2025-08-29T14:05:00-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 121 SOUTH TEJON STREET SUITE 1100 COLORADO SPRINGS CO 80903 990 2024-09-03 994842127 MARILLAC QALICB INC MARI 9702001600 2333 NORTH 6TH ST GRAND JUNCTION CO 81501 DANIEL BECKER CFO 9702001600 2025-08-29 1 1 SARAH HINTZ P00492291 7196350330 2025-08-29 2024 2025-03-06 01:10:19Z X LATA RAMACHANDRAN 2333 NORTH 6TH ST GRAND JUNCTION CO 81501 24471 0 X N/A X 2024 CO THE DEVELOPMENT, FINANCING, AND CONSTRUCTION OF A HEALTHCARE FACILITY FOR MARILLAC CLINIC. 3 2 0 2 0 0 0 0 24471 0 24471 0 0 0 0 0 26175 26175 -1704 23294866 23296570 -1704 X THE MISSION OF MARILLAC QALICB, INC. IS TO BE A SUPPORTING ORGANIZATION OF MARILLAC CLINIC, INC., A COLORADO NONPROFIT CORPORATION. MARILLAC QALICB SUPPORTS MARILLAC CLINIC BY FACILITATING (CONTINTUED ON SCHEDULE O)THE DEVELOPMENT AND CONSTRUCTION OF A NEW HEALTHCARE FACILITY THROUGH THE FEDERAL NEW MARKET TAX CREDIT PROGRAM. 0 0 0 0 0 MARILLAC QALICB'S PRIMARY PURPOSE IS TO FACILITATE THE DEVELOPMENT AND CONSTRUCTION OF A NEW HEALTHCARE FACILITY (THE PROJECT) THAT WILL ENABLE MARILLAC CLINIC TO EXPAND ITS HEALTHCARE SERVICES AND IMPROVE ACCESS TO ESSENTIAL MEDICAL CARE FOR UNDERSERVED POPULATIONS. MARILLAC QALICB WILL ENGAGE IN THE DEVELOPMENT, FINANCING, AND CONSTRUCTION OF A HEALTHCARE FACILITY, DESIGNED TO MEET THE NEEDS OF PATIENTS WHO FACE BARRIERS TO HEALTHCARE ACCESS, INCLUDING ECONOMIC, GEOGRAPHIC, AND SOCIAL CHALLENGES.THIS NEW FACILITY, LOCATED IN GRAND JUNCTION, COLORADO, WILL HOUSE EXPANDED CLINICAL AND SUPPORT SERVICES THAT MARILLAC CLINIC PROVIDES. (CONTINUED ON SCHEDULE O) MARILLAC QALICB'S ACTIVITIES ARE INTEGRAL TO MARILLAC CLINIC'S MISSION OF PROVIDING QUALITY, AFFORDABLE HEALTHCARE SERVICES TO THE COMMUNITY, PARTICULARLY FOR THOSE WITH LIMITED RESOURCES. UPON COMPLETION, MARILLAC QALICB WILL LEASE THE FACILITY TO MARILLAC CLINIC AT A RATE ALIGNED WITH FAIR MARKET VALUE, ENSURING THAT IT CAN SUSTAINABLY SUPPORT MARILLAC CLINIC'S OPERATIONAL NEEDS. THIS LEASING ARRANGEMENT DIRECTLY CONTRIBUTES TO MARILLAC CLINIC'S ABILITY TO EXPAND ITS SERVICES IN THE COMMUNITY WITHOUT INCURRING SIGNIFICANT UPFRONT CAPITAL EXPENDITURES. THIS STRUCTURE WILL ENABLE MARILLAC QALICB TO SUPPORT MARILLAC CLINIC IN FULFILLING ITS TAX-EXEMPT PURPOSE, WHILE REMAINING ALIGNED WITH MARILLAC QALICB'S OWN EXEMPT PURPOSE OF PROMOTING HEALTHCARE ACCESS FOR UNDERSERVED COMMUNITIES. MARILLAC QALICB WILL OVERSEE THE DESIGN AND CONSTRUCTION PHASES OF THE NEW HEALTHCARE FACILITY, ENSURING THE BUILDING MEETS ALL HEALTH, SAFETY, AND REGULATORY STANDARDS. THE FACILITY WILL BE SOLELY USED FOR MARILLAC CLINIC'S CHARITABLE PURPOSES, ALIGNING WITH BOTH ORGANIZATIONS' MISSIONS. MARILLAC QALICB WILL MANAGE ONGOING MAINTENANCE AND CAPITAL IMPROVEMENTS AS NEEDED, ENSURING THE FACILITY CONTINUES TO SERVE ITS INTENDED PURPOSE AND MEETS COMMUNITY HEALTHCARE NEEDS. 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X DANIEL BECKER MBA 9702001600 2333 N 6TH ST GRAND JUNCTION CO 81501 LATA K RAMACHANDRAN PRESIDENT 5.00 40.00 X X 0 305162 31323 SHANE HAAS TREASURER 5.00 0.00 X X 0 0 0 LEE GAGLIONE SECRETARY 5.00 0.00 X X 0 0 0 0 305162 31323 0 0 1 0 0 24471 24471 24471 0 0 24471 X 8807 8807 17368 17368 26175 0 26175 0 16621744 6673122 0 0 6673122 0 23294866 262383 20350898 0 2683289 0 23296570 X -1704 0 -1704 0 23294866 -1704 0 X X 0 1 X 1 0 X X X 1 MARILLAC CLINIC INC 841085822 10 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6673122 