Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for 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 | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 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 | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| 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. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 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 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 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 | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | THE FAMILY PLANNING, GYNECOLOGY AND SEXUAL HEALTH PROGRAM OFFERS COMPREHENSIVE REPRODUCTIVE AND SEXUAL HEALTH CARE SERVICES AND COMMUNITY EDUCATION WITHIN THIS SPECIALIZED SCOPE OF EXPERTISE. SERVICES ARE AVAILABLE AT CLINICS IN LONGMONT AND BOULDER, CO. WOMEN'S HEALTH ASSURES THAT ALL PATIENTS CAN RECEIVE THE HEALTH CARE THEY NEED REGARDLESS OF INCOME OR INSURANCE COVERAGE. THUS, FOR THOSE WHO ARE UNINSURED AND LOW INCOME, MOST CLINICAL SERVICES IN THIS PROGRAM ARE PROVIDED ON A SLIDING FEE SCALE THAT SLIDES TO 0 FOR THE LOWEST INCOME PATIENTS. OTHERS PAY ACCORDING TO THEIR INCOME. TEENS UNDER 18 CAN RECEIVE SERVICES WITHOUT CHARGE. COMMUNITY HEALTH EDUCATION (CHE) IS PROVIDED WITHOUT CHARGE IN THE TWO SCHOOL DISTRICTS IN BOULDER COUNTY. ADVANCED PRACTICE NURSES (APNS) PROVIDE WELL WOMAN CARE, PRESCRIBE, DISPENSE OR INSERT BIRTH CONTROL METHODS THAT BEST MEET THE NEEDS AND DESIRES OF THE PATIENT, INCLUDING LONG ACTING REVERSIBLE METHODS OF CONTRACEPTION (LARC). MEN AND WOMEN CAN BE SCREENED AND TESTED FOR SEXUALLY TRANSMITTED INFECTIONS AND RECEIVE APPROPRIATE TREATMENT AND FOLLOW UP WHEN NECESSARY. WOMEN REQUIRING GYNECOLOGY SERVICES BEYOND THE SCOPE OF PRACTICE OF THE APN ARE SEEN BY A BOARD-CERTIFIED GYNECOLOGIST FOR DIAGNOSIS AND TREATMENT. VASECTOMY, A PERMANENT METHOD OF CONTRACEPTION, IS AVAILABLE IN-HOUSE FOR MEN. TRANSGENDER PEOPLE RECEIVE APPROPRIATE, RESPECTFUL HEALTH CARE THAT MEETS THEIR NEEDS INCLUDING HORMONAL THERAPY. AS A PATIENT-CENTERED MEDICAL PROVIDER (PCMP) FOR THE MEDICAID PROGRAM, WE PROVIDE THOROUGH HEALTH SCREENINGS INLUDING BREAST, CERVICAL, AND COLON CANCER SCREENINGS. THE BREAST HEALTH FUND AT WOMEN'S HEALTH CAN PAY FOR ADDITIONAL DIAGNOSTIC SERVICES THAT MAY BE NEEDED FOLLOWING AN ABNORMAL MAMMOGRAM. WE ALSO SCREEN FOR INDICATIONS OF MENTAL HEALTH ISSUES. REFERRALS ARE MADE TO OUTSIDE PROVIDERS WHEN NECESSARY AND PATIENT ADVOCATES FOLLOW UP ON REFERRALS AND ASSURE THAT PATIENTS HAVE ACCESS TO OTHER COMMUNITY RESOURCES WHEN NEEDED. WOMEN'S HEALTH STRIVES TO REMOVE BARRIERS TO HEALTHCARE ACCESS BY PROVIDING SPECIALIZED OUTREACH AND EDUCATION TO MONOLINGUAL SPANISH SPEAKERS, YOUTH, THE LGBTQ COMMUNITY, AND OTHER MARGINALIZED POPULATIONS. SOME CLINIC HOURS AT BOTH LOCATIONS ARE RESERVED TO EXCLUSIVELY SERVE YOUTH, INCREASING CONFIDENTIALITY. IN ADDTION, WOMEN'S HEALTH PROVIDED COMPREHENSIVE HEALTH EDUCATION TO JUST UNDER 8,900 STUDENTS IN 2018. THE YOUTH SERVICES PROGRAM AT WOMEN'S HEALTH ALSO PROVIDES INTERESTED YOUTH WITH AN OPPORTUNITY TO VOLUNTEER AS A PEER EDUCATOR IN THE SEXUAL HEALTH AND PEER EDUCATION (SHAPE) PROGRAM. WOMEN'S HEALTH PROVIDED HEALTHCARE SERVICES IN THE FAMILY PLANNING AND GYNECOLOGY PROGRAM TO OVER 3,900 PEOPLE IN 2018. |
