2021-11-12T10:39:02-06:00 2020-12-31 450250958 EIDE BAILLY LLP 2950 E HARMONY RD STE 290 FORT COLLINS CO 805283429 990 2020-01-01 840743121 HOSPICE OF METRO DENVER INC HOSP 3037804600 8289 E LOWRY BLVD DENVER CO 80230 PAUL TOSETTI CHIEF FINANCIAL OFFICER 3037804600 2021-11-10 1 PAUL TOSETTI 999009999 KYLE FRITCH CPA P01313374 9702238825 2021-11-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z THE DENVER HOSPICE AND OPTIO HEALTH MELINDA EGGING 8289 E LOWRY BLVD DENVER CO 80230 37140247 0 X WWW.THEDENVERHOSPICE.ORG X 1977 CO TO ENCIRCLE THOSE FACING ADVANCED ILLNESS WITH UNPRECEDENTED LEVELS OF COMFORT, COMPASSION, AND EXPERTISE. 12 11 382 219 0 0 5486332 2095953 38500309 39348318 988379 588215 0 -4999907 44975020 37032579 48812 0 0 0 24284099 26073229 51725 0 482178 11580445 13369835 35965081 39443064 9009939 -2410485 54835059 59872892 6095554 12346249 48739505 47526643 X TO ENCIRCLE THOSE FACING ADVANCED ILLNESS WITH UNPRECEDENTED LEVELS OF COMFORT, COMPASSION, AND EXPERTISE. 0 0 30152344 34348411 HOSPICE CARE IS DISTINGUISHED FROM TRADITIONAL MEDICAL CARE BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AS END OF LIFE CARE THAT DOES NOT INCLUDE CURATIVE MEASURES FOR THOSE WITH LIFE-LIMITING ILLNESSES AND GIVEN A PROGNOSIS OF LESS THAN SIX MONTHS TO LIVE. THE INTER-DISCIPLINARY TEAM INCLUDES A PHYSICIAN, REGISTERED NURSE, CHAPLIN, AND SOCIAL WORKER. THE DENVER HOSPICE SERVES 4,000 HOSPICE PATIENTS AND 1,200 PALLIATIVE CARE PATIENTS THEIR FAMILIES EVERY YEAR. THESE PATIENTS INCLUDE THOSE WHO QUALIFY FOR MEDICARE AND MEDICAID AND OTHER VARIOUS INSURANCE PROGRAMS, AS WELL AS THOSE WHO ARE UNDERINSURED AND UNINSURED, VETERANS AND CHILDREN (CHILDREN'S PEDIATRIC PROGRAM). THE DENVER HOSPICE ALSO HAS AN ACCREDITATION FROM THE NATIONAL INSTITUTE FOR JEWISH HOSPICE.OPTIO HEALTH SERVICES COORDINATES CARE AND SERVICES FOR PEOPLE COPING WITH CHRONIC ILLNESS AND ASSISTS INDIVIDUALS DURING THE TIMES OF TRANSITION THROUGH AN INTEGRATED PERSONALIZED CARE PLAN AND 24-7 SUPPORT. THIS TYPE OF PALLIATIVE CARE IS AVAILABLE BEFORE A PATIENT IS ELIGIBLE FOR HOSPICE CARE. PALLIATIVE CARE (1) RELIEVES PAIN AND OTHER SYMPTOMS, (2) INCREASES COMFORT FOR PATIENTS AND MAY INCLUDE CURATIVE MEASURES, AND (3) PROVIDES PRACTICAL ASSISTANCE FOR PATIENTS AND CAREGIVERS AT HOME.GRIEF SUPPORT SERVICES AS A SERVICE OF THE DENVER HOSPICE, WE HAVE BEEN PROVIDING GRIEF SUPPORT TO OUR COMMUNITY SINCE 1978. SERVICES INCLUDE GRIEF COUNSELING FOR INDIVIDUALS AND FAMILIES; ART THERAPY; GRIEF SUPPORT GROUPS WHICH INCLUDE A NEWLY BEREAVED SUPPORT GROUP, ADULT GRIEF SUPPORT GROUP, CREATIVE ARTS GROUP AND SPECIAL FOCUS SUPPORT GROUPS TO SUPPORT THE GRIEF PROCESS; COMMUNITY EDUCATIONAL PRESENTATIONS AND MATERIALS; AND GRIEF SERVICES THROUGH OUR FOOTPRINTS CHILDREN'S GRIEF CENTER.FOOTPRINTS CHILDREN'S GRIEF CENTER ESTABLISHED IN 1993, FOOTPRINTS CHILDREN'S GRIEF