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  5. HIGH PLAINS COMMUNITY HEALTH CENTER, INCORPORATED

HIGH PLAINS COMMUNITY HEALTH CENTER, INCORPORATED

Company Details

Name: HIGH PLAINS COMMUNITY HEALTH CENTER, INCORPORATED
Jurisdiction: Colorado
Legal type: Domestic nonprofit corporation
Status: Good Standing
Date of registration: 25 May 1993 (32 years ago)
Entity Number: 19931054750
ZIP code: 81052
County: Prowers County
Place of Formation: COLORADO
Principal Address: 201 Kendall Dr Lamar CO 81052 US

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
UWZFNFQLJGS9 2024-12-10 201 KENDALL DR, LAMAR, CO, 81052, 3939, USA 201 KENDALL DRIVE, LAMAR, CO, 81052, 3939, USA

Business Information
URL http://www.highplainschc.net
Congressional District 04
State/Country of Incorporation CO, USA
Activation Date 2023-12-13
Initial Registration Date 2006-05-05
Entity Start Date 1995-08-05
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name JEREMY CARROLL
Role CFO
Address 108 S 5TH ST, LAMAR, CO, 81052, 3939, USA
Government Business
Title PRIMARY POC
Name BETH PARKER
Role COMPLIANCE OFFICER
Address 201 KENDALL DR, LAMAR, CO, 81052, 3939, USA
Past Performance
Title PRIMARY POC
Name BETH A PARKER
Role COMPLIANCE
Address 201 KENDALL DR, LAMAR, CO, 81052, 2801, USA
Title ALTERNATE POC
Name ANGELA WOODWARD
Role FINANCE DIRECTOR
Address 201 KENDALL DR, LAMAR, CO, 81052, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4E2G5 Obsolete Non-Manufacturer 2006-05-05 2023-12-13 No data 2024-12-10

Contact Information
POC BETH PARKER
Phone +1 719-336-0261
Fax +1 719-336-4269
Address 201 KENDALL DR, LAMAR, CO, 81052 3939, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HIGH PLAINS COMMUNITY HEALTH CENTER 401K PROFIT SHARING PLAN 2019 841244224 2020-05-08 HIGH PLAINS COMMUNITY HEALTH CENTER 119
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7193360261
Plan sponsor’s address 201 KENDALL DRIVE, LAMAR, CO, 81052

Signature of
Role Plan administrator
Date 2020-05-08
Name of individual signing ERIC NIEMEYER
Valid signature Filed with authorized/valid electronic signature
HIGH PLAINS COMMUNITY HEALTH CENTER 401K PROFIT SHARING PLAN 2018 841244224 2019-05-30 HIGH PLAINS COMMUNITY HEALTH CENTER 115
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7193360261
Plan sponsor’s address 201 KENDALL DRIVE, LAMAR, CO, 81052

Signature of
Role Plan administrator
Date 2019-05-30
Name of individual signing ERIC NIEMEYER
Valid signature Filed with authorized/valid electronic signature
HIGH PLAINS COMMUNITY HEALTH CENTER 401K PROFIT SHARING PLAN 2017 841244224 2018-05-02 HIGH PLAINS COMMUNITY HEALTH CENTER 110
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7193360261
Plan sponsor’s address 201 KENDALL DRIVE, LAMAR, CO, 81052

Signature of
Role Plan administrator
Date 2018-05-02
Name of individual signing ERIC NIEMEYER
Valid signature Filed with authorized/valid electronic signature
HIGH PLAINS COMMUNITY HEALTH CENTER 401K PROFIT SHARING PLAN 2016 841244224 2017-06-08 HIGH PLAINS COMMUNITY HEALTH CENTER 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7193360261
Plan sponsor’s address 201 KENDALL DRIVE, LAMAR, CO, 81052

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing ERIC NIEMEYER
Valid signature Filed with authorized/valid electronic signature
HIGH PLAINS COMMUNITY HEALTH CENTER 401K PROFIT SHARING PLAN 2015 841244224 2016-06-21 HIGH PLAINS COMMUNITY HEALTH CENTER 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7193360261
Plan sponsor’s address 201 KENDALL DRIVE, LAMAR, CO, 81052

Signature of
Role Plan administrator
Date 2016-06-21
Name of individual signing ERIC NIEMEYER
Valid signature Filed with authorized/valid electronic signature
HIGH PLAINS COMMUNITY HEALTH CENTER 401K PROFIT SHARING PLAN 2014 841244224 2015-03-23 HIGH PLAINS COMMUNITY HEALTH CENTER 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7193360261
Plan sponsor’s address 201 KENDALL DRIVE, LAMAR, CO, 81052