6673122 6673122 DUE TO MARILLAC CLINIC, INC. 2683289 2683289 X 20068085 20043614 20043614 24471 0 24471 18303434 18277259 18277259 26175 0 26175 PART X, LINE 2: MARILLAC QALICB HAS RECEIVED NOTICE OF EXEMPTION OF INCOME TAX FROM THE INTERNAL REVENUE SERVICE UNDER SECTION 501(C)(3) OF THE FEDERAL INTERNAL REVENUE CODE. MARILLAC QALICB IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO MARILLAC QALICB QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX PROVISIONS. THE IMPLEMENTATION OF THE ACCOUNTING STANDARDS REGARDING UNCERTAIN TAX PROVISIONS HAD NO IMPACT ON THE ORGANIZATIONS CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: MARILLAC CLINIC, INC. REVENUE 20,043,614. PART XII, LINE 2D - OTHER ADJUSTMENTS: MARILLAC CLINIC, INC. EXPENSES 18,277,259. 0 0 0 0 0 0 0 0 0 LATA K RAMACHANDRAN PRESIDENT 0 305162 0 0 0 0 0 17083 0 14240 0 336485 0 0 PART I, LINE 3 THE MARILLAC CLINIC, INC. ESTABLISHES EMPLOYEE PAY SCALES IN PARTNERSHIP WITH OUTSIDE EMPLOYMENT COUNCIL, STATE PCA REPORTS TO ENSURE COMPENSATION REMAINS COMPETITIVE AND EQUITABLE. ALL EMPLOYEE COMPENSATION IS LIMITED TO THE ESTABLISHED PAY SCALES, AND NO EMPLOYEE IS PAID OUTSIDE THESE APPROVED RANGES. PAY SCALES ARE REVIEWED AND UPDATED FOR ALL POSITIONS EVERY TWO YEARS. THIS REVIEW PROCESS AND THE RESULTING UPDATED PAY SCALES ARE DOCUMENTED IN MARILLAC CLINIC'S BOARD OF DIRECTORS' MEETING MINUTES. THE REVISED PAY SCALES ARE FORMALLY PRESENTED TO MARILLAC CLINIC'S BOARD OF DIRECTORS AND MUST BE APPROVED PRIOR TO IMPLEMENTATION IN PAYROLL SYSTEMS. THE MOST RECENT PAY SCALE REVIEW AND APPROVAL PROCESS WAS COMPLETED IN 2024. FORM 990, PART VI, SECTION A, LINE 7A MARILLAC CLINIC SHALL HAVE THE RIGHT TO APPOINT AS MANY NON-INDEPENDENT DIRECTORS AS IT DEEMS NECESSARY IN ITS SOLE DISCRETION SO LONG AS (FOR THE AVOIDANCE OF DOUBT), AT LEAST 51% OF THE BOARD OF DIRECTORS ARE INDEPENDENT DIRECTORS AS DEFINED HEREIN. INDEPENDENT DIRECTORS ARE NOT (A) DIRECTORS, OFFICERS, OR EMPLOYEES OF MARILLAC CLINIC, OR (B) SPOUSES OR IMMEDIATE FAMILY MEMBERS OF DIRECTORS, OFFICERS, OR EMPLOYEES OF MARILLAC CLINIC. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DID NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE ANNUAL IRS FORM 990 IS PREPARED BY CLIFTONLARSONALLEN (CLA), MARILLAC QALICB, INC.'S INDEPENDENT ACCOUNTING FIRM. THE CHIEF FINANCIAL OFFICER (CFO) OF MARILLACHEALTH REVIEWS THE COMPLETED FORM, INCLUDING ALL FINANCIAL AND INFORMATIONAL DISCLOSURES, FOR ACCURACY AND COMPLETENESS. ONCE THE REVIEW IS COMPLETE, THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C AT THE START OF EACH BOARD MEETING, MEMBERS IN ATTENDANCE ARE ASKED WHETHER THEY HAVE ANY CONFLICTS OF INTEREST TO DISCLOSE WITH RESPECT TO THE AGENDA ITEMS. IF AN ACTUAL CONFLICT IS IDENTIFIED, THE INDIVIDUAL INVOLVED IS EXCUSED FROM PARTICIPATING IN RELATED DISCUSSIONS AND DECISION-MAKING TO ENSURE IMPARTIALITY AND MAINTAIN INTEGRITY. ALL COMPLETED COI STATEMENTS ARE REVIEWED, AND ANY POTENTIAL CONFLICTS ARE EVALUATED AND ADDRESSED AT THE APPROPRIATE LEVEL, TYPICALLY BY THE BOARD PRESIDENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G QALICB FEES: MANAGEMENT AND GENERAL EXPENSES 8,807. TOTAL EXPENSES 8,807. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. MARILLAC CLINIC INC 2333 NORTH 6TH ST GRAND JUNCTION CO 81501 841085822 HEALTHCARE CO 501(C)(3) LINE 10 N/A 0 0 0 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 0