CENTER HELPS HEAL CHILDREN AND TEENS, AGES 3 TO 18, WHO HAVE A LOVED ONE WITH A LIFE-LIMITING ILLNESS OR HAVE EXPERIENCED A RECENT LOSS. FOOTPRINTS PROVIDES A SAFE SPACE TO EXPRESS THOUGHTS AND FEELINGS AND DEVELOP TOOLS FOR MANAGING GRIEF. OUR EXPERIENCED COUNSELORS WORK ONE-ON-ONE WITH CHILDREN AND TEENS USING DIFFERENT FORMS OF CREATIVE EXPRESSION LIKE ART, PLAY, MOVEMENT, MUSIC AND JOURNALING TO ADDRESS CHALLENGES AND DEVELOP INTERNAL RESOURCES. 30152344 1 1 0 1 0 0 0 1 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 121 0 1 382 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 1 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CO X PAUL TOSETTI 3037804600 8289 E LOWRY BLVD DENVER CO 80230 X TIM J BOWEN DIRECTOR/CHIEF EXECUTIVE OFFICER 1.00 59.00 X X 0 901573 229350 SHIRLEY E TURNER CHIEF MEDICAL DIRECTOR 40.00 0.00 X 288617 0 23266 MELINDA EGGING PRESIDENT 50.00 0.00 X 268326 0 63210 PAUL TOSETTI CHEIF FINANCIAL OFFICER (FROM 2/20) 2.00 48.00 X 0 252152 37660 ARLYN LABAIR PHYSICIAN 40.00 0.00 X 237393 0 9170 SHERI KNEPEL PHYSICIAN 40.00 0.00 X 229222 0 9156 ROHINI KANNIGANTI PHYSICIAN (THRU 10/20) 40.00 0.00 X 205839 0 30816 SUSAN FINKE CLINICAL MANAGER 40.00 0.00 X 154203 0 35091 RONALD FERET CHIEF FINANCIAL OFFICER (THRU 2/20) 1.00 43.00 X 0 117893 2544 BRAD BAUMGARTNER BOARD CHAIR 1.00 1.00 X X 0 0 0 RODNEY RICE BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 EVI MAKOVSKY SECRETARY 1.00 0.00 X X 0 0 0 JOANNE SHERWOOD TREASURER 1.00 0.00 X X 0 0 0 KAY COWLING DIRECTOR 1.00 0.00 X 0 0 0 ELIZABETH OYEKAN DIRECTOR 1.00 0.00 X 0 0 0 SUSAN LAW DIRECTOR 1.00 0.00 X 0 0 0 ANDREA COLEMAN DIRECTOR 1.00 0.00 X 0 0 0 ELIZABETH BETSY MORAN DIRECTOR 1.00 0.00 X 0 0 0 DAVID ALEXANDER DIRECTOR 1.00 0.00 X 0 0 0 ADELE PHELAN DIRECTOR 1.00 2.00 X 0 0 0 1383600 1271618 440263 21 0 1 0 FRANSEN PITTMAN 9563 S KINGSTON COURT ENGLEWOOD CO 80112 GENERAL CONTRACTING - AMY DAVIS BUILDING 6450496 CARE SYNERGY 8289 E LOWRY BLVD DENVER CO 80230 MANAGEMENT SERVICES 1972139 CORE MEDICAL GROUP 655 SOUTH WILLOW STREET SUITE MANCHESTER NH 03103 CONTRACT NURSING STAFF 309687 AE EXTERIORS 6505 S RUSSELLVILLE RD FRANKTOWN CO 80116 GENERAL CONTRACTING 291628 APEX PARAMEDICS 1873 W 52ND AVENUE DENVER CO 80221 PATIENT TRANSPORTATION 270116 9 927378 1168575 20048 2095953 PATIENT SERVICE REVENUE 623000 39346813 39346813 1505 1505 39348318 535560 535560 160323 107668 52655 52655 52655 LOSS ON IMPAIRMENT OF NOTE RECEIV 900099 -4999907 -4999907 -4999907 37032579 34348411 0 588215 X 333798 300418 16690 16690 22030015 17420212 4380008 229795 227583 227583 2165213 1820484 325531 19198 1316620 1281850 17930 16840 1972139 1972139 107842 107842 21975 21975 522 522 789400 687491 87759 14150 214794 194189 20605 267749 80520 137050 50179 118086 196 64825 53065 1495750 460999 1034682 69 28017 25506 1138 1373 22602 21241 1297 64 112929 104346 8583 