HOSPICE OF METRO DENVER INCORPORATED: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF METRO DENVER INCORPORATED (EIN 84-0743121)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201743189349307549
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-14T15:02:48-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 West Wacker Drive Suite 2600 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606061224 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840743121 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hospice of Metro Denver Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 3033212828 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 S Cherry St 700 | AddressLine1Txt |
| City | Denver | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80246 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kevin Williams | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2017-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicole Bencik | PreparerPersonNm |
| PTIN | P00756195 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Denver Hospice and Optio Health Services | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Melinda Egging | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 S Cherry St 700 | AddressLine1Txt |
| City | Denver | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80246 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $42,888,436 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.thedenverhospice.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | TO ENCIRCLE THOSE FACING ADVANCED ILLNESS WITH UNPRECEDENTED LEVELS OF COMFORT, COMPASSION AND EXPERTISE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 496 | TotalEmployeeCnt |
| Total Volunteers | 430 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,883,996 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,793,817 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $38,680,469 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $40,805,200 | CYProgramServiceRevenueAmt |
| PY Investment Income | $77,019 | PYInvestmentIncomeAmt |
| CY Investment Income | $206,290 | CYInvestmentIncomeAmt |
| PY Other Revenue | $306,512 | PYOtherRevenueAmt |
| CY Other Revenue | -$159,901 | CYOtherRevenueAmt |
| PY Total Revenue | $40,947,996 | PYTotalRevenueAmt |
| CY Total Revenue | $42,645,406 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,770,376 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,238,010 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $47,795 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $21,019 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $687,409 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,423,320 | PYOtherExpensesAmt |
| CY Other Expenses | $16,681,042 | CYOtherExpensesAmt |
| PY Total Expenses | $39,241,491 | PYTotalExpensesAmt |
| CY Total Expenses | $42,940,071 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,706,505 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$294,665 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $42,781,314 | TotalAssetsBOYAmt |
| Total Assets EOY | $42,575,404 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,917,901 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,704,250 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $35,863,413 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $35,871,154 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO ENCIRCLE THOSE FACING ADVANCED ILLNESS WITH UNPRECEDENTED LEVELS OF COMFORT, COMPASSION AND EXPERTISE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $34,269,043 | ExpenseAmt |
| Revenue | $40,805,200 | RevenueAmt |
| Desc | 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, CHAPLAIN, AND SOCIAL WORKER. DURING 2016, 3,548 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 PRACTICAL ASSISTANCE FOR PATIENTS AND CAREGIVERS AT HOME. 1,137 PATIENTS AND THEIR FAMILIES RECEIVED PALLIATIVE CARE DURING 2016. 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. | Desc |
| Total Program Service Expenses | $34,269,043 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | Yes (true) | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (true) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 496 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kevin Williams CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3033212828 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 S Cherry St Ste 700 | AddressLine1Txt |
| City | Denver | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80246 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Tim J Bowen | ||||||||||
| Director & CEO | 1.0 | 43.0 | Yes (X) | Yes (X) | $0 | $679,812 | $113,649 | |||
| Dr David Scanavino | ||||||||||
| Board Chair | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Dennis Helling | ||||||||||
| Vice Chairman | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Wayne Nielsen | ||||||||||
| Treasurer (Partial Year) | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| John Horan | ||||||||||
