2018-11-15T16:31:10-06:00 2017-12-31 450250958 EIDE BAILLY LLP 7001 E BELLEVIEW AVE STE 700 DENVER CO 80237 990 2017-01-01 840743121 HOSPICE OF METRO DENVER INC HOSP 3033212828 501 S CHERRY STREET NO 700 DENVER CO 80246 TIM BOWEN CHIEF EXECUTIVE OFFICER 3033212828 2018-11-15 1 KYLE FRITCH CPA P01313374 3037705700 2018-11-13 50.203.234.82 2018-11-15 15:19:42 MS P 38E7B26ACDED65A6206348105EC66FC115FD0A44 B602D594AFD2B0B327E07A06F36CA6A7E42546D0 2017 2019-02-21 02:37:17Z THE DENVER HOSPICE AND OPTIO HEALTH MELINDA EGGING 501 S CHERRY STREET NO 700 DENVER CO 80246 44057641 0 X WWW.THEDENVERHOSPICE.ORG X 1977 CO TO ENCIRCLE THOSE FACING ADVANCED ILLNESS WITH UNPRECEDENTED LEVELS OF COMFORT, COMPASSION, AND EXPERTISE. 12 11 502 340 0 0 1793817 1334338 40805200 41011038 206290 295141 -159901 -20117 42645406 42620400 0 0 0 0 26238010 27525054 21019 51005 931281 16681042 14375365 42940071 41951424 -294665 668976 42575404 43983495 6704250 6739141 35871154 37244354 X TO ENCIRCLE THOSE FACING ADVANCED ILLNESS WITH UNPRECEDENTED LEVELS OF COMFORT, COMPASSION, AND EXPERTISE. 0 0 31321236 41011038 HOSPICE CARE IS DISTINGUISHED FROM TRADITIONAL MEDICAL CARE BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AS END OF LIFE CARE THAT DOES NOT INCLUDE CURATIVE MEASURES FOR THOSE WITH LIFE-LIMITING ILLNESSES AND GIVEN A PROGNOSIS OF LESS THAN SIX MONTHS TO LIVE. THE INTER-DISCIPLINARY TEAM INCLUDES A PHYSICIAN, REGISTERED NURSE, CHAPLIN, AND SOCIAL WORKER. DURING 2017, 3,765 PATIENTS AND THEIR FAMILIES WERE SERVED IN HOSPICE CARE. THESE PATIENTS INCLUDE THOSE WHO QUALIFY FOR MEDICARE AND MEDICAID AND OTHER VARIOUS INSURANCE PROGRAMS, AS WELL AS THOSE WHO ARE UNDERINSURED AND UNINSURED, VETERANS AND CHILDREN (CHILDREN'S PEDIATRIC PROGRAM). THE DENVER HOSPICE ALSO HAS AN ACCREDITATION FROM THE NATIONAL INSTITUTE FOR JEWISH HOSPICE.OPTIO HEALTH SERVICES COORDINATES CARE AND SERVICES FOR PEOPLE COPING WITH CHRONIC ILLNESS AND ASSISTS INDIVIDUALS DURING THE TIMES OF TRANSITION THROUGH AN INTEGRATED PERSONALIZED CARE PLAN AND 24-7 SUPPORT. THIS TYPE OF PALLIATIVE CARE IS AVAILABLE BEFORE A PATIENT IS ELIGIBLE FOR HOSPICE CARE. PALLIATIVE CARE (1) RELIEVES PAIN AND OTHER SYMPTOMS, (2) INCREASES COMFORT FOR PATIENTS AND MAY INCLUDE CURATIVE MEASURES, AND (3) PROVIDES PRACTICALASSISTANCE FOR PATIENTS AND CAREGIVERS AT HOME. 1,155 PATIENTS AND THEIR FAMILIES RECEIVED PALLIATIVE CARE DURING 2017.GRIEF SUPPORT SERVICES AS A SERVICE OF THE DENVER HOSPICE, WE HAVE BEEN PROVIDING GRIEF SUPPORT TO OUR COMMUNITY SINCE 1978. SERVICES INCLUDE GRIEF COUNSELING FOR INDIVIDUALS AND FAMILIES; ART THERAPY; GRIEF SUPPORT GROUPS WHICH INCLUDE A NEWLY BEREAVED SUPPORT GROUP, ADULT GRIEF SUPPORT GROUP, CREATIVE ARTS GROUP AND SPECIAL FOCUS SUPPORT GROUPS TO SUPPORT THE GRIEF PROCESS; COMMUNITY EDUCATIONAL PRESENTATIONS AND MATERIALS; AND GRIEF SERVICES THROUGH OUR FOOTPRINTS CHILDREN'S GRIEF CENTER.FOOTPRINTS CHILDREN'S GRIEF CENTER ESTABLISHED IN 1993, FOOTPRINTS CHILDREN'S GRIEF CENTER HELPS HEAL CHILDREN AND TEENS, AGES 3 TO 18, WHO HAVE A LOVED ONE WITH A LIFE-LIMITING ILLNESS OR HAVE EXPERIENCED A RECENT LOSS. FOOTPRINTS PROVIDES A SAFE SPACE TO EXPRESS THOUGHTS AND FEELINGS AND DEVELOP TOOLS FOR MANAGING GRIEF. OUR EXPERIENCED COUNSELORS WORK ONE-ON-ONE WITH CHILDREN AND TEENS USING DIFFERENT FORMS OF CREATIVE EXPRESSION LIKE ART, PLAY, MOVEMENT, MUSIC AND JOURNALING TO ADDRESS CHALLENGES AND DEVELOP INTERNAL RESOURCES. 31321236 1 1 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 87 0 1 502 1 0 0 0 0 0 1 1 0 0 0 0 X 12 11 1 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CO X RON FERET 3033212828 501 S CHERRY STREET STE 700 DENVER CO 80246 DR DAVID SCANAVINO BOARD CHAIR 1.00 1.00 X X 0 0 0 DENNIS HELLING VICE CHAIRMAN (THRU 11/17) 1.00 1.00 X X 0 0 0 JOHN HORAN TREASURER (THRU 11/17) 1.00 1.00 X X 0 0 0 EVI MAKOVSKY SECRETARY 1.00 0.00 X X 0 0 0 DAVID ALEXANDER DIRECTOR 1.00 0.00 X 0 0 0 BRAD BAUMGARTNER DIRECTOR 1.00 1.00 X 0 0 0 JAMES BURKE DIRECTOR 1.00 1.00 X 0 0 0 SUSAN LAW DIRECTOR 1.00 0.00 X 0 0 0 ELIZABETH OYEKAN DIRECTOR 1.00 0.00 X 0 0 0 ADELE PHELAN DIRECTOR 1.00 2.00 X 0 0 0 LEW SAPIRO DIRECTOR 1.00 0.00 X 0 0 0 RODNEY RICE DIRECTOR 1.00 1.00 X 0 0 0 PATRICIA GIVENS DIRECTOR 1.00 0.00 X 0 0 0 TIM BOWEN DIRECTOR/CHIEF EXECUTIVE OFFICER 1.00 43.00 X X 0 659289 68428 MELINDA EGGING INT. PRESIDENT (FROM 8/17)/VP OF QUALITY 40.00 4.00 X 0 174045 29872 JANELLE G MCCALLUM PRESIDENT (THRU 7/17) 40.00 0.00 X 347064 0 50676 KEVIN WILLIAMS CHIEF FINANCIAL OFFICER 1.00 43.00 X 0 246794 51179 JOHN BLASCHKE CHIEF INFORMATION OFFICER 1.00 43.00 X 0 231907 50373 JANE BEDROSIAN VP OF HUMAN RESOURCES 1.00 43.00 X 0 189849 53840 KERI SCHROEDER-JAEGER CHIEF OF STRATEGY & BUSINESS DEVELOPMENT 40.00 0.00 X 123322 0 30718 SEAN GOERGEN VP OF DEVELOPMENT 40.00 0.00 X 140626 0 23089 BRUCE KEMPER DIRECTOR OF OPERATIONAL SUPPORT 40.00 0.00 X 155136 0 14318 SHIRLEE E TURNER MEDICAL DIRECTOR 40.00 0.00 X 247064 0 39914 SUSAN LASKER-HERTZ DIRECOR OF HOSPICE SERVICES 40.00 0.00 X 143248 0 23554 ROHINI KANNIGANTI MEDICAL DIRECTOR 40.00 0.00 X 223160 0 52163 GARY GRAHAM MEDICAL DIRECTOR 40.00 0.00 X 179376 0 37744 DENNIS RODRIGUEZ DIRECOR OF BUSINESS DEVELOPMENT 40.00 0.00 X 124072 0 39762 SVITLANA NESTERENKO RN 40.00 0.00 X 125243 0 5788 1808311 1501884 571418 10 0 1 0 CARE SYNERGY 501 S CHERRY STREET STE 700 DENVER CO 80246 MANAGEMENT SERVICES 1697773 BERKLEY MANOR CARE CENTER 735 S LOCUST DENVER CO 80224 NURSING HOME SERVICES 390369 APEX PARAMEDICS LLC 5394 MARSHALL ST ARVADA CO 80002 TRANSPORTATION SERVICES 332162 HOLLY HEIGHTS NURSING CENTER 6000 E ILIFF AVE DENVER CO 80222 NURSING HOME SERVICES 316923 GARDEN TERRACE ALZHEIMER'S CENTER 1600 S POTOMAC ST AURORA CO 80012 NURSING HOME SERVICES 294890 20 176088 1158250 27816 1334338 PATIENT SERVICE REVENUE 623000 41005079 41005079 5959 5959 41011038 294960 294960 1385801 1385620 181 181 181 31504 176088 51621 -20117 -20117 42620400 41011038 0 275024 1171927 86093 922120 163714 22406430 17579234 4479668 347528 2428003 2182348 236537 9118 1518694 1302217 181624 34853 51005 51005 33120 33120 2472086 513722 1944166 14198 173102 482 131055 41565 667117 58956 512951 95210 158121 13627 98223 46271 773519 360575 412944 97629 55578 42051 884885 516976 363246 4663 DIRECT PATIENT EXPENSES 7278895 7225002 45058 8835 BAD DEBT 1386297 1386297 RECRUITING 135922 7766 128156 DUES & SUBSCRIPTIONS 86575 12247 56201 18127 228097 75694 98260 54143 41951424 31321236 9698907 931281 2493475 1005633 11229727 72297 10167954 6235143 0 0 167289 101371 21085794 9379589 12494993 11706205 5960414 6485029 10213349 8226020 42575404 43983495 3524462 4748393 2375000 1875000 804788 115748 6704250 6739141 X 29976246 30492205 847313 1704554 5047595 5047595 35871154 37244354 42575404 43983495 668976 704224 0 X 0 1 X 1 0 X 2018123 8238367 1883996 1793817 1334338 15268641 36951574 35869365 38680469 40805200 41042542 193349150 38969697 44107732 40564465 42599017 42376880 208617791 70085 70350 32233 172668 0 70085 70350 32233 172668 208445123 23155 155381 215225 206561 294960 895282 23155 155381 215225 206561 294960 895282 81661 119348 5505 75855 282369 39074513 44382461 40785195 42881433 42671840 209795442 0.99360 0.99190 0.00430 0.00350 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: FUNDRAISING INCOME - 2013 AMOUNT: $ 14,247. 2014 AMOUNT: $ 41,631. 2015 AMOUNT: $ 2,800. 2016 AMOUNT: $ 75,855. OTHER INCOME - 2013 AMOUNT: $ 30,214. 2014 AMOUNT: $ 39,317. COST SHARING REIMBURSEMENTS - 2013 AMOUNT: $ 37,200. 2014 AMOUNT: $ 38,400. 2015 AMOUNT: $ 2,705. 454774 X X ENHANCING END OF LIFE CARE 0 5664652 818387 6483039 5279991 384661 5664652 5404748 1000 -125757 5279991 5046595 373603 15450 5404748 0.78000 0.22000 0 0 2966004 2966004 10389773 2501563 7888210 723859 672635 51224 6551384 6205391 345993 454774 454774 11706205 OTHER ASSETS 259054 LONG TERM CERTIFICATES 272537 DUE FROM HALCYON 2116242 LONG TERM NOTE RECEIVABLE FROM HALCYON 5250000 DUE FROM CARE SYNERGY 328187 8226020 DEFERRED LEASE INCENTIVES 115748 115748 X 43299241 704224 704224 42595017 33120 -7737 25383 42620400 41926041 7737 7737 41918304 33120 33120 41951424 PART III, LINE 4: THE ORGANIZATION'S COLLECTIONS CONSIST PRIMARILY OF WORKS OF ART THAT ARE ON DISPLAY IN PUBLIC SPACES AS WELL AS PATIENT ROOMS. THESE WORKS OF ART ARE USED TO PROVIDE A WELCOMING, THERAPEUTIC, HOME LIKE ENVIRONMENT TO PATIENTS AND FAMILIES IN FURTHERANCE OF THE ORGANIZATION'S MISSION OF ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE. PART V, LINE 4: OUR ENDOWMENT (THE ENDOWMENT) CONSISTS OF A SINGLE POOLED FUND ESTABLISHED BY DONORS TO PROVIDE ANNUAL FUNDING FOR THE INPATIENT CARE CENTER. 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 HAVE 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPEICAL EVENT EXPENSES NETTED WITH INCOME ON FORM 990 -7,737. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPEICAL EVENT EXPENSES NETTED WITH INCOME ON FORM 990 7,737. X X X X X X X 0 BLISS DIRECT PO BOX 129 ST JOSEPH MN 56374 DIRECT MAIL 0 140472 39005 101467 ZIM CONSULTING 1385 SOUTH COLORADO BLVD DENVER CO 80222 GRANT RESEARCH AND WRITING 0 95000 12000 83000 235472 51005 184467 AL AR CO CT FL GA HI IL KS KY LA ME MD MI MN MS MO NV NH NJ NM NC ND OH OK OR PA RI SC TN UT VA WA WV WI AZ DE ID IN IA MT NE SD VT TX WY HEART OF HOSPICE 153067 130356 22711 763 25832 11303 SELIAN-NIGHT OF KUJALI 54525 45732 8793 10245 37 480 2961 207592 176088 31504 763 36077 37 480 14264 51621 -20117 0 1 0 0 0 0 0 1 0 TIM BOWEN DIRECTOR/CHIEF EXECUTIVE OFFICER 0 489382 0 142140 0 27767 0 49202 0 19225 0 727716 0 0 MELINDA EGGING INT. PRESIDENT (FROM 8/17)/VP OF QUA 0 160731 0 13314 0 0 0 21623 0 8249 0 203917 0 0 JANELLE G MCCALLUM PRESIDENT (THRU 7/17) 180259 0 32801 0 134004 0 42500 0 8177 0 397741 0 0 0 KEVIN WILLIAMS CHIEF FINANCIAL OFFICER 0 209982 0 36812 0 0 0 41894 0 9285 0 297973 0 0 JOHN BLASCHKE CHIEF INFORMATION OFFICER 0 183457 0 48450 0 0 0 24056 0 26317 0 282280 0 0 JANE BEDROSIAN VP OF HUMAN RESOURCES 0 165057 0 24792 0 0 0 37369 0 16472 0 243690 0 0 KERI SCHROEDER-JAEGER CHIEF OF STRATEGY & BUSINESS DEVELOP 113230 0 10092 0 0 0 20081 0 10638 0 154041 0 0 0 SEAN GOERGEN VP OF DEVELOPMENT 131106 0 9520 0 0 0 6404 0 16685 0 163715 0 0 0 BRUCE KEMPER DIRECTOR OF OPERATIONAL SUPPORT 127700 0 6249 0 21187 0 14069 0 249 0 169454 0 0 0 SHIRLEE E TURNER MEDICAL DIRECTOR 227814 0 19250 0 0 0 30646 0 9268 0 286978 0 0 0 SUSAN LASKER-HERTZ DIRECOR OF HOSPICE SERVICES 136961 0 6287 0 0 0 6891 0 16663 0 166802 0 0 0 ROHINI KANNIGANTI MEDICAL DIRECTOR 223160 0 0 0 0 0 28350 0 23813 0 275323 0 0 0 GARY GRAHAM MEDICAL DIRECTOR 175363 0 0 0 4013 0 23489 0 14255 0 217120 0 0 0 DENNIS RODRIGUEZ DIRECOR OF BUSINESS DEVELOPMENT 101772 0 22300 0 0 0 15845 0 23917 0 163834 0 0 0 PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THESE METHODS TO ESTABLISH THE COMPENSATION OF 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 2017, FOR WHICH THE EXPENSE WAS INCURRED BY THE SPONSORING ORGANIZATIONS, BUT THE FUNDS HAVE NOT VESTED OR BEEN PAID OUT TO THESE INDIVIDUALS: TIM BOWEN (CARE SYNERGY CEO): $84,416 KEVIN WILLIAMS (CARE SYNERGY CFO): ($29,666) NET CREDIT DUE TO FORFEITURE JOHN BLASCHKE (CARE SYNERGY CIO): $33,109 JANE BEDROSIAN (CARE SYNERGY VP OF HUMAN RESOURCES): $24,267 MELINDA EGGING (CARE SYNERGY VP OF QUALITY): $18,045 PART I, LINE 7 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. DURING CALENDAR YEAR ENDED DECEMBER 31, 2017, THE ORGANIZATION AWARDED THE PRESIDENT, CHIEF OF STRATEGY AND BUSINESS DEVELOPMENT, VP OF DEVELOPMENT, DIRECTOR OF OPERATIONAL SUPPORT, MEDICAL DIRECTOR, DIRECTOR OF HOSPICE SERVICES, AND THE DIRECTOR OF BUSINESS DEVELOPMENT A BONUS BASED ON REVIEW OF THEIR PERFORMANCES AND SERVICES TO THE ORGANIZATION. SCHEDULE J, PART II: THE COMPENSATION PAID TO THE CEO/DIRECTOR, CFO, CIO, VP OF HUMAN RESOURCES, AND VP OF QUALITY AND COMPLIANCE IS PAID FOR BY CARE SYNERGY, A RELATED TAX-EXEMPT ORGANIZATION. CARE SYNERGY'S EXECUTIVE 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. X 6 27816 FAIR MARKET VALUE 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF THE CHAIR, THE VICE-CHAIR, THE SECRETARY, THE TREASURER, THE CEO OF THE MEMBER AND UP TO THREE AT-LARGE MEMBERS DRAWN FROM THE BOARD. THE EXECUTIVE COMMITTEE MAY TRANSACT ANY BUSINESS OF THE ORGANIZATION THAT WOULD NORMALLY REQUIRE APPROVAL OF THE BOARD (EXCEPT AS SET FORTH BELOW) BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD ONLY IF THE BUSINESS AT HAND IS OF SUCH URGENT NATURE AS TO REASONABLY REQUIRE ACTION PRIOR TO THE NEXT REGULARLY SCHEDULED MEETING OF THE BOARD AND A QUORUM OF THE BOARD CANNOT REASONABLY BE ASSEMBLED. NOTWITHSTANDING THE PRECEDING, THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE AUTHORITY TO APPROVE ANY OF THE FOLLOWING ACTIONS: (A)NOMINATION OF INDIVIDUALS TO SERVE AS DIRECTOR OF THE BOARD; (B) ANY AMENDMENT TO THE ARTICLES OR BYLAWS OF THE ORGANIZATION; (C) REMOVAL OF A DIRECTOR OF THE ORGANIZATION WITH OR WITHOUT CAUSE; OR (D) APPROVAL OF THE ORGANIZATION'S STRATEGIC PLAN. FORM 990, PART VI, SECTION A, LINE 2 THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF INFORMATION OFFICER, VP OF HUMAN RESOURCES, AND VP OF QUALITY AND COMPLIANCE ARE OFFICERS OF AND EMPLOYED BY CARE SYNERGY, A RELATED EXEMPT ORGANIZATION. THESE INDIVIDUALS ARE ALSO OFFICERS OF HALCYON HOSPICE, 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 HOSPICE OF METRO DENVER'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 THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD OF DIRECTORS AND SENIOR MANAGEMENT IS ASKED TO DISCLOSE ANNUALLY ANY BUSINESS VENTURES, OWNERSHIP INTERESTS OR SERVICES THAT COULD CREATE A CONFLICT OF INTEREST. THE EXISTENCE OF ANY POTENTIAL CONFLICT OF INTEREST SHALL BE DISCLOSED TO BOARD OF DIRECTORS, WHO SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IN THE EVENT A CONFLICT OF INTEREST DOES EXISTS, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE GOVERNING BOARD OR COMMITTEE, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMING WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15A 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 DOCUMENTS ARE AVAILABLE UPON REQUEST. REQUEST FORMS ARE AVAILABLE AT THE FRONT DESK AND CAN BE REQUESTED IN PERSON OR OVER THE PHONE. OPTIO AT YOUR SERVICE LLC 501 S CHERRY STREET STE 700 DENVER CO 80246 461427286 PALLIATIVE SERVICES CO 0 0 HOSPICE OF METRO DENVER INC COMFORT BRIDGE DBA CARE SYNERGY 501 S CHERRY ST STE 700 DENVER CO 80246 471820366 ADMINISTRATIVE SUPPORT SERVICES TO RELATED ORGANIZATION CO 501(C)(3) LINE 12B, II N/A 0 PATHWAYS HOSPICE 305 CARPENTER ROAD FORT COLLINS CO 80525 840782874 HOSPICE AND PALLIATIVE CARE SERVICES CO 501(C)(3) LINE 10 COMFORT BRIDGE DBA CARE SYNERGY 0 PIKES PEAK HOSPICE AND PALLIATIVE CARE INC 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 840816047 HOSPICE AND PALLIATIVE CARE SERVICES CO 501(C)(3) LINE 10 COMFORT BRIDGE DBA CARE SYNERGY 0 HALCYON HOSPICE 501 S CHERRY ST STE 700 DENVER CO 80246 471820492 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 1 0 0 1 1 1 1 1 0 0