591190 361410 206073 23707 DIRECT PATIENT EXPENSES 6038448 6016577 4301 17570 OPERATING RESERVE FUND 1001000 1001000 0 0 DUES & SUBSCRIPTIONS 237340 144495 75602 17243 BAD DEBT 98257 98257 251795 108173 129970 13652 39443064 30152344 8808542 482178 12165188 12467397 2208000 172076 5259836 5780172 300000 99075 140495 33648713 11037859 15562502 22610854 12590522 17710794 6949936 691104 54835059 59872892 4333489 4218276 1666609 7196029 95456 931944 6095554 12346249 X 36828279 38929517 11911226 8597126 48739505 47526643 54835059 59872892 -2410485 1197623 0 X 0 1 X 1 0 X 1793817 1334338 1311175 5486332 2095953 12021615 40805200 41042542 37073030 38500309 39348318 196769399 42599017 42376880 38384205 43986641 41444271 208791014 70350 32233 59825 4185784 2724 4350916 0 70350 32233 59825 4185784 2724 4350916 204440098 206561 294960 410381 711619 535560 2159081 206561 294960 410381 711619 535560 2159081 75855 75855 42881433 42671840 38794586 44698260 41979831 211025950 0.96880 0.96980 0.01020 0.00880 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: FUNDRAISING INCOME - 2016 AMOUNT: $ 75,855. OTHER INCOME - COST SHARING REIMBURSEMENTS - RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 522 522 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDED AS PART OF DUES TO NHPCO $522, AS DISCLOSED ON THE ANNUAL MEMBERSHIP RENEWAL FORM. IN 2020, 2.5% OF OUR TOTAL DUES OF $20,883 WERE ALLOCATED TO LOBBYING. X X ENHANCING END OF LIFE CARE 0 6236602 748056 289348 6695310 6100019 85 1293836 1157338 6236602 6483039 586 -383606 6100019 5664652 818387 6483039 5279991 384661 5664652 0.00000 0.75390 0.24610 0 0 2950201 2950201 20169259 3716117 16453142 723859 723859 0 8722236 6597883 2124353 1083158 1083158 22610854 DEFERRED LEASE INCENTIVES 17825 REFUNDABLE ADVANCE - PROVIDER RELIEF FUND 914119 931944 X 37130945 1197623 -1099257 98366 37032579 0 37032579 38343807 0 38343807 1099257 1099257 39443064 PART III, LINE 4: THE ORGANIZATION'S COLLECTIONS CONSIST PRIMARILY OF WORKS OF ART THAT ARE ON DISPLAY IN PUBLIC SPACES AS WELL AS PATIENT ROOMS. THESE WORKS OF ART ARE USED TO PROVIDE A WELCOMING, THERAPEUTIC, HOME LIKE ENVIRONMENT TO PATIENTS AND FAMILIES IN FURTHERANCE OF THE ORGANIZATION'S MISSION OF ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE. PART V, LINE 4: THE DONOR INTENT OF THE ENDOWMENT GIFT IS TO SUPPORT THE OPERATIONAL COSTS OF OR CAPITAL IMPROVEMENTS TO THE DENVER HOSPICE INPATIENT CARE CENTER. UNTIL RECENTLY, THE CARE CENTER HAS NOT REQUIRED SIGNIFICANT REPAIRS OR CAPITAL IMPROVEMENT. AS SUCH, THERE HAVE NOT BEEN RELEASES AGAINST THE ENDOWMENT. WE STARTED RELEASES AGAINST THE ENDOWMENT IN 2019. PART X, LINE 2: WE ARE ORGANIZED AS A COLORADO NONPROFIT CORPORATION, HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), QUALIFY FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)(VIII), AND HAVE BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). WE ARE REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, WE ARE SUBJECT TO INCOME TAX ON NET INCOME DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO OUR EXEMPT PURPOSE. WE FILE AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS TO REPORT UNRELATED BUSINESS INCOME. WE BELIEVE WE HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING OUR ANNUAL FILING REQUIREMENTS, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIALS -98,257. OPERATING RESERVE FUND EXPENSE NETTED WITH REVENUES ON FINANCIALS -1,001,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIALS 98,257. OPERATING RESERVE FUND EXPENSE NETTED WITH REVENUES ON FINANCIALS 1,001,000. X X X X X X 0 1 0 0 0 0 0 1 0 TIM J BOWEN DIRECTOR/CHIEF EXECUTIVE OFFICER 0 566261 0 263804 0 71508 0 201921 0 30493 0 1133987 0 0 SHIRLEY E TURNER CHIEF MEDICAL DIRECTOR 247066 0 40501 0 1050 0 7505 0 17964 0 314086 0 0 0 MELINDA EGGING PRESIDENT 219966 0 47002 0 1358 0 52307 0 13165 0 333798 0 0 0 PAUL TOSETTI CHEIF FINANCIAL OFFICER (FROM 2/20) 0 219322 0 25390 0 7440 0 37660 0 1771 0 291583 0 0 ARLYN LABAIR PHYSICIAN 229854 0 6020 0 1519 0 9066 0 2001 0 248460 0 0 0 SHERI KNEPEL PHYSICIAN 222951 0 5960 0 311 0 9156 0 2032 0 240410 0 0 0 ROHINI KANNIGANTI PHYSICIAN (THRU 10/20) 173599 0 5100 0 27140 0 5321 0 27402 0 238562 0 0 0 SUSAN FINKE CLINICAL MANAGER 87523 0 58170 0 8510 0 2482 0 33844 0 190529 0 0 0 PART I, LINE 3 FOR COMPENSATION PAID TO OFFICERS FROM A RELATED TAX-EXEMPT ENTITY, THE ORGANIZATION RELIED ON THE RELATED ORGANIZATION THAT USED ONE OR MORE OF THESE METHODS TO ESTABLISH THE COMPENSATION OF THOSE OFFICERS. PART I, LINE 4B CARE SYNERGY, A RELATED TAX-EXEMPT ORGANIZATION, ESTABLISHED A SECTION 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR THE EXCLUSIVE BENEFIT OF CERTAIN EXECUTIVES. FUNDS ARE SUBJECT TO RISK OF FORFEITURE BY PLAN PARTICIPANTS AND ARE AVAILABLE TO THE CREDITORS OF CARE SYNERGY. IN ACCORDANCE WITH THE BOARD OF DIRECTORS' INTENT, CARE SYNERGY WILL FUND INDIVIDUAL PARTICIPANT ACCOUNTS THROUGH INVESTMENT OPTIONS DIRECTED BY THE PARTICIPANTS. THE DEFERRED COMPENSATION PLAN IS PARTIALLY FUNDED, AND CARE SYNERGY REPORTS THE DEFERRALS AND RELATED FUNDING IN ACCRUED EXPENSES AND INVESTMENTS, RESPECTIVELY, IN THE BALANCE SHEET. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN IN 2020, FOR WHICH THE EXPENSE WAS INCURRED BY THE SPONSORING ORGANIZATIONS, BUT THE FUNDS HAVE NOT VESTED OR BEEN PAID OUT TO THESE INDIVIDUALS. THE AMOUNTS LISTED BELOW ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (C): TIM BOWEN (CARE SYNERGY CEO): $190,521 PAUL TOSETTI (CARE SYNERGY CFO): $28,146 MELINDA EGGING (DENVER HOSPICE PRESIDENT): $46,323 PART I, LINE 7 THE ORGANIZATION AND THE COMPENSATION COMMITTEE OF CARE SYNERGY, A RELATED TAX-EXEMPT ORGANIZATION, ANNUALLY REVIEWS THE PERFORMANCES OF THE