Signature of
Role Plan administrator
Date 2015-03-23
Name of individual signing ROBERT J. BROOKE
Valid signature Filed with authorized/valid electronic signature
HIGH PLAINS COMMUNITY HEALTH CENTER 401K PROFIT SHARING PLAN 2013 841244224 2014-04-07 HIGH PLAINS COMMUNITY HEALTH CENTER 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7193360261
Plan sponsor’s address 201 KENDALL DRIVE, LAMAR, CO, 81052

Signature of
Role Plan administrator
Date 2014-04-07
Name of individual signing ROBERT J. BROOKE
Valid signature Filed with authorized/valid electronic signature
HIGH PLAINS COMMUNITY HEALTH CENTER 401K PROFIT SHARING PLAN 2012 841244224 2013-06-25 HIGH PLAINS COMMUNITY HEALTH CENTER 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7193360261
Plan sponsor’s address 201 KENDALL DRIVE, LAMAR, CO, 81052

Signature of
Role Plan administrator
Date 2013-06-25
Name of individual signing ROBERT J. BROOKE
Valid signature Filed with authorized/valid electronic signature
HIGH PLAINS COMMUNITY HEALTH CENTER 401K PROFIT SHARING PLAN 2011 841244224 2012-07-18 HIGH PLAINS COMMUNITY HEALTH CENTER 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7193360261
Plan sponsor’s address 201 KENDALL DRIVE, LAMAR, CO, 81052

Plan administrator’s name and address
Administrator’s EIN 841244224
Plan administrator’s name HIGH PLAINS COMMUNITY HEALTH CENTER
Plan administrator’s address 201 KENDALL DRIVE, LAMAR, CO, 81052
Administrator’s telephone number 7193360261

Signature of
Role Plan administrator
Date 2012-07-18
Name of individual signing ROBERT J. BROOKE
Valid signature Filed with authorized/valid electronic signature
HIGH PLAINS COMMUNITY HEALTH CENTER 401K PROFIT SHARING PLAN 2010 841244224 2011-09-28 HIGH PLAINS COMMUNITY HEALTH CENTER 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621111
Sponsor’s telephone number 7193360261
Plan sponsor’s address 201 KENDALL DRIVE, LAMAR, CO, 81052

Plan administrator’s name and address
Administrator’s EIN 841244224
Plan administrator’s name HIGH PLAINS COMMUNITY HEALTH CENTER
Plan administrator’s address 201 KENDALL DRIVE, LAMAR, CO, 81052
Administrator’s telephone number 7193360261

Signature of
Role Plan administrator
Date 2011-09-28
Name of individual signing ROBERT J. BROOKE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Beth Parker Agent 201 Kendall Dr Lamar CO 81052 US

Licenses

Number Status Type Date Last renew date End date Address
436 Active OO 2003-04-29 2022-11-01 2024-10-31 LAMAR CO 81052

Transaction History

Transaction ID Type Date Effective date Name Comment
20241717468 File Report 2024-07-03 2024-07-03 No data Change in registered agent information
20231591339 File Report 2023-05-31 2023-05-31 No data Principal address changed, Change in registered agent information
20221415000 File Report 2022-04-25 2022-04-25 No data No data
20211682044 File Report 2021-07-26 2021-07-26 No data Change of Registered Agent
20201673835 File Report 2020-08-03 2020-08-03 No data No data
20191591723 File Report 2019-07-24 2019-07-24 No data No data
20181611655 File Report 2018-08-01 2018-08-01 No data No data
20171359604 File Report 2017-05-09 2017-05-09 No data No data
20161517365 File Report 2016-07-29 2016-07-29 No data Change of Registered Agent
20151274485 File Report 2015-04-23 2015-04-23 No data No data

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DCA AWARD VA259P0309 2008-06-01 2010-05-31 2010-05-31
Unique Award Key CONT_AWD_VA259P0309_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title CAPITATED RATE PRIMARY CARE SERVICE LA MAR
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q509: INTERNAL MEDICINE SERVICES

Recipient Details
Recipient HIGH PLAINS COMMUNITY HEALTH CENTER
UEI UWZFNFQLJGS9
Legacy DUNS 080546612
Recipient Address 201 KENDALL DR, LAMAR, 810523939, UNITED STATES
PO AWARD V554C80195 2008-01-01 2008-06-30 2008-06-30
Unique Award Key CONT_AWD_V554C80195_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PRIMARY CARE SERVICES
NAICS Code 621498: ALL OTHER OUTPATIENT CARE CENTERS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient HIGH PLAINS COMMUNITY HEALTH CENTER
UEI UWZFNFQLJGS9
Legacy DUNS 080546612
Recipient Address 201 KENDALL DR, LAMAR, 810523939, UNITED STATES

