2012-08-07T12:29:02-05:00 2011-12-31 840795096 DALBY WENDLAND & CO PC P O BOX 430 GRAND JUNCTION CO 81502 990 2011-01-01 841207388 HOSPICE & PALLIATIVE CARE OF WESTERN COLORADO HOSP 9702412212 3090 NORTH 12TH STREET UNIT B GRAND JUNCTION CO 81506 CHRISTY WHITNEY 9702412212 2012-08-03 1 DANIEL S VOGEL P00094517 9702431921 2011 2016-02-24 21:20:13Z CHRISTY WHITNEY 3090 NORTH 12TH STREET UNIT B GRAND JUNCTION CO 81506 30599266 0 X WWW.HOSPICEWCO.COM X 1993 CO TRANSFORMING QUALITY OF LIFE FOR THE SERIOUSLY ILL AND BEREAVED. 19 18 353 1206 13780 -18351 2367271 1926862 26947126 26908584 22768 14145 1122435 1144767 30459600 29994358 0 10000 0 0 16302334 18549799 0 0 449207 12451599 11526895 28753933 30086694 1705667 -92336 24439139 23735775 8909189 8298161 15529950 15437614 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 21274529 26851802 HOSPICE AND BEREAVEMENT CARE IS PROVIDED TO ADULTS AND CHILDREN OF MESA, DELTA, MONTROSE AND OURAY COUNTIES. HOSPICE CARE WAS PROVIDED TO OVER 1,600 INDIVIDUALS AND THEIR FAMILIES. 836404 69997 COMMUNITY PROGRAMS INCLUDE PALLIATIVE CARE, CAREGIVER SUPPORT AND CHILD & TEEN PROGRAMS THAT PROVIDE EXPANDED PROGRAMS TO FAMILIES FACING SEVERE ILLNESS AND GRIEF. 288 INDIVIDUALS RECEIVED PALLIATIVE CARE SERVICES. MORE THAN 870 PERSONS WERE RECIPIENTS OF SERVICES IN THE OTHER COMMUNITY PROGRAMS. 1038994 1087475 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. 453956 THE VOLUNTEER PROGRAM PROVIDES ESSENTIAL VOLUNTEER SERVICE IN THE AREAS OF PATIENT AND FAMILY SUPPORT AND OTHER PROGRAM ASSISTANCE. 1,206 VOLUNTEERS GAVE OVER 76,000 HOURS OF SUPPORT. 453956 23603883 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 0 0 1 0 0 0 0 0 0 0 0 0 1 138 0 1 353 1 1 1 0 0 0 0 1 1 0 0 0 0 X 19 18 0 0 0 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 230986 0 16770 LES ZETMEIR 6.00 X X 0 0 0 LAUREL WALTERS 6.00 X X 0 0 0 NORM FRANKE 2.00 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 KENNETH G LEIS 2.00 X 0 0 0 DENNIS LUCERO 2.00 X 0 0 0 ANN RENFROW 2.00 X 0 0 0 BARBARA MAHONEY 2.00 X 0 0 0 CHRIS THOMAS 2.00 X 0 0 0 CHRIS LAUNER 2.00 X 0 0 0 JUDY RIESSEN 2.00 X 0 0 0 RICK SAPP 2.00 X 0 0 0 JAMEE SIMONS 2.00 X 0 0 0 SARAH WALSH 60.00 X 134164 0 19673 KERRI MOSINSKI 65.00 X 136695 0 23385 AMY MOHLER 48.00 X 198692 0 25025 TERRI WALTER 60.00 X 126855 0 9290 DAVID WEST 65.00 X 160560 0 10770 KATHY O'SHEA 60.00 X 114790 0 5635 1102742 0 110548 10 0 1 0 SODEXO INC & AFFILIATES DEPT 880328 LOAS ANGELES CA 900880328 MANAGEMENT 704141 ADVANTAGE RN 4184 RELIABLE PKWY CHICAGO IL 606860041 CONTRACT LABOR 326141 PRIMARY CARE PARTNERS 2825 PATTERSON RD GRAND JUNCTION CO 81506 HOUSEKEEPING/LANDSCAPING 101479 3 63608 465718 1397536 171055 1926862 HOSPICE PALLIATIVE CAR 621610 26908584 26908584 26908584 14145 14145 251249 465718 220952 30297 30297 1485211 383956 1101255 1087475 13780 OTHER REVENUE 900099 13215 13215 13215 29994358 28009274 13780 44442 10000 10000 401593 401593 14738386 12072927 2361302 304157 158763 121235 34256 3272 2130824 1674532 412651 43641 1120233 854862 242303 23068 105831 105151 680 