2012-05-04T08:58:36-05:00 2011-12-31 BKD LLP 111 South Tejon Suite 800 Colorado Springs CO 809039848 990 2011-01-01 840748577 Hospice of Boulder County DBA HospiceCare of Boulder & Broomfield Co % THE ORGANIZATION HOSP 3034497740 2594 Trailridge Drive East Lafayette CO 80026 DARLA SCHUETH 2012-05-15 true Rita F Worster CPA 7194714290 2011 2016-02-24 21:20:13Z DARLA SCHUETH PRESIDENTCEO 2594 TRAILRIDGE DRIVE EAST LAFAYETTE CO 80029 22390447 false X www.hospicecareonline.org X 1977 CO To provide compassionate end-of-life care, guide and comfort the grieving, and educate our community. 24 23 244 465 0 1348506 1746415 14067649 16282388 114380 475247 95076 -382067 15625611 18121983 0 0 0 0 9734311 10766305 0 0 271547 5121527 5606737 14855838 16373042 769773 1748941 11815536 13294525 1202067 1443071 10613469 11851454 We provide medical treatment and support for terminally ill patients and their families. false false 12259686 15747585 Hospice Care: Provides family-centered, compassionate end-of-life care, including pain management and symptom control, to those in need of physical, emotional, and spiritual well-being. Grief counseling: Provides family grief counseling and support for at least one year following death, and ongoing bereavement support groups for the entire community. 249058 342976 Home Health: Provides palliative care to homebound, terminally ill individuals who are pursuing curative, life-prolonging treatments. 804043 238737 Palliative physician practice: Provides physician consultative services for patients seeking palliative care treatments and options. 13312787 true true false false false false false false true true false false false false false true false false false false false false false true false false false false true false false false false false false false false true false false false false false false false false false true 47 0 true 244 true false false false false false true true false false false false X 24 23 false false false false false false false true true false false true true true true true true true false false X THE ORGANIZATION 3034497740 2594 TRAILRIDGE DRIVE EAST LAFAYETTE CO 80026 Goldino Alves 1.0 X 0 0 0 Cindy Carillo 1.0 X X 0 0 0 Frank Chrisbens 1.0 X 0 0 0 Jim Eraker 1.0 X 0 0 0 Peter Ewing MD 1.0 X 0 0 0 Scott Gresser 1.0 X X 0 0 0 David Hamm 1.0 X 0 0 0 Rebecca Herman 1.0 X X 0 0 0 David Hill 1.0 X 0 0 0 Michael Hindman 1.0 X 0 0 0 Amanda Howe 1.0 X 0 0 0 Deborah M Kelly 1.0 X X 0 0 0 Lin Loftus 1.0 X 0 0 0 Ed McDowell 1.0 X 0 0 0 Bill Munson 1.0 X 0 0 0 Dean Obenauer 1.0 X 0 0 0 Timothy Schafer 1.0 X 0 0 0 Marcia Schirmer 1.0 X X 0 0 0 Diana Slough 1.0 X 0 0 0 Scot Smith 1.0 X 0 0 0 Peter Steinhauer 1.0 X 0 0 0 Jeff Stiffler 1.0 X 0 0 0 Sharon Svendsen 1.0 X 0 0 0 Darla Schueth 40.0 X X 196080 0 11966 Jim Skrine 1.0 X 0 0 0 Patricia Mehnert 40.0 X 122797 0 8702 Michele Ferguson 40.0 X 149415 0 9363 Brian Hoag 40.0 X 109982 0 4386 578274 0 34417 4 false true false Balfour Retirement Community 1855 Plaza Dr LOUISVILLE CO 80027 CARE CENTER 434022 Frasier Meadows Manor 350 Ponca Place BOULDER CO 80303 nursing home 233361 Manorcare Health Service Dept L-2653 COLUMBUS OH 43260 nursing home 194732 Boulder Manor 4685 E Baseline Rd BOULDER CO 80303 nursing home 113690 Life Care of Westminster 7751 Zenobia Court WESTMINSTER CO 80030 nursing home 102775 7 258579 25750 1462086 661377 1746415 MEDICARE/MEDICAID 900099 14737495 14737495 COMMERCIAL REVENUE 900099 1244129 1244129 PHYSICIAN SERVICES 900099 212612 212612 PATIENT SELF-PAY 900099 56331 56331 INDIGENT CARE 900099 31821 31821 16282388 151571 151571 0 0 3528399 3204723 323676 323676 323676 30700 258579 42365 -11665 -11665 0 604064 1021376 -417312 -417312 VENDOR DISCOUNTS 900099 39087 39087 MISCELLANEOUS REVENUE 900099 7823 7823 46910 18121983 16329298 46270 0 0 0 0 612690 516800 84633 11257 0 8378875 7082382 1141473 155020 141259 114943 24023 2293 923274 751269 157018 14987 710207 605624 91131 13452 0 0 68249 0 68249 0 0 0 25778 0 25778 0 154890 70051 84679 160 71846 0 71846 0 549304 208054 293732 47518 195911 87 194295 1529 0 609371 444228 165143 0 404459 381502 22094 863 0 32710 15090 17423 197 0 0 272995 64802 