2017-10-11T18:31:41-05:00 2016-12-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2016-01-01 263651313 Hospice of the Valley Inc % HOSPICE OF THE VALLEY HOSP 9709306008 1901 Grande Avenue STE 206 Glenwood Springs CO 81601 STEPHEN S SWANSON CFO 9709306008 2017-10-02 true ADAM R SMITH CPA P00958966 7194714290 2016 2022-09-23 18:48:47Z Homecare and Hospice of the Valley MARCHITA BUTLER 1901 GRAND AVENUE GLENWOOD SPRINGS CO 81601 5508336 false X WWW.HCHOTV.ORG X 2008 CO TO PREVENT AND RELIEVE SUFFERING AND PROMOTE QUALITY OF LIFE AT ANY STAGE OF LIFE, THROUGH PATIENT AND FAMILY CARE, ADVOCACY, AND COMMUNITY EDUCATION. 14 14 118 85 0 424182 476956 5622422 5023368 412 512 -45994 -19557 6001022 5481279 2000 0 0 0 3881384 3855230 18789 0 256727 1802384 1893067 5704557 5748297 296465 -267018 1602015 1245890 419803 330696 1182212 915194 TO PREVENT AND RELIEVE SUFFERING AND PROMOTE QUALITY OF LIFE AT ANY STAGE OF LIFE, THROUGH PATIENT AND FAMILY CARE, ADVOCACY, AND COMMUNITY EDUCATION. false false 4650370 0 5023368 HOME CARE, HOSPICE AND BEREAVEMENT CARE, AND PRIVATE DUTY CARE PROVIDED TO RESIDENTS OF WESTERN CENTRAL COLORADO. APPROXIMATELY 9,647 HOSPICE DAYS, 21,139 HOME HEALTH VISITS, AND 5,373 PRIVATE DUTY HOURS WERE PROVIDED IN 2016. AS THE LARGEST HOME CARE AND HOSPICE PROVIDER IN CENTRAL WESTERN COLORADO, WE PROVIDE HOME AND HOSPICE CARE TO PATIENTS IN OVER 6,000 SQUARE MILES. THOUGH THE LARGEST PERCENTAGE OF OUR PATIENTS ARE MEDICARE (65%), WE ALSO SERVE MEDICAID PATIENTS (20%) AND PRIVATE PAY PATIENTS. 4650370 true true false false false false false false false true true false false false false false true false false false false false false false true false false false false true false false false false false false false false false false false false false false false false true 6 0 true 118 true false false false false false true true false false false false X 14 14 false false false false false false false true true false false true true true true true true true false false X HOSPICE OF THE VALLEY 9709306008 1901 GRAND AVE SUITE 206 GLENWOOD SPRINGS CO 81601 X ROBERT PURVIS DIRECTOR 3.0 0.0 X 0 0 0 Bill Poss Director 3.0 0.0 X 0 0 0 Colleen Weiss-Hanen Treasurer 10.0 0.0 X X 0 0 0 Doug Rovira MD Director 3.0 0.0 X 0 0 0 Dwayne Romero Director 3.0 0.0 X 0 0 0 Gary Woodworth Director 3.0 0.0 X 0 0 0 Jack Eck MD Director 3.0 0.0 X 0 0 0 Ken Robinson Director 3.0 0.0 X 0 0 0 Laura Kornasiewicz Secretary 10.0 0.0 X X 0 0 0 Maria Morrow Director 3.0 0.0 X 0 0 0 Mary Gould Director 5.0 0.0 X 0 0 0 Michael Brown Vice Chair 5.0 0.0 X X 0 0 0 Monica Benderly Director 5.0 0.0 X 0 0 0 Peter Guy Chair 10.0 0.0 X X 0 0 0 STEPHEN SWANSON CHIEF FINANCIAL OFFICER 40.0 0.0 X 105794 0 13326 Marchita Butler Executive Director 40.0 0.0 X 166731 0 15000 272525 0 28326 2 false true false Fusion Medical Staffing LLC PO Box 82674 LINCOLN NE 68501 Temporary Staffing 157376 Aspen Medical Staffing LLC 1894 37TH ST SE ST CLOUD MN 56304 Temporary Staffing 101329 2 6500 72610 113075 284771 11435 476956 PATIENT SERVICE REVENUE 621610 5023208 5023208 MEDICAL RECORDS COPIES 900099 160 160 5023368 512 512 0 0 0 0 0 0 7500 72610 27057 -19557 -19557 0 0 0 0 0 0 0 5481279 5023368 -19045 0 0 0 0 300851 79817 150426 70608 0 3024438 2452555 436037 135846 7060 5725 1018 317 246770 137218 100333 9219 276111 239031 21295 15785 0 4000 4000 28883 28883 0 0 0 399000 374506 24494 73452 73452 87007 87007 80424 80424 0 100090 100090 217747 211913 4040 1794 0 11977 11977 0 0 50562 50562 20112 20112 BAD DEBT EXPENSE 193572 193572 PATIENT SUPPLIES 542668 542668 DUES/FEES 33529 33529 FUNDRAISING EXP 23158 23158 26886 26886 5748297 4650370 841200 256727 73910 35964 829358 592682 0 0 558543 496499 0 0 0 0 0 0 0 0 17317 19523 261824 168688 114801 93136 0 0 0 0 0 0 0 0 8086 8086 1602015 1245890 419803 330696 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 419803 330696 X 1063868 706972 0 89878 118344 118344 1182212 915194 1602015 1245890 -267018 X false true X true