2024-11-14T12:53:35-06:00 2023-12-31 450250958 EIDE BAILLY LLP 2950 E HARMONY RD STE 290 FORT COLLINS CO 805283429 990 2023-01-01 841043351 COLORADO VISITING NURSE ASSOCIATION COLO 3037804600 8289 E LOWRY BLVD DENVER CO 80230 BRAD ALLEY CHIEF FINANCIAL OFFICER 3037804600 2024-11-12 1 0 KYLE FRITCH CPA P01313374 9702238825 2024-11-12 2023 2024-10-15 13:58:12Z ERNESTO LOPEZ 8289 E LOWRY BLVD DENVER CO 80230 10792519 0 X WWW.VNACOLORADO.ORG X 1987 CO TO PROVIDE HEALTH-CARE SERVICES TO HOME HEALTH AND HOSPICE PATIENTS IN COLORADO. 7 6 182 11 0 0 827872 1161328 12249168 9542364 355501 88827 0 0 13432541 10792519 0 0 0 0 11708851 9100097 0 0 89889 3667263 3249016 15376114 12349113 -1943573 -1556594 6779113 4937731 2127428 1833643 4651685 3104088 X COLORADO VISITING NURSE ASSOCIATION IS COMMITTED TO A CONTINUUM OF HEALTH CARE IN THE HOME AND COMMUNITY SUPPORTING OPTIMAL WELL-BEING, INDEPENDENCE, AND DIGNITY. 0 0 9198694 9542364 TODAY, COLORADO VISITING NURSE ASSOCIATION (CVNA) CARES FOR AN EXCESS OF 10,000 INDIVIDUALS ANNUALLY, INCLUDING MANY WHO ARE UNINSURED OR UNDERINSURED. OUR COMPREHENSIVE ARRAY OF HEALTH SERVICES SPANS ALL LEVELS OF ACUITY OF CARE FOR INDIVIDUALS, COMMUNITIES AND BUSINESSES. CVNA HAS ALSO DEVELOPED INNOVATIVE PROGRAMS TO HELP SENIORS AGE IN PLACE. HOME HEALTH - CVNA SUPPORTS PATIENTS RECOVERING FROM ILLNESS OR INJURY, OR THOSE WHO JUST NEED A LITTLE ASSISTANCE TO REMAIN INDEPENDENT, BY PROVIDING NURSING, MEDICAL SOCIAL WORK, AND PHYSICAL AND OCCUPATIONAL THERAPIES. AN INDIVIDUALIZED, COMPREHENSIVE CARE PLAN IS DEVELOPED TO PROMOTE CONTINUITY OF CARE FOR THE PATIENT. HOSPICE AND PALLIATIVE CARE - FOR OVER TWO DECADES, CVNA HAS PROVIDED HOSPICE CARE FOR PATIENTS WITH LIMITED LIFE EXPECTANCIES WHO DESIRE TREATMENT FOR PAIN AND OTHER SYMPTOMS WHEN CURATIVE TREATMENTS ARE NO LONGER BENEFICIAL. OUR ALL-INCLUSIVE APPROACH FOCUSES ON THE PHYSICAL, PSYCHOSOCIAL, AND SPIRITUAL NEEDS OF EACH PATIENT AND THEIR FAMILIES. WELLNESS SERVICES - CVNA PROVIDES WELLNESS VISITS TO ELDERLY PATIENTS THAT CONSIST OF A 30-MINUTE VISIT WITH A REGISTERED NURSE TO RECEIVE A WELLNESS ASSESSMENT, HEALTH CARE COUNSELING, AND MEDICAL FOOT CARE. CVNA ALSO PROVIDES COMMUNITY HEALTH AND IMMUNIZATIONS, AS WELL AS CORPORATE WELLNESS, BY PARTNERING WITH BUSINESSES TO PROMOTE HEALTHY LIFESTYLES FOR EMPLOYEES IN AND OUT OF THE OFFICE. OPTIONS INCLUDE IMMUNIZATIONS, HEALTH RISKS ASSESSMENTS, BIOMETRIC SCREENINGS, AND LABS. 9198694 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 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 1 1 0 0 0 1 11 0 1 182 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 1 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CO X BRAD ALLEY 3038142154 8289 E LOWRY BLVD DENVER CO 80230 X TIM J BOWEN PRESIDENT/CHIEF EXECUTIVE OFFICER 1.00 59.00 X X 0 853855 175823 PAUL E TOSETTI CHIEF FINANCIAL OFFICER 2.00 48.00 X 0 403658 76506 JULIE NUNLEY PRESIDENT/DIRECTOR (THRU 