SANGRE DE CRISTO HOSPICE & PALLIATIVE CARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SANGRE DE CRISTO HOSPICE & PALLIATIVE CARE (EIN 74-2336442)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-06-22
IRS object ID
201221749349300317
Schema version
2011v1.2
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)
Timestamp2012-06-22T10:37:44-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JDS PROFESSIONAL GROUPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15670 GREENWOOD PLAZA BLVD STE 200AddressLine1
CityGREENWOOD VILLAGECity
StateCOState
ZIP Code80111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742336442EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SANGRE DE CRISTO HOSPICE &BusinessNameLine1
Business Name Line2PALLIATIVE CAREBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSANGNameControl
Phone7195420032Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11207 PUEBLO BLVD WAYAddressLine1
CityPUEBLOCity
StateCOState
ZIP Code81005ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCAREN ERMELName
TitleCEOTitle
Phone7195420032Phone
Date Signed2012-06-19DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLORI B BAUER CPAName
Phone3037710123Phone
Date Prepared2012-06-20DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCAREN ERMELNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11207 PUEBLO BLVD WAYAddressLine1
CityPUEBLOCity
StateCOState
ZIP Code81005ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11519687GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PUEBLOHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF THE HOSPICE IS TO PROVIDE TERMINALLY ILL PATIENTS WITH THE NECESSARY PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO ENSURE THE BEST QUALITY OF THEIR REMAINING LIVES, ALLOWING THEM TO DIE WITH DIGNITY. HOSPICE ALSO PROVIDES BEREAVEMENT COUNSELING.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees216TotalNbrEmployees
Total Nbr Volunteers153TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year282101ContributionsGrantsPriorYear
Contributions Grants Current Year383865ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8164658ProgramServiceRevenuePriorYear
Program Service Revenue CY11121178ProgramServiceRevenueCY
Investment Income Prior Year10474InvestmentIncomePriorYear
Investment Income Current Year-19032InvestmentIncomeCurrentYear
Other Revenue Prior Year-26141OtherRevenuePriorYear
Other Revenue Current Year559OtherRevenueCurrentYear
Total Revenue Prior Year8431092TotalRevenuePriorYear
Total Revenue Current Year11486570TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4984979SalariesEtcPriorYear
Salaries Etc Current Year6732998SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year93388TotalFundrsngExpCurrentYear
Other Expense Prior Year3286949OtherExpensePriorYear
Other Expenses Current Year3870955OtherExpensesCurrentYear
Total Expenses Prior Year8271928TotalExpensesPriorYear
Total Expenses Current Year10603953TotalExpensesCurrentYear
Revenues Less Expenses Prior Year159164RevenuesLessExpensesPriorYear
Revenues Less Expenses CY882617RevenuesLessExpensesCY
Total Assets BOY6376784TotalAssetsBOY
Total Assets EOY7642481TotalAssetsEOY
Total Liabilities BOY2783392TotalLiabilitiesBOY
Total Liabilities EOY3166960TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3593392NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4475521NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF THE HOSPICE IS TO PROVIDE TERMINALLY ILL PATIENTS WITH THE NECESSARY PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO ENSURE THE BEST QUALITY OF THEIR REMAINING LIVES, ALLOWING THEM TO DIE WITH DIGNITY. HOSPICE ALSO PROVIDES BEREAVEMENT COUNSELING.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8423562Expense
Revenue11121178Revenue
DescriptionTHE ORGANIZATION PROVIDED 61,823 DAYS OF CARE DURING 2011.Description
Total Program Service Expense8423562TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
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 EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees216NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
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 PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCOStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7195420032TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11207 PUEBLO BLVD WAYAddressLine1
CityPUEBLOCity
StateCOState
ZIP Code81005ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
PHILIP E MANCHA
VICE CHAIR10.00XX000
EILEEN DENNIS
BOARD MEMBER10.00X000
JOEL OLSON
TREASURER10.00XX000
JOYCE VIGIL
BOARD MEMBER10.00X000
JANE GARNETT
BOARD MEMBER10.00X000
JULIA VEEN
BOARD MEMBER10.00X000
GERRY MONTGOMERY
BOARD MEMBER10.00X000
WILLIAM GLIDDEN
BOARD MEMBER10.00X000
ROBERT KIPPLEY
BOARD MEMBER10.00X000
W GREG BELL
BOARD MEMBER10.00X000
THERESE COLALANCIA
CHAIR10.00XX000
CAREN ERMEL
CEO50.00X10433903889
MARLOW SLOAN
MD50.0019303304771X
FieldValueIRS element (for citing)
Total Reportable Comp From Org297372TotalReportableCompFromOrg
Total Other Compensation8660TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events29999FundraisingEvents
All Other Contributions353866AllOtherContributions
Noncash Contributions47427NoncashContributions
Total Contributions383865TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPICE HOME CARE62161084424068442406
IN-PATIENT CARE62399026787722678772
FieldValueIRS element (for citing)
Total Program Service Revenue11121178TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3191TotalRevenueColumn
Exclusion$3,191ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other22223Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-22223Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-22223TotalRevenueColumn
Exclusion-$22,223ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events10894GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events29999CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses10894FundraisingDirectExpenses

