2013-07-30T10:00:04-05:00 2012-12-31 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2012-01-01 840743121 HOSPICE OF METRO DENVER INC HOSP 3033212828 501 S Cherry St Denver CO 80246 JULIET K GUSTAFSON 2013-07-29 true Nicole Bencik P00756195 3128997000 2012 2016-02-24 21:20:13Z THE DENVER HOSPICE AND OPTIO HEALTH SERVICES BEVERLY SLOAN 501 S Cherry St Ste 700 Denver CO 80246 42481865 false X WWW.THEDENVERHOSPICE.ORG X 1977 CO TO ENCIRCLE THOSE FACING ADVANCED ILLNESS WITH UNPRECEDENTED LEVELS OF COMFORT, COMPASSION AND EXPERTISE. 25 24 533 502 0 0 3810374 2649549 42581715 39574938 69585 124499 43892 -109975 46505566 42239011 0 0 0 25874334 27316111 109718 57139 919900 16256266 12426394 42240318 39799644 4265248 2439367 35297629 35964783 10281845 8486033 25015784 27478750 X TO ENCIRCLE THOSE FACING ADVANCED ILLNESS WITH UNPRECEDENTED LEVELS OF COMFORT, COMPASSION AND EXPERTISE. false false 33810531 39574938 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, 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) 33810531 true true false true false false true false false true false false false true true true false false false false false false true true false false false false true true false false false false false false false false false false true false false false true false false false false false true 194 0 true 533 true false false false false false true true false false false false X 25 24 false false false false false false false true true false false true true true true true true true false false X Juliet K Gustafson 3033212828 501 S Cherry St Ste 700 Denver CO 80246 ADELE PHELAN 1.00 X X 0 0 0 BEVERLY SLOAN 40.00 X X 276609 0 68811 DR DENNIS HELLING 1.00 X X 0 0 0 JOHN HORAN 1.00 X X 0 0 0 MICKEY ACKERMAN 1.00 X X 0 0 0 WAYNE NIELSEN 1.00 X X 0 0 0 BETSY HUNSICKER 1.00 X 0 0 0 BRUCE DEVITA 1.00 X 0 0 0 DAVID ALEXANDER 1.00 X 0 0 0 DON OBERNDORF 1.00 X 0 0 0 DR DAVID SCANAVINO 1.00 X 0 0 0 DR GARY FRIEDLAND 1.00 X 0 0 0 DR MICHAEL WASSERMAN 1.00 X 0 0 0 EVI MAKOVSKY 1.00 X 0 0 0 JENNIFER ALVARADO GELLER 1.00 X 0 0 0 LEW SAPIRO 1.00 X 0 0 0 LISA SIMON 1.00 X 0 0 0 M ALLAN FRANK 1.00 X 0 0 0 PEGGY LARSON FULLER 1.00 X 0 0 0 ROBIN RICH 1.00 X 0 0 0 SCOTT LOWERY 1.00 X 0 0 0 STANLEY SENA 1.00 X 0 0 0 SUSAN LAW 1.00 X 0 0 0 WILLIAM P BISHOP 1.00 X 0 0 0 ZACH PASHEL 1.00 X 0 0 0 BRENDA RITTER 40.00 X 101989 0 7760 DALE ANDERS 40.00 X 124561 0 15589 DR DAVID KOETS 40.00 X 209422 0 10702 JANELLE MCCALLUM 40.00 X 198950 0 40958 JULIET K GUSTAFSON 40.00 X 167680 0 40163 MICHAEL PASQUARELLA 40.00 X 131517 0 25306 CLAIRE LUCAS 40.00 X 105244 0 11000 DR BRENDON FLYNN 40.00 X 105019 0 7878 DR GAYLE BERESKIN 40.00 X 155900 0 4829 DR JAMES WILLET 40.00 X 157255 0 8051 DR REBECCA RESNIK 40.00 X 140975 0 10509 1875121 0 251556 12 false true false PREMIER MEDICAL CORPORATION 5055 EAST 48TH AVENUE DENVER CO 80216 MEDICAL EQUIPMENT 1682957 ENCLARA PO BOX 105328 ATLANTA GA 30348 PHARMACY 1362422 QUALMED 14 INVERNESS DR EAST SUITE H-140 ENGLEWOOD CO 80112 PHARMACY & IVS 667977 MMS SUPPLY PO BOX 955588 SAINT LOUIS MO 63195 MEDICAL SUPPLIES 401793 MED-POOL PROFESSIONALS PO BOX 823461 PHILADELPHIA PA 19182 CONTRACT LABOR 291037 18 401698 2247851 53117 2649549 PATIENT CARE 623000 39550083 39550083 SERVICE FEE REVENUE 623000 24855 24855 0 0 0 0 0 0 0 39574938 128601 128601 0 0 0 0 0 1750 5852 0 -4102 -4102 -4102 82320 401698 237002 -154682 -154682 0 0 OTHER INCOME 624100 7507 7507 COST SHARING REIMBURSE 623000 37200 37200 0 0 0 0 0 44707 42239011 39619645 0 -30183 0 0 0 0 1420017 460032 803162 156823 0 21784218 19170679 2286177 327362 332513 285961 39902 6650 2123736 1631570 436770 55396 1655627 1428471 193104 34052 0 24383 20872 2999 512 56242 48143 6918 1181 0 57139 57139 0 871388 753420 117968 0 216957 155578 61379 0 736824 368611 295606 72607 0 0 693310 446430 201229 45651 154810 91912 36819 26079 0 0 167074 1025 157091 8958 0 1055607 853482 157506 44619 172275 142667 23803 5805 DIRECT PATIENT SERVICES 7106401 7106401 REPAIRS AND MAINTENANCE 424267 300597 98432 25238 BAD DEBTS 239000 239000 507856 305680 150348 51828 39799644 33810531 5069213 919900 0 10311887 7709429 999230 4000176 