11/23) 50.00 X X 221911 0 59098 SARAH STEVENSON DIRECTOR CLINICAL SERVICES 40.00 X 121332 0 15483 RAMOS LUIS F MEDICAL DIRECTOR (THRU 06/23) 40.00 X 115131 0 16840 BRIDGET WOOLLEY CLINICAL MGR 40.00 X 103414 0 2064 BEN PRICE CHAIR 1.00 1.00 X X 0 0 0 TONY GIOCOMINI VICE CHAIR 1.00 X X 0 0 0 NEDRA DOWNING TREASURER 1.00 X X 0 0 0 NANCY BOTILLER SECRETARY 1.00 1.00 X X 0 0 0 ADAM BERGQUIST DIRECTOR 1.00 1.00 X 0 0 0 MARY SCOTT DIRECTOR 1.00 X 0 0 0 561788 1257513 345814 4 0 1 0 CARE SYNERGY 8289 E LOWRY BLVD DENVER CO 80230 MANAGEMENT SERVICES 1438075 HEALTHCARE WORKFORCE LOGISTICS 2655 NORTHWINDS PKWY ALPHARETTA GA 30009 CONTRACT NURSING 421964 2 1021071 140257 1161328 DIRECT CARE SERVICES 624100 9542364 9542364 9542364 88827 88827 10792519 9542364 0 88827 245106 220596 24510 7386461 5736134 1578841 71486 101989 101989 871657 871152 505 494884 454036 40848 394726 394726 90111 90111 42426 42426 89 89 588219 522263 64996 960 42090 37142 4198 750 51644 14464 20487 16693 267968 267968 132412 1140 131272 13733 1343 12390 2580 2060 520 2205 2205 215924 215924 DIRECT PATIENT SERVICES 1075272 1075272 BAD DEBT EXPENSE 247961 247961 DUES & SUBSCRIPTIONS 28753 7839 20914 EMPLOYEE RECRUITING 1766 29 1737 51137 7263 43874 12349113 9198694 3060530 89889 3477875 2821774 2194828 1283736 5728 60615 3121 1584077 1541415 138316 42662 901751 786438 6779113 4937731 1288303 1180021 46817 30382 792308 623240 2127428 1833643 X 4564119 3012525 87566 91563 4651685 3104088 6779113 4937731 X -1556594 8997 X 0 1 X 1 0 X 1013613 1205105 3531915 827872 1161328 7739833 17772061 18179371 15736726 12249168 9542364 73479690 18785674 19384476 19268641 13077040 10703692 81219523 1000 694 1694 0 1000 694 1694 81217829 26621 555 140 5564 88827 121707 26621 555 140 5564 88827 121707 18812295 19385031 19268781 13082604 10792519 81341230 0.99850 0.99920 0.00150 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 89 0 0 0 89 0 PART II-B, LINE 1: A PORTION OF THE NHPCO DUES IS ALLOCATED TO LOBBYING FEES AT 2.18% 77353 9824 827 86350 93353 -16000 77353 85703 7650 93353 76331 10130 758 85703 65885 11160 714 76331 0.00000 1.00000 0.00000 1 0 12653 3533 9120 1571424 1537882 33542 42662 BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATION 86350 DUE FROM AFFILIATES 28868 LOAN ORIGINATION FEES 976 OPERATING LEASE 589858 FINANCE LEASE 80386 786438 OPERATING LEASE LIABILITY 601466 FINANCE LEASE LIABILITY 21774 623240 X 10553555 -238964 -238964 10792519 0 10792519 12101152 0 12101152 247961 247961 12349113 PART X, LINE 2: WE ARE ORGANIZED AS A COLORADO NONPROFIT CORPORATION, HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), QUALIFY FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)(VIII), AND HAVE BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). WE ARE REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, WE ARE SUBJECT TO INCOME TAX ON NET INCOME DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO OUR EXEMPT PURPOSE. WE DETERMINED THAT WE ARE NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAVE NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. WE BELIEVE WE HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING OUR ANNUAL FILING REQUIREMENTS, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST OF ASSETS HELD BY COMMUNITY FOUNDATION 8,997. BAD DEBT EXPENSE -247,961. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 247,961. X X 0 1 0 0 0 0 0 1 0 TIM J BOWEN PRESIDENT/CHIEF EXECUTIVE OFFICER 0 623827 0 176752 0 53276 0 147644 0 29079 0 1030578 0 0 PAUL E TOSETTI CHIEF FINANCIAL OFFICER 0 231378 0 167422 0 4858 0 48327 0 28685 0 480670 0 0 JULIE NUNLEY PRESIDENT/DIRECTOR (THRU 11/23) 206623 0 0 0 15288 0 44788 0 14691 0 281390 0 0 0 PART I, LINE 3 FOR COMPENSATION PAID TO OFFICERS FROM A RELATED TAX-EXEMPT ENTITY, THE ORGANIZATION RELIED ON THE RELATED ORGANIZATION THAT USED ONE OR MORE OF THESE METHODS TO ESTABLISH THE COMPENSATION OF THOSE OFFICERS. PART I, LINE 4B CARE SYNERGY, A RELATED TAX-EXEMPT ORGANIZATION, ESTABLISHED A SECTION 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR THE EXCLUSIVE BENEFIT OF CERTAIN EXECUTIVES. FUNDS ARE SUBJECT TO RISK OF FORFEITURE BY PLAN PARTICIPANTS AND ARE AVAILABLE TO THE CREDITORS OF CARE SYNERGY. IN ACCORDANCE WITH THE BOARD OF DIRECTORS' INTENT, CARE SYNERGY WILL FUND INDIVIDUAL PARTICIPANT ACCOUNTS THROUGH INVESTMENT OPTIONS DIRECTED BY THE PARTICIPANTS. THE DEFERRED COMPENSATION PLAN IS PARTIALLY FUNDED, AND CARE SYNERGY REPORTS THE DEFERRALS AND RELATED FUNDING IN ACCRUED EXPENSES AND INVESTMENTS, RESPECTIVELY, IN THE BALANCE SHEET. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN IN 2023, FOR WHICH THE EXPENSE WAS INCURRED BY THE SPONSORING ORGANIZATIONS, BUT THE FUNDS HAVE NOT VESTED OR BEEN PAID OUT TO THESE INDIVIDUALS. THE AMOUNTS LISTED BELOW ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (C): TIM BOWEN (CARE SYNERGY CEO): $132,644 PAUL TOSETTI (CARE SYNERGY CFO): $38,062 JULIE NUNLEY (COLORADO VISITING NURSES ASSOCIATION PRESIDENT): $36,285 PART I, LINE 7 THE ORGANIZATION AND THE COMPENSATION COMMITTEE OF CARE SYNERGY, A RELATED TAX-EXEMPT ORGANIZATION, ANNUALLY REVIEWS THE PERFORMANCES OF THE EXECUTIVE STAFF AND OTHER STAFF TO DETERMINE IF ADDITIONAL COMPENSATION IN THE FORM OF BONUSES WILL BE PAID. THE DETERMINATION OF BONUSES IS BASED ON ACHIEVEMENT OF CERTAIN METRICS INCLUDED IN OVERALL STRATEGIC OBJECTIVES INCLUDING FINANCIAL PERFORMANCE, PATIENT CENSUS GROWTH, AND QUALITY RATINGS. DURING CALENDAR YEAR ENDED DECEMBER 31, 2023, THE ORGANIZATION AND/OR CARE SYNERGY AWARDED THE CEO, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER AND DIRECTOR OF CLINICAL SERVICES A BONUS BASED ON A REVIEW OF THEIR PERFORMANCES AND SERVICES TO THE ORGANIZATION. SCHEDULE J, PART II: THE COMPENSATION PAID TO THE DIRECTOR/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER IS PAID FOR BY CARE