| Board Treasurer | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Evi Makovsky | ||||||||||
| Secretary | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Mickey Ackerman | ||||||||||
| Director (Partial Year) | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| David Alexander | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Brad Baumgartner | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| James Burke | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Susan Law | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Scott Lowery | ||||||||||
| Director (Partial Year) | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Elizabeth Oyekan | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Zach Pashel | ||||||||||
| Director (Partial Year) | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Adele Phelan | ||||||||||
| Director | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Lew Sapiro | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| RODNEY RICE | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Patricia Givens | ||||||||||
| Director | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Janelle G McCallum | ||||||||||
| President | 40.0 | 0 | Yes (X) | $226,533 | $0 | $47,821 | ||||
| Kevin Williams | ||||||||||
| Chief Financial Officer | 1.0 | 43.0 | Yes (X) | $0 | $160,564 | $26,073 | ||||
| Eileen Christenson | ||||||||||
| Chief Financial Officer (Partial Year) | 1.0 | 43.0 | Yes (X) | $0 | $157,580 | $1,289 | ||||
| John Blaschke | ||||||||||
| Chief Information Officer | 1.0 | 43.0 | Yes (X) | $0 | $176,109 | $38,901 | ||||
| Keri A Schroeder-Jaeger | ||||||||||
| Chief of Strategy and Business Development | 40.0 | 0 | Yes (X) | $189,983 | $0 | $9,400 | ||||
| Brenda K Ritter | ||||||||||
| VP of Human Resources | 40.0 | 0 | Yes (X) | $46,725 | $0 | $333 | ||||
| Jane Bedrosian | ||||||||||
| VP of Human Resources | 1.0 | 43.0 | Yes (X) | $0 | $138,216 | $30,629 | ||||
| Sean Goergen | ||||||||||
| VP of Development | 40.0 | 0 | Yes (X) | $122,859 | $0 | $5,301 | ||||
| Melinda Egging | ||||||||||
| VP of Quality & Compliance | 1.0 | 43.0 | Yes (X) | $88,326 | $49,022 | $5,355 | ||||
| Bruce Kemper | ||||||||||
| Director, Operational Support | 40.0 | 0 | $150,343 | $0 | $3,852 | Yes (X) | ||||
| Shirlee E Turner | ||||||||||
| Medical Director | 40.0 | 0 | $219,554 | $0 | $11,290 | Yes (X) | ||||
| Rohini Kanniganti | ||||||||||
| MEDICAL DIRECTOR | 40.0 | 0 | $146,838 | $0 | $5,481 | Yes (X) | ||||
| Susan Lasker Hertz | ||||||||||
| Director of Hospice Services | 40.0 | 0 | $145,554 | $0 | $9,355 | Yes (X) | ||||
| Alyson Young | ||||||||||
| Nurse Practitioner | 40.0 | 0 | $117,008 | $0 | $1,567 | Yes (X) | ||||
| Svitlana Nesterenko | ||||||||||
| RN | 40.0 | 0 | $115,723 | $0 | $2,609 | Yes (X) | ||||
| Lynn Gualdi | ||||||||||
| RN | 40.0 | 0 | $103,422 | $0 | $6,316 | Yes (X) | ||||
| Juliet K Gustafson | ||||||||||
| Former Chief Financial Officer | 0.0 | 0 | $160,890 | $0 | $5,346 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,833,759 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,361,303 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $324,566 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| High Country Executive Search | |||||
| 1221 S Clarkson St Suite 316 | Denver | CO | 80210 | Contract Staffing & Recruiting Services | $277,732 |
| PIP Printing | |||||
| PO Box 1242 | Englewood | CO | 801501242 | Printing & Marketing Materials | $253,351 |
| Eclipse Healthcare LLC | |||||
| PO Box 1242 | Tulsa | OK | 74119 | Contract Labor for Nursing and Integrative Therapies | $186,469 |
| B&K Janitorial | |||||
| 2309 S Prarie Ave | Pueblo | CO | 81005 | Janitorial Services | $143,376 |
| Evergreen Mountain Medicine | |||||
| PO Box 2380 | Evergreen | CO | 80437 | Contract Services - Medical Doctor | $131,564 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $222,603 | FundraisingAmt |
| All Other Contributions | $1,571,214 | AllOtherContributionsAmt |
| Noncash Contributions | $5,463 | NoncashContributionsAmt |
| Total Contributions | $1,793,817 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT CARE | 623000 | $40,777,528 | $40,777,528 |
| SERVICE FEE REVENUE | 623000 | $27,672 | $27,672 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $40,805,200 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $206,561 | TotalRevenueColumnAmt |
| Exclusion | $206,561 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,003 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,274 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$271 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$271 | TotalRevenueColumnAmt |
| Exclusion | -$271 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $75,855 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $222,603 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $235,756 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$159,901 | TotalRevenueColumnAmt |
| Exclusion | -$159,901 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,645,406 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,805,200 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $46,389 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,667,014 | TotalAmt |
