2011-08-12T09:13:08-05:00 2010-12-31 DALBY WENDLAND & CO PC P O BOX 430 GRAND JUNCTION CO 81502 990 2010-01-01 841207388 HOSPICE & PALLIATIVE CARE OF WESTERN COLORADO HOSP 9702412212 3090 NORTH 12TH STREET UNIT B GRAND JUNCTION CO 81506 CHRISTY WHITNEY 9702412212 2011-08-11 1 DANIEL S VOGEL 9702431921 2010 2016-02-24 21:20:13Z CHRISTY WHITNEY 3090 NORTH 12TH STREET UNIT B GRAND JUNCTION CO 81506 30906559 0 X WWW.HOSPICEWCO.COM X 1993 CO TRANSFORMING QUALITY OF LIFE FOR THE SERIOUSLY ILL AND BEREAVED. 17 16 325 1122 16505 -14394 1958255 2367271 24088421 26947126 39871 22768 1099091 1122435 27185638 30459600 0 0 0 0 15301995 16302334 0 0 438934 11427430 12451599 26729425 28753933 456213 1705667 23026815 24439139 9202532 8909189 13824283 15529950 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 21043767 26889494 HOSPICE AND BEREAVEMENT CARE IS PROVIDED TO ADULTS AND CHILDREN OF MESA, DELTA, MONTROSE AND OURAY COUNTIES. CARE WAS PROVIDED TO OVER 1,500 INDIVIDUALS AND THEIR FAMILIES. 693695 67387 COMMUNITY PROGRAMS INCLUDE PALLIATIVE CARE, CAREGIVER SUPPORT AND CHILD & TEEN PROGRAMS THAT PROVIDE EXPANDED PROGRAMS TO FAMILIES FACING SEVERE ILLNESS AND GRIEF. 291 INDIVIDUALS RECEIVED PALLIATIVE CARE SERVICES. MORE THAN 700 PERSONS WERE RECIPIENTS OF SERVICES IN THE OTHER COMMUNITY PROGRAMS. 1003263 1074959 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. 403819 THE VOLUNTEER PROGRAM PROVIDES ESSENTIAL VOLUNTEER SERVICE IN THE AREAS OF PATIENT AND FAMILY SUPPORT AND OTHER PROGRAM ASSISTANCE. 1,122 VOLUNTEERS GAVE OVER 77,000 HOURS OF SUPPORT. 403819 23144544 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 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 1 181 0 1 325 1 1 1 0 0 0 0 1 1 0 0 0 1 0 X 17 16 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 B NORTH 12TH STREET GRAND JUNCTION CO 81506 CHRISTY WHITNEY 65.00 X X 211319 0 16100 LES ZETMEIR 6.00 X X 0 0 0 LAUREL WALTERS 6.00 X X 0 0 0 NORM FRANKE 6.00 X X 0 0 0 IVAN GEER 2.00 X X 0 0 0 LARRY CLARK 2.00 X 0 0 0 GREGORY REICKS DO 2.00 X 0 0 0 JANICE BURTIS 2.00 X 0 0 0 DAVE CESARK 2.00 X 0 0 0 BRADLEY FELDHAUS 2.00 X 0 0 0 SANDY HEAD 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 PAT TUCKER 2.00 X 0 0 0 SARAH WALSH 60.00 X 132315 0 17814 KERRI MOSINSKI 65.00 X 122919 0 22909 AMY MOHLER 48.00 X 194392 0 26649 TERRI WALTER 60.00 X 105500 0 8620 CHARLES ROY 47.00 X 124868 0 7713 VICKI ROY 48.00 X 138016 0 16374 1029329 0 116179 8 0 1 0 ROCKY MOUNTAIN HMO PO BOX 172285 DENVER CO 80217 HEALTH INSURANCE 1777342 HOSPICE PHARMACIA LLC 701 MARKET ST 199-3490 PHILADELPHIA PA 19106 MEDICATIONS 1378306 MANTEY HEIGHTS 2825 PATTERSON RD GRAND JUNCTION CO 81506 NURSING HOME 504941 MESA MANOR CARE CENTER 2901 NORTH 12TH ST GRAND JUNCTION CO 81506 NURSING HOME 449079 LARCHWOOD INN 2845 NORTH 15TH STREET GRAND JUNCTION CO 81506 NURSING HOME 444367 29 66946 440545 1859780 126846 2367271 HOSPICE PALLIATIVE CAR 621610 26947126 26947126 26947126 22768 22768 214338 440545 193122 21216 21216 1345301 253837 