EXECUTIVE STAFF AND OTHER STAFF TO DETERMINE IF ADDITIONAL COMPENSATION IN THE FORM OF BONUSES WILL BE PAID. THE DETERMINATION OF BONUSES IS BASED ON ACHIEVEMENT OF CERTAIN METRICS INCLUDED IN OVERALL STRATEGIC OBJECTIVES INCLUDING FINANCIAL PERFORMANCE, PATIENT CENSUS GROWTH, AND QUALITY RATINGS. INCENTIVE COMPENSATION IS ALSO PAID FOR VARIOUS FORMS OF VARIABLE PAY INCLUDING BUT NOT LIMITED TO ON CALL PAY AND SHIFT DIFFERENTIALS. DURING CALENDAR YEAR ENDED DECEMBER 31, 2020, THE ORGANIZATION AND/OR CARE SYNERGY AWARDED THE DIRECTOR/CEO, CHIEF FINANCIAL OFFICERS, PRESIDENT, CHIEF MEDICAL OFFICER, DIRECTOR OF CLINICAL SERVICES, AND PHYSICIANS A BONUS AND/OR OTHER VARIABLE COMPENSATION BASED ON REVIEW OF THEIR PERFORMANCES AND SERVICES TO THE ORGANIZATION. SCHEDULE J, PART II: THE COMPENSATION PAID TO THE DIRECTOR/CEO AND CFO IS PAID FOR BY CARE SYNERGY, A RELATED TAX-EXEMPT ORGANIZATION. CARE SYNERGY'S COMPENSATION COMMITTEE ENGAGES AN INDEPENDENT THIRD-PARTY COMPENSATION AND BENEFITS CONSULTANT TO CONDUCT A MARKET ANALYSIS, WHICH INCLUDES COMPARISONS OF SIMILARLY SIZED HOSPICES AND OTHER HEALTHCARE ORGANIZATIONS, TO DETERMINE COMPENSATION AMOUNTS FOR THESE INDIVIDUALS. SCHEDULE J, PART II: THE COMPENSATION PAID TO THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER IS PAID FOR BY CARE SYNERGY, A RELATED TAX-EXEMPT ORGANIZATION. IN ADDITION TO PROVIDING SERVICES TO HOSPICE OF METRO DENVER, INC., TOP MANAGEMENT OFFICIALS LISTED ABOVE ALSO PROVIDE SERVICES IN THEIR RESPECTIVE POSITIONS TO OTHER RELATED TAX-EXEMPT ORGANIZATIONS. THE AMOUNTS REPORTED ON FORM 990, PART VII, SECTION A REPRESENT COMPENSATION AND BENEFITS PAID TO THESE INDIVIDUALS FOR THEIR SERVICES TO THE FILING ORGANIZATION AS WELL AS OTHER TAX-EXEMPT ORGANIZATIONS. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 NONEAVAIL 2019-02-04 9154000 FINANCE ACQUISITION, CONSTRUCTION AND EQUIPPING OF BULIDING IMPROVEMENTS 0 0 0 A 64541 7435460 183080 7252380 2020 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 SCHEDULE K PART I AND PART II, LINE 3: THE TOTAL AMOUNT OF BOND PROCEEDS REPORTED ON SCHEDULE K, PART II, LINE 3 IS DIFFERENT THAN WHAT IS REPORTED ON SCHEDULE K, PART I. THE DIFFERENCE IN REPORTING IS BECAUSE THE BOND IS A DRAW-DOWN BOND AND THE ORGANIZATION HAS ONLY DRAWN A PORTION OF THE TOTAL BOND ISSUANCE FOR CONSTRUCTION PURPOSES AS OF DECEMBER 31, 2020. X 1 15000 APPRAISAL X 1 5048 COST OR SELLING PRICE 1 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS IN PART I, COLUMN (B). FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF THE CHAIR, THE VICE-CHAIR, THE SECRETARY, THE TREASURER, THE CEO OF CARE SYNERGY AND UP TO THREE AT-LARGE MEMBERS DRAWN FROM THE BOARD. THE EXECUTIVE COMMITTEE MAY TRANSACT ANY BUSINESS OF THE ORGANIZATION THAT WOULD NORMALLY REQUIRE APPROVAL OF THE BOARD (EXCEPT AS SET FORTH BELOW) BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD ONLY IF THE BUSINESS AT HAND IS OF SUCH URGENT NATURE AS TO REASONABLY REQUIRE ACTION PRIOR TO THE NEXT REGULARLY SCHEDULED MEETING OF THE BOARD AND A QUORUM OF THE BOARD CANNOT REASONABLY BE ASSEMBLED. NOTWITHSTANDING THE PRECEDING, THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE AUTHORITY TO APPROVE ANY OF THE FOLLOWING ACTIONS: (A)NOMINATION OF INDIVIDUALS TO SERVE AS DIRECTOR OF THE BOARD; (B) ANY AMENDMENT TO THE ARTICLES OR BYLAWS OF THE ORGANIZATION; (C) REMOVAL OF A DIRECTOR OF THE ORGANIZATION WITH OR WITHOUT CAUSE; OR (D) APPROVAL OF THE ORGANIZATION'S STRATEGIC PLAN. FORM 990, PART VI, SECTION A, LINE 2 THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER ARE OFFICERS OF AND EMPLOYED BY CARE SYNERGY, A RELATED EXEMPT ORGANIZATION. THESE INDIVIDUALS ARE ALSO OFFICERS OF COLORADO VISITING NURSE ASSOCIATION, PIKES PEAK HOSPICE AND PALLIATIVE CARE, AND PATHWAYS HOSPICE. THEREFORE, BUSINESS RELATIONSHIPS EXIST BETWEEN THESE INDIVIDUALS. FORM 990, PART VI, SECTION A, LINE 3 CARE SYNERGY, A RELATED EXEMPT ORGANIZATION, PERFORMED EXECUTIVE MANAGEMENT SERVICES INCLUDING FINANCE AND ACCOUNTING, PAYROLL, INFORMATION TECHNOLOGY, HUMAN RESOURCES, QUALITY MANAGEMENT, COMPLIANCE, HIGH LEVEL RISK MANAGEMENT, AND GROUP CONTRACTING SERVICES. SEE FORM 990, PART VII FOR COMPENSATION PAID BY THE RELATED MANAGEMENT COMPANY. FORM 990, PART VI, SECTION A, LINE 6 HOSPICE OF METRO DENVER'S SOLE MEMBER IS CARE SYNERGY, A COLORADO NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER, CARE SYNERGY HAS THE POWER TO ELECT AND REMOVE DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS INITIALLY REVIEWED BY THE CONTROLLER AND THE CHIEF FINANCIAL OFFICER. AFTER THE INITIAL REVIEW HAS BEEN COMPLETED, A FINAL COPY IS GIVEN TO THE FULL BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD OF DIRECTORS AND SENIOR MANAGEMENT IS ASKED TO COMPLETE AN INDEPENDENCE QUESTIONNAIRE TO DISCLOSE ANNUALLY ANY BUSINESS VENTURES, OWNERSHIP INTERESTS OR SERVICES THAT COULD CREATE A CONFLICT OF INTEREST. THE EXISTENCE OF ANY POTENTIAL CONFLICT OF INTEREST SHALL BE DISCLOSED TO BOARD OF DIRECTORS, WHO SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IN THE EVENT A CONFLICT OF INTEREST DOES EXISTS, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE GOVERNING BOARD OR COMMITTEE, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMING WITH THE ABOVE DETERMINATION, IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR CARE SYNERGY, A RELATED TAX-EXEMPT ORGANIZATION, FUNCTIONS AS THE COMPENSATION COMMITTEE. THEY ENGAGE AN INDEPENDENT THIRD-PARTY COMPENSATION AND BENEFITS CONSULTANT TO CONDUCT A MARKET ANALYSIS OF COMPENSATION AND BENEFITS FOR ALL TOP MANAGEMENT AND TOP FINANCIAL OFFICIALS OF THE ORGANIZATION. THE ANALYSIS INCLUDES COMPARISONS OF SIMILARLY SIZED HOSPICE AND OTHER HEALTHCARE ORGANIZATIONS. THE