| Program Services | $772,044 | ProgramServicesAmt |
| Management And General | $766,810 | ManagementAndGeneralAmt |
| Fundraising | $128,160 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,259,536 | TotalAmt |
| Program Services | $19,751,077 | ProgramServicesAmt |
| Management And General | $237,952 | ManagementAndGeneralAmt |
| Fundraising | $270,507 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $607,786 | TotalAmt |
| Program Services | $592,532 | ProgramServicesAmt |
| Management And General | $7,139 | ManagementAndGeneralAmt |
| Fundraising | $8,115 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,123,492 | TotalAmt |
| Program Services | $1,950,258 | ProgramServicesAmt |
| Management And General | $140,533 | ManagementAndGeneralAmt |
| Fundraising | $32,701 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,580,182 | TotalAmt |
| Program Services | $1,492,355 | ProgramServicesAmt |
| Management And General | $58,778 | ManagementAndGeneralAmt |
| Fundraising | $29,049 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,265 | TotalAmt |
| Program Services | $1,655 | ProgramServicesAmt |
| Management And General | $13,610 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,562 | TotalAmt |
| Management And General | $40,562 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,019 | TotalAmt |
| Fundraising | $21,019 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,942 | TotalAmt |
| Fundraising | $38,942 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,834,699 | TotalAmt |
| Program Services | $557,322 | ProgramServicesAmt |
| Management And General | $4,243,364 | ManagementAndGeneralAmt |
| Fundraising | $34,013 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,101 | TotalAmt |
| Program Services | $106,112 | ProgramServicesAmt |
| Management And General | $43,287 | ManagementAndGeneralAmt |
| Fundraising | $15,702 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $394,252 | TotalAmt |
| Program Services | $70,509 | ProgramServicesAmt |
| Management And General | $306,514 | ManagementAndGeneralAmt |
| Fundraising | $17,229 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $629,728 | TotalAmt |
| Program Services | $54,172 | ProgramServicesAmt |
| Management And General | $571,039 | ManagementAndGeneralAmt |
| Fundraising | $4,517 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $503,995 | TotalAmt |
| Program Services | $108,267 | ProgramServicesAmt |
| Management And General | $395,728 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,475 | TotalAmt |
| Program Services | $74,355 | ProgramServicesAmt |
| Management And General | $19,891 | ManagementAndGeneralAmt |
| Fundraising | $5,229 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,024 | TotalAmt |
| Program Services | $22,776 | ProgramServicesAmt |
| Management And General | $9,489 | ManagementAndGeneralAmt |
| Fundraising | $23,759 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,105 | TotalAmt |
| Management And General | $20,826 | ManagementAndGeneralAmt |
| Fundraising | $12,279 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,042,037 | TotalAmt |
| Program Services | $535,027 | ProgramServicesAmt |
| Management And General | $507,010 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,708 | TotalAmt |
| Management And General | $4,708 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Direct Patient Services | $6,646,755 | $6,397,584 | $229,022 | $20,149 |
| Repairs & Maintenance | $368,391 | $299,357 | $68,206 | $828 |
| Bad Debts | $1,338,365 | $1,338,365 | ||
| Recruiting | $249,245 | $13,435 | $235,810 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,393 | TotalAmt |
| Program Services | $131,841 | ProgramServicesAmt |
| Management And General | $63,341 | ManagementAndGeneralAmt |
| Fundraising | $25,211 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,940,071 | TotalAmt |
| Program Services | $34,269,043 | ProgramServicesAmt |
| Management And General | $7,983,619 | ManagementAndGeneralAmt |
| Fundraising | $687,409 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,578,025 | BOYAmt |
| EOY | $2,493,475 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,001,143 | BOYAmt |
| EOY | $1,005,633 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,447 | BOYAmt |
| EOY | $72,297 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,383,826 | BOYAmt |
| EOY | $10,167,954 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,588 | BOYAmt |
| EOY | $167,289 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,989,696 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,494,703 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,424,641 | BOYAmt |
| EOY | $12,494,993 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,859,396 | BOYAmt |
| EOY | $5,960,414 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,281,248 | BOYAmt |
| EOY | $10,213,349 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,781,314 | BOYAmt |