SYNERGY, A RELATED TAX-EXEMPT ORGANIZATION. CARE SYNERGY'S COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT THIRD-PARTY COMPENSATION AND BENEFITS CONSULTANT TO CONDUCT A MARKET ANALYSIS, WHICH INCLUDES COMPARISONS OF SIMILARLY SIZED HOSPICES AND OTHER HEALTHCARE ORGANIZATIONS, TO DETERMINE COMPENSATION AMOUNTS FOR THESE INDIVIDUALS. SCHEDULE J, PART II: THE COMPENSATION PAID TO THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER IS PAID FOR BY CARE SYNERGY, A RELATED TAX-EXEMPT ORGANIZATION. IN ADDITION TO PROVIDING SERVICES TO COLORADO VISITING NURSE ASSOCIATION, TOP MANAGEMENT OFFICIALS LISTED ABOVE ALSO PROVIDE SERVICES IN THEIR RESPECTIVE POSITIONS TO OTHER RELATED TAX-EXEMPT ORGANIZATIONS. THE AMOUNTS REPORTED ON FORM 990, PART VII, SECTION A REPRESENT COMPENSATION AND BENEFITS PAID TO THESE INDIVIDUALS FOR THEIR SERVICES TO THE FILING ORGANIZATION AS WELL AS OTHER TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2 THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER ARE OFFICERS OF AND EMPLOYED BY CARE SYNERGY, A RELATED EXEMPT ORGANIZATION. THESE INDIVIDUALS ARE ALSO OFFICERS OF THE HOSPICE OF METRO DENVER, PIKES PEAK HOSPICE AND PALLIATIVE CARE, AND PATHWAYS HOSPICE. THEREFORE, BUSINESS RELATIONSHIPS EXIST BETWEEN THESE INDIVIDUALS. FORM 990, PART VI, SECTION A, LINE 3 CARE SYNERGY, A RELATED EXEMPT ORGANIZATION, PERFORMED EXECUTIVE MANAGEMENT SERVICES INCLUDING FINANCE AND ACCOUNTING, PAYROLL, INFORMATION TECHNOLOGY, HUMAN RESOURCES, QUALITY MANAGEMENT, COMPLIANCE, HIGH LEVEL RISK MANAGEMENT, AND GROUP CONTRACTING SERVICES. SEE FORM 990, PART VII FOR COMPENSATION PAID BY THE RELATED MANAGEMENT COMPANY. FORM 990, PART VI, SECTION A, LINE 6 COLORADO VISITING NURSE ASSOCIATION'S SOLE MEMBER IS CARE SYNERGY, A COLORADO NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER, CARE SYNERGY, HAS THE POWER TO ELECT AND REMOVE DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS INITIALLY REVIEWED BY THE CONTROLLER AND THE CHIEF FINANCIAL OFFICER. AFTER THE INITIAL REVIEW HAS BEEN COMPLETED, A FINAL COPY IS GIVEN TO THE FULL BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AFFIRM THEY ARE COMPLIANT WITH THE CONFLICT OF INTEREST POLICY BY COMPLETING AN INDEPENDENCE QUESTIONNAIRE CERTIFICATION ON AN ANNUAL BASIS. IF ANY CONFLICTS ARISE DURING THE YEAR, THE BOARD MEMBERS RECUSE THEMSELVES ON VOTING ON ANY ACTIONS PERTAINING TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE PRESIDENT'S COMPENSATION IS SET BY THE BOARD OF DIRECTORS. THE BOARD USED SURVEY DATA FROM OTHER HOMECARE AND HOSPICE ORGANIZATIONS TO DETERMINE THE APPROPRIATE COMPENSATION LEVEL. THE PROCEDURE BY WHICH THE PRESIDENT'S COMPENSATION IS SET IS DOCUMENTED IN AN INTERNAL COMPENSATION POLICY AND ANY FUTURE ADJUSTMENTS TO THE PRESIDENT'S COMPENSATION WILL BE IN ACCORDANCE WITH THE POLICY. THE ORGANIZATION HAS MAINTAINED THE APPROPRIATE DOCUMENTATION WITH RESPECT TO THE COMPENSATION