FURP.ORG / PUBLIC DATA EXPLORER

Seniors Inc: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
Seniors Inc (EIN 23-7090107)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201331349349300543
Schema version
2011v1.5
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)
Timestamp2013-05-14T09:34:57-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Tejon Suite 800AddressLine1
CityColorado SpringsCity
StateCOState
ZIP Code809039848ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237090107EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Seniors IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% INNOVAGE HOME CAREInCareOfName
Name ControlSENINameControl
Phone3033006900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18950 E Lowry BlvdAddressLine1
CityDenverCity
StateCOState
ZIP Code80230ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAngela OakleyName
TitleCFOTitle
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRita F Worster CPAName
Phone7194714290Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Innovage Home CareBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJENNIFER RHODESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18950 E LOWRY BLVDAddressLine1
CityDENVERCity
StateCOState
ZIP Code80230ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5816814GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.myinnovage.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionTo sustain and enhance the independence and quality of life on their terms for those we serve by providing a variety of services including in-home care, financial management, and employment of seniors.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees505TotalNbrEmployees
Total Nbr Volunteers167TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1794271ContributionsGrantsPriorYear
Contributions Grants Current Year1847247ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4092846ProgramServiceRevenuePriorYear
Program Service Revenue CY3743941ProgramServiceRevenueCY
Investment Income Prior Year1256InvestmentIncomePriorYear
Investment Income Current Year1283InvestmentIncomeCurrentYear
Other Revenue Prior Year5030OtherRevenuePriorYear
Other Revenue Current Year70221OtherRevenueCurrentYear
Total Revenue Prior Year5893403TotalRevenuePriorYear
Total Revenue Current Year5662692TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year69638GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1840GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4479713SalariesEtcPriorYear
Salaries Etc Current Year4174894SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year110661TotalFundrsngExpCurrentYear
Other Expense Prior Year1609471OtherExpensePriorYear
Other Expenses Current Year1558040OtherExpensesCurrentYear
Total Expenses Prior Year6158822TotalExpensesPriorYear
Total Expenses Current Year5734774TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-265419RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-72082RevenuesLessExpensesCY
Total Assets BOY2457556TotalAssetsBOY
Total Assets EOY2986255TotalAssetsEOY
Total Liabilities BOY777764TotalLiabilitiesBOY
Total Liabilities EOY1553545TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1679792NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1432710NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe mission of InnovAge Home Care is to sustain and enhance the independence and quality of life on their terms for those we serve. InnovAge Home Care fulfills this mission by providing a variety of services including care in the home, assistance with managing personal finances, Medicaid and Medicare navigation assistance, and employment.MissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangetrueSignificantChange
Expense4045491Expense
Revenue3777965Revenue
DescriptionHOME CARE SERVICES: THIS PROGRAM PROVIDES COMPASSIONATE, NON-MEDICAL ASSISTANCE TO PEOPLE OF ANY AGE IN THE DENVER METRO AREA, COLORADO SPRINGS, PUEBLO, AND CANON CITY WHO NEED TEMPORARY HELP OR LONG-TERM ASSISTANCE TO MAXIMIZE THEIR PERSONAL INDEPENDENCE. CARE IS CUSTOMIZED AND CAN INCLUDE PERSONAL CARE, MEDICATION REMINDERS, SHOPPING, MEAL PREPARATION, HOUSEKEEPING, SPECIALIZED CARE FOR ALZHEIMER'S PATIENTS, AND RELIEF FOR FAMILY MEMBERS. INNOVAGE HOME CARE ALSO PROVIDES SKILLED NURSING SERVICES IN THE ESTES PARK AREA. INNOVAGE HOME CARE SERVED AN AVERAGE OF 340 CLIENTS PER MONTH, PERFORMING OVER 64,000 CARE VISITS OVER THE FISCAL YEAR.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense597786Expense
DescriptionSENIOR COMPANION PROGRAM: THIS PROGRAM IS A NATIONAL PROGRAM THROUGH WHICH INDIVIDUALS PROVIDE ASSISTANCE AND FRIENDSHIP TO THE AT-RISK ELDERLY AND ADULT-DISABLED POPULATION IN ADULT DAYCARE CENTERS, SENIOR CENTERS, HOSPITALS, AND INDEPENDENT LIVING FACILITIES. BY PROVIDING TRANSPORTATION TO MEDICAL APPOINTMENTS, GROCERY STORES, SOCIAL SERVICE AGENCIES, ETC., TRANSLATION SERVICES AS NEEDED, ASSISTING WITH PAPERWORK, AND OFFERING CONTACT TO THE OUTSIDE WORLD, SENIOR COMPANIONS OFTEN PROVIDE THE SERVICES THAT THE FRAIL ELDERLY NEED TO LIVE INDEPENDENTLY. SENIOR COMPANIONS ALSO PROVIDE RESPITE CARE TO RELIEVE LIVE-IN CARETAKERS FOR SHORT PERIODS OF TIME. THERE WERE 117 SENIOR COMPANIONS DURING THE FISCAL YEAR.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense418962Expense
DescriptionSenior Community Service Employment Program (SCSEP) is a national program providing subsidized part-time work-based training. Program participants are placed in a wide variety of community service activities at non-profit and government agencies where they work an average of 20 hours per week and are paid the minimum wage. It is intended that these community service experiences serve as a bridge to other employment positions that are not supported with federal funds. There were 58 participants during the 11/12 fiscal year.Description

Activity Other ActivityOther (8 entries)

