2021-11-12T10:39:02-06:00 2020-12-31 450250958 EIDE BAILLY LLP 2950 E HARMONY RD STE 290 FORT COLLINS CO 805283429 990 2020-01-01 840816047 PIKES PEAK HOSPICE AND PALLIATIVE CARE INC PIKE 3037804600 8289 E LOWRY BLVD DENVER CO 80230 PAUL TOSETTI CHIEF FINANCIAL OFFICER 3037804600 2021-11-10 1 PAUL TOSETTI 999009999 KYLE FRITCH CPA P01313374 9702238825 2021-11-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DAWN DARVALICS 8289 E LOWRY BLVD DENVER CO 80230 15678761 0 X WWW.PIKESPEAKHOSPICE.ORG X 1981 CO PROVIDE COMPASSIONATE AND EXPERT END-OF-LIFE CARE TO PATIENTS AND THEIR FAMILIES, PARTNER WITH THOSE WHO SHARE OUR VISION, AND LEAD CHANGE IN THE COMMUNITY TO ENSURE COMFORT FOR ALL WHO FACE SERIOUS ILLNESS. 9 8 159 207 0 0 987701 701908 14018733 14976052 2121 801 0 0 15008555 15678761 0 0 0 0 9203868 9761590 0 0 0 4785269 4951920 13989137 14713510 1019418 965251 9833526 10808069 1341179 1350471 8492347 9457598 THE MISSION OF PIKES PEAK HOSPICE & PALLIATIVE CARE IS TO PROVIDE COMPASSIONATE AND EXPERT END-OF-LIFE CARE TO PATIENTS AND THEIR FAMILIES, PARTNER WITH THOSE WHO SHARE OUR VISION, AND LEAD CHANGE IN THE COMMUNITY TO ENSURE COMFORT FOR ALL WHO FACE SERIOUS ILLNESS. 0 0 11075327 14976052 PROVIDES INDIVIDUALIZED CONTINUUM OF CARE TO THOSE EXPERIENCING THEIR END OF LIFE JOURNEY AND THEIR LOVED ONES. SERVICES ARE PROVIDED WHEREVER THE PATIENT CALLS 'HOME': IN A RESIDENTIAL HOME, LONG TERM CARE FACILITIES, AND OUR LICENSED HOSPICE INPATIENT FACILITY. WE SERVE EL PASO AND TELLER COUNTIES AND SURROUNDING COMMUNITIES. PIKES PEAK HOSPICE AND PALLIATIVE CARE PROVIDES ADVANCED ILLNESS MANAGEMENT FOR INDIVIDUALS LIVING WITH SERIOUS ILLNESS. WE PROVIDE PAIN AND SYMPTOM MANAGEMENT THROUGH COLLABORATION WITH THE PATIENT'S PRIMARY CARE PHYSICIAN THROUGH OUR NURSE PRACTITIONERS, NURSES AND SOCIAL WORK SERVICES. IN 2020, WE SERVED 1,450 UNDUPLICATED HOSPICE PATIENTS AND 788 PALLIATIVE CARE PATIENTS INCLUDING ADULTS AND CHILDREN. 11075327 1 1 0 1 0 0 0 1 0 1 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 1 1 0 0 1 51 0 1 159 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 1 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CO X PAUL TOSETTI 3037804600 8289 E LOWRY BLVD DENVER CO 80230 X BRIAN WAGNER BOARD CHAIR 1.00 0.00 X X 0 0 0 MIKE HELWEGE SECRETARY 1.00 0.00 X X 0 0 0 COLIN PERRY TREASURER 1.00 0.00 X X 0 0 0 TIM J BOWEN DIRECTOR/CHIEF EXECUTIVE OFFICER 1.00 59.00 X X 0 901573 229350 STEVE HOCHSTETTER DIRECTOR 1.00 0.00 X 0 0 0 SR MARY COLLEEN SCHWARZ DIRECTOR 1.00 0.00 X 0 0 0 BONNIE GOFF DIRECTOR 1.00 0.00 X 0 0 0 ABBEY MOBOLADE DIRECTOR 1.00 0.00 X 0 0 0 DR JEANETTE VALENTIN DIRECTOR 1.00 0.00 X 0 0 0 DAWN DARVALICS PRESIDENT FROM (11/20) 50.00 0.00 X 40046 159140 52411 CHERYL HAMILTON FRIED INTERIM PRESIDENT (THRU 2/20) 50.00 0.00 X 73386 0 3584 PAUL TOSETTI CHIEF FINANCIAL OFFICER (FROM 2/20) 2.00 48.00 X 0 252152 37660 RONALD FERET CHIEF FINANCIAL OFFICER (THRU 2/20) 1.00 43.00 X 0 117893 2544 ANGELA POPPE-RIES MEDICAL DIRECTOR (THRU 11/20) 40.00 0.00 X 315148 0 9750 JOAN SELMAN PIKES PEAK HOSPICE FOUNDATION 1.00 40.00 X 137044 0 14316 MICHAEL OLDFATHER DIRECTOR OF BUSINESS DEVELOPMENT 40.00 0.00 X 114067 0 0 BRANDIE D RIVES DIRECTOR OF CLINICAL SERVICES 40.00 0.00 X 121576 0 22430 KALA E MILLER NURSE PRACTITIONER 40.00 0.00 X 117217 0 3508 GLORIA BROOKS FORMER OFFICER 0.00 0.00 X 103125 0 0 1021609 1430758 375553 10 1 1 0 CARE SYNERGY 8289 E LOWRY BLVD DENVER CO 80230 MANAGEMENT SERVICES 750329 SHERMAN & HOWARD 633 17TH ST STE 3000 DENVER CO 80202 LEGAL 154747 2 380804 321104 701908 PATIENT SERVICE REVENUE 621610 14976052 14976052 14976052 801 801 15678761 14976052 0 801 X 137767 137767 103125 103125 8304448 6437219 1867229 94295 94295 644720 642338 2382 477235 477235 750329 750329 51318 51318 19870 19870 199 199 268125 216778 51347 155952 91945 64007 46286 9218 37068 4886 1081 3805 569842 375298 194544 11570 10346 1224 3531 444 3087 5849 5849 439162 157790 281372 DIRECT PATIENT EXPENSES 1953272 1952444 828 OPERATING FUND EXPENSE 391000 391000 0 DUES & SUBSCRIPTIONS 76214 51493 24721 EQUIPMENT RENTAL 51936 51936 152579 19806 132773 14713510 11075327 3638183 0 2154396 4247129 2190898 1742166 69644 124942 8406432 4272038 4537538 4134394 881050 559438 9833526 10808069 1191872 945349 149307 405122 1341179 1350471 X 8492347 9457598 8492347 9457598 9833526 10808069 965251 0 X 0 1 X 1 0 X 768132 945989 1497553 987701 701908 4901283 4086256 15183311 12683532 14018733 14976052 60947884 4854388 16129300 14181085 15006434 15677960 65849167 691858 945989 1497553 987701 380804 4503905 0 691858 945989 1497553 987701 380804 4503905 61345262 1462 3445 936 2121 801 8765 1462 3445 936 2121 801 8765 4855850 16132745 14182021 15008555 15678761 65857932 0.93150 0.92940 0.00010 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 199 199 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDED AS PART OF DUES TO NHPCO $199, AS DISCLOSED ON THE ANNUAL MEMBERSHIP RENEWAL FORM. IN 2020, 2.5% OF OUR TOTAL DUES OF $7,951 WERE ALLOCATED TO LOBBYING 22150 X 0 3936112 6277 523216 4465605 3379893 9277 676815 129873 3936112 3571156 12512 -75697 128078 3379893 3147820 121560 426941 125165 3571156 2993626 123966 54209 23981 3147820 0.60520 0.39480 0 1 1 448131 448131 3951867 1110346 2841521 1160069 1051401 108668 2660296 1973095 687201 186069 137196 48873 4134394 DUE FROM PIKES PEAK FOUNDATION 542852 DUE FROM CARE SYNERGY 8754 IMA UNEMPLOYMENT BOND 7832 559438 DEFERRED LEASE INCENTIVES 51049 REFUNDABLE ADVANCE - PROVIDER RELIEF FUND 354073 405122 X 15270387 -408374 -408374 15678761 0 15678761 14305136 0 14305136 408374 408374 14713510 PART III, LINE 4: ARTWORK IS MAINTAINED FOR AN AESTHETIC ENVIRONMENT PART V, LINE 4: ENDOWMENT FUNDS CONSISTS OF A SINGLE POOLED FUND ESTABLISHED BY DONORS TO PROVIDE ANNUAL FUNDING FOR FUTURE OPERATIONS. PART X, LINE 2: PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC. IS ORGANIZED AS COLORADO NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTIONS 170(B)(1)(A)(VIII), AND HAS BEEN DETERMINED NOT TO BE PRIVATE FOUNDATION UNDER SECTIONS 509(A)(2), RESPECTIVELY. THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSES. WE HAVE DETERMINED THAT THE ORGANIZATION IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIALS -17,374. OPERATING FUND EXPENSE NETTED WITH REVENUES ON THE FINANCIALS -391,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIALS 17,374. OPERATING FUND EXPENSE NETTED WITH REVENUES ON THE FINANCIALS 391,000. X X X X X X 1 1 0 0 0 0 0 1 0 TIM J BOWEN DIRECTOR/CHIEF EXECUTIVE OFFICER 0 566261 0 263804 0 71508 0 201921 0 30493 0 1133987 0 0 ANGELA POPPE-RIES MEDICAL DIRECTOR (THRU 11/20) 247817 0 36673 0 30658 0 9750 0 2012 0 326910 0 0 0 PAUL TOSETTI CHIEF FINANCIAL OFFICER (FROM 2/20) 0 219322 0 25390 0 7440 0 37660 0 1771 0 291583 0 0 DAWN DARVALICS PRESIDENT FROM (11/20) 14880 140296 25000 18712 166 132 18187 9728 2212 24105 60445 192973 0 0 JOAN SELMAN PIKES PEAK HOSPICE FOUNDATION 132422 0 4000 0 622 0 3179 0 12428 0 152651 0 0 0 GLORIA BROOKS FORMER OFFICER 0 0 0 0 103125 0 0 0 0 0 103125 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, LINES 4A-B 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 2020, FOR WHICH THE EXPENSE WAS INCURRED BY THE SPONSORING ORGANIZATIONS, BUT THE FUNDS HAVE NOT VESTED OR BEEN PAID OUT TO THESE INDIVIDUALS AND AS SUCH, ARE NOT INCLUDED IN THE AMOUNTS ON SCHEDULE J, PART II: TIM BOWEN (CARE SYNERGY CEO): $190,521 PAUL TOSETTI (CARE SYNERGY CFO): $28,146 DAWN DARVALICS (PIKES PEAK HOSPICE PRESIDENT): $21,088 GLORIA A. BROOKS, FORMER PIKES PEAK HOSPICE FOUNDATION PRESIDENT RECEIVED A SEVERANCE PAYMENT OF $103,125 MADE AS REQUIRED UNDER AGREEMENT WITH EMPLOYER UPON DEPARTURE FROM EMPLOYMENT. 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, 2020, THE ORGANIZATION AND/OR CARE SYNERGY AWARDED THE DIRECTOR/CEO, CHIEF FINANCIAL OFFICERS, PRESIDENT, DIRECTOR OF CLINICAL SERVICES, DIRECTOR OF BUSINESS DEVELOPMENT, MEDICAL DIRECTOR, NURSE PRACTITIONER AND THE PIKES PEAK HOSPICE FOUNDATION EXECUTIVE DIRECTOR A BONUS BASED ON REVIEW OF THEIR PERFORMANCES AND SERVICES TO THE ORGANIZATION. SCHEDULE J, PART II: THE COMPENSATION PAID TO THE DIRECTOR/CEO AND CFO 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 PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC., 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 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON, THE VICE CHAIRPERSON, TREASURER, SECRETARY, THE IMMEDIATE PAST CHAIRPERSON, ONE MEMBER ELECTED BY A MAJORITY OF THE HOSPICE BOARD (THE "MEMBER-AT-LARGE), AND THE CHIEF EXECUTIVE OFFICER WITH EACH MEMBER HAVING THE RIGHT TO VOTE ON ALL MATTERS. THE OFFICERS OF THE HOSPICE BOARD OR THE CHIEF EXECUTIVE OFFICER SHALL PRESENT TO THE EXECUTIVE COMMITTEE FOR REVIEW, AT ITS REGULARLY SCHEDULED MEETING IMMEDIATELY PRIOR TO THE HOSPICE BOARD MEETING AT WHICH ACTION IS SOUGHT, ALL ITEMS REQUIRING THE ACTION OF THE HOSPICE BOARD. THE EXECUTIVE COMMITTEE SHALL THEREAFTER MAKE ITS RECOMMENDATION TO THE HOSPICE BOARD ON EACH ITEM FOR WHICH HOSPICE ACTION IS SOUGHT. THE EXECUTIVE COMMITTEE SHALL SET THE AGENDA FOR EACH HOSPICE BOARD MEETING. AT THE DISCRETION OF THE CHAIRPERSON, THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE HOSPICE BOARD ON ALL MATTERS REQUIRING A DECISION OF THE HOSPICE BOARD AND ARISING BETWEEN HOSPICE BOARD MEETINGS. THE EXECUTIVE COMMITTEE SHALL REPORT AND SUCH ACTIONS TO THE HOSPICE BOARD AT THE NEXT REGULARLY SCHEDULED OR SPECIAL MEETING OF THE HOSPICE BOARD AND SHALL FOREGO DECISIONS ON THOSE MATTERS WHICH CAN BE DELAYED UNTIL THE NEXT REGULARLY SCHEDULED OR SPECIAL MEETING OF THE HOSPICE BOARD, OR UNTIL WRITTEN CONSENT OF THE HOSPICE BOARD CAN BE OBTAINED. 