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Governance Register
US nonprofit · EIN 814601442 · Grand JCT, COiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 814601442) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe time served.Latest return IRS Form 990 series e-file data - 990EZ for the year to 31 December 2025: assets, liabilities, staff, website, telephone, pay.Finances by year IRS Form 990 e-file data - total revenue and total expenses by tax year.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue. Not a statement that the organisation is recruiting.Principal officer IRS Form 990-N (e-Postcard) - principal officer named for tax year 2023.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.State registers Colorado Secretary of State (17 October 2026).Licence US Federal Government public domain.How we handle data

Good Samaritan Clinic of Western Colorado Inc's network

6 people1 organisationi6 people and 1 organisation on this map.The large node is the subject of this page. Solid lines are what the register itself records (6). Violet dotted lines (1) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

6 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Time served and departures are observed across annual filings. Observed time served is a lower bound - a member may have joined before the first year on record.
NameRole as filedSinceOn the board
Bill SchapleyDirector - Treasurer2021
5 yrs
Elaine TaylorDirector - Secretary2020
6 yrs
Fred BarberoDirector2025
1 yr
Kelly ThompsonDirector2025
1 yr
Laurel WatersDirector - Vice President2025
1 yr
Verne SmithDirector - President2025
1 yr
Under 5 years5 to 6 years6 years or more

Officers and senior leadership

3 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Lori WilsonExecutive Director2025
Philip MohlerDirector - Medical Director2025
Steve Meyer MDMedical Directorsince 2020

Pay and hours

year to 31 December 2025iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Lori WilsonExecutive Director30$546k
Philip MohlerDirector - Medical Director10$0
Verne SmithDirector - President2$0
Bill SchapleyDirector - Treasurer4$0
Laurel WatersDirector - Vice President2$0
Kelly ThompsonDirector2$0
Elaine TaylorDirector - Secretary10$0
Fred BarberoDirector4$0

Colorado roster

11 listediOfficers, directors and trustees from the latest filing with the Colorado Secretary of State (document 20263013191). Titles are as filed; some entries are registered agents or custodians of records rather than board members. Source: data.colorado.gov, public domain.
NameTitle as filed
Diane DillPast President
Phil MohlerMedical Director
Verne SmithPresident
Elaine Taylor
Laurel WaltersVice President
Rudy Fuentes
Fred Barbero
Lori WilsonExecutive Director
Kelly ThompsonSecretary
Bill SchapleyTreasurer
Bill Schapley

About

Legal name
Good Samaritan Clinic of Western Colorado Inc
EIN
814601442
Address
402 Grand Ave, Grand JCT, CO, 81501-2515
State
Colorado
Activity (NTEE)
E32 Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
4 (IRS master file code)
IRS ruling date
1 June 2017
Status
Code 01 (unconditional exemption)
Form 990 filings on record
6, latest 2025
IRS Publication 78
PC (contributions deductible)
Principal officer
Bill Schapley (Form 990-N, tax year 2023)

Most connected

Longest observed on the filings

≥6years on the filingsElaine Taylor
≥5years on the filingsBill Schapley
≥1years on the filingsFred Barbero
≥1years on the filingsKelly Thompson

Latest return

year to 31 December 2025iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 31 December 2025. US dollars, as filed.
Total assets
$145k
Net assets or fund balances
$145k

Filed finances

1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.
Tax yearTotal revenueTotal expensesSurplus or deficit
2024$143k$117k$26k

As filed on the IRS Form 990. US dollars.

State registration

1 entityiBusiness-entity registers published by US states. These records are matched to this organisation by name and state, not by EIN, and are labelled as likely matches. Street addresses are not shown.
Good Samaritan Clinic of Western Colorado, Inc. likely matchiMatched by exact name and state (and ZIP where shown). State registers do not publish EINs, so this is not a confirmed match. Source: Colorado Secretary of State (CDOS), business entities (data.colorado.gov 4ykn-tg5h). Licence: public domain. Data last fetched 18 October 2026.
State
Colorado
Entity type
nonprofit corporation
Status
Good Standing
Formed
6 December 2016
Registered agent
Good Samaritan Clinic of Western Colorado, Inc. (city and state not held)

This register does not publish officers or directors.