2013-08-08T11:28:10-05:00 2012-12-31 840795096 DALBY WENDLAND & CO PC P O BOX 430 GRAND JUNCTION CO 81502 990 2012-01-01 841207388 HOSPICE & PALLIATIVE CARE OF WESTERN COLORADO HOSP 9702412212 3090 NORTH 12TH STREET UNIT B GRAND JUNCTION CO 81506 CHRISTY WHITNEY 9702412212 2013-08-02 1 SABRINA JHOYT CPA P00855363 9702431921 2012 2016-02-25 16:41:14Z HOPEWEST CHRISTY WHITNEY 3090 NORTH 12TH STREET UNIT B GRAND JUNCTION CO 81506 33847198 0 X WWW.HOSPICEWCO.COM X 1993 CO PROFOUNDLY CHANGING HOW OUR COMMUNITIES EXPERIENCE SERIOUS ILLNESS & GRIEF,ONE FAMILY AT A TIME. 20 19 365 1257 16441 -18141 1926862 2076586 26908584 29909203 14145 16668 1144767 1312108 29994358 33314565 10000 10000 0 0 18549799 20136096 0 0 479081 11526895 13121914 30086694 33268010 -92336 46555 23735775 23836780 8298161 8352611 15437614 15484169 X HOSPICE AND PALLIATIVE CARE OF WESTERN COLORADO IS A COMMUNITY BASED ORGANIZATION THAT PROVIDES MEDICAL, EMOTIONAL, PSYCHOSOCIAL AND BEREAVEMENT SUPPORT FOR PERSONS WITH SERIOUS ILLNESS AND FOR THEIR FAMILIES. 0 0 24122905 29798024 HOSPICE AND BEREAVEMENT CARE IS PROVIDED TO ADULTS AND CHILDREN OF MESA, DELTA, MONTROSE AND OURAY COUNTIES. HOSPICE CARE WAS PROVIDED TO OVER 1,700 INDIVIDUALS AND THEIR FAMILIES. 868037 141897 COMMUNITY PROGRAMS INCLUDE PALLIATIVE CARE, CAREGIVER SUPPORT AND CHILD & TEEN PROGRAMS THAT PROVIDE EXPANDED PROGRAMS TO FAMILIES FACING SERIOUS ILLNESS AND GRIEF. OVER 600 INDIVIDUALS RECEIVED PALLIATIVE CARE SERVICES. MORE THAN 1,100 PERSONS WERE RECIPIENTS OF SERVICES IN THE OTHER COMMUNITY PROGRAMS. 1320251 1205919 HEIRLOOMS FOR HOSPICE, COMPRISED OF TWO RESALE SHOPS, THE CUPS COFFEE HOUSE, AND THE SPOONS BISTRO PROVIDE A COMMUNITY PRESENCE FOR HOSPICE AND COMPRISE A KEY PART OF THE GRIEF SUPPORT OF THE ORGANIZATION. 553505 10000 THE VOLUNTEER PROGRAM PROVIDES ESSENTIAL VOLUNTEER SERVICE IN THE AREAS OF PATIENT AND FAMILY SUPPORT AND OTHER PROGRAM ASSISTANCE. 1,257 VOLUNTEERS GAVE OVER 81,000 HOURS OF SUPPORT. 553505 10000 26864698 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 1 148 0 1 365 1 1 1 0 0 0 0 1 1 0 0 0 0 X 20 19 0 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X SARAH WALSH CFO 9702412212 3090 NORTH 12TH STREET UNIT B GRAND JUNCTION CO 81506 CHRISTY WHITNEY 65.00 X X 281811 0 13173 LES ZETMEIR 6.00 X X 0 0 0 LAUREL WALTERS 6.00 X X 0 0 0 IVAN GEER 2.00 X 0 0 0 LARRY CLARK 2.00 X 0 0 0 GREGORY REICKS DO 2.00 X 0 0 0 JANICE BURTIS 6.00 X X 0 0 0 DAVE CESARK 2.00 X 0 0 0 BRADLEY FELDHAUS 2.00 X 0 0 0 ANN RENFROW 2.00 X 0 0 0 CHRIS THOMAS 2.00 X 0 0 0 CHRIS LAUNER 2.00 X 0 0 0 RICK SAPP 2.00 X 0 0 0 JAMEE SIMONS 2.00 X 0 0 0 KENNETH G LEIS 2.00 X 0 0 0 SUE CONRY 2.00 X 0 0 0 MIKE LEFEBRE 2.00 X 0 0 0 JOE BREMAN 2.00 X 0 0 0 DREW MAYER 2.00 X 0 0 0 BARBARA SEELYE 2.00 X 0 0 0 SARAH WALSH 60.00 X 132478 0 20483 KERRI MOSINSKI 65.00 X 147319 0 23674 AMY MOHLER 43.00 X 199063 0 24438 TERRI WALTER 70.00 X 125138 0 