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C81CS13485 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-06-29 2011-06-28 ARRA - CAPITAL IMPROVEMENT PROGRAM
Recipient HIGH PLAINS COMMUNITY HEALTH CENTER
Recipient Name Raw HIGH PLAINS COMMUNITY HEALTH CENTER
Recipient UEI UWZFNFQLJGS9
Recipient DUNS 080546612
Recipient Address 201 KENDELL DRIVE, LAMAR, PROWERS, COLORADO, 81052-3939, UNITED STATES
Obligated Amount 544245.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
D04RH12669 Department of Health and Human Services 93.912 - RURAL HEALTH CARE SERVICES OUTREACH, RURAL HEALTH NETWORK DEVELOPMENT AND SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT PROGRAM 2009-05-01 2012-04-30 RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM
Recipient HIGH PLAINS COMMUNITY HEALTH CENTER
Recipient Name Raw HIGH PLAINS COMMUNITY HEALTH CENTER
Recipient UEI UWZFNFQLJGS9
Recipient DUNS 080546612
Recipient Address 201 KENDELL DRIVE, LAMAR, PROWERS, COLORADO, 81052-3939, UNITED STATES
Obligated Amount 333150.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS12615 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-03-27 2011-03-26 ARRA - INCREASE SERVICES TO HEALTH CENTERS
Recipient HIGH PLAINS COMMUNITY HEALTH CENTER
Recipient Name Raw HIGH PLAINS COMMUNITY HEALTH CENTER
Recipient UEI UWZFNFQLJGS9
Recipient DUNS 080546612
Recipient Address 201 KENDELL DRIVE, LAMAR, PROWERS, COLORADO, 81052-3939, UNITED STATES
Obligated Amount 208385.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00214 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2002-01-01 2009-12-31 HEALTH CENTER CLUSTER
Recipient HIGH PLAINS COMMUNITY HEALTH CENTER
Recipient Name Raw HIGH PLAINS COMMUNITY HEALTH CENTER
Recipient UEI UWZFNFQLJGS9
Recipient DUNS 080546612
Recipient Address 201 KENDELL DRIVE, LAMAR, PROWERS, COLORADO, 81052
Obligated Amount 13017523.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
84-1244224 Corporation Unconditional Exemption 201 KENDALL DR, LAMAR, CO, 81052-3939 1994-05
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that receives a substantial part of its support from a governmental unit or the general public 170(b)(1)(A)(vi)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 19152575
Income Amount 11426991
Form 990 Revenue Amount 11426991
National Taxonomy of Exempt Entities Health Care: Community Health Systems
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name HIGH PLAINS COMMUNITY HEALTH CENTER
EIN 84-1244224
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name HIGH PLAINS COMMUNITY HEALTH CENTER
EIN 84-1244224
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name HIGH PLAINS COMMUNITY HEALTH CENTER
EIN 84-1244224
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name HIGH PLAINS COMMUNITY HEALTH CENTER INC
EIN 84-1244224
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name HIGH PLAINS COMMUNITY HEALTH CENTER INC
EIN 84-1244224
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name HIGH PLAINS COMMUNITY HEALTH CENTER INC
EIN 84-1244224
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name HIGH PLAINS COMMUNITY HEALTH CENTER INC
EIN 84-1244224
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name HIGH PLAINS COMMUNITY HEALTH CENTER INC
EIN 84-1244224
Tax Period 201512
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4270968506 2021-02-25 0811 PPS 201 Kendall Dr, Lamar, CO, 81052-3939
Loan Status Date 2022-01-11
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1233565
Loan Approval Amount (current) 1233565
Undisbursed Amount 0
Franchise Name -
Lender Location ID 71488
Servicing Lender Name TBK Bank, SSB
Servicing Lender Address 12700 Park Central Dr, Ste 160, Dallas, TX, 75251
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lamar, PROWERS, CO, 81052-3939
Project Congressional District CO-04
Number of Employees 130
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 71488
Originating Lender Name TBK Bank, SSB
Originating Lender Address Dallas, TX
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1243844.71
Forgiveness Paid Date 2021-12-23

Related by officers

No related officers

Related by address

201 Kendall Dr Lamar CO 81052 US

Holly Medical Clinic

Date of last update: 10 Mar 2025

Sources: Colorado's Secretary of State

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