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Total Revenue Column559TotalRevenueColumn
Related Or Exempt Function Income559RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue559TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11486570TotalRevenueColumn
Related Or Exempt Function Income11121737RelatedOrExemptFunctionIncome
Exclusion-$19,032ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total108228Total
Program Services83119ProgramServices
Management And General24351ManagementAndGeneral
Fundraising758Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5680635Total
Program Services4357057ProgramServices
Management And General1279984ManagementAndGeneral
Fundraising43594Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total539381Total
Program Services414239ProgramServices
Management And General121388ManagementAndGeneral
Fundraising3754Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total404754Total
Program Services310847ProgramServices
Management And General91090ManagementAndGeneral
Fundraising2817Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total21234Total
Management And General21234ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total123974Total
Management And General81242ManagementAndGeneral
Fundraising42732Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total96282Total
Program Services52913ProgramServices
Management And General42699ManagementAndGeneral
Fundraising670Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total98357Total
Program Services91764ProgramServices
Management And General6182ManagementAndGeneral
Fundraising411Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total146915Total
Program Services112829ProgramServices
Management And General33063ManagementAndGeneral
Fundraising1023Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total304452Total
Program Services286995ProgramServices
Management And General17457ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total110725Total
Program Services30213ProgramServices
Management And General80512ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total116332Total
Program Services58166ProgramServices
Management And General58166ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total185609Total
Program Services142546ProgramServices
Management And General41771ManagementAndGeneral
Fundraising1292Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total61176Total
Program Services7471ProgramServices
Management And General53705ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAID ROOM & BOARD10711011071101
MEDICAL SUPPLIES733308733308
MEDICAL EQUIP388427388427
PATIENT EXPENSES125342125342

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total287721Total
Program Services157225ProgramServices
Management And General134159ManagementAndGeneral
Fundraising-3663Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10603953Total
Program Services8423562ProgramServices
Management And General2087003ManagementAndGeneral
Fundraising93388Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY24542BOY
EOY52632EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1858464BOY
EOY1220834EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY813143BOY
EOY1293385EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY23751BOY
EOY32561EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY40977BOY
EOY78208EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4758791LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec799574LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3614557BOY
EOY3959217EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY1000212EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY2732EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1350BOY
EOY2700EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6376784BOY
EOY7642481EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY564432BOY
EOY725174EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2218960BOY
EOY2441786EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2783392BOY
EOY3166960EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3593392BOY
EOY4460911EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY14610EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3593392BOY
EOY4475521EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6376784BOY
EOY7642481EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses882617ReconcilationRevenueExpenses
Reconcilation Other Changes-488ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years337631CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years422353CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years364618CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year282101CurrentTaxYearMinus1Year
Current Tax Year383865CurrentTaxYear
Total1790568Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years337631CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years422353CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years364618CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year282101CurrentTaxYearMinus1Year
Current Tax Year383865CurrentTaxYear
Total1790568Total
FieldValueIRS element (for citing)
Public Support Total1701790568PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16019CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15603CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6400CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10274CurrentTaxYearMinus1Year
Current Tax Year3191CurrentTaxYear
Total51487Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year559CurrentTaxYear
Total559Total
FieldValueIRS element (for citing)
Total Support1842614TotalSupport
Gross Receipts From Admissions Etc34568201GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97180PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96370PublicSupportPertcentPriorYear
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)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis241886OtherCostOrOtherBasis
Book Value241886BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3853406OtherCostOrOtherBasis
Depreciation419171Depreciation
Book Value3434235BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis508608OtherCostOrOtherBasis
Depreciation287055Depreciation
Book Value221553BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis154891OtherCostOrOtherBasis
Depreciation93348Depreciation
Book Value61543BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3959217TotalOfBookValueLandBuildings
Total Revenue11486570TotalRevenue
Total Expenses10603953TotalExpenses
Excess Or Deficit For Year882617ExcessOrDeficitForYear
Net Unrealized GL On Investments-488NetUnrealizedGLOnInvestments
Total Adjustments-488TotalAdjustments
Excess Or Deficit Per FS882129ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11496976TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-488NetUnrealizedGainsInvestments
Other Revenues10894OtherRevenues
Revenue Not Rptd F99010406RevenueNotRptdF990
Revenue Subtotal11486570RevenueSubtotal
Total Revenue Per Form99011486570TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10614847TotExpensesEtcAuditedFinclStmt
Other Expenses Included10894OtherExpensesIncluded
Expenses Not Rptd F99010894ExpensesNotRptdF990
Expenses Subtotal10603953ExpensesSubtotal
Total Expenses Per Form99010603953TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XTHE ORGANIZATION FOLLOWS ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH REQUIRES THE ORGANIZATION TO DETERMINE WHETHER A TAX POSITION (AND THE RELATED TAX BENEFIT) IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY, BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT TO BE RECOGNIZED IS MEASURED AS THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT, PRESUMING THAT THE TAX POSITION IS EXAMINED BY THE APPROPRIATE TAXING AUTHORITY THAT HAS FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. DURING THE YEARS ENDED DECEMBER 31, 2011 AND 2010, THE ORGANIZATION'S MANAGEMENT EVALUATED ITS TAX POSITIONS TO DETERMINE THE EXISTENCE OF UNCERTAINTIES, AND DID NOT NOTE ANY MATTERS THAT WOULD REQUIRE RECOGNITION OR WHICH MAY HAVE AN AFFECT ON ITS TAX-EXEMPT STATUS.
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8SPECIAL EVENT EXPENSES 10,894 SPECIAL EVENT EXPENSES -10,894
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DSPECIAL EVENT EXPENSES 10,894
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DSPECIAL EVENT EXPENSES 10,894