9173 DAVID WEST 65.00 X 213423 0 10067 KATHY O'SHEA 60.00 X 111377 0 6595 1210609 0 107603 10 0 1 0 SODEXO INC & AFFILIATES DEPT 880328 LOS ANGELES CA 900880328 MANAGEMENT 725174 ADVANTAGE RN 4184 RELIABLE PKWY CHICAGO IL 606860041 CONTRACT LABOR 375575 PRIMARY CARE PARTNERS PO BOX 10700 GRAND JUNCTION CO 81502 HOUSEKEEPING/LANDSCAPING 101469 3 59470 516305 8000 1492811 123875 2076586 HOSPICE PALLIATIVE CAR 621610 29909203 29909203 29909203 16668 16668 292977 516305 233947 59030 59030 1521046 298686 1222360 1205919 16441 OTHER REVENUE 900099 30718 30718 30718 33314565 31145840 16441 75698 X 10000 10000 447946 447946 15912064 13016212 2584299 311553 169065 154197 10737 4131 2396747 2158659 187677 50411 1210274 1103995 76702 29577 107150 107025 125 15879 15879 159987 159987 5075665 4897281 165948 12436 157816 105295 51263 1258 526046 253704 263485 8857 34956 2157 32799 537705 457526 78940 1239 133092 62889 67584 2619 222879 111440 111439 889940 241806 646877 1257 195485 1780 193705 MEDICAL SUPPLIES AND DR 3675561 3675561 DUES AND SUBSCRIPTIONS 389186 81939 294842 12405 TELEPHONE / UTILITIES 243594 180636 59112 3846 REPAIRS, MAINTENANCE, A 212740 142699 70041 544233 206922 297944 39367 33268010 26864698 5924231 479081 1611766 2074741 3260514 1778450 341168 258385 2795259 4388274 62796 11286 501031 248263 19477397 4476878 15096723 15000519 66518 76862 23735775 23836780 3017458 3394617 101621 180042 5092224 4680950 86858 97002 8298161 8352611 X 5281634 5692544 10145543 9780788 10437 10837 15437614 15484169 23735775 23836780 46555 0 X 0 1 X 1 0 X 2277146 1958255 2367271 1926862 1829586 10359120 20128347 25436846 28516520 28658259 31753944 134493916 1052073 39802 22768 14145 16668 1145456 23457566 27434903 30906559 30599266 33600198 145998492 515570 17001 18895 26180 5000 582646 0 515570 17001 18895 26180 5000 582646 145415846 140551 39871 22768 14145 16668 234003 140551 39871 22768 14145 16668 234003 17189 26376 9755 13215 30718 97253 23615306 27501150 30939082 30626626 33647584 146329748 0.99380 0.99000 0.00160 0.00400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 39699 3817 624 42892 41389 -1055 635 39699 18403 21500 1486 41389 15272 3131 18403 18912 -3640 15272 0.26400 0.73600 1 0 2814808 2814808 10377363 648309 9729054 1761560 1205633 555927 4346381 2622936 1723445 177285 177285 15000519 ANNUITY PAYABLE 97002 97002 33558327 243762 243762 33314565 0 33314565 33511772 243762 243762 33268010 0 33268010 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: INCOME DERIVED FROM THE PERMANENT ENDOWMENT FUND IS USED FOR OPERATIONS. PART XII LINE 2(D) - EXPENSES NETTED AGAINST REVENUE ON 990 COST OF GOODS SOLD $ 243,762 PART XIII LINE 2(D) - EXPENSES NETTED AGAINST REVENUE ON 990 COST OF GOOD SOLD $ 243,762 0 0 0 0 0 0 0 0 0 0 SUB-SAHARAN AFRICA HOSPICE SUPPORT OF SISTER HOSPICE 5000 CHECK TO FNDN FOR HOSPICES IN SUB SAHARAN AFRICA SUB-SAHARAN AFRICA HOSPICE SUPPORT OF