2245314 1596357 5279025 6100778 0 0 283438 353723 19721146 4354398 15527653 15366748 154446 293342 0 0 0 0 496636 544230 35297629 35964783 3911469 4703889 6026518 3134173 0 343858 647971 10281845 8486033 X 22683711 25152288 2332073 2326462 0 25015784 27478750 35297629 35964783 2439367 23599 0 X false true true false X 1981582 5424538 3371728 3810374 2649549 17237771 34195240 38173650 40627079 42581715 39574938 195152622 0 0 0 36176822 43598188 43998807 46392089 42224487 212390393 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 212390393 216730 43104 75446 48138 128601 512019 0 216730 43104 75446 48138 128601 512019 0 136158 7945 105857 100021 127027 477008 36529710 43649237 44180110 46540248 42480115 213379420 0.99540 0.99450 0.00240 0.00190 X OTHER 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;, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 3708 false false 3708 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 LOBBYING FEES INCLUDED AS PART OF DUES TO NHPCO $208 ADDITIONAL FEES PAID FOR LOBBYING $3,500 TOTAL $3,708 0 453649 X X PROVIDE WELCOMING ENVIRONMENT false 2966004 2966004 10376396 703362 9673034 688542 255268 433274 4870796 2808716 2062080 819408 587052 232356 15366748 0 DEFERRED RENT 647971 647971 X X X X X X X X true RDM COMMUNICATIONS 3600 S YOSEMITE ST 600 DENVER CO 80237 SEE PART IV false 0 46482 46482 CSG SYSTEMS INTERNATIONAL 11080 CIRCLE POINT RD 300 WESTMINSTER CO 80020 DIRECT MAILINGS false 89266 10657 78609 89266 57139 125091 CO MASK EVENT 446248 365928 80320 50000 15000 45579 121023 CHILDREN'S BENEFIT FUND AUCTION 12779 10779 2000 3200 3 24991 24991 0 2200 484018 401698 82320 0 0 50000 15000 45579 126423 237002 -154682 SUPPLEMENTAL INFORMATION SCHEDULE G, PART I, LINE 2B(V) FUNDRAISING 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. X X X false true false false false false false false false BEVERLY SLOAN 232377 0 27232 0 17000 0 49976 0 18835 0 345420 0 0 0 JANELLE MCCALLUM 157450 0 24500 0 17000 0 36300 0 4658 0 239908 0 0 0 MICHAEL PASQUARELLA 121992 0 9525 0 0 0 25038 0 268 0 156823 0 0 0 JULIET K GUSTAFSON 134404 0 16276 0 17000 0 31262 0 8901 0 207843 0 0 0 DR DAVID KOETS 209422 0 0 0 0 0 6044 0 4658 0 220124 0 0 0 DR GAYLE BERESKIN 155900 0 0 0 0 0 0 0 4829 0 160729 0 0 0 DR REBECCA RESNIK 140975 0 0 0 0 0 4296 0 6213 0 151484 0 0 0 DR JAMES WILLET 157255 0 0 0 0 0 4172 0 3879 0 165306 0 0 0 Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b THE 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. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 2009-11-01 12000000 FINANCE COSTS OF CONSTRUCTION false false false A 0 0 12000000 0 0 0 99716 0 0 0 0 0 2010 false false true true A false false false false false false 0.0000 0.0000 0.0000 false 0.000000 false true A false false false false true false 0.0 false false false 0.0 false false true A true X MISCELLANEOUS 1 617 COST X CATERING & BEVERAGES 4 52500 COST 0 false true false Explanations of reporting method for number of contributions Schedule M, Part I OTHER: 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=MISCELLANEOUS REPORTING THE NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line other=CATERING & BEVERAGES REPORTING THE NUMBER OF CONTRIBUTIONS PROGRAM SERVICE ACCOMPLISHMENTS FORM 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 body Form 990, Part VI, Section B, Line 11b THE 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 policy Form 990, Part VI, Section B, Line 12c 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. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a 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. PROCESS OF DETERMINING COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES FORM 990, PART VI, LINE 15B INTENTIONALLY 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 public Form 990, Part VI, Section C, Line 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. REQUEST FORMS ARE AVAILABLE AT THE FRONT DESK AND CAN BE REQUESTED IN PERSON OR OVER THE PHONE. OPTIO AT YOUR SERVICE LLC 501 S CHERRY STREET SUITE 700 DENVER CO 80246 461427286 CONCIERGE SERVICES CO 0 0 HOSPICE OF METRO DENVER INC