PIKES PEAK HOSPICE AND PALLIATIVE CARE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
PIKES PEAK HOSPICE AND PALLIATIVE CARE INC (EIN 84-0816047)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201843199349316169
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-15T16:31:10-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17001 E BELLEVIEW AVE STE 700AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840816047EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PIKES PEAK HOSPICE AND PALLIATIVEBusinessNameLine1Txt
Business Name Line2CARE INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPIKEBusinessNameControlTxt
Phone7196333400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12550 TENDERFOOT HILL STREETAddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80906ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIM BOWENPersonNm
Person TitleDIRECTOR/CEOPersonTitleTxt
Phone7196333400PhoneNum
Signature2018-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKYLE FRITCH CPAPreparerPersonNm
PTINP01313374PTIN
Phone3037705700PhoneNum
Preparation2018-11-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.203.234.82IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-15IPDt
IP Tm10:26:23IPTm
IP TimezoneMSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id38E7B26ACDED65A6206348105EC66FC115FD0A44AtSubmissionCreationDeviceId
At Submission Filing Device IdB602D594AFD2B0B327E07A06F36CA6A7E42546D0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGLORIA A BROOKSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12550 TENDERFOOT HILL STREETAddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80906ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,139,265GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PIKESPEAKHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionPROVIDE 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.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee314TotalEmployeeCnt
Total Volunteers300TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$768,132PYContributionsGrantsAmt
CY Contributions Grants$945,989CYContributionsGrantsAmt
PY Program Service Revenue$4,086,256PYProgramServiceRevenueAmt
CY Program Service Revenue$15,183,311CYProgramServiceRevenueAmt
PY Investment Income$15,662PYInvestmentIncomeAmt
CY Investment Income-$36,299CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$4,870,050PYTotalRevenueAmt
CY Total Revenue$16,093,001CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,092,853PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,222,202CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,599,809PYOtherExpensesAmt
CY Other Expenses$6,015,339CYOtherExpensesAmt
PY Total Expenses$4,692,662PYTotalExpensesAmt
CY Total Expenses$18,237,541CYTotalExpensesAmt
PY Revenues Less Expenses$177,388PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,144,540CYRevenuesLessExpensesAmt
Total Assets BOY$11,647,011TotalAssetsBOYAmt
Total Assets EOY$9,886,480TotalAssetsEOYAmt
Total Liabilities BOY$2,238,323TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,622,332TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,408,688NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,264,148NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$13,460,698ExpenseAmt
Revenue$15,183,311RevenueAmt
DescPROVIDES 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. WE SERVED 1,601 UNDUPLICATED HOSPICE PATIENTS IN 2017 INCLUDING ADULTS AND CHILDREN. PIKES PEAK PALLIATIVE SERVICES 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 2017, WE SERVED 706 UNDUPLICATED PALLIATIVE CARE PATIENTS IN THEIR OWN HOMES OR OUR CLINIC LOCATION FOR ADULTS AND CHILDREN. PIKES PEAK CENTER FOR GRIEF AND LOSS PROVIDES COMPREHENSIVE BEREAVEMENT SERVICES FOR FAMILY MEMBERS OF PIKES PEAK HOSPICE AS WELL AS THE COMMUNITY AT LARGE. INDIVIDUAL COUNSELING SESSIONS, SUPPORT GROUPS BY TYPE OF LOSS, AND COMMUNITY EDUCATION PROGRAMS ON A VARIETY OF TOPICS ARE PROVIDED THROUGHOUT THE YEAR. IN 2017, 448 CLIENTS WERE SERVED THROUGH THE CENTER, INCLUDING ADULTS AND CHILDREN.Desc
Total Program Service Expenses$13,460,698TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document42IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee314EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RON FERETBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3033212828PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 S CHERRY STREET STE 700AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80246ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DOUGLAS FLINN
BOARD CHAIR1.00Yes (X)Yes (X)$0$0$0
JEFF ROSACKER
IMMEDIATE PAST CHAIR1.00Yes (X)Yes (X)$0$0$0
SCOTT DAVIS
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
COLIN PERRY
TREASURER1.00Yes (X)Yes (X)$0$0$0
CARLA HARTSELL
SECRETARY1.00Yes (X)Yes (X)$0$0$0
PAUL ANDERSON
DIRECTOR1.00Yes (X)$0$0$0
SUSAN DAVIS
DIRECTOR1.00Yes (X)$0$0$0
KAY MILLER
DIRECTOR1.00Yes (X)$0$0$0
NATHAN NEWBROUGH
DIRECTOR1.00Yes (X)$0$0$0
WENDY OATIS
DIRECTOR1.00Yes (X)$0$0$0
DANIEL WINTER
DIRECTOR1.00Yes (X)$0$0$0
SHARON HARE
DIRECTOR/BOARD LIASON1.00Yes (X)$0$0$01.00