CONSULTING FIRM ALSO EVALUATES THE REASONABLENESS OF EXECUTIVE COMPENSATION FROM AN INTERMEDIATE SANCTIONS PERSPECTIVE. ANY COMPENSATION OR BENEFIT CHANGES FOR TOP MANAGEMENT AND FINANCIAL OFFICIALS ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE CARE SYNERGY BOARD OF DIRECTORS AND DOCUMENTED IN THE COMMITTEE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. REQUEST FORMS ARE AVAILABLE AT THE FRONT DESK AND CAN BE REQUESTED IN PERSON OR OVER THE PHONE. FORM 990, PART VII, SECTION A: THE COMPENSATION PAID TO THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER IS PAID FOR BY CARE SYNERGY, A RELATED TAX-EXEMPT ORGANIZATION. IN ADDITION TO PROVIDING SERVICES TO HOSPICE OF METRO DENVER, INC., TOP MANAGEMENT OFFICIALS LISTED ABOVE ALSO PROVIDE SERVICES IN THEIR RESPECTIVE POSITIONS TO OTHER RELATED TAX-EXEMPT ORGANIZATIONS. THE AMOUNTS REPORTED ON FORM 990, PART VII, SECTION A REPRESENT COMPENSATION AND BENEFITS PAID TO THESE INDIVIDUALS FOR THEIR SERVICES TO THE FILING ORGANIZATION AS WELL AS OTHER TAX-EXEMPT ORGANIZATIONS. FORM 990, PART IX, LINE 24B: IN 2020, AN OPERATING RESERVE WAS CREATED AT CARE SYNERGY (THE RESERVE) TO SUPPORT THE STRATEGIC GOALS AND OPERATIONAL PLANS OF CARE SYNERGY AND ITS AFFILIATES. THE RESERVE WAS FUNDED BY AFFILIATES WITH AVAILABLE CASH FLOW BASED ON THEIR PROPORTIONATE SHARE OF PATIENT SERVICE REVENUE. THE USE OF THE RESERVE IS TO SUPPORT UNFORESEEN FINANCIAL NEEDS OR CERTAIN STRATEGIC INITIATIVES OF CARE SYNERGY AND ITS AFFILIATES. THE RESERVE IS NOT INTENDED FOR CAPITAL PROJECTS, TO REPLACE A PERMANENT LOSS OF FUNDS OR ELIMINATE AN ONGOING BUDGET GAP OR SHORTFALL. UTILIZATION OF THE RESERVE REQUIRES THE EXPRESS APPROVAL OF THE CARE SYNERGY BOARD OF DIRECTORS. COMFORT BRIDGE DBA CARE SYNERGY 8289 E LOWRY BLVD DENVER CO 80230 471820366 ADMINISTRATIVE SUPPORT SERVICES TO RELATED ORGANIZATION CO 501(C)(3) LINE 12B, II N/A 0 PATHWAYS HOSPICE 8289 E LOWRY BLVD DENVER CO 80230 840782874 HOSPICE AND PALLIATIVE CARE SERVICES CO 501(C)(3) LINE 10 COMFORT BRIDGE DBA CARE SYNERGY 0 PIKES PEAK HOSPICE AND PALLIATIVE CARE INC 8289 E LOWRY BLVD DENVER CO 80230 840816047 HOSPICE AND PALLIATIVE CARE SERVICES CO 501(C)(3) LINE 10 COMFORT BRIDGE DBA CARE SYNERGY 0 HALCYON HOSPICE 8289 E LOWRY BLVD DENVER CO 80230 471820492 HOSPICE AND PALLIATIVE CARE SERVICES CO 501(C)(3) LINE 10 COMFORT BRIDGE DBA CARE SYNERGY 0 COLORADO VISITING NURSES ASSOCIATION 8289 E LOWRY BLVD DENVER CO 80230 841043351 HOSPICE AND PALLIATIVE CARE SERVICES CO 501(C)(3) LINE 10 COMFORT BRIDGE DBA CARE SYNERGY 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1 1 1 1 1 0 SCHEDULE R, PART II: HALCYON HOSPICE IS REPORTED AS A RELATED ORGANIZATION ON SCHEDULE R, PART II SINCE THE ENTITY WAS A RELATED ORGANIZAITON FOR PART OF THE TAX YEAR. HOWEVER, HALCYON IS NO LONGER CONSIDERED A RELATED ORGANIZATION AS OF AUGUST 5, 2020