| FORM 990, PAGE 2, PART III, LINE 4B | ABORTION PROGRAM - SINCE 1973, WOMEN'S HEALTH HAS PROVIDED FIRST TRIMESTER ABORITON SERVICES. EXPERIENCED MEDICAL STAFF PROVIDE ULTRASOUND DATING AND IN-OFFICE PROCEDURES OR MEDICATION ABORTIONS THAT ARE COMPLETED IN THE PRIVACY OF THE PATIENT'S HOME. MASTERS-PREPARED COUNSELORS MEET INDIVIDUALLY WITH EACH PATIENT PRIOR TO THE PROCEDURE TO PROVIDE SUPPORT AND EDUCATION. WOMEN'S HEALTH IS CERTIFIED BY THE NATIONAL ABORTION FEDERATION (NAF) AND MEETS ALL THE STANDARDS FOR HIGH QUALITY ABORTION CARE THAT NAF REQUIRES OF ITS MEMBERS. ABORTION CARE IS PROVIDED ON A FEE FOR SERVICE BASIS. HOWEVER, FOR THOSE WHO HAVE FINANCIAL DIFFICULTY PAYING FOR THE PROCEDURE, OUR REPRODUCTIVE EQUALITY FUND AND OTHER FUNDING SOURCES CAN BE UTILIZED TO OFFSET THE COST. LARC OR OTHER METHODS OF BIRTH CONTROL CAN BE PROVIDED POST-PROCEDURE AND THE COST CAN BE OFFSET FOR THOSE WHO FINANCIALLY QUALIFY. THIS REDUCES THE LIKELIHOOD OF A SUBSEQUENT UNWANTED PREGNANCY. NO GOVERNMENTAL FUNDING, EITHER FEDERAL OR STATE, IS USED DIRECTLY OR INDIRECTLY TO SUBSIDIZE ABORTION CARE. THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PERFORMS A YEARLY SEPARTION AUDIT, SPECIFICALLY LOOKING AT THE ISSUE OF ADEQUATE SEPARATION OF GOVERNMENT FUNDS FROM EXPENSES FOR ABORTION CARE. IN 2018, CDPHE DETERMINED THAT WOMEN'S HEALTH ESTABLISHED ADEQUATE SEPARATION OF FUNDS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE AUDIT COMMITTEE OF THE BOARD REVIEWED THE FORM 990 BEFORE PRESENTING IT TO THE BOARD OF DIRECTORS FOR APPROVAL. THE 990 WAS AVAILABLE TO ALL BOARD MEMBERS TO DOWNLOAD AND REVIEW BEFORE THE PRESENTATION. THE ORGANIZATION'S CPA ATTENDED BOTH OF THESE MEETINGS TO ANSWER QUESTIONS AND SUPPLY INFORMATION REGARDING THE RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | REVIEWED AND SIGNED ANNUALLY BY ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED ON A YEARLY BASIS BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PURSUANT TO A WRITTEN EXECUTIVE DIRECTOR SALARY REVIEW PROCEDURE. THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION SURVEYS FROM THE COLORADO NONPROFIT ASSOCIATION AND OTHER RELEVANT DATA SOURCES AND BASES ITS DETERMINATION OF SALARY AND COMPARABLE ORGANIZATIONAL BUDGET, FOCUS OF SERVICE, REGION, LEVEL OF EXPERTISE, AND NUMBER OF YEARS EXPERIENCE IN THE NON-PROFIT SECTOR. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE FINANCE DIRECTOR AND CLINICAL DIRECTOR SALARIES ARE PROPOSED BY THE EXECUTIVE DIRECTOR AS PART OF THE OVERALL BUDGET PROCESS EACH YEAR. THE EXECUTIVE DIRECTOR REVIEWS COMPENSATION SURVEYS FROM THE COLORADO NONPROFIT ASSOCIATION AND OTHER RELEVANT DATA SOURCES AND BASES THE RECOMMENDATION ON COMPARABLE ORGANIZATION BUDGET, FOCUS OF SERVICE, REGION, LEVEL OF EXPERIENCE, AND NUMBER OF YEARS EXPERIENCE IN THE NON-PROFIT SECTOR. THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS OVERALL SALARY RECOMENDATIONS, INCLUDING THAT OF THE FINANCE DIRECTOR, PRIOR TO RECOMMENDING APPROVAL OF THE ORGANIZATIONAL BUDGET. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST TO THE EXECUTIVE DIRECTOR. |
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| Software Version: |