SR MARY COLLEEN SCHARZ
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL HELWEGE
MEMBER-AT-LARGE1.00Yes (X)$0$0$0
TIM BOWEN
DIRECTOR/CHIEF EXECUTIVE OFFICER1.00Yes (X)Yes (X)$0$659,289$68,42843.00
GLORIA BROOKS
PRESIDENT (FROM 6/17)40.00Yes (X)$107,109$0$21,0541.00
MARTHA BARTON
PRESIDENT (THRU 5/17)40.00Yes (X)$109,933$0$15,0181.00
KEVIN WILLIAMS
CHIEF FINANCIAL OFFICER1.00Yes (X)$0$246,794$51,17943.00
JOHN BLASCHKE
CHIEF INFORMATION OFFICER1.00Yes (X)$0$231,907$50,37343.00
MELINDA EGGING
VP OF QUALITY & COMPLIANCE (THRU 8/17)1.00Yes (X)$0$174,045$29,87243.00
JANE BEDROSIAN
VP OF HUMAN RESOURCES1.00Yes (X)$0$189,849$53,84043.00
JOSH NEFF
VP OF INNOVATION & BUSINESS DEV.40.00Yes (X)$167,615$0$11,6900.00
WILLIAM TIMMINS
CHIEF MEDICAL DIRECTOR40.00$243,352$0$48,326Yes (X)
WESLEY COX
PHARMACY DIRECTOR40.00$118,801$0$9,612Yes (X)
CORA MCKENZIE
PHARMACY MANGER40.00$145,561$0$24,780Yes (X)
LESLIE MCLEAN
HOSPICE PHYSICIAN40.00$180,814$0$23,448Yes (X)
ELAINE THANNUM
PHARMACIST40.00$128,306$0$25,970Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,201,491TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,501,884TotReportableCompRltdOrgAmt
Total Other Compensation$433,590TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CARE SYNERGY
501 S CHERRY STREET STE 700DENVERCO80246MANAGEMENT SERVICES$655,913
SPRINGS VILLAGE CARE CENTER
110 W VAN BUREN STCOLORADO SPRINGSCO80907NURSING HOME SERVICES$267,748
MOUNT ST FRANCIS NURSING CENTER
7550 ASSISI HEIGHTSCOLORADO SPRINGSCO80919NURSING HOME SERVICES$210,242
CEDARWOOD HEALTH CARE CENTER
924 WEST KIOWA STCOLORADO SPRINGSCO80905NURSING HOME SERVICES$162,085
LIFE CARE OF COLORADO SPRINGS
2490 INTERNATIONAL CIRCLECOLORADO SPRINGSCO80910NURSING HOME SERVICES$126,215
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Related Organizations$945,989RelatedOrganizationsAmt
Total Contributions$945,989TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621610BusinessCd
Total Revenue Column$15,178,280TotalRevenueColumnAmt
Related Or Exempt Func Income$15,178,280RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,031TotalRevenueColumnAmt
Related Or Exempt Func Income$5,031RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,183,311TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,445TotalRevenueColumnAmt
Exclusion$3,445ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$6,520OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$46,264OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$39,744OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$39,744TotalRevenueColumnAmt
Exclusion-$39,744ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,093,001TotalRevenueColumnAmt
Related Or Exempt Func Income$15,183,311RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$36,299ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$432,419TotalAmt
Program Services$300,748ProgramServicesAmt
Management And General$131,671ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,948,853TotalAmt
Program Services$7,597,004ProgramServicesAmt
Management And General$2,351,849ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$37,362TotalAmt
Program Services$36,996ProgramServicesAmt
Management And General$366ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,129,693TotalAmt
Program Services$911,174ProgramServicesAmt
Management And General$218,519ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$673,875TotalAmt
Program Services$573,650ProgramServicesAmt
Management And General$100,225ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$18,911TotalAmt
Management And General$18,911ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,058TotalAmt
Management And General$23,058ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,222,690TotalAmt
Program Services$376,355ProgramServicesAmt
Management And General$846,335ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$72,325TotalAmt
Program Services$246ProgramServicesAmt
Management And General$72,079ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$173,705TotalAmt
Program Services$56,111ProgramServicesAmt
Management And General$117,594ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,149TotalAmt
Program Services$3,244ProgramServicesAmt
Management And General$17,905ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$726,642TotalAmt
Program Services$397,388ProgramServicesAmt
Management And General$329,254ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$35,530TotalAmt
Program Services$22,151ProgramServicesAmt
Management And General$13,379ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,657TotalAmt
Program Services$25ProgramServicesAmt
Management And General$4,632ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$488,017TotalAmt
Program Services$163,087ProgramServicesAmt
Management And General$324,930ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$26,108TotalAmt
Program Services$26,108ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DIRECT PATIENT EXPENSES$2,751,845$2,744,832$7,013
BAD DEBT$160,535$160,535
RECRUITING$149,525$22,714$126,811
DUES AND SUBSCRIPTIONS$62,098$22,277$39,821

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$78,544TotalAmt