ARRANGEMENT. THE COMPENSATION LEVELS FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE ALSO SET IN ACCORDANCE WITH THIS POLICY. SALARY RANGES ARE ESTABLISHED BY A COMPENSATION COMMITTEE, WHICH INCLUDES APPROVAL BY THE PRESIDENT. THE SALARY RANGES ARE BASED ON SURVEY DATA FROM SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION HAS MAINTAINED THE APPROPRIATE DOCUMENTATION WITH RESPECT TO THE COMPENSATION ARRANGEMENTS FOR ITS OTHER EMPLOYEES. COMPENSATION LEVELS OF OFFICERS WHO ARE PAID BY A RELATED TAX-EXEMPT ORGANIZATION, IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR CARE SYNERGY, THE RELATED TAX-EXEMPT ORGANIZATION, WHO FUNCTIONS AS THE COMPENSATION COMMITTEE TO DETERMINE COMPENSATION LEVELS OF THOSE OFFICERS AND KEY EMPLOYEES. THEY ENGAGE AN INDEPENDENT THIRD-PARTY COMPENSATION AND BENEFITS CONSULTANT TO CONDUCT A MARKET ANALYSIS OF COMPENSATION AND BENEFITS FOR ALL TOP MANAGEMENT AND TOP FINANCIAL OFFICIALS OF THE ORGANIZATION. THE ANALYSIS INCLUDES COMPARISONS OF SIMILARLY SIZED HOSPICE AND OTHER HEALTHCARE ORGANIZATIONS. THE CONSULTING FIRM ALSO EVALUATES THE REASONABLENESS OF EXECUTIVE COMPENSATION FROM AN INTERMEDIATE SANCTIONS PERSPECTIVE. ANY COMPENSATION OR BENEFIT CHANGES FOR TOP MANAGEMENT AND FINANCIAL OFFICIALS ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE CARE SYNERGY BOARD OF DIRECTORS AND DOCUMENTED IN THE COMMITTEE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: THE COMPENSATION PAID TO THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER IS PAID FOR BY CARE SYNERGY, A RELATED TAX-EXEMPT ORGANIZATION. IN ADDITION TO PROVIDING SERVICES TO COLORADO VISITING NURSE ASSOCIATION, TOP MANAGEMENT OFFICIALS LISTED ABOVE ALSO PROVIDE SERVICES IN THEIR RESPECTIVE POSITIONS TO OTHER RELATED TAX-EXEMPT ORGANIZATIONS. THE AMOUNTS REPORTED ON FORM 990, PART VII, SECTION A REPRESENT COMPENSATION AND BENEFITS PAID TO THESE INDIVIDUALS FOR THEIR SERVICES TO THE FILING ORGANIZATION AS WELL AS OTHER TAX-EXEMPT ORGANIZATIONS. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATION 8,997. CVNA LLC 6750 W 52ND AVE ARVADA CO 80002 812134000 HOME HEALTH CO 0 0 COLORADO VISITING NURSE ASSOCIATION COMFORT BRIDGE DBA CARE SYNERGY 8289 E LOWRY BLVD DENVER CO 80230 471820366 ADMINISTRATIVE SUPPORT SERVICES TO RELATED ORGANIZATIONS CO 501(C)(3) LINE 12B, II N/A 0 PATHWAYS HOSPICE 8289 E LOWRY BLVD DENVER CO 80230 840782874 HOSPICE AND PALLIATIVE CARE SERVICES CO 501(C)(3) LINE 10 COMFORT BRIDGE DBA CARE SYNERGY 0 HOSPICE OF METRO DENVER INC DBA THE DENVER HOSPICE & OPTIO HEALTH SERVICES 8289 E LOWRY BLVD DENVER CO 80230 840743121 HOSPICE AND PALLIATIVE CARE SERVICES CO 501(C)(3) LINE 10 COMFORT BRIDGE DBA CARE SYNERGY 0 PIKES PEAK HOSPICE AND PALLIATIVE CARE INC 8289 E LOWRY BLVD DENVER CO 80230 840816047 HOSPICE AND PALLIATIVE CARE SERVICES CO 501(C)(3) LINE 10 COMFORT BRIDGE DBA CARE SYNERGY 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0