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1REFLECTIONS INNameOfEvent1
Gross Receipts Event126940GrossReceiptsEvent1
Charitable Contributions Event121659CharitableContributionsEvent1
Gross Revenue Event15281GrossRevenueEvent1
Other Direct Expenses Event15281OtherDirectExpensesEvent1
Name Of Event2CHARITY GOLF TONameOfEvent2
Gross Receipts Event213953GrossReceiptsEvent2
Charitable Contributions Event28340CharitableContributionsEvent2
Gross Revenue Event25613GrossRevenueEvent2
Other Direct Expenses Event25613OtherDirectExpensesEvent2
Gross Receipts Total40893GrossReceiptsTotal
Charitable Contributions Total29999CharitableContributionsTotal
Gross Revenue Total Events10894GrossRevenueTotalEvents
Other Direct Expenses Total Events10894OtherDirectExpensesTotalEvents
Direct Expense Summary Events10894DirectExpenseSummaryEvents

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
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

FieldValueIRS element (for citing)
Name PersonMARLOW SLOANNamePerson
Base Compensation Filing Org193033BaseCompensationFilingOrg
Nontaxable Benefits Filing Org4771NontaxableBenefitsFilingOrg
Total Compensation Filing Org197804TotalCompensationFilingOrg

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9903481NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9903302NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XMISC SUPPLIES7511039FMV
XPIANO16000FMV
XEVENT ITEMS5023605FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTHE MISSION OF THE HOSPICE IS TO PROVIDE TERMINALLY ILL PATIENTS WITH THE NECESSARY PHYSICAL, EMOTIONAL AND SPIRITUAL SUPPORT TO ENSURE THE BEST QUALITY OF THEIR REMAINING LIVES, ALLOWING THEM TO DIE WITH DIGNITY. HOSPICE ALSO PROVIDES BEREAVEMENT COUNSELING.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE BOARD REVIEWS AND APPROVES THE 990 BEFORE FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CEMPLOYEES AND BOARD MEMBERS SIGN A FORM ACKNOWLEDGING THEY KNOW THE POLICY. THE POLICY IS REVIEWED ANNUALLY BY THE BOARD AND THE REVIEW IS DOCUMENTED. ON A PERIODIC BASIS THE POLICY IS REVIEWED WITH STAFF AND ACKNOWLEDGEMENT OF THE REVIEW IS DOCUMENTED.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD REVIEWS AND APPROVES THE COMPENSATION LEVELS OF SIGNIFICANT PERSONNEL OF THE ORGANIZATION.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD REVIEWS AND APPROVES THE COMPENSATION LEVELS OF SIGNIFICANT PERSONNEL.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SANGRE DE CRISTO HOSPICE FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11207 PUEBLO BLVD WAYAddressLine1
CityPUEBLOCity
StateCOState
ZIP Code81005ZIPCode
FieldValueIRS element (for citing)
EIN452219321EIN
Primary ActivitiesFOUNDATIONPrimaryActivities
Legal Domicile StateCOLegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status11APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
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 OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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 FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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