HOSPICE OF METRO DENVER INCORPORATED: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF METRO DENVER INCORPORATED (EIN 84-0743121)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-30
IRS object ID
201302119349300025
Schema version
2012v2.1
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)
Timestamp2013-07-30T10:00:04-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840743121EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF METRO DENVER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone3033212828Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 S Cherry StAddressLine1
CityDenverCity
StateCOState
ZIP Code80246ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJULIET K GUSTAFSONName
TitleCFOTitle
Date Signed2013-07-29DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNicole BencikName
PTINP00756195PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1THE DENVER HOSPICE AND OPTIO HEALTH SERVICESBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1BEVERLY SLOANBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1501 S Cherry St Ste 700AddressLine1
CityDenverCity
StateCOState
ZIP Code80246ZIPCode
FieldValueIRS element (for citing)
Gross Receipts42481865GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.THEDENVERHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionTO ENCIRCLE THOSE FACING ADVANCED ILLNESS WITH UNPRECEDENTED LEVELS OF COMFORT, COMPASSION AND EXPERTISE.ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members24NbrIndependentVotingMembers
Total Nbr Employees533TotalNbrEmployees
Total Nbr Volunteers502TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3810374ContributionsGrantsPriorYear
Contributions Grants Current Year2649549ContributionsGrantsCurrentYear
Program Service Revenue Prior Year42581715ProgramServiceRevenuePriorYear
Program Service Revenue CY39574938ProgramServiceRevenueCY
Investment Income Prior Year69585InvestmentIncomePriorYear
Investment Income Current Year124499InvestmentIncomeCurrentYear
Other Revenue Prior Year43892OtherRevenuePriorYear
Other Revenue Current Year-109975OtherRevenueCurrentYear
Total Revenue Prior Year46505566TotalRevenuePriorYear
Total Revenue Current Year42239011TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year25874334SalariesEtcPriorYear
Salaries Etc Current Year27316111SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year109718TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY57139TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year919900TotalFundrsngExpCurrentYear
Other Expense Prior Year16256266OtherExpensePriorYear
Other Expenses Current Year12426394OtherExpensesCurrentYear
Total Expenses Prior Year42240318TotalExpensesPriorYear
Total Expenses Current Year39799644TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4265248RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2439367RevenuesLessExpensesCY
Total Assets BOY35297629TotalAssetsBOY
Total Assets EOY35964783TotalAssetsEOY
Total Liabilities BOY10281845TotalLiabilitiesBOY
Total Liabilities EOY8486033TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY25015784NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY27478750NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO ENCIRCLE THOSE FACING ADVANCED ILLNESS WITH UNPRECEDENTED LEVELS OF COMFORT, COMPASSION AND EXPERTISE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense33810531Expense
Revenue39574938Revenue
DescriptionHOSPICE 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, CARE MANAGER, CHAPLAIN, SOCIAL WORKER, GRIEF COUNSELOR, DIETITIAN, PROGRAM DIRECTOR AND COMPLIMENTARY THERAPIST. SERVICES INCLUDE COSTS FOR PHARMACY, DURABLE MEDICAL EQUIPMENT, IV THERAPY, OXYGEN AND MEDICAL SUPPLIES, PLUS MANY OTHERS. 2,901 PATIENTS AND THEIR FAMILIES WERE SERVED IN HOSPICE CARE WITH A TOTAL OF 131,565 VISITS DURING 2012. 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.(CONTINUATION IN SCHEDULE O)Description
Total Program Service Expense33810531TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArttrueCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096194NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees533NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members24NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Juliet K GustafsonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3033212828TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1501 S Cherry St Ste 700AddressLine1
CityDenverCity
StateCOState
ZIP Code80246ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ADELE PHELAN
BOARD SECRETARY1.00XX000
BEVERLY SLOAN
CEO40.00XX276609068811
DR DENNIS HELLING
BOARD 2ND VICE CHAIR1.00XX000
JOHN HORAN
BOARD CHAIRMAN1.00XX000
MICKEY ACKERMAN
BOARD 3RD VICE CHAIR1.00XX000
WAYNE NIELSEN
BOARD TREASURER & BOARD 1ST VICE CHAIR1.00XX000
BETSY HUNSICKER
DIRECTOR1.00X000
BRUCE DEVITA
DIRECTOR1.00X000
DAVID ALEXANDER
DIRECTOR1.00X000
DON OBERNDORF
DIRECTOR1.00X000
DR DAVID SCANAVINO
DIRECTOR1.00X000
DR GARY FRIEDLAND
DIRECTOR1.00X000