SISTER HOSPICE 5000 CHECK TO FNDN FOR HOSPICES IN SUB SAHARAN AFRICA 2 0 0 0 0 0 0 0 BLACK TIE & BOOTS 333053 211539 121514 2478 47117 6450 50307 FASHION SHOW 183429 137214 46215 15643 19000 4 292800 167552 125248 9275 20841 9050 53786 809282 516305 292977 11753 83601 34500 104093 233947 59030 1 X X X X X 0 0 0 0 0 0 0 0 0 CHRISTY WHITNEY 230148 0 35500 0 16163 0 1000 0 12173 0 294984 0 0 0 SARAH WALSH 114034 0 15800 0 2644 0 1000 0 19483 0 152961 0 0 0 KERRI MOSINSKI 112913 0 30800 0 3606 0 1000 0 22674 0 170993 0 0 0 AMY MOHLER 180965 0 1098 0 17000 0 1000 0 23438 0 223501 0 0 0 DAVID WEST 191553 0 15800 0 6070 0 1000 0 9067 0 223490 0 0 0 A MESA COUNTY COLORADO 846000783 2007-07-01 7000000 CONSTRUCTION OF CARE CENTER 0 0 0 B MESA COUNTY COLORADO 846000783 2012-10-16 4739198 REFUNDING OF PRIOR BOND ISSUED IN 2007 FOR CONSTRUCTION OF CARE CENTER 0 0 0 A 7000000 7000000 30484 6959516 2008 0 0 1 1 B 4739198 20000 2008 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 SCHEDULE K PART IV, ARBITRAGE, LINE 2C DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MESA COUNTY, COLORADO DATE THE REBATE COMPUTATION WAS PERFORMED: 12/17/2012 MELISSA CALKINS DAUGHTER OF CEO 11963 EMPLOYEE COMPENSATION 0 X 125 X 19000 MARKET VALUE X 4 33727 MARKET VALUE X 47 13889 MARKET VALUE X 3 X MEMORIAL ENGRAVINGS & TILES 6 8015 MARKET VALUE X ADVERTISING 5 35479 MARKET VALUE X SUPPLIES 14 5764 MARKET VALUE X GOVT BLDG FEES 1 8000 MARKET VALUE 0 1 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): GAAP ACCOUNTING, THE METHOD USED TO KEEP THE ORGANIZATION BOOKS AND RECORDS, RESULTS IN A DETERMINATION THAT THE CONTRIBUTIONS NET IN ZERO REVENUE. FORM 990, PART VI, SECTION A, LINE 4 BYLAW REVISIONS: 1/06/2012 APPROVED TO EXTEND BOARD MEMBER TERMS UP TO AN ADDITIONAL 2 (TWO) YEARS. 2/27/2012 APPROVED TO REMOVE THE RESTRICTION OF ONLY THE CURRENT OR PAST CHAIR MAY EXTEND THEIR SERVICE REGARDING TERMS OF OFFICE, THEREFORE IT WOULD NOT BE RESTRICTED TO ONLY THOSE INDIVIDUALS, BUT COULD BE ANYONE TO PROVIDE CONTINUITY IN LEADERSHIP (WITH BOARD APPROVAL) FORM 990, PART VI, SECTION B, LINE 11 THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS THE 990 BEFORE IT IS SUBMITTED. ANY QUESTIONS ARE SATISFIED BEFORE SUBMITTAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO COMPLETE A FORM ON AN ANNUAL BASIS DOCUMENTING ANY CONFLICTS OF INTEREST. OFFICERS THEN REVIEW THE FORMS FOR CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 WAGE SURVEYS ARE USED TO DETERMINE THE APPROPRIATE PAY GRADES. AN INDEPENDENT HUMAN RESOURCE ORGANIZATION REVIEWS THE PAY GRADES BI-ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC BY REQUEST. FINANCIAL STATEMENTS ARE MADE PUBLIC VIA THE ANNUAL REPORT AND THE STATE OF COLORADO WEBSITE. OTHER FEES FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 4,897,281. MANAGEMENT AND GENERAL EXPENSES 165,948. FUNDRAISING EXPENSES 12,436. TOTAL EXPENSES 5,075,665.