DescriptionDescriptionExpenseExpenseGrantsGrantsRevenueRevenue
Foster Grandparent Program
Prescription Drug Assistance
Medicare & Medicaid Counseling
Helpline
Money Management
Experience at Work
Transportation
Total Expense for all Other Program Services6168018400
FieldValueIRS element (for citing)
Total Of Other Program Service Exp61680TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt1840TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense5123919TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees505NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
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 OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonINNOVAGE HOME CARENamePerson
Telephone Number3033006900TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18950 E LOWRY BLVDAddressLine1
CityDENVERCity
StateCOState
ZIP Code80230ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Ben Brahinsky
Co-Chair: 01/06 - Current1.0XX000
Wendy Tenzyk
Board Member: 01/02 - Current1.0X00
Jerri Brainard
Chairman: 10/06 - Current1.0XX00
Ken Hoagland
Board Member: 11/09 - Current1.0X00
Stephen Kardatzke
Board Member: 03/09 - 03/121.0X00
John Butler
Board Member: 01/10 - Current1.0X00
Anne McDow
Board Member: 04/10 - Current1.0X00
Randy McCall
Board Member: 01/11 - Current1.0X00
Ronald Kucic
Board Member: 06/06 - Current1.0X00
Dr Bennett Parnes
Board Member: 04/12 - Current1.0X01234723773
Dan Blyth
VP: 11/99 - 08/1140.0X8605707956
Karin Gillies
Treasurer, CFO: 04/11 - 03/122.0X19462710508
Lori Rothwell
Secretary: 04/11 - 03/122.0X15022011288
Maureen Hewitt
President: 04/11 - Current2.0X38362523162
Jennifer Rhodes
VP: 10/11 - Current40.0X2623576
ANGELA OAKLEY - treasurer eff 612
CFO: 04/12 - CURRENT2.0X000
VANESSA WALTON
SECRETARY 3/12 - CURRENT2.0X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org86057TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs878179TotalReportableCompFrmRltdOrgs
Total Other Compensation56763TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns34034FederatedCampaigns
Fundraising Events21500FundraisingEvents
Government Grants1152911GovernmentGrants
All Other Contributions638802AllOtherContributions
Noncash Contributions52702NoncashContributions
Total Contributions1847247TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID REVENUE90009916765891676589
PROGRAM INCOME90009920673522067352
FieldValueIRS element (for citing)
Total Program Service Revenue3743941TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1283TotalRevenueColumn
Exclusion$1,283ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real25078Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real25078Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column25078TotalRevenueColumn
Exclusion$25,078ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events165241GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events21500CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses154122FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column11119TotalRevenueColumn
Exclusion$11,119ExclusionAmount

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
MISCELLANEOUS REVENUE9000991843618436
FINANCE CHARGES9000991262312623
PROFESSIONAL TRAINING REVENUE90009929652965
FieldValueIRS element (for citing)
Total Other Revenue34024TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5662692TotalRevenueColumn
Related Or Exempt Function Income3777965RelatedOrExemptFunctionIncome
Exclusion$37,480ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total1840Total
Program Services1840ProgramServices

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)
Total131126Total
Program Services131126ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3464429Total
Program Services3286602ProgramServices
Management And General177827ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5600Total
Program Services4798ProgramServices
Management And General802ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total296214Total
Program Services215477ProgramServices
Management And General80737ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total277525Total
Program Services263164ProgramServices
Management And General14361ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total359460Total
Program Services344421ProgramServices
Management And General4867ManagementAndGeneral
Fundraising10172Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total38709Total
Management And General38709ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total651810Total
Program Services488466ProgramServices
Management And General95708ManagementAndGeneral
Fundraising67636Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total13948Total
Program Services9795ProgramServices
Management And General4153ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15575Total
Program Services12147ProgramServices
Management And General2924ManagementAndGeneral
Fundraising504Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total40675Total
Program Services3272ProgramServices
Management And General37403ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total287629Total
Program Services279476ProgramServices
Management And General7846ManagementAndGeneral
Fundraising307Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total32796Total
Program Services7604ProgramServices
Management And General25192ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total21974Total
Program Services18945ProgramServices
Management And General2783ManagementAndGeneral
Fundraising246Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
FOOD6621127871654431796
PROVISION FOR BAD DEBT1595415954
MISCELLANEOUS1329912961338

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5734774Total
Program Services5123919ProgramServices
Management And General500194ManagementAndGeneral
Fundraising110661Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY577528BOY
