RETURN, QUESTION 2B MAY ONLY BE ANSWERED YES IF ALL MEMBERS HAD SEPARATE AUDITS. ASPENPOINTE DOES HAVE AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT. ASPENPOINTE HEALTH SERVICES AND ASPENPOINTE HEALTH NETWORK ARE TWO ENTITIES INCLUDED WITHIN THIS GROUP RETURN WHICH HAD SINGLE AUDITS THAT WERE REQUIRED AND COMPLETED. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TEMPORARY HELP TOTAL FEES:1410111 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROVIDER & SUBCONTRACTOR TOTAL FEES:4691441 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COMMISSIONS FEES TOTAL FEES:97949 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING TOTAL FEES:414085 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT DOCTORS TOTAL FEES:199825 |
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