| EOY | $42,575,404 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,874,505 | BOYAmt |
| EOY | $3,524,462 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,875,000 | BOYAmt |
| EOY | $2,375,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,168,396 | BOYAmt |
| EOY | $804,788 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,917,901 | BOYAmt |
| EOY | $6,704,250 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,488,162 | BOYAmt |
| EOY | $29,976,246 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,656 | BOYAmt |
| EOY | $847,313 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,047,595 | BOYAmt |
| EOY | $5,047,595 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,863,413 | BOYAmt |
| EOY | $35,871,154 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,781,314 | BOYAmt |
| EOY | $42,575,404 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$294,665 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $302,406 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,649,549 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,018,123 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,238,367 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,883,996 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,793,817 | CurrentTaxYearAmt |
| Total | $16,583,852 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,574,938 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $36,951,574 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,869,365 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,680,469 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,805,200 | CurrentTaxYearAmt |
| Total | $191,881,546 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,224,487 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,969,697 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $44,107,732 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,564,465 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,599,017 | CurrentTaxYearAmt |
| Total | $208,465,398 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $70,085 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $70,350 | CurrentTaxYearAmt |
| Total | $140,435 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $70,085 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $70,350 | CurrentTaxYearAmt |
| Total | $140,435 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $208,324,963 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $128,601 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,155 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $155,381 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $215,225 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $206,561 | CurrentTaxYearAmt |
| Total | $728,923 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $128,601 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,155 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $155,381 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $215,225 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $206,561 | CurrentTaxYearAmt |
| Total | $728,923 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $127,027 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $81,661 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $119,348 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $429,428 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $75,855 | CurrentTaxYearAmt |
| Total | $833,319 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,480,115 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $39,074,513 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $44,382,461 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,209,118 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,881,433 | CurrentTaxYearAmt |
| Total | $210,027,640 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9919 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9938 | PublicSupportPY509Pct |
| Investment Income CY | 0.0035 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0023 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - FUNDRAISING INCOME, COLUMN A - 82320.0, COLUMN B - 14247.0, COLUMN C - 41631.0, COLUMN D - 2800.0, COLUMN E - 75855.0, COLUMN F - 216853.0; DESCRIPTION - OTHER INCOME, COLUMN A - 7507.0, COLUMN B - 30214.0, COLUMN C - 39317.0, COLUMN D - 0.0, COLUMN E - , COLUMN F - 77038.0; DESCRIPTION - COST SHARING REIMBURSE, COLUMN A - 37200.0, COLUMN B - 37200.0, COLUMN C - 38400.0, COLUMN D - 2705.0, COLUMN E - , COLUMN F - 115505.0; DESCRIPTION - AFFILIATE MANGEMENT FEE, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 423923.0, COLUMN E - , COLUMN F - 423923.0; | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenues Included | $0 | RevenuesIncludedAmt |
| Assets Included | $454,774 | AssetsIncludedAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
Collection Used Other Purposes CollectionUsedOtherPurposesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Other Purposes | Yes (X) | CollectionUsedOtherPurposesInd |
| Other Purposes | To provide a welcoming and comforting environment at the Inpatient Care Center and Headquarters | OtherPurposesDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicited Assets Sale | false | SolicitedAssetsSaleInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,279,991 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $384,661 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,664,652 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,404,748 | BeginningYearBalanceAmt |
| Contributions | $1,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$125,757 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,279,991 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $0 | BeginningYearBalanceAmt |
| Contributions | $5,046,595 | ContributionsAmt |
| Investment Earnings Or Losses | $358,153 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,404,748 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $0 | BeginningYearBalanceAmt |
| End Year Balance | $0 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $0 | BeginningYearBalanceAmt |
| End Year Balance | $0 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.8911 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.1089 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,966,004 | OtherCostOrOtherBasisAmt |
| Book Value | $2,966,004 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,389,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,142,725 | DepreciationAmt |
| Book Value | $8,247,048 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $723,858 | OtherCostOrOtherBasisAmt |
| Depreciation | $590,043 | DepreciationAmt |
| Book Value | $133,815 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,455,287 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,761,935 | DepreciationAmt |
| Book Value | $693,352 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $454,774 | OtherCostOrOtherBasisAmt |
| Book Value | $454,774 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,494,993 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other assets | $209,973 |
| Long-term certificate of deposit | $354,659 |
| Due from Affiliate | $9,648,717 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,213,349 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Lease Incentives | $478,351 |
| Deferred Compensation | $326,437 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $804,788 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part III, Line 4 Collections of art - description of collections | 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. |
| Schedule D, Part V, Line 4 Intended uses of endowment funds | The Endowment consists of one individual fund established by the donor to provide annual funding for the Inpatient Care Center. Net assets associated with endowment funds are classified and reported based on the existence or absence of donor-imposed restrictions. There are no endowment funds established pursuant to Board designations. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | 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. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (true) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLISS DIRECT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 129 | AddressLine1Txt |
| City | ST JOSEPH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56374 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | DIRECT MAIL | ActivityTxt |
| Fundraiser Control Of Funds | false | FundraiserControlOfFundsInd |
| Gross Receipts | $85,080 | GrossReceiptsAmt |
| Retained By Contractor | $21,019 | RetainedByContractorAmt |
| Net To Organization | $64,061 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $85,080 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $21,019 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $64,061 | TotalNetToOrganizationAmt |
| Licensed States | CO | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | The Mask Project | Event1Nm |
| Gross Receipts Event1 | $238,411 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $162,556 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $75,855 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $0 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $52,619 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $26,212 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $8,485 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $143,591 | OtherDirectExpensesEvent1Amt |
| Event2 | Christopher's Angels | Event2Nm |
| Gross Receipts Event2 | $24,197 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $24,197 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $0 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $0 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $0 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $0 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $0 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $0 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $188 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 3 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $35,850 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $35,850 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $0 | CashPrizesOtherEventsAmt |
| Non Cash Prizes Other Events | $0 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $0 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $0 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $0 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $4,661 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $298,458 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $222,603 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $75,855 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $0 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $0 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $52,619 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $26,212 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $8,485 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $148,440 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $235,756 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$159,901 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tim J Bowen | ||||||||||||||
| Director & CEO | $0 | $483,510 | $0 | $152,153 | $0 | $44,149 | $0 | $105,832 | $0 | $7,817 | $0 | $793,461 | $0 | $0 |
| Janelle G McCallum | ||||||||||||||
| President | $171,057 | $0 | $38,601 | $0 | $16,875 | $0 | $44,203 | $0 | $3,618 | $0 | $274,354 | $0 | $0 | $0 |
| Kevin Williams | ||||||||||||||
| Chief Financial Officer | $0 | $160,564 | $0 | $0 | $0 | $0 | $0 | $24,266 | $0 | $1,807 | $0 | $186,637 | $0 | $0 |
| Eileen Christenson | ||||||||||||||
| Chief Financial Officer (Partial Year) | $0 | $105,305 | $0 | $0 | $0 | $52,275 | $0 | $256 | $0 | $1,032 | $0 | $158,869 | $0 | $0 |
| John Blaschke | ||||||||||||||
| Chief Information Officer | $0 | $176,109 | $0 | $0 | $0 | $0 | $0 | $27,627 | $0 | $11,274 | $0 | $215,009 | $0 | $0 |
| Keri A Schroeder-Jaeger | ||||||||||||||
| Chief of Strategy and Business Development | $157,323 | $0 | $32,660 | $0 | $0 | $0 | $4,652 | $0 | $4,748 | $0 | $199,383 | $0 | $0 | $0 |
| Jane Bedrosian | ||||||||||||||
| VP of Human Resources | $0 | $125,850 | $0 | $100 | $0 | $12,266 | $0 | $20,300 | $0 | $10,329 | $0 | $168,845 | $0 | $0 |
| Juliet K Gustafson | ||||||||||||||
| Former Chief Financial Officer | $0 | $0 | $0 | $0 | $160,890 | $0 | $5,346 | $0 | $0 | $0 | $166,236 | $0 | $0 | $0 |
| Bruce Kemper | ||||||||||||||
| Director, Operational Support | $136,382 | $0 | $13,788 | $0 | $172 | $0 | $2,830 | $0 | $1,022 | $0 | $154,195 | $0 | $0 | $0 |
| Shirlee E Turner | ||||||||||||||
| Medical Director | $218,447 | $0 | $0 | $0 | $1,107 | $0 | $6,446 | $0 | $4,844 | $0 | $230,844 | $0 | $0 | $0 |
| Rohini Kanniganti | ||||||||||||||
| MEDICAL DIRECTOR | $145,088 | $0 | $0 | $0 | $1,750 | $0 | $0 | $0 | $5,481 | $0 | $152,319 | $0 | $0 | $0 |
| Susan Lasker Hertz | ||||||||||||||
| Director of Hospice Services | $132,004 | $0 | $13,378 | $0 | $172 | $0 | $3,938 | $0 | $5,417 | $0 | $154,909 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING EMPLOYEES PARTICIPATED IN THE 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN IN 2016, FOR WHICH THE EXPENSE WAS INCURRED BY THE SPONSORING ORGANIZATIONS, BUT THE FUNDS HAVE NOT VESTED OR BEEN PAID OUT TO THE EMPLOYEES: TIM BOWEN (COMFORT BRIDGE CEO): $95,821 KEVIN WILLIAMS (COMFORT BRIDGE CFO): $24,266 JOHN BLASCHKE (COMFORT BRIDGE CIO): $26,416 JANE BEDROSIAN (COMFORT BRIDGE VP OF HUMAN RESOURCES): $20,732 MELINDA EGGING (COMFORT BRIDGE VP OF QUALITY): $22,084 JANELLE MCCALLUM (PRESIDENT OF TDH): $33,980. THE FOLLOWING EMPLOYEE RECEIVED PAYMENT RELATED TO THE 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN IN THE BEGINNING OF 2016 FOR FUNDS FULLY VESTED THAT HAD ACCUMULATED OVER THE PRIOR 3 YEARS. THE PAYMENT IS INCLUDED IN SCHEDULE J, PART II, COLUMN B (III). JULIET GUSTAFSON (FORMER CFO OF TDH): $160,890 HOSPICE 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 CREDITOR OF HOSPICE. IN ACCORDANCE WITH THE BOARD OF DIRECTORS' INTENT, HOSPICE WILL FUND INDIVIDUAL PARTICIPANT ACCOUNTS THROUGH INVESTMENT OPTIONS DIRECTED BY THE PARTICIPANTS. THE DEFERRED COMPENSATION PLAN IS PARTIALLY FUNDED, AND HOSPICE REPORTS THE DEFERRALS AND RELATED FUNDING IN ACCRUED EXPENSES AND INVESTMENTS, RESPECTIVELY, IN THE BALANCE SHEET. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15a DETERMINING COMPENSATION FOR CHIEF OFFICER | Tim Bowen is the CEO of Care Synergy and all Affiliates. He is compensated by Care Synergy, which is a related supporting organization. The Executive Committee of the Board of Directors for Care Synergy 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 of the Care Synergy Executive staff and Affiliate Presidents. 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 benefits changes for Care Synergy Executive Staff and Affiliate Presidents are approved by the Executive Committee of the Care Synergy Board of Directors and documented in the committee minutes. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | 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 CORPORATION 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 OFT HE FOLLOWING ACTIONS: (A) NOMINATION OF INDIVIDUALS TO SERVE AS A DIRECTOR OF THE BOARD; (B) ANY AMENDMENT TO THE ARTICLES OR THESE BYLAWS OF THE CORPORATION; (C) REMOVAL OF A DIRECTOR OF THE CORPORATION WITH OR WITHOUT CAUSE; OR (D) APPROVAL OF THE CORPORATION'S STRATEGIC PLAN. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | PER THE HOSPICE OF METRO DENVER'S AMENDED AND RESTATED ARTICLES OF INCORPORATION AND BYLAWS FILED AUGUST 3, 2015, ARTICLE III OF THE BYLAWS STATES THAT THE HOSPICE'S SOLE MEMBER IS COMFORT BRIDGE, A RELATED ORGANIZATION FURTHER DESCRIBED IN SCHEDULE R OF THIS FORM 990. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | PER THE HOSPICE OF METRO DENVER'S AMENDED AND RESTATED ARTICLES OF INCORPORATION AND BYLAWS FILED AUGUST 3, 2015, ARTICLE III OF THE BYLAWS STATES THAT THE HOSPICE'S SOLE MEMBER, COMFORT BRIDGE, WILL ACT THROUGH ITS BOARD OF DIRECTORS FOR THE PURPOSE OF APPOINTING THE DIRECTORS OF THE CORPORATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE 990 FORM IS PREPARED BY THE MANAGER OF ACCOUNTING AND REVIEWED IN DETAIL BY THE CFO AND OUTSIDE CPA FIRM. A FINAL COPY IS GIVEN TO THE FULL BOARD FOR REVIEW PRIOR TO FILING. |
| Form 990, Part VI, Line 12c Conflict of interest policy | EVERY JANUARY THE CONFLICT OF INTEREST POLICY IS REVIEWED IN THE JANUARY BOARD MEETING. THE BOARD AND SENIOR MANAGEMENT ARE ASKED TO DISCLOSE ANY BUSINESS VENTURES, OWNERSHIP INTERESTS OR SERVICES THAT COULD CREATE A CONFLICT OF INTEREST. THE POLICY IS CLOSELY FOLLOWED ON ISSUES THAT ARISE THROUGHOUT THE YEAR. 1. Determining 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. 2. Procedures for Addressing the Conflict of Interest a. 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 possible conflict of interest. b. 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. c. 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. d. 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, Line 15b Process to establish compensation of other employees | Kevin Williams is the CFO for Care Synergy, John Blaschke is the CIO for Care Synergy, Jane Bedrosian is the VP of HR for Care Synergy. All of these executives are compensated by Care Synergy, which is a related supporting organization. Janelle McCallum is the President of TDH. The Executive Committee of the Board of Directors for Care Synergy 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 of the Care Synergy Executive staff and Affiliate Presidents. 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 benefits changes for Care Synergy Executive Staff and Affiliate Presidents are approved by the Executive Committee of the Care Synergy Board of Directors and documented in the committee minutes. |
| Form 990, Part VI, Line 19 Required documents available to the public | DOCUMENTS ARE AVAILABLE UPON REQUEST. REQUEST FORMS ARE AVAILABLE AT THE FRONT DESK AND CAN BE REQUESTED IN PERSON OR OVER THE PHONE. |
| Form 990, Part IX, Line 11g Other Fees | Consulting - Total Expense: 74887, Program Service Expense: 12773, Management and General Expenses: 44014, Fundraising Expenses: 18100; Contract Labor - Total Expense: 970681, Program Service Expense: 544549, Management and General Expenses: 410219, Fundraising Expenses: 15913; Related Organization Labor - Total Expense: 2646045, Program Service Expense: , Management and General Expenses: 2646045, Fundraising Expenses: ; Affiliate Management fee - Total Expense: 1143086, Program Service Expense: , Management and General Expenses: 1143086, Fundraising Expenses: ; |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPTIO AT YOUR SERVICE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 S CHERRY STREET SUITE 700 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80246 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461427286 | EIN |
| Primary Activities | CONCIERGE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Total Income | $1,991,523 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF METRO DENVER INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Halcyon Hospice | |||||||||||
| 501 S Cherry Street | Suite 700 | Denver | CO | 80246 | 471820492 | Healthcare and Hospice Services | CO | 501(c)(3) | 10 | Comfort Bridge DBA Care Synergy | false |
| Pathways Hospice | |||||||||||
| 305 Carpenter Road | Fort Collins | CO | 80525 | 840782874 | Healthcare and Hospice Services | CO | 501(c)(3) | 7 | Comfort Bridge DBA Care Synergy | false | |
| Comfort Bridge DBA Care Synergy | |||||||||||
| 501 S Cherry Street | Suite 700 | Denver | CO | 80246 | 471820366 | Administrative Support Services to Related Organizations | CO | 501(c)(3) | Type II | NA | false |
| Pikes Peak Hospice and Palliative Care Inc | |||||||||||
| 2550 Tenderfoot Hill Street | Colorado Springs | CO | 80906 | 840816047 | Healthcare and Hospice Services | CO | 501(c)(3) | 10 | Comfort Bridge DBA Care Synergy | false | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Comments