9021 1132 7889 145580 145580 4181900 3967269 192143 22488 172603 128478 43696 429 560407 234507 325900 38304 2888 35416 539437 447892 90254 1291 132670 71791 57057 3822 253218 145195 108023 876571 236754 638560 1257 145310 2085 143225 MEDICAL SUPPLIES AND DR 3020688 3020688 DUES AND SUBSCRIPTIONS 383656 53397 315049 15210 TELEPHONE / UTILITIES 290192 231097 59095 0 REPAIRS, MAINTENANCE, A 217999 139492 78507 453508 187662 235954 29892 30086694 23603883 6033604 449207 4125595 1611766 2108279 3260514 759041 341168 2748304 2795259 76085 62796 246290 501031 18756716 3659993 14327269 15096723 48276 66518 24439139 23735775 2806251 3017458 147842 101621 5866293 5092224 88803 86858 8909189 8298161 X 4944891 5281634 10575622 10145543 9437 10437 15529950 15437614 24439139 23735775 -92336 0 X 0 1 1 X 0 X 5443578 2277146 1958255 2367271 1926862 13973112 19625120 20128347 25436846 28516520 28658259 122365092 881284 1052073 39802 22768 14145 2010072 25949982 23457566 27434903 30906559 30599266 138348276 180520 515570 17001 18895 26180 758166 0 180520 515570 17001 18895 26180 758166 137590110 336965 140551 39871 22768 14145 554300 336965 140551 39871 22768 14145 554300 7500 17189 26376 9755 13215 74035 26294447 23615306 27501150 30939082 30626626 138976611 0.99000 0.98820 0.00400 0.00540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 41389 -1055 635 39699 18403 21500 1486 41389 15272 3131 18403 18912 -3640 15272 0.26300 0.73700 1 0 2753697 2753697 10232126 508259 9723867 1753725 915539 838186 3955213 2236195 1719018 61955 61955 15096723 ANNUITY PAYABLE 86858 86858 29994358 30086694 -92336 -92336 30433956 439598 439598 29994358 0 29994358 30526292 439598 439598 30086694 0 30086694 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 $ 218,646 FUNDRAISING EVENTS EXPENSE $ 220,952 PART XIII LINE 2(D) - EXPENSES NETTED AGAINST REVENUE ON 990 COST OF GOOD SOLD $ 218,646 FUNDRAISING EVENTS EXPENSE $ 220,952 0 0 0 0 0 0 0 0 0 0 SUB-SAHARAN AFRICA HOSPICE SUPPORT OF SISTER HOSPICE 10000 CHECK TO FNDN FOR HOSPICES IN SUB SAHARAN AFRICA 1 0 0 0 0 0 0 0 BLACK TIE & BOOTS 304627 208801 95826 1187 38036 3500 53277 FASHION SHOW 157472 112787 44685 3860 14676 0 17634 3 254868 144130 110738 14246 25607 7850 41080 716967 465718 251249 19293 78319 11350 111991 220953 30296 1 X X X X X 0 0 0 0 0 0 0 0 0 CHRISTY WHITNEY 205567 0 15000 0 10419 0 1000 0 15770 0 247756 0 0 0 SARAH WALSH 114114 0 20050 0 0 0 1000 0 18673 0 153837 0 0 0 KERRI MOSINSKI 116645 0 20050 0 0 0 1000 0 22385 0 160080 0 0 0 AMY MOHLER 181892 0 300 0 16500 0 1000 0 24025 0 223717 0 0 0 DAVID WEST 160510 0 50 0 0 0 0 0 10770 0 171330 0 0 0 MESA COUNTY COLORADO 846000783 2007-07-01 7000000 CONSTRUCTION OF CARE CENTER 0 0 0 7000000 30484 6959516 2008 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 775 MARKET VALUE X 4 29972 MARKET VALUE X 1 110000 MARKET VALUE X 1 75 MARKET VALUE X 59 17577 MARKET VALUE X MEMORIAL ENGRAVINGS & TILES 2 2128 MARKET VALUE X ADVERTISING 2 10028 MARKET VALUE X SUPPLIES 1 500 MARKET VALUE 0 1 0 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.