DR MICHAEL WASSERMAN
DIRECTOR1.00X000
EVI MAKOVSKY
DIRECTOR1.00X000
JENNIFER ALVARADO GELLER
DIRECTOR1.00X000
LEW SAPIRO
DIRECTOR1.00X000
LISA SIMON
DIRECTOR1.00X000
M ALLAN FRANK
DIRECTOR1.00X000
PEGGY LARSON FULLER
DIRECTOR1.00X000
ROBIN RICH
DIRECTOR1.00X000
SCOTT LOWERY
DIRECTOR1.00X000
STANLEY SENA
DIRECTOR1.00X000
SUSAN LAW
DIRECTOR1.00X000
WILLIAM P BISHOP
DIRECTOR1.00X000
ZACH PASHEL
DIRECTOR1.00X000
BRENDA RITTER
VP HUMAN RESOURCES40.00X10198907760
DALE ANDERS
CHIEF INFORMATION OFFICER40.00X124561015589
DR DAVID KOETS
CHIEF MEDICAL OFFICER40.00X209422010702
JANELLE MCCALLUM
CHIEF OPERATING AND QUALITY OFFICER40.00X198950040958
JULIET K GUSTAFSON
CFO40.00X167680040163
MICHAEL PASQUARELLA
VP DEVELOPMENT/FUNDRAISING40.00X131517025306
CLAIRE LUCAS
DIRECTOR OF FACILITY BASED HOSPICE40.00105244011000X
DR BRENDON FLYNN
MEDICAL DIRECTOR40.0010501907878X
DR GAYLE BERESKIN
MEDICAL DIRECTOR40.0015590004829X
DR JAMES WILLET
MEDICAL DIRECTOR40.0015725508051X
DR REBECCA RESNIK
MEDICAL DIRECTOR40.00140975010509X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1875121TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation251556TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PREMIER MEDICAL CORPORATION
5055 EAST 48TH AVENUEDENVERCO80216MEDICAL EQUIPMENT1682957
ENCLARA
PO BOX 105328ATLANTAGA30348PHARMACY1362422
QUALMED
14 INVERNESS DR EAST SUITE H-140ENGLEWOODCO80112PHARMACY & IVS667977
MMS SUPPLY
PO BOX 955588SAINT LOUISMO63195MEDICAL SUPPLIES401793
MED-POOL PROFESSIONALS
PO BOX 823461PHILADELPHIAPA19182CONTRACT LABOR291037
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Fundraising Events401698FundraisingEvents
All Other Contributions2247851AllOtherContributions
Noncash Contributions53117NoncashContributions
Total Contributions2649549TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT CARE6230003955008339550083
SERVICE FEE REVENUE6230002485524855
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue39574938TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column128601TotalRevenueColumn
Exclusion$128,601ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1750Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other5852Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other-4102Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-4102TotalRevenueColumn
Exclusion-$4,102ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events82320GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events401698CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses237002FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-154682TotalRevenueColumn
Exclusion-$154,682ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME62410075077507
COST SHARING REIMBURSE6230003720037200
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue44707TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42239011TotalRevenueColumn
Related Or Exempt Function Income39619645RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$30,183ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1420017Total
Program Services460032ProgramServices
Management And General803162ManagementAndGeneral
Fundraising156823Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21784218Total
Program Services19170679ProgramServices
Management And General2286177ManagementAndGeneral
Fundraising327362Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total332513Total
Program Services285961ProgramServices
Management And General39902ManagementAndGeneral
Fundraising6650Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2123736Total
Program Services1631570ProgramServices
Management And General436770ManagementAndGeneral
Fundraising55396Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1655627Total
Program Services1428471ProgramServices
Management And General193104ManagementAndGeneral
Fundraising34052Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24383Total
Program Services20872ProgramServices
Management And General2999ManagementAndGeneral
Fundraising512Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total56242Total
Program Services48143ProgramServices
Management And General6918ManagementAndGeneral
Fundraising1181Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total57139Total
Fundraising57139Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total871388Total
Program Services753420ProgramServices
Management And General117968ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total216957Total
Program Services155578ProgramServices
Management And General61379ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total736824Total
Program Services368611ProgramServices
Management And General295606ManagementAndGeneral
Fundraising72607Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total693310Total
Program Services446430ProgramServices
Management And General201229ManagementAndGeneral
Fundraising45651Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total154810Total
Program Services91912ProgramServices
Management And General36819ManagementAndGeneral
Fundraising26079Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total167074Total
Program Services1025ProgramServices
Management And General157091ManagementAndGeneral
Fundraising8958Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1055607Total
Program Services853482ProgramServices
Management And General157506ManagementAndGeneral
Fundraising44619Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total172275Total
Program Services142667ProgramServices
Management And General23803ManagementAndGeneral
Fundraising5805Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DIRECT PATIENT SERVICES71064017106401
REPAIRS AND MAINTENANCE4242673005979843225238
BAD DEBTS239000239000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total507856Total
Program Services305680ProgramServices
Management And General150348ManagementAndGeneral
Fundraising51828Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total39799644Total
Program Services33810531ProgramServices
Management And General5069213ManagementAndGeneral
Fundraising919900Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10311887BOY
EOY7709429EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY999230BOY
EOY4000176EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2245314BOY
EOY1596357EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5279025BOY
EOY6100778EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY283438BOY
EOY353723EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19721146LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4354398LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15527653BOY
EOY15366748EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY154446BOY
EOY293342EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY496636BOY
EOY544230EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY35297629BOY
EOY35964783EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3911469BOY
EOY4703889EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY6026518BOY
EOY3134173EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY343858BOY
EOY647971EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10281845BOY
EOY8486033EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22683711BOY
EOY25152288EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2332073BOY
EOY2326462EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25015784BOY
EOY27478750EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35297629BOY
EOY35964783EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2439367ReconcilationRevenueExpenses
Reconciliation Unrealized Invest23599ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1981582CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5424538CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3371728CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3810374CurrentTaxYearMinus1Year
Current Tax Year2649549CurrentTaxYear
Total17237771Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34195240CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38173650CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40627079CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year42581715CurrentTaxYearMinus1Year
Current Tax Year39574938CurrentTaxYear
Total195152622Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36176822CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years43598188CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years43998807CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46392089CurrentTaxYearMinus1Year
Current Tax Year42224487CurrentTaxYear
Total212390393Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509212390393PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years216730CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years43104CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75446CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48138CurrentTaxYearMinus1Year
Current Tax Year128601CurrentTaxYear
Total512019Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years216730CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years43104CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75446CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48138CurrentTaxYearMinus1Year
Current Tax Year128601CurrentTaxYear
Total512019Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years136158CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7945CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105857CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year100021CurrentTaxYearMinus1Year
Current Tax Year127027CurrentTaxYear
Total477008Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36529710CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years43649237CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44180110CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46540248CurrentTaxYearMinus1Year
Current Tax Year42480115CurrentTaxYear
Total213379420Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99540PublicSupportPercentage509
Prior Year Support Percentage0.99450PriorYearSupportPercentage
Investment Income Percentage0.00240InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00190PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - , COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 0; DESCRIPTION - FUNDRAISING INCOME, COLUMN A - 125620, COLUMN B - 3430, COLUMN C - 93100, COLUMN D - 20532, COLUMN E - 82320, COLUMN F - 325002; DESCRIPTION - OTHER INCOME, COLUMN A - 10538, COLUMN B - 4515, COLUMN C - 12757, COLUMN D - 42289, COLUMN E - 7507, COLUMN F - 77606; DESCRIPTION - COST SHARING REIMBURSE, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 37200, COLUMN E - 37200, COLUMN F - 74400;,GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$3,708DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB3708TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationLOBBYING FEES INCLUDED AS PART OF DUES TO NHPCO $208 ADDITIONAL FEES PAID FOR LOBBYING $3,500 TOTAL $3,708Explanation

Schedule D IRS990ScheduleD

Art Public Exhibition Amts ArtPublicExhibitionAmts

FieldValueIRS element (for citing)
Revenues Included0RevenuesIncluded
Assets In Part X453649AssetsInPartX
FieldValueIRS element (for citing)
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition

Collection Used For Other CollectionUsedForOther

FieldValueIRS element (for citing)
Collection Used For Other PurposesXCollectionUsedForOtherPurposes
Description Of Other PurposesPROVIDE WELCOMING ENVIRONMENTDescriptionOfOtherPurposes
FieldValueIRS element (for citing)
Solicited Assets For SalefalseSolicitedAssetsForSale

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2966004OtherCostOrOtherBasis
Book Value2966004BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10376396OtherCostOrOtherBasis
Depreciation703362Depreciation
Book Value9673034BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis688542OtherCostOrOtherBasis
Depreciation255268Depreciation
Book Value433274BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4870796OtherCostOrOtherBasis
Depreciation2808716Depreciation
Book Value2062080BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis819408OtherCostOrOtherBasis
Depreciation587052Depreciation
Book Value232356BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15366748TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED RENTDescription
Amount$647,971Amount
FieldValueIRS element (for citing)
Total Of Amounts647971TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
RDM COMMUNICATIONS
3600 S YOSEMITE ST 600DENVERCO80237SEE PART IVfalse04648246482
CSG SYSTEMS INTERNATIONAL
11080 CIRCLE POINT RD 300WESTMINSTERCO80020DIRECT MAILINGSfalse892661065778609
FieldValueIRS element (for citing)
Total Gross Receipts89266TotalGrossReceipts
Total Retained By Contractors57139TotalRetainedByContractors
Total Net To Organization125091TotalNetToOrganization
Licensed StatesCOLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MASK EVENTNameOfEvent1
Gross Receipts Event1446248GrossReceiptsEvent1
Charitable Contributions Event1365928CharitableContributionsEvent1
Gross Revenue Event180320GrossRevenueEvent1
Rent Facility Costs Event150000RentFacilityCostsEvent1
Food And Beverage Event115000FoodAndBeverageEvent1
Entertainment Event145579EntertainmentEvent1
Other Direct Expenses Event1121023OtherDirectExpensesEvent1
Name Of Event2CHILDREN'S BENEFIT FUND AUCTIONNameOfEvent2
Gross Receipts Event212779GrossReceiptsEvent2
Charitable Contributions Event210779CharitableContributionsEvent2
Gross Revenue Event22000GrossRevenueEvent2
Other Direct Expenses Event23200OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events24991GrossReceiptsOtherEvents
Charitable Contrib Other Events24991CharitableContribOtherEvents
Gross Revenue Other Events0GrossRevenueOtherEvents
Other Direct Expenses Other Events2200OtherDirectExpensesOtherEvents
Gross Receipts Total484018GrossReceiptsTotal
Charitable Contributions Total401698CharitableContributionsTotal
Gross Revenue Total Events82320GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events50000RentFacilityCostsTotalEvents
Food And Beverage Total Events15000FoodAndBeverageTotalEvents
Entertainment Total Events45579EntertainmentTotalEvents
Other Direct Expenses Total Events126423OtherDirectExpensesTotalEvents
Direct Expense Summary Events237002DirectExpenseSummaryEvents
Net Income Summary-154682NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferenceSCHEDULE G, PART I, LINE 2B(V)ReturnReference
ExplanationFUNDRAISING CONSULTING PROVIDED BY RDM COMMUNICATIONS WAS INDIRECT AND STRATEGIC IN NATURE, AND NOT RELATED TO A SPECIFIC FUNDRAISING EVENT. THEREFORE, GROSS RECEIPTS WERE NOT TRACKED SEPARATELY BY FUNDRAISER.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BEVERLY SLOAN
CEO2323770272320170000499760188350345420000
JANELLE MCCALLUM
CHIEF OPERATING AND QUALITY OFFICER157450024500017000036300046580239908000
MICHAEL PASQUARELLA
VP DEVELOPMENT/FUNDRAISING121992095250002503802680156823000
JULIET K GUSTAFSON
CFO134404016276017000031262089010207843000
DR DAVID KOETS
CHIEF MEDICAL OFFICER209422000006044046580220124000
DR GAYLE BERESKIN
MEDICAL DIRECTOR155900000000048290160729000
DR REBECCA RESNIK
MEDICAL DIRECTOR140975000004296062130151484000
DR JAMES WILLET
MEDICAL DIRECTOR157255000004172038790165306000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental nonqualified retirement planIdentifier
Return ReferenceSchedule J, Part I, Line 4bReturnReference
ExplanationTHE FOLLOWING EMPLOYEES PARTICIPATE IN THE 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN: BEVERLY SLOAN (CEO) - $42,476, JANELLE MCCALLUM (CHIEF OPERATING AND QUALITY OFFICER) - $30,250, JULIET K GUSTAFSON (CFO) - $26,052 AND MICHAEL PASQUARELLA (VP DEVELOPMENT/FUNDRAISING) - $20,865. 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.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COLORADO HEALTH FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN840752932IssuerEIN
Date Issued2009-11-01DateIssued
Issue Price12000000IssuePrice
Description Of PurposeFINANCE COSTS OF CONSTRUCTIONDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds12000000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds99716IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2010YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Prcntge Prvt Business Use By Others0.0000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.0000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.0000TotalPrivateBusinessUse
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Prcntge Bond Financed Prop0.000000PrcntgeBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YetfalseRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuefalseNoRebateDue
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Term Of Hedge0.0TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Term Of GIC0.0TermOfGIC
Regulatory Safe Harbor SatisfiedfalseRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqstrueWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XMISCELLANEOUS1617COST
XCATERING & BEVERAGES452500COST
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanations of reporting method for number of contributionsSchedule M, Part IOTHER: REPORTING THE NUMBER OF CONTRIBUTIONS OTHER: REPORTING THE NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=MISCELLANEOUSREPORTING THE NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=CATERING & BEVERAGESREPORTING THE NUMBER OF CONTRIBUTIONS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4A(CONTINUED FROM PART II) 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. 2,006 PATIENTS AND THEIR FAMILIES RECEIVED PALLIATIVE CARE WITH A TOTAL OF 33,056 VISITS DURING 2012.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE FIRST DRAFT OF THE 990 FORM IS REVIEWED IN DETAIL BY THE CONTROLLER AND THE CFO. A REVISED DRAFT IS THEN REVIEWED IN DETAIL WITH THE AUDIT COMMITTEE. A FINAL COPY IS GIVEN TO THE FULL BOARD FOR REVIEW PRIOR TO FILING.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cEVERY 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.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aEACH YEAR AN EXTENSIVE ANALYSIS OF COMPENSATION FOR KEY SENIOR MANAGEMENT POSITIONS OCCURS. BENCHMARK DATA IS GATHERED BY THE DIRECTOR OF HUMAN RESOURCES FROM VARIOUS SOURCES (INCLUDING HOSPICE, HEALTHCARE AND NON-PROFIT) AND PRESENTED TO THE EXECUTIVE COMMITTEE FOR ANALYSIS AND APPROVAL OF COMPENSATION RECOMMENDATIONS. THE COMPARATIVE DATA USED, DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE MINUTES OF THE EXECUTIVE COMMITTEE WHICH ARE DISTRIBUTED TO THE BOARD OF DIRECTORS.
PROCESS OF DETERMINING COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEESFORM 990, PART VI, LINE 15BINTENTIONALLY MARKED "NO" AS PRESIDENT/CEO ACTIVELY PARTICIPATES IN COMPENSATION DETERMINATION. EACH YEAR AN EXTENSIVE ANALYSIS OF COMPENSATION FOR KEY SENIOR MANAGEMENT POSITIONS OCCURS. BENCHMARK DATA IS GATHERED BY THE DIRECTOR OF HUMAN RESOURCES FROM VARIOUS SOURCES (INCLUDING HOSPICE, HEALTHCARE AND NON-PROFIT) AND PRESENTED TO THE EXECUTIVE COMMITTEE FOR ANALYSIS AND APPROVAL OF COMPENSATION RECOMMENDATIONS. THE COMPARATIVE DATA USED, DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE MINUTES OF THE EXECUTIVE COMMITTEE WHICH ARE DISTRIBUTED TO THE BOARD OF DIRECTORS.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19DOCUMENTS ARE AVAILABLE UPON REQUEST. REQUEST FORMS ARE AVAILABLE AT THE FRONT DESK AND CAN BE REQUESTED IN PERSON OR OVER THE PHONE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1OPTIO AT YOUR SERVICE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1501 S CHERRY STREET SUITE 700AddressLine1
CityDENVERCity
StateCOState
ZIP Code80246ZIPCode
FieldValueIRS element (for citing)
EIN461427286EIN
Primary ActivitiesCONCIERGE SERVICESPrimaryActivities
Legal Domicile StateCOLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF METRO DENVER INCBusinessNameLine1

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