false X 260904 342999 386159 424182 476956 1891200 0 0 260904 342999 386159 424182 476956 1891200 91030 1800170 562 449 821 412 512 2756 0 0 1893956 24846253 0.95048 0.99800 X 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 118344 108 108 118344 118344 67 67 118344 118344 116 116 118344 120298 123 2077 118344 119830 468 120298 1.00000 false false 76446 30929 45517 177374 129755 47619 8004 8004 0 93136 5513901 17000 15622 32622 5481279 5481279 5780919 17000 15622 32622 5748297 5748297 SCHEDULE D, PART V, LINE 4 THE ORGANIZATION'S ENDOWMENT CONSIST OF AN INDIVIDUAL FUND ESTABLISHED FOR THE PURPOSE OF SUPPORTING THE HOSPICE OPERATIONS AND FUTURE GROWTH. Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE PROVIDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D REVENUE ON BOOKS, NOT ON RETURN 15,622 SPECIAL EVENT EXPENSE NET WITH REVENUE SCHEDULE D, PART XII, LINE 2D EXPENSE ON BOOKS, NOT ON RETURN 15,622 SPECIAL EVENT EXPENSE NET WITH REVENUE CO Savour-Journey 40235 32734 7501 5325 13733 Hearts-Remembr 39875 39875 7999 0 80110 72609 7501 5325 21732 27057 -19556 X X X X false true false false false false false false true true Marchita Butler Executive Director 166731 0 0 0 0 0 15000 0 0 0 181731 0 0 0 SCHEDULE J, PART I, LINE 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: EXECUTIVE DIRECTOR, MARCHITA BUTLER PARTICIPATES IN A 457(F) PLAN AND IN 2016, $15,000 OF DEFERRED COMPENSATION WAS PAID INTO THE PLAN AND REPORTED IN SCHEDULE J, PART ii, cOLUMN (c). Schedule J, Part I, Line 8 INITIAL CONTRACT EXCEPTION: MARCHITA BUTLER'S COMPENSATION IS COVERED BY HER INITIAL CONTRACT DATED SEPTEMBER 1ST, 2013. PLEASE SEE SCHEDULE O, PART VI, LINE 15A NARRATIVE FOR MORE INFORMATION. FORM 990, PART VI, SECTION B, LINE 11B Process to Review the Form 990: THE 990 IS PREPARED BY A THIRD PARTY PREPARER AND REVIEWED BY THE EXECUTIVE DIRECTOR AND CFO. ONCE REVIEWED, THE BOARD IS PROVIDED A COPY OF THE FULL 990 FOR REVIEW PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ANY DIRECTOR, OFFICER, OR KEY EMPLOYEE OF THE CORPORATION IS COVERED UNDER THE CONFLICT OF INTEREST POLICY. BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE POLICY COVERS ANY PERSONAL INTEREST WHICH HE OR SHE MAY HAVE A MATTER PENDING BEFORE THE ORGANIZATION AND SHALL REFRAIN FROM PARTICIPATION IN ANY DECISION ON THE MATTER. ADDITIONALLY, ANY MEMBER OF HOSPICE OF THE VALLEY'S BOARD OF DIRECTORS OR STAFF SHALL REFRAIN FROM OBTAINING ANY LIST OF HOSPICE OF THE VALLEY'S CLIENTS FOR PERSONAL OR PRIVATE SOLICITATION PURPOSES AT ANY TIME DURING THEIR TERM OF EMPLOYMENT OR BOARD SERVICE. IN THE EVENT A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, THE BOARD OF DIRECTORS WILL VOTE AS TO WHETHER A CONFLICT OF INTEREST ACTUALLY EXISTS. CONFLICT IS DEEMED TO EXIST BY 75% OF THE BOARD OF DIRECTORS, SUCH PERSON SHALL NOT VOTE ON, NOR USE THEIR PERSONAL INFLUENCE ON, NOR PARTICIPATE IN THE DISCUSSIONS OR DELIBERATIONS WITH RESPECT TO THE RELATEd CONTRACT Or TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15A REVIEW OF CEO COMPENSATION: THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE REVIEWS INFORMATION GATHERED BY THE HR DIRECTOR REGARDING SIMILAR POSITIONS IN THE REGION. THE COMMITTEE REVIEWS THIS INFORMATION ALONG WITH PERFORMANCE AND DETERMINES THE EXECUTIVE DIRECTOR'S SALARY. THE SALARY IS USED IN THE BUDGET PROCESS AND APPROVED BY THE ENTIRE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT OUR OFFICE AT 1901 GRAND AVENUE, SUITE 206, GLENWOOD SPRINGS, CO, 81601. Form 990 Part VIII, Line 8 and Schedule G, Part II ADDITIONAL INFORMATION REGARDING EVENTS The gross income of $7,500 on Form 990, Part VIII, Line 8a represents the value of services provided to participants at the Savour the Journey Event and excludes the contributions generated from the event. Combined contributions from both the Savour the Journey and HEarts of Remembrance events were $72,610 for total proceeds of $80,110, resulting in a net gain of $53,053 after expenses.