1091464 1074959 16505 OTHER REVENUE 900099 9755 9755 9755 30459600 28031840 16505 43984 377548 377548 12910708 10651600 1959830 299278 146620 124076 19019 3525 1871554 1559441 271408 40705 995904 847891 123924 24089 175073 174812 261 9848 2107 7741 116923 116923 5124185 5002979 118706 2500 245786 175952 66723 3111 474241 252726 214753 6762 38386 6090 32296 484949 373778 110059 1112 129237 59068 67437 2732 304481 171415 133066 804043 243596 558124 2323 132682 132682 MEDICAL SUPPLIES AND DR 3084012 3084012 BAD DEBT EXPENSE 232948 232948 REPAIRS, MAINTENANCE, A 225644 149240 76404 TELEPHONE / UTILITIES 222833 180636 42197 0 DUES AND SUBSCRIPTIONS 216039 55704 142459 17876 430289 204233 191396 34660 28753933 23144544 5170455 438934 1845731 4125595 2181982 2108279 1138693 759041 2905965 2748304 77722 76085 75781 246290 17114807 2787538 14753611 14327269 47330 48276 23026815 24439139 2834837 2806251 74872 147842 6238880 5866293 53943 88803 9202532 8909189 X 2990495 4944891 10825851 10575622 7937 9437 13824283 15529950 23026815 24439139 1705667 0 X 0 1 1 X 0 X 2921946 5443578 2277146 1958255 2367271 14968196 17454395 19625120 20128347 25436846 28267508 110912216 730391 881284 1052073 39802 22768 2726318 21106732 25949982 23457566 27434903 30657547 128606730 35971 180520 515570 17001 18895 767957 0 35971 180520 515570 17001 18895 767957 127838773 153468 336965 140551 39871 22768 693623 153468 336965 140551 39871 22768 693623 4519 7500 17189 26376 9755 65339 21264719 26294447 23615306 27501150 30690070 129365692 0.98820 0.98670 0.00540 0.00590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18403 21500 1486 41389 15272 3131 18403 18912 -3640 15272 0.73990 0.26010 1 0 2275369 2275369 9762639 367798 9394841 1735081 632317 1102764 3326538 1787423 1539115 15180 15180 14327269 ANNUITY PAYABLE 88803 88803 30459600 28753933 1705667 0 1705667 30799752 340152 340152 30459600 0 30459600 29094085 340152 340152 28753933 0 28753933 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 $ 147,030 FUNDRAISING EVENTS EXPENSE $ 193,122 PART XIII LINE 2(D) - EXPENSES NETTED AGAINST REVENUE ON 990 COST OF GOOD SOLD $ 147,030 FUNDRAISING EVENTS EXPENSE $ 193,122 BLACK TIE & BOOTS 270684 187958 82726 958 32075 3750 50562 THE PARTY 103529 54680 48849 1687 7304 2000 15839 4 280670 197907 82763 6100 29796 4275 38776 654883 440545 214338 8745 69175 10025 105177 193122 21216 1 X X X X X 0 0 0 0 0 0 0 0 0 CHRISTY WHITNEY 184711 0 21000 0 5608 0 1000 0 15100 0 227419 0 0 0 SARAH WALSH 112020 0 12650 0 7645 0 1000 0 16814 0 150129 0 0 0 AMY MOHLER 177242 0 650 0 16500 0 1000 0 25649 0 221041 0 0 0 VICKI ROY 137366 0 650 0 0 0 0 0 16374 0 154390 0 0 0 MESA COUNTY COLORADO 846000783 2007-07-01 7000000 CONSTRUCTION OF CARE CENTER 0 0 0 7000000 30484 6969516 2008 0 0 1 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 X 4 41084 MARKET VALUE X 1 20294 MARKET VALUE X MEMORIAL ENGRAVINGS & TILES 1 9810 MARKET VALUE X WORK ON BUILDINNGS 2 9740 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.