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, COLORADO VISITING NURSES ASSOCIATION, 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 PIKES PEAK HOSPICE AND PALLIATIVE CARE'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 ANNUAL EDUCATION IS PROVIDED TO THE BOARD MEMBERS, OFFICERS, AND STAFF. ALL CONFLICTS ARE ADDRESSED BY OFFICERS AND CONTRACT LEGAL COUNSEL AS NEEDED. BOARD MEMBERS ARE REQUIRED TO COMPLETE AN INDEPENDENCE QUESTIONNAIRE TO DISCLOSE ANNUALLY ANY BUSINESS VENTURES, OWNERSHIP INTERESTS OR SERVICES THAT COULD CREATE A CONFLICT OF INTEREST. BOARD MEMBERS WHO HAVE A CONFLICT WITH RESPECT TO A MATTER BEFORE THE BOARD ARE DIRECTED TO DISCLOSE THE CONFLICT AND ABSTAIN FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR CARE SYNERGY, A RELATED TAX-EXEMPT ORGANIZATION, FUNCTIONS AS THE COMPENSATION COMMITTEE. 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 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON-SITE AND 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 PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC., 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 IX, LINE 24B: IN 2020, AN OPERATING RESERVE WAS CREATED AT CARE SYNERGY (THE RESERVE) TO SUPPORT THE STRATEGIC GOALS AND OPERATIONAL PLANS OF CARE SYNERGY AND ITS AFFILIATES. THE RESERVE WAS FUNDED BY AFFILIATES WITH AVAILABLE CASH FLOW BASED ON THEIR PROPORTIONATE SHARE OF PATIENT SERVICE REVENUE. THE USE OF THE RESERVE IS TO SUPPORT UNFORESEEN FINANCIAL NEEDS OR CERTAIN STRATEGIC INITIATIVES OF CARE SYNERGY AND ITS AFFILIATES. THE RESERVE IS NOT INTENDED FOR CAPITAL PROJECTS, TO REPLACE A PERMANENT LOSS OF FUNDS OR ELIMINATE AN ONGOING BUDGET GAP OR SHORTFALL. UTILIZATION OF THE RESERVE REQUIRES THE EXPRESS APPROVAL OF THE CARE SYNERGY BOARD OF DIRECTORS. PIKES PEAK HOSPICE FOUNDATION 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 841453050 SUPPORT OF PIKES PEAK HOSPICE & PALLIATIVE CARE CO 501(C)(3) LINE 12A, I PIKES PEAK HOSPICE AND PALLIATIVE CARE 1 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 AND OPTIO HEALTH SERVIC 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 HALCYON HOSPICE 8289 E LOWRY BLVD DENVER CO 80230 471820492 HOSPICE AND PALLIATIVE CARE SERVICES CO 501(C)(3) LINE 10 COMFORT BRIDGE DBA CARE SYNERGY 0 COLORADO VISITING NURSES ASSOCIATION 8289 E LOWRY BLVD DENVER CO 80230 841043351 HOSPICE AND PALLIATIVE CARE SERVICES CO 501(C)(3) LINE 10 COMFORT BRIDGE DBA CARE SYNERGY 0 0 0 1 1 0 0 0 0 0 1 0 0 1 1 1 1 1 1 0 PIKES PEAK HOSPICE FOUNDATION D 542852 COST PIKES PEAK HOSPICE FOUNDATION C 380804 COST SCHEDULE R, PART II: HALCYON HOSPICE IS REPORTED AS A RELATED ORGANIZATION ON SCHEDULE R, PART II SINCE THE ENTITY WAS A RELATED ORGANIZAITON FOR PART OF THE TAX YEAR. HOWEVER, HALCYON IS NO LONGER CONSIDERED A RELATED ORGANIZATION AS OF AUGUST 5, 2020.