EOY344080EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY511196BOY
EOY685617EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY130282BOY
EOY167282EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY433672BOY
EOY353748EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY44687BOY
EOY39319EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1399231LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec656517LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY760191BOY
EOY742714EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY75000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY578495EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2457556BOY
EOY2986255EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY341597BOY
EOY951731EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY152753BOY
EOY51185EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY15273BOY
EOY9553EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY268141BOY
EOY541076EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY777764BOY
EOY1553545EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1662213BOY
EOY1415131EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17579BOY
EOY17579EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1679792BOY
EOY1432710EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2457556BOY
EOY2986255EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-72082ReconcilationRevenueExpenses
Reconcilation Other Changes-175000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1888443CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1965554CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1906684CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1794271CurrentTaxYearMinus1Year
Current Tax Year1847247CurrentTaxYear
Total9402199Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1888443CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1965554CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1906684CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1794271CurrentTaxYearMinus1Year
Current Tax Year1847247CurrentTaxYear
Total9402199Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total249467AmountsSubstContributorsTotal
Public Support Total1709152732PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years62298CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45457CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37478CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26545CurrentTaxYearMinus1Year
Current Tax Year26361CurrentTaxYear
Total198139Total
FieldValueIRS element (for citing)
Total Support9600338TotalSupport
Gross Receipts From Admissions Etc19677828GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95338PublicSupportPertcentage170
Public Support Pertcent Prior Year0.93739PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance198481BeginningOfYearBalance
Investment Earnings Or Losses266InvestmentEarningsOrLosses
Other Expenditures266OtherExpenditures
End Of Year Balance198481EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance198481BeginningOfYearBalance
Investment Earnings Or Losses237InvestmentEarningsOrLosses
Other Expenditures237OtherExpenditures
End Of Year Balance198481EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance170991BeginningOfYearBalance
Contributions503114Contributions
Investment Earnings Or Losses27330InvestmentEarningsOrLosses
Other Expenditures502954OtherExpenditures
End Of Year Balance198481EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance159506BeginningOfYearBalance
Contributions151426Contributions
Investment Earnings Or Losses11485InvestmentEarningsOrLosses
Administrative Expenses151426AdministrativeExpenses
End Of Year Balance170991EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.91143BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.08857PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis216225OtherCostOrOtherBasis
Book Value216225BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis937247OtherCostOrOtherBasis
Depreciation435525Depreciation
Book Value501722BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis231404OtherCostOrOtherBasis
Depreciation220992Depreciation
Book Value10411BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14356OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value14356BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings742714TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionINSURANCE RECOVERY RECEIVABLEDescription
Book Value578495BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets578495TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$541,076Amount
FieldValueIRS element (for citing)
Total Of Amounts541076TotalOfAmounts
Total Revenue5662692TotalRevenue
Total Expenses5734774TotalExpenses
Excess Or Deficit For Year-72082ExcessOrDeficitForYear
Other-$175,000OtherAmount
Total Adjustments-175000TotalAdjustments
Excess Or Deficit Per FS-247082ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6071195TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities254381DonatedSrvcAndUseOfFacilities
Other Revenues154122OtherRevenues
Revenue Not Rptd F990408503RevenueNotRptdF990
Revenue Subtotal5662692RevenueSubtotal
Total Revenue Per Form9905662692TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6318277TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities254381DonatedServicesUseOfFacilities
Other Expenses Included329122OtherExpensesIncluded
Expenses Not Rptd F990583503ExpensesNotRptdF990
Expenses Subtotal5734774ExpensesSubtotal
Total Expenses Per Form9905734774TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4Describe the Intended uses of the organization's endowment funds.The Organization's endowment consists of donor permanently restricted endowment funds and funds designated by the governing body to function as endowments (board designated endowment funds). The endowment was formed to support the programs and services of Seniors! Inc.
Part X, Line 2Uncertain Tax PositionsManagement has evaluated their income tax positions under the guidance included 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.
Part XI, Line 8Other changes in net assetsImpairment of goodwill (175,000)
Part XII, Line 2DOther revenue on books, not on returnFundraising Expenses reclassified to revenue statement 154,122
Part XIII, Line 2dOther Expense on books, not on returnFundraising Expenses reclassified to revenue statement 154,122 Impairment of goodwill 175,000 total 329,122

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MoonlightNameOfEvent1
Gross Receipts Event1186741GrossReceiptsEvent1
Charitable Contributions Event121500CharitableContributionsEvent1
Gross Revenue Event1165241GrossRevenueEvent1
Non Cash Prizes Event12500NonCashPrizesEvent1
Food And Beverage Event113576FoodAndBeverageEvent1
Entertainment Event110165EntertainmentEvent1
Other Direct Expenses Event1127881OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total186741GrossReceiptsTotal
Charitable Contributions Total21500CharitableContributionsTotal
Gross Revenue Total Events165241GrossRevenueTotalEvents
Non Cash Prizes Total Events2500NonCashPrizesTotalEvents
Food And Beverage Total Events13576FoodAndBeverageTotalEvents
Entertainment Total Events10165EntertainmentTotalEvents
Other Direct Expenses Total Events127881OtherDirectExpensesTotalEvents
Direct Expense Summary Events154122DirectExpenseSummaryEvents
Net Income Summary11119NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 (3 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Karin Gillies
163470306804770105082051350
Lori Rothwell
121505219096806129799911615080
Maureen Hewitt
2926068307979402450207124067870

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSchedule J, Part I, Line 4cIdentifier
Return ReferenceSeveranceReturnReference
ExplanationDan Blythe received a severance payment of $24,959.81 during the 2011 calendar year.Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XFood/Beverages11550202FMV
XSupplies42500FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierPart I, Column BIdentifier
Return ReferenceNumber of ContributionsReturnReference
ExplanationThe number listed in column b represents the number of contributions received.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (19 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART III, LINE 2 & 3SIGNIFICANT CHANGES IN PROGRAM SERVICESInnovAge Home Care (IHC) acquired a Skilled Nursing agency in Estes Park, Colorado in January, 2012. Effective March 1, 2012, IHC consolidated its Canon City, Colorado office with the Pueblo office to increase operational efficiencies.
FORM 990, PART III, LINE 4DOTHER PROGRAM SERVICESInnovage Home Care provides other services to our community, such as the foster grandparent program, energy outreach, prescription drug maintenance, Medicare & Medicaid counseling, helpline, money management, experience at work, and transportation. Foster Grandparents: Foster Grandparents is a national program through which volunteers receive a modest tax-free stipend to tutor and offer emotional support to disadvantaged children with low literacy skills. Foster Grandparents specialize in working one-on-one with children who need extra attention. For example, children in special education programs or those who need assistance catching up after an illness. Help Line: Volunteers provide information to callers about valuable community resources, such as yard work assistance, snow removal, help with hospital and/or utility bills, etc. Prescription Drug Assistance Service: This service helps individuals obtain prescription medications from pharmaceutical companies at little or no cost (many, but not all drugs are available). Individuals are also screened for eligibility for other types of assistance. If they qualify, volunteers help them fill out and submit the required application(s). Medicare/Medicaid Outreach: IHC screens callers for eligibility for all types of assistance. For those qualified, volunteers help to fill out and submit the required applications. Many of the people who call are eligible for public benefits through Medicare or Medicaid. Homemaker Program: This program provides free temporary respite care services by assisting with cooking and light housekeeping needs. Money Management Program - Bill Payer Service: Trained, insured, and supervised volunteers assist clients with organizing their paperwork and mail; organizing, review, and payment of monthly bills; checkbook management and checkbook balancing; personal budgeting; and related personal financial matters. Senior Health Insurance Assistance Program (SHIP): Trained counselors provide accurate and objective counseling, assistance, and education about Medicare and health insurance plans. Senior Community Service Employment Program (SCSEP): SCSEP is a national program providing subsidized, part-time, work-based training. Program participants are placed in a wide variety of community service activities at non-profit and government agencies, work an average of 20 hours a week, and are paid minimum wage It is intended that these community service experiences serve as a bridge to other employment positions that are not supported with federal funds. Care Calls: Volunteers provide free daily or weekly check-in telephone calls for just a friendly chat and to find out if everything is going well for homebound seniors. Transportation Program: Transportation services are available under this program - one for which there is a fee, and one for which there is no charge (although riders are asked to make a donation to support the program). Transportation is available to all Denver Home Care clients either as fee-for-service for Medicaid clients or included in the cost of care for those who pay privately. Other seniors who call for transportation are accommodated as scheduling permits. No-cost rides are primarily allotted to individuals with low incomes for grocery shopping or medical appointments.
FORM 990, PART VI, LINE 4SIGNIFICANT CHANGES TO THE ORGANIZATION'S BYLAWSTHE ORGANIZATION UPDATED THE BYLAWS TO INCLUDE THE FOLLOWING ADDITION: THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL HAVE THE AUTHORITY, UPON ONE OR MORE RESOLUTIONS ADOPTED BY A MAJORITY OF THE DIRECTORS THEN IN OFFICE TO: (I) SELECT AND EMPLOY A QUALIFIED ADMINISTRATOR(S) WHO SHALL HAVE THE AUTHORITY AND RESPONSIBILITY TO OPERATE AND MANAGE THE CORPORATION'S SKILLED HEALTH SERVICES AND OVERALL FUNCTIONS IN ACCORDANCE WITH THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT STANDARDS FOR HOSPITALS AND HEALTH FACILITIES, AND (ii) DESIGNATE AND EMPLOY ONE OR MORE INDIVIDUALS AS THE AGENCY MANAGER(S) WHO SHALL HAVE THE AUTHORITY AND RESPONSIBILITY TO SUPERVISE THE PROVISION OF NON-MEDICAL/PERSONAL CARE SERVICES OF THE CORPORATION IN ACCORDANCE WITH THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT STANDARDS FOR HOSPITALS AND HEALTH FACILITIES. FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS For 990 purposes, Innovage, a related entity, is a member of Innovage Home Care. Innovage appoints board members for the organization.
FORM 990, PART VI, LINE 7AELECTION OF GOVERNING BODYInnovage approves and can remove board appointments.
FORM 990, PART VI, LINE 7BDECISIONS SUBJECT TO APPROVALInnovage approves strategic business plans and budgets.
FORM 990, PART VI, LINE 11BDESCRIBE PROCESS TO REVIEW 990The 990 is prepared by a third party preparer and an initial review is conducted by the Director of Accounting and CFO of the Organization. A secondary review is conducted by the Audit Committee and the final version of the 990 is made available to the entire board prior to filing the return with the IRS.
FORM 990, PART VI, LINE 12CDESCRIBE HOW CONFLICT OF INTEREST POLICY IS MONITORED & ENFORCEDThe compliance department of Innovage, a related organization, maintains a master conflict of interest spreadsheet that is updated annually. The compliance officer routinely reviews the spreadsheet to monitor potential conflicts that have been identified. The compliance officer works closely with the board-appointed audit committee to monitor and address potential conflicts and to ensure the conflict of interest policy for board members is followed. Annual compliance education is provided to staff and board members. The compliance officer, in conjunction with HR, monitors potential conflicts that have been identified by key employees. At board meetings, the board asks its members if there are any conflicts of interest. If a conflict is identified, the board member is recused from voting and may not participate in the decision making process regarding the conflict.
FORM 990, PART VI, LINE 15A & 15BDESCRIBE PROCESS FOR DETERMINING COMPENSATIONIn 2011 Human Capital Connection, an external compensation consultant conducted a full review of executive salaries. The study was based on comparability data based on organization mission, tax status, scope (budget, staff size), program offerings, locations, and talent pool for executive attraction/retention. Sources included independent compensation surveys, 990 data and SEC filings, and actual written offers. All elements of total compensation were considered in determining reasonableness. Human Capital Connection submitted salary recommendations that were submitted to the full Board of Directors for final approval.
FORM 990, PART VI, LINE 19DESCRIBE HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLICInnovAge Home Care makes its governing documents, financials statements and conflict of interest policy available upon request.
FORM 990, PART XI, LINE 5OTHER CHANGES IN NET ASSETSIMPAIRMENT OF GOODWILL (175,000)
FORM 990, PART V, LINE 1A1099sFor the 2011 tax year, all 1099s were issued through Total Longterm Care, dba Innovage Greater Colorado PACE, a related entity.
FORM 990, PART VII AND PART IXDr. Bennett ParnesCOMPENSATION LISTED ON PART VII FOR DR. PARNES IS FOR SERVICES PROVIDED TO INNOVAGE GREATER COLORADO PACE, A RELATED ORGANIZATION, AND NOT FOR HIS SERVICE AS A BOARD MEMBER OF INNOVAGE HOME CARE. LINE 5 OF PART IX DOES NOT INCLUDE AMOUNTS FOR HIS COMPENSATION SINCE IT IS NOT A PART OF THIS ORGANIZATION'S EXPENSES.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Jerri Brainard TITLE:Chairman: 10/06 - Current HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Dr. Bennett Parnes TITLE:Board Member: 04/12 - Current HOURS:39
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Karin Gillies TITLE:Treasurer, CFO: 04/11 - 03/12 HOURS:38
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Lori Rothwell TITLE:Secretary: 04/11 - 03/12 HOURS:38
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Maureen Hewitt TITLE:President: 04/11 - Current HOURS:38
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANGELA OAKLEY - treasurer eff 6/12 TITLE:CFO: 04/12 - CURRENT HOURS:38
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:VANESSA WALTON TITLE:SECRETARY 3/12 - CURRENT HOURS:38

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1INNOVAGE HOME CARE NORTHBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18950 E Lowry BlvdAddressLine1
CityDenverCity
StateCOState
ZIP Code80230ZIPCode
FieldValueIRS element (for citing)
EIN113757939EIN
Primary ActivitiesHOME CAREPrimaryActivities
Legal Domicile StateCOLegalDomicileState
Total Income183880TotalIncome
EOY Assets55040EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Innovage
8950 E LOWRY BLVDDENVERCO80203341547962HOLDING COCO501(c)(3)ln11 type INAfalse
INNOVAGE GREATER COLORADO PACE (TLC)
8950 E Lowry BlvdDenverCO80230742555064PACE PROGRAMCO501(C)(3)LINE 9INNOVAGEfalse
INNOVAGE JOHNSON ADULT DAY PROGRAM INC
8950 E Lowry BlvdDenverCO80230263724459ADULT DAY CTRCO501(C)(3)LINE 9INNOVAGEfalse
Innovage Foundation
8950 E Lowry BlvdDenverCO80230262700185FOUNDATIONCO501(C)(3)LINE 7INNOVAGEfalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PINEWOOD LODGE LLLPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 E IRONTONAddressLine1
CityAURORACity
StateCOState
ZIP Code80012ZIPCode
FieldValueIRS element (for citing)
EIN200450308EIN
Primary ActivitySR. AFFOR. HOUSEPrimaryActivity
Legal Domicile StateCOLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TLC INCBusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CONTINENTAL COMMUNITY HOUSING INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18950 E Lowry BlvdAddressLine1
CityDenverCity
StateCOState
ZIP Code80230ZIPCode
FieldValueIRS element (for citing)
EIN264520899EIN
Primary ActivitySR. HOUSINGPrimaryActivity
Legal Domicile StateCOLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TLC INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg