2020-05-14T09:47:16-05:00 2019-12-31 810385940 ANDERSON ZURMUEHLEN & CO PC PO BOX 748 BUTTE MT 59703 990 2019-01-01 205835453 TRANSITIONS AT HOME INC TRAN 6088841617 13185 W GREEN MOUNTAIN DR LAKEWOOD CO 80228 ANDREW KERWIN CHAIR 3039800611 2020-05-11 1 JAMES E WOY CPA P00102054 4067820451 2020-05-11 71.92.235.238 2020-05-11 09:44:50 MD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 74BC895ED7B4AA290D25ADF29C10D62934060EB5 2019 2020-09-22 18:59:49Z ANDREW KERWIN 13185 W GREEN MOUNTAIN DRIVE LAKEWOOD CO 80228 1707855 0 X WWW.TRANSITIONSHEALTH.ORG X 2006 CO TRANSITIONS AT HOME, INC. IS DEDICATED TO PROVIDING QUALITY CARE, SAFETY, AND WELL-BEING IN EACH PATIENT'S HOME. OUR TEAM OF HEALTHCARE PROFESSIONALS STRIVE TO PROMOTE COMPASSION, COMFORT, DIGNITY, QUALITY, AND RESPECT TO OUR PATIENTS AND OUR COMMUNITY. 6 6 68 0 0 0 2000 8489 1462677 1699366 0 0 0 0 1464677 1707855 0 0 0 0 1035661 1224034 0 0 0 551299 521295 1586960 1745329 -122283 -37474 263842 325165 631602 730399 -367760 -405234 TRANSITIONS AT HOME, INC. IS DEDICATED TO PROVIDING QUALITY CARE, SAFETY, AND WELL-BEING IN EACH PATIENT'S HOME. OUR TEAM OF HEALTHCARE PROFESSIONALS STRIVE TO PROMOTE COMPASSION, COMFORT, DIGNITY, QUALITY, AND RESPECT TO OUR PATIENTS AND OUR COMMUNITY. 0 0 1285061 1699366 OUR LICENSED RNS AND HOME HEALTH AIDES PROVIDE A MYRIAD OF MEDICAL SERVICES TO HELP MONITOR AND ADDRESS MEDICAL NEEDS AND CONCERNS FOLLOWING SURGERY, HOSPITAL OR NURSING HOME STAYS, INPATIENT REHAB, OR TO AID IN RECOVERY FROM ILLNESS OR INJURY. 1285061 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 5 0 1 68 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CINDY DEMOYE 3039800611 13185 W GREEN MOUNTAIN DRIVE LAKEWOOD CO 80228 X ANDREW KERWIN CHAIR 1.00 X X 0 0 0 MIRIAM GEHLER SECRETARY 1.00 X X 0 0 0 KAREN CARRIG MEMBER 1.00 X 0 0 0 LORRIE DUPONT TREASURER 1.00 X X 0 0 0 NICHOLAS LYNN MEMBER 1.00 X 0 0 0 DR RAJEEV KUMAR MEMBER 1.00 X 0 0 0 KERI GERLACH MEMBER 1.00 X 0 0 0 JAMIE THOMAZIN CLINICAL MANAGER 40.00 X 101375 0 0 101375 0 0 1 0 0 0 WISCONSIN ILLINOIS SENIOR HOUSING INC 13185 W GREEN MOUNTAIN DRIVE LAKEWOOD CO 80228 PHYSICAL THERAPY SERVICES 103824 1 8489 8489 IN HOME HEALTHCARE REV 621610 1505708 1505708 ANCILLARY REVENUE 621610 191221 191221 MISC. PATIENT BENEFIT 621610 2437 2437 1699366 1707855 1699366 0 0 1032407 828252 204155 4978 4978 90536 76072 14464 96113 75619 20494 48451 48451 146 146 35195 35195 482 482 4027 4027 10509 10509 26534 26534 140828 105424 35404 678 678 11406 11370 36 PURCHASED SERVICES AND 97311 97311 PURCHASED SERVICES AND 72966 72966 OTHER EXPENSE 33488 163 33325 SUPPLIES 29017 29017 10257 5537 4720 1745329 1285061 460268 0 38722 29465 223217 280745 778 1095 3308 395 0 2913 8820 1125 2127 263842 325165 182248 730399 449354 0 631602 730399 X -367760 -405234 -367760 -405234 263842 325165 -37474 0 X X 0 1 X 1 0 X 100 125 2000 8489 10714 138840 774132 1461623 1699366 4073961 138940 774257 1463623 1707855 4084675 0 0 0 4084675 138940 774257 1463623 1707855 4084675 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3308 395 2913 2913 X 1705600 -2255 -2255 1707855 0 1707855 1743100 771 771 1742329 3000 3000 1745329 PART X, LINE 2: FOOTNOTE 1 TO THE FINANCIAL STATEMENTS STATES MANAGEMENT HAS REVIEWED ITS OPERATIONS FOR UNCERTAIN TAX POSITIONS AND HAS DETERMINED NO UNCERTAIN TAX POSITIONS EXIST. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR ALLOWANCE FOR BAD DEBTS -3,000. ROUNDING 745. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 771. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR THE ALLOWANCE FOR BAD DEBTS 3,000. PART XI, LINE 2D - OTHER ADJUSTMENTS ADJUSTMENT (1) - PROVISION FOR ALLOWANCE FOR BAD DEBTS - ($3,000) ADJUSTMENT (2) - ROUNDING - $23 PART XII, LINE 2D - OTHER ADJUSTMENTS ADJUSTMENT (1) - ROUNDING - $40 PART XII, LINE 4B - OTHER ADJUSTMENTS ADJUSTMENT (1) - PROVISION FOR BAD DEBTS - $12,000 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS ENGAGED CARRIAGE HEALTHCARE INC. (CHC) TO PROVIDE MANAGEMENT SERVICES. CHC IS AN INDEPENDENT "FOR PROFIT ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD HAS DESIGNATED THE CHAIRMAN AND SECRETARY TO REVIEW AND SIGN THE 990 ON BEHALF OF THE BOARD. ALL BOARD MEMBERS RECEIVE A COPY OF FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY IS MONITORED THROUGH THE CORPORATE COMPLIANCE PROGRAM. REPORTS ARE PROVIDED TO THE BOARD ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION AND MANAGEMENT COMPANY AGREEMENTS ARE REVIEW BY INDEPENDENT BOARD MEMBERS ON AN ANNUAL BASIS. COMPARABLE DATA IS OBTAINED IN ORDER TO ESTABLISH REASONABLE AMOUNTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE DOCUMENTS UPON WRITTEN REQUEST TO THE COMPANY. FORM 990 - LINE 2C SCHEDULE XI THE ENTIRE BOARD REVIEWS AND HAS RESPONSIBILITY FOR THE FINANCIAL STATEMENTS. THIS POLICY IS UNCHANGED FROM PRIOR YEARS. WISCONSIN ILLINOIS SENIOR HOUSING INC 13185 W GREEN MOUNTAIN DRIVE LAKEWOOD CO 80228 364016275 ASSISTED LIVING FACILITY WI 501(C)(3) LINE 10 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 0 WISCONSIN ILLINOIS SENIOR HOUSING INC E 44390 REVIEW OF GENERAL LEDGER WISCONSIN ILLINOIS SENIOR HOUSING INC L 103824 REVIEW OF GENERAL LEDGER WISCONSIN ILLINOIS SENIOR HOUSING INC K 18000 REVIEW OF GENERAL LEDGER WISCONSIN ILLINOIS SENIOR HOUSING INC M 47915 REVIEW OF GENERAL LEDGER