208193 0 234041 143280 85972 4789 PATIENT SUPPLIES 2488966 2484816 4150 0 VOLUNTEER EXPENSE 245531 245531 0 0 DUES & PUBLICATIONS 61701 3225 56022 2454 PROV FOR UNCOLLECTIBLE ACCTS 57443 57443 0 0 133542 25545 90969 17028 16373042 13214672 2886823 271547 1073108 1828609 1245693 1486106 58805 19256 1725679 2221246 0 0 44844 66841 45798 31367 3125418 858469 2240770 2266949 5380839 5374151 0 0 0 0 11815536 13294525 1202067 1437566 0 5505 1202067 1443071 X 10239719 11552249 109190 34645 264560 264560 10613469 11851454 11815536 13294525 X 1748941 -510956 X false true true X false X 1094578 800486 1097273 1348506 1621678 5962521 1094578 800486 1097273 1348506 1621678 5962521 469300 5493221 207454 135632 127526 139503 151571 761686 6724207 68461594 0.81693 0.84730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3227991 252703 -74363 53734 3352597 2707672 221513 317394 18588 3227991 1895009 501773 331191 20301 2707672 2230693 91813 -406009 21488 1895009 0.91080 0.07890 0.01030 false false 700000 700000 1290176 443707 846469 106401 49220 57181 757644 270569 487075 271197 94973 176224 2266949 18121983 16373042 1748941 -489995 -20961 -510956 1237985 17650437 -489995 44077 -445918 18096355 25628 25628 18121983 16510567 39410 39410 16471157 16471157 PART V, LINE 4 INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS Temporarily restricted net assets are those whose use by the Organization has been limited by donors to a specific time period or purpose. Permanently restricted net assets have been restricted by donors to be maintained by the Organization in perpetuity. PART X, LINE 2 UNCERTAIN TAX POSITIONS MANAGEMENT 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 8 DESCRIPTION OF OTHER CHANGES IN NET ASSETS CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS (20,961) PART XII, LINE 4B DESCRIPTION OF OTHER CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 20,961 IN-KIND RENT EXPENSE REDUCED FROM COGS 4,667 PIZAZZ 288579 258579 30000 28941 POLO 7024 0 288579 258579 30000 35965 35965 -5965 X X X false false false false false false false true false Darla Schueth 174498 0 21582 0 0 0 7172 0 4794 0 208046 0 0 0 Michele Ferguson 147800 0 1615 0 0 0 6107 0 3256 0 158778 0 0 0 Part I, Line 7 Non-fixed Payments The board of directors approved a year-end discretionary bonus to employees. X 30203 fair market value X 573861 fair market value X 1 50363 fair market value X 10 4050 cost X miscellaneous 5 2900 cost 0 false true false FORM 990, PART VI, LINE 11B PROCESS TO REVIEW THE FORM 990 A copy of the form 990 was presented to the governing body at the Board of Directors Meeting. FORM 990, PART VI, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY The conflict of interest policy is discussed and reviewed annually. On an annual basis, all board of directors and key employees disclose conflicts of interest, if any. This documentation requires signature and is filed with the organization once all conflicts are resolved, if any. FORM 990, PART VI, LINE 15A EXECUTIVE COMPENSATION 1. The performance review tool is distributed to the Board of Directors at the September Board meeting. 2. Directors complete the review tool and return it to Hospice Care Director of Human Resources by October 1. 3. The Chair of the Board receives the review from the Director of Human Resources and compiles a summary of responses for consideration by the Executive Committee. Compensation information will be included and will be gathered from various sources, i.e., Healthcare/Hospice industry information, form 990s of similar sized non-profits, association surveys (Colorado Association of Non-Profits and/or Mountain States). 4. The Chair of the Board will report a summary of the review andthe Executive Committee's compensation recommendation at the December board meeting. FORM 990, PART VI, LINE 19 AVAILABILITY OF DOCUMENTS TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS UNREALIZED LOSS (489,995) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS (20,961) FORM 990, PART XII, LINE 2C CHANGE IN THE ORGANIZATION'S OVERSIGHT/SELECTION PROCESS The organization changed independent auditors from CBIZ MHM, LLC to BKD, LLP.