Program Services$46,053ProgramServicesAmt
Management And General$32,491ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,237,541TotalAmt
Program Services$13,460,698ProgramServicesAmt
Management And General$4,776,843ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$325BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,009,016BOYAmt
EOY$2,080,663EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,781,519BOYAmt
EOY$2,122,227EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$62,342BOYAmt
EOY$16,116EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$187,220BOYAmt
EOY$83,275EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,294,380LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,846,779LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,841,689BOYAmt
EOY$5,447,601EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$764,900BOYAmt
EOY$136,598EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,647,011BOYAmt
EOY$9,886,480EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,238,323BOYAmt
EOY$1,885,637EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$736,695EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,238,323BOYAmt
EOY$2,622,332EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,408,688BOYAmt
EOY$7,264,148EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,408,688BOYAmt
EOY$7,264,148EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,647,011BOYAmt
EOY$9,886,480EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,144,540ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$545,215CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$601,071CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$583,758CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$768,132CurrentTaxYearMinus1YearAmt
Current Tax Year$945,989CurrentTaxYearAmt
Total$3,444,165TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,420,029CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,641,481CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,119,689CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,086,256CurrentTaxYearMinus1YearAmt
Current Tax Year$15,183,311CurrentTaxYearAmt
Total$64,450,766TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,965,244CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,242,552CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,703,447CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,854,388CurrentTaxYearMinus1YearAmt
Current Tax Year$16,129,300CurrentTaxYearAmt
Total$67,894,931TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$545,215CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$601,071CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$583,758CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$691,858CurrentTaxYearMinus1YearAmt
Current Tax Year$945,989CurrentTaxYearAmt
Total$3,367,891TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$545,215CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$601,071CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$583,758CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$691,858CurrentTaxYearMinus1YearAmt
Current Tax Year$945,989CurrentTaxYearAmt
Total$3,367,891TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$64,527,040PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,683CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,017CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,328CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,462CurrentTaxYearMinus1YearAmt
Current Tax Year$3,445CurrentTaxYearAmt
Total$21,935TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,683CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,017CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,328CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,462CurrentTaxYearMinus1YearAmt
Current Tax Year$3,445CurrentTaxYearAmt
Total$21,935TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,972,927CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,245,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,709,775CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,855,850CurrentTaxYearMinus1YearAmt
Current Tax Year$16,132,745CurrentTaxYearAmt
Total$67,916,866TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95010PublicSupportCY509Pct
Public Support PY5090.91930PublicSupportPY509Pct
Investment Income CY0.00030InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION FILED A SHORT YEAR RETURN FOR THE PERIOD OCTOBER 1, 2016 TO DECEMBER 31, 2016, EFFECTIVELY CHANGING THEIR ACCOUNTING PERIOD FROM A FISCAL YEAR ENDING SEPTEMBER 30TH TO A CALENDAR YEAR ENDING DECEMBER 31ST. IN ORDER TO PROPERLY REFLECT THE ORGANIZATION'S PUBLIC CHARITY STATUS AND PUBLIC SUPPORT FOR THE PURPOSES OF SCHEDULE A, PART III (SUPPORT SCHEDULE FOR ORGANZIATION'S DESCRIBED IN SECTION 509(A)(2)), THE ORGANIZATION IS REPORTING THEIR ACTIVITY FOR FISCAL YEARS ENDING SEPTEMBER 30, 2014 THROUGH SEPTEMBER 30, 2016, THE ACTIIVTY FOR THE SHORT YEAR ENDING DECEMBER 31, 2016, AND THE ACTIVITY FOR CALENDAR YEAR ENDED DECEMBER 31, 2017 FOR THE FIVE YEAR PUBLIC SUPPORT COMPUTATION ON SCHEDULE A.ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Revenues Included$0RevenuesIncludedAmt
Assets Included$22,150AssetsIncludedAmt
FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets Sale0SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,147,820BeginningYearBalanceAmt
Contributions$121,560ContributionsAmt
Investment Earnings Or Losses$426,941InvestmentEarningsOrLossesAmt
Other Expenditures$125,165OtherExpendituresAmt
End Year Balance$3,571,156EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,993,626BeginningYearBalanceAmt
Contributions$123,966ContributionsAmt
Investment Earnings Or Losses$54,209InvestmentEarningsOrLossesAmt
Other Expenditures$23,981OtherExpendituresAmt
End Year Balance$3,147,820EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,376,851BeginningYearBalanceAmt
Contributions$495,864ContributionsAmt
Investment Earnings Or Losses$216,834InvestmentEarningsOrLossesAmt
Other Expenditures$95,923OtherExpendituresAmt
End Year Balance$2,993,626EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,516,747BeginningYearBalanceAmt
Contributions$26,851ContributionsAmt
Investment Earnings Or Losses-$23,395InvestmentEarningsOrLossesAmt
Other Expenditures$143,352OtherExpendituresAmt
End Year Balance$2,376,851EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,395,647BeginningYearBalanceAmt
Contributions$20,937ContributionsAmt
Investment Earnings Or Losses$256,751InvestmentEarningsOrLossesAmt
Other Expenditures$156,588OtherExpendituresAmt
End Year Balance$2,516,747EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.74890PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.25110TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$448,131OtherCostOrOtherBasisAmt
Book Value$448,131BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,951,867OtherCostOrOtherBasisAmt
Depreciation$748,634DepreciationAmt
Book Value$3,203,233BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,160,069OtherCostOrOtherBasisAmt
Depreciation$703,933DepreciationAmt
Book Value$456,136BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,548,244OtherCostOrOtherBasisAmt
Depreciation$1,308,420DepreciationAmt
Book Value$1,239,824BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$186,069OtherCostOrOtherBasisAmt
Depreciation$85,792DepreciationAmt
Book Value$100,277BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,447,601TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO CARE SYNERGY$406,960
DEFERRED LEASE INCENTIVES$329,735
FieldValueIRS element (for citing)
Total Liability$736,695TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$16,132,745TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$16,132,745RevenueSubtotalAmt
Other Revenues Not Included-$39,744OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$39,744RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$16,093,001TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$18,277,285TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$39,744OtherExpensesIncludedAmt
Expenses Not Reported$39,744ExpensesNotReportedAmt
Expenses Subtotal$18,237,541ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$18,237,541TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. AND PIKES PEAK HOSPICE FOUNDATION ARE ORGANIZED AS COLORADO NONPROFIT CORPORATIONS AND 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 ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3), QUALIFY FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTIONS 170(B)(1)(A)(VI) AND (VIII), AND HAVE BEEN DETERMINED NOT TO BE PRIVATE FOUNDATIONS UNDER SECTIONS 509(A)(1) AND (3), RESPECTIVELY. EACH ENTITY IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ENTITIES ARE SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO THEIR EXEMPT PURPOSES. WE HAVE DETERMINED THAT EACH ENTITY IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND THEY HAVE NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS NETTED WITH EXPENSES ON FINANCIALS -39,744.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS NETTED WITH EXPENSES ON FINANCIALS 39,744.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TIM BOWEN
DIRECTOR/CHIEF EXECUTIVE OFFICER$0$489,382$0$142,140$0$27,767$0$49,202$0$19,226$0$727,717$0$0
KEVIN WILLIAMS
CHIEF FINANCIAL OFFICER$0$209,981$0$36,813$0$0$0$41,894$0$9,285$0$297,973$0$0
JOHN BLASCHKE
CHIEF INFORMATION OFFICER$0$183,457$0$48,450$0$0$0$24,056$0$26,317$0$282,280$0$0
MELINDA EGGING
VP OF QUALITY & COMPLIANCE (THRU 8/1$0$160,731$0$13,314$0$0$0$21,623$0$8,249$0$203,917$0$0
JANE BEDROSIAN
VP OF HUMAN RESOURCES$0$165,057$0$24,792$0$0$0$37,369$0$16,472$0$243,690$0$0
JOSH NEFF
VP OF INNOVATION & BUSINESS DEV.$112,734$0$28,222$0$26,659$0$2,401$0$9,289$0$179,305$0$0$0
WILLIAM TIMMINS
CHIEF MEDICAL DIRECTOR$242,152$0$1,200$0$0$0$24,779$0$23,547$0$291,678$0$0$0
CORA MCKENZIE
PHARMACY MANGER$122,306$0$6,615$0$16,640$0$2,996$0$21,784$0$170,341$0$0$0
LESLIE MCLEAN
HOSPICE PHYSICIAN$179,614$0$1,200$0$0$0$0$0$23,448$0$204,262$0$0$0
ELAINE THANNUM
PHARMACIST$111,538$0$6,528$0$10,240$0$11,009$0$14,961$0$154,276$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THESE METHODS TO ESTABLISH THE COMPENSATION OF OFFICERS.
PART I, LINE 4BCARE 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 GLORIA BROOKS (PRESIDENT PIKES PEAK HOSPICE): $18,366
PART I, LINE 7THE 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, VP OF INNOVATION AND BUSINESS DEVELOPMENT, CHIEF MEDICAL DIRECTOR, PHARMACY MANAGER, HOSPICE PHYSICIAN, AND PHARMACIST 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3THE PIKES PEAK HOSPICE INTERNAL PHARMACY WAS CLOSED IN 2017; AN EXTERNAL PHARMACY VENDOR WAS SELECTED FOR PHARMACY SERVICES.
FORM 990, PART VI, SECTION A, LINE 1THE 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 2THE 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 THE HOSPICE OF METRO DENVER, HALCYON HOSPICE, AND PATHWAYS HOSPICE. THEREFORE, BUSINESS RELATIONSHIPS EXIST BETWEEN THESE INDIVIDUALS.
FORM 990, PART VI, SECTION A, LINE 3CARE 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 6PIKES PEAK HOSPICE'S SOLE MEMBER IS CARE SYNERGY, A COLORADO NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER, CARE SYNERGY HAS THE POWER TO ELECT AND REMOVE DIRECTORS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BE THE CONTROLLER AND CFO AND IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL 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 SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT. 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 15ATHE 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 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON-SITE AND UPON REQUEST

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PALLIATIVE PHARMACY OF PIKES PEAKBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12550 TENDERFOOT HILL STREETAddressLine1Txt
CityCOLORADO SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80906ZIPCd
FieldValueIRS element (for citing)
EIN840816047EIN
Primary ActivitiesPROVIDE MEDICATIONS TO PATIENTS OF PIKES PEAK HOSPICE & PALLIATIVE CAREPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$2,894EndOfYearAssetsAmt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PIKES PEAK HOSPICE FOUNDATION
2550 TENDERFOOT HILL STREETCOLORADO SPRINGSCO80906841453050SUPPORT OF PIKES PEAK HOSPICE & PALLIATIVE CARECO501(C)(3)LINE 12A, IPIKES PEAK HOSPICE AND PALLIATIVE CAREYes (1)
COMFORT BRIDGE (DBA CARE SYNERGY)
501 S CHERRY STREETDENVERCO80246471820366SUPPORTING ORGANIZATION FOR OPERATING TAX-EXEMPT HOSPICE AND PALLIATIVE CARECO501(C)(3)LINE 12B, II0N/A
PATHWAYS HOSPICE
305 CARPENTER ROADFORT COLLINSCO80525840782874HOSPICE AND PALLIATIVE CARE SERVICESCO501(C)(3)LINE 7COMFORT BRIDGE DBA CARE SYNERGY0
HOSPICE OF METRO DENVER INC DBA THE DENVER HOSPICE AND OPTIO HEALTH SERVIC
501 S CHERRY STREETDENVERCO80246840743121HOSPICE AND PALLIATIVE CARE SERVICESCO501(C)(3)LINE 10COMFORT BRIDGE DBA CARE SYNERGY0
HALCYON HOSPICE
501 S CHERRY STREETDENVERCO80246471820492HOSPICE AND PALLIATIVE CARE SERVICESCO501(C)(3)LINE 10COMFORT BRIDGE DBA CARE SYNERGY0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PIKES PEAK HOSPICE FOUNDATION
C$945,989COST
PIKES PEAK HOSPICE FOUNDATION
D$136,598COST
PIKES PEAK